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25184 Federal Register / Vol. 71, No.

82 / Friday, April 28, 2006 / Notices

Agenda: To review and evaluate grant date of publication of the final • The programs lack a common
applications. guidelines, written comments will database.
Place: Churchill Hotel, 1914 Connecticut continue to be accepted for the first year • There is no consistent, defined
Avenue, NW., Washington, DC 20009. mechanism to access NCI-supported
Contact Person: Mariela Shirley, PhD,
of implementation and can be sent to:
Scientific Review Administrator, Center for First-Generation Guidelines, Office of biospecimen resources.
Scientific Review, National Institutes of Biorepositories and Biospecimen II. Background
Health, 6701 Rockledge Drive, Room 3186, Research, Office of the Deputy Director
MSC 7848, Bethesda, MD 20892, (301) 435– for Advanced Technologies and In 2005 the NCI took several actions
0913, shirleym@csr.nih.gov. Strategic Partnerships, National Cancer to respond to these findings, including
Name of Committee: Center for Scientific Institute, National Institutes of Health, establishment of the Biorepository
Review Special Emphasis Panel, 31 Center Drive, Room 10A03, Bethesda, Coordinating Committee (BCC) in early
Bioengineering, Technology, and Surgical MD 20892. Comments submitted via 2005. The BCC is advisory to the NCI’s
Sciences Member Conflict. e-mail should use Office of Biorepositories and
Date: June 16, 2006. Biospecimen Research (OBBR). The
Time: 2 p.m. to 5 p.m. biospecimens@mail.nih.gov and enter
‘‘First-Generation Guidelines Comment’’ primary purpose of the BCC is to work
Agenda: To review and evaluate grant with the OBBR to coordinate the NCI’s
applications. in the subject line. During the first year
of implementation, the NCI will review biorepositories in a manner that
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892, any additional comments and optimizes the quality and accessibility
(Telephone Conference Call). experience with the guidelines to of biospecimens for the broad cancer
Contact Person: Roberto J. Matus, MD, evaluate a possible need for future research community. Toward this goal,
Scientific Review Administrator, Center for guidelines modification. the OBBR and the BCC organized two
Scientific Review, National Institutes of workshops during the summer of 2005
Health, 6701 Rockledge Drive, Room 5108, FOR FURTHER INFORMATION CONTACT: to inform the development of specific
MSC 7854, Bethesda, MD 20892, 301–435– Implementation assistance and inquiries recommendations on policy and
2204, matusr@csr.nih.gov. should be directed to senior staff of the operational issues. These workshops,
(Catalogue of Federal Domestic Assistance relevant NCI Extramural and Intramural which were based on the development
Program Nos. 93.306, Comparative Medicine; Program offices. of a series of white papers that
93.333, Clinical Research; 93.306, 93.333, SUPPLEMENTARY INFORMATION: consolidated documents and the overall
93.337, 93.393–93.396, 93.837–93.844,
93.846–93,878, 93.892, 93.893, National I. Introduction knowledge base in biospecimens,
Institutes of Health, HHS) brought together diverse representatives
The guidelines assembled in this from the cancer research community as
Dated: April 20, 2006. document are intended as a first step well as ethics, policy, and legal experts
Anna Snouffer, toward unifying policies and procedures to discuss and propose approaches that
Acting Director, Office of Federal Advisory for NCI-supported biorepositories. This could help unify, integrate, and improve
Committee Policy. process was initiated by the NCI the transparency of NCI-supported
[FR Doc. 06–4000 Filed 4–27–06; 8:45 am] through a multiyear process that began biorepository activities. The report and
BILLING CODE 4140–01–M in 2002, including a 2004 report recommendations that resulted from the
compiled for the National Cancer workshops are summarized in the
Advisory Board that showed substantial document Harmonizing Processes and
DEPARTMENT OF HEALTH AND heterogeneity in biorepository Policies for NCI-Supported
HUMAN SERVICES management practices across the Biorepositories, which was presented to
Institute (NCAB 2004). This study the National Cancer Advisory Board in
National Institutes of Health showed that NCI-supported September, 2005. The report can be
First-Generation Guidelines for NCI- biorepositories are not optimized in found at http://
Supported Biorepositories terms of operational, legal, and ethical biospecimens.cancer.gov/
policies and procedures, nor are they biorepositories/bcc_summary.asp.
AGENCY: National Institutes of Health coordinated to provide a unique NCI defines a biorepository as a place,
(NIH), National Cancer Institute (NCI). resource value. Specifically, it showed room, or container where human
ACTION: Notice. that: biospecimens are stored. Biorepositories
• The NCI invests more than $50 may vary considerably, ranging from
SUMMARY: The NCI is establishing million annually in biorepository formal organizations to informal
common guidelines for the collection of programs, not including biorepositories collections of materials in an individual
biospecimens and their accompanying supported through individual researcher’s freezer.
data by NCI-sponsored biorepositories. investigator grants, such as R01s. Currently biorepositories serve as
These guidelines are intended to • The 125 programs included in the critical resources to the research
standardize and enhance the quality of study collected, maintained, and/or community in the performance of
research material and data used in stored approximately 4 million human postgenomics cancer research. It is
cancer research. biospecimens in FY 2003. becoming increasingly important that all
DATES: Effective Date: May 30, 2006. • These programs support basic, biorepositories strive to achieve the best
ADDRESSES: These guidelines are open epidemiologic, translational, and possible biospecimen quality, which
for public comment for a period of 30 clinical research. would necessarily call for the adoption
days. After the comment period has • Most programs collect frozen of consistent documentation, collection,
closed, any comments received will be biospecimens and support genomic and processing, storage, and retrieval
considered in a timely manner by the proteomic research. guidelines such as those outlined in this
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NCI Office of Biorepositories and • Across the broad range of programs, document. The workshops’
Biospecimen Research and appropriate there are no common standard operating recommended approaches were
changes will be made and the final procedures (SOPs) or Quality reported to the NCAB in September
guidelines will be published and Assurance/Quality Control (QA/QC) 2005. Proposed approaches, as well as
voluntarily in effect. After the effective measures. additional meetings and work over the

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Federal Register / Vol. 71, No. 82 / Friday, April 28, 2006 / Notices 25185

past 3 years, form the basis of the first- that clinically important issues related 17. Prior to shipment, execute
generation NCI biorepository guidelines. to the biospecimens are adequately and appropriate Material Transfer
These guidelines will be distributed to accurately addressed and that patient Agreements (MTAs) addressing donor
managers of all NCI-supported care is not compromised. privacy, as appropriate, intellectual
intramural and extramural 8. Store biospecimens in a stabilized property (IP), data sharing, and other
biorepositories, who will be initially state. In selecting the biospecimen similar requirements.
asked to conform to them on a voluntary storage temperature, consider the 18. Consult International Society for
basis. It is important to note that biospecimen type, the anticipated Biological and Environmental
developing a workable set of guidelines length of storage, the biomolecules of Repositories (ISBER) best practices
is an evolving process that, with the interest, and whether goals include (ISBER 2005) for guidance on
emergence of new technologies and preserving viable cells. Use stabilizing international transport regulations
clinical practices, will require periodic agents as appropriate. Storage vessels (governed by the International Air
revision. Therefore, these guidelines should be durable under planned Transport Association) and information
will be revised iteratively, with input storage conditions. Follow consistent on classifying biospecimens for
from researchers, biorepository freezing and thawing protocols to shipment. Train personnel in the
managers, advocates, policymakers, and ensure consistent quality for assays. shipment of biospecimens and update
related stakeholders. 9. Establish rules for biospecimen their training every 2 years. Maintain
disposal before storing the biospecimens training records for all employees
III. Guidelines in the biorepository and monitor involved in shipping.
Overview compliance with the rules. Consider the
anticipated storage interval when B. Collecting and Managing Clinical
1. Technical and Operational selecting storage conditions. Data
Guidelines 10. For tissue biospecimens, minimize 1. Strive to collect and store all
A. Biospecimen Collection, Processing, the time for collection and processing as relevant clinical or epidemiologic data
Storage, Retrieval, and Dissemination much as possible (unless inadequate associated with a biospecimen,
processing time is known to interfere including, as study requirements
1. Collect and process biospecimens with the analysis method); reduce
under conditions appropriate for each dictate, longitudinal data. Follow
biospecimen temperature as soon as applicable informed consent
biospecimen type and for the intended possible after collection. Optimal
analyses, using collection protocols that requirements and institute appropriate
processing times may vary for other security/data-access control measures to
are based on authoritative best practices types of biospecimens depending on the
or solid research data, when available. address privacy issues. The NCI will
analysis method for which they are work with biorepositories to establish a
Ensure that proper informed consent used.
protocols are followed. minimal ‘‘universal’’ clinical data set.
11. Establish inventory tracking
2. Base all protocols on SOPs that are 2. Use an informatics system that
systems and storage organizational
established using authoritative best tracks all aspects of biospecimen
methods to minimize disruption of the
practices or solid research data, when collection, processing, and distribution
stable environment during sample
available. to prevent biospecimen identification
retrieval.
3. Maintain a thorough and consistent 12. Regularly review the performance discrepancies and to support
level of biospecimen annotation while of all long-term storage systems and annotation.
maintaining donor patient privacy equipment using standardized 3. Comply with applicable privacy
pursuant to informed consent protocols. and human subjects protection
provisions. 13. Choose biospecimen containers regulations governing the acquisition of
4. Use a computerized inventory with analytical goals in mind. This may biospecimens and associated clinical
system that tracks the specific position require, for example, screening of data. Link biospecimens to clinical data
of every stored aliquot. Each storage containers for trace metals that may in compliance, as applicable, with the
container should be labeled with a interfere with laboratory analyses. Health Insurance Portability and
unique identifier. All other relevant 14. Adhere to biosafety, packaging, Accountability Act of 1996 (HIPAA) and
information should be tied to this and shipping regulations. Use a tracking U.S. Department of Health and Human
unique identifier. Inventory systems system for biospecimen shipments. The Services (HHS) and U.S. Food and Drug
should contain security provisions biorepository should notify a recipient Administration (FDA) human subjects
sufficient to safeguard privacy and other before shipping to confirm that the protection regulations.
informed consent provisions. recipient can accept the package and C. Quality Assurance/Quality Control
5. Develop a comprehensive quality properly store the biospecimen. (QA/QC)
management system (QMS). 15. Retrieve biospecimens from
Standardized protocols should be storage according to SOPs that safeguard 1. Adhere to a written QMS. The QMS
applied consistently to ensure biospecimen quality. should describe the biorepository’s QA/
biospecimen quality and to avoid 16. When it is necessary to control QC programs and approaches for
introducing variables into research biospecimen temperature during ensuring that program requirements are
studies. Document all collection and shipping, consider the shipping time, met.
processing steps in the computerized distance, climate, season, and method of 2. Require that staff be trained in QA/
inventory tracking system. transportation and modify distribution QC and maintain training records.
6. Ensure that all laboratory personnel schedules accordingly, if possible. 3. The SOPs should be printed in a
are well qualified, trained to adhere to Ensure proper temperature during manual that is readily available to all
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biorepository SOPs, and monitored for shipment, taking into account the type laboratory personnel and dated
high-quality performance. of biospecimen and its intended use. according to the most recent revision.
7. Ensure that a pathologist directs the Tracking devices may be useful to The SOPs should state policies and
collecting and processing of surgical ensure proper temperature throughout define and describe procedures in
and autopsy biospecimens to ensure the shipment duration. detail. Develop procedures for

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25186 Federal Register / Vol. 71, No. 82 / Friday, April 28, 2006 / Notices

periodically reviewing and revising chemical hygiene plan in compliance 2. Ethical, Legal, and Policy Guidelines
SOPs as necessary. with the OSHA’s laboratory standards.
4. Establish security systems, A. Informed Consent
8. Properly ground freezers and other
including equipment monitoring and electrical equipment. 1. Use a process of informed consent
alarm systems that are monitored both for each biospecimen collection event.
locally and remotely, with plans to 9. Establish fire emergency plans and The NCI will provide all of its
respond at any time. Emergency power practice them regularly. biorepositories with a sample consent
systems should be ready to operate all 10. Take precautions to prevent template, which should be reviewed
critical equipment during power repetitive strain and back injuries and and adapted by the relevant IRB.
outages. other accidents and injuries typical of Biorepositories should adapt the
5. Use a data management system that the laboratory/biorepository template to their needs. The consent
includes a computerized inventory environment. form should address the use of
tracking system with appropriate biospecimens or data by private entities,
11. For any laboratory or
security/access-control safeguards. the possible future development of
6. Develop a facility disaster plan biorepository that processes radioactive
materials, ensure that proper training of commercial products through research,
based on a local area risk assessment. and the release of individual research
The plan should include appropriate personnel and acquisition of necessary
equipment to obtain licenses from the results to participants.
measures to protect personnel and 2. Allow research participants to
equipment during a disaster. Nuclear Regulatory Commission (NRC)
and/or local agencies are carried out. specify the types of research for which
7. Maintain and repair all equipment their biospecimens may be used,
according to SOPs. Establish preventive E. Biorepository Informatics: Data including use in additional future
maintenance schedules. Management and Inventory Control and projects.
D. Biosafety Tracking 3. Document clear policies for
biospecimen and data access.
1. Assume that all human 1. Assign a unique identifier (such as 4. Develop policies to handle
biospecimens are potentially infective a number or barcode) to each biospecimens and data for which
and biohazardous. Use universal biospecimen at the time of collection. consent has been withdrawn.
precautions practices in biorepositories Identify specific clinical and 5. Monitor the need for obtaining
similar to those used in other epidemiological data by the same informed consent when the
laboratories and clinical settings. number and/or barcode. Use the number biorepository houses identifiable
Handle biospecimens according to, at a or code to track a biospecimen from biospecimens and data from children,
minimum, Biosafety Level 2 (BSL–2) as collection through processing, storage, that were obtained with parental or
outlined in the CDC/NIH booklet and distribution. guardian permission, when a child
Biosafety in Microbiological and
2. Update the biorepository database reaches the legal age to consent for a
Biomedical Laboratories.
2. Immunize employees (e.g., for each time a biospecimen is moved research study.
hepatitis) when appropriate vaccines are within or out of the biorepository. 6. Consider FDA regulations
available. 3. Use informatics systems that concerning research on existing
3. Develop a safety program and support the linking of biospecimens biospecimen collections, for any study
associated training procedures by with associated research data and, when that could involve FDA oversight in the
identifying governmental and available, the limits, if any, on the use future. These regulations do not exempt
accrediting agency requirements of the sample. When applicable, track in vitro studies from the requirement for
regarding biohazards and likely sources the levels of consent that each patient documented, institutional review board
of current information concerning has given for the use of their (IRB)-approved consent from the
laboratory biosafety. Among the biospecimens and whether that consent sources, even in cases where
agencies that oversee laboratory has been withdrawn. biospecimens have been deidentified.
biosafety programs are the Occupational 7. Establish and document transparent
4. To protect the health information of policies governing the retention of
Safety and Health Administration patients, adhere to privacy laws with
(OSHA), the CDC, and the Clinical and records and biospecimens. For clinical
respect to informatics systems. biospecimens, State laws may also
Laboratory Standards Institute (CLSI).
4. Identify and address risks and other 5. The NCI Center for Bioinformatics govern how long records must be
general issues of biosafety. Identify (NCICB) has developed additional retained. For research specimens, the
frequent biorepository activities and bioinformatics guidelines and tools that ideal is permanent storage if resources
analyze safety issues involved with each address the issues of functionality of and storage space are sufficient.
activity. Take appropriate actions to informatics systems, integration with However it should be noted that
ameliorate hazards. existing systems, and interoperability biospecimens degrade over time and/or
5. Document all incidents where among individual systems at may no longer be useful due to changes
personnel are exposed. Response and biorepositories. The NCICB has in science and technology.
treatment protocols should be prepared developed the Cancer Biomedical For additional information about IRBs
to be available in the event of potential Informatics Grid, or caBIG TM. caBIG and the requirement for the HHS Office
exposure and infection. (see https://cabig.nci.nih.gov/) (NCI for Human Research Protections
6. Establish indemnification 2005) is a voluntary network or grid (OHRP)-approved assurance of
agreements with users of biospecimens connecting individuals and institutions compliance, see the OHRP Web site at
except where prohibited by law. to enable the sharing of data and tools. http://www.hhs.gov/ohrp/. Specific
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7. Follow U.S. regulations concerning caBIG silver-level compatibility is OHRP guidance concerning tissues and
chemical safety, which protect recommended for NCI-supported biorepositories is included among the
employees from exposure to biorepositories (see https:// documents referenced at http://
biohazardous levels of chemicals. cabig.nci.nih.gov/ www.hhs.gov/ohrp/policy/
Biorepositories should also develop a guidelines_documentation). index.html#tissue.

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B. Access to Biospecimens and Data levels of access privileges. Restrict MTA with terms consistent with the
1. Establish clear guidelines for access to research subjects’ identities NIH Research Tools Policy and NIH data
sample distribution (and clinical data and medical, genetic, social, and sharing policies, e.g., the Final NIH
sharing) consistent with ethical personal histories to necessary Statement on Sharing Research Data.
principles, prevailing laws, and, if biorepository staff members who need These agreements should be modified
applicable, consent form language. The such access as part of their duty or to where necessary to cover human
guidelines should be flexible so that persons permitted access by law. subjects research. A sample NIH SLA
biorepositories may respond to changing Monitor personnel compliance with modified to address the transfer of
scientific needs. access restrictions. human biospecimens is attached as
2. Ensure that investigators have 7. Store human biospecimens only for Appendix 2.
timely, equitable, and appropriate research purposes according to The following Internet sites are
access to human biospecimens and approved protocols, not to serve relevant to this issue:
associated clinical data stored at NCI- individual research participants’ needs • http://ott.od.nih.gov/policy/
supported biorepositories without or wishes. research_tool.html.
• http://www.autm.net/aboutTT/
undue administrative burden. Access C. Privacy Protection aboutTT_umbta.cfm.
should be guided by policies and
1. Institute the level of security • http://grants1.nih.gov/grants/
procedures such as the following:
• Scientific validity of the research appropriate to the type of biorepository policy/data_sharing/index.htm.
and to protect study participant privacy 2. Recognize that biorepository staff
proposal.
• Investigator’s agreement covering for the biospecimens stored in the members as custodians of biospecimens
confidentiality, use, disposition, and biorepository. are not a priori considered inventors
security of biospecimens and associated 2. In applications for support, include under patent law for inventions made
data. documentation of policies, mechanisms using materials distributed by the
• Investigator’s written agreement in for auditing the effectiveness and biorepository. In general, the staff
a Material Transfer Agreement to enforcement of policies, required should be informed that one whose sole
comply with the NIH Research Tool training, and security measures contribution to an invention consists of
Guidelines. (http://ott.od.nih.gov/ pertaining to employee access to data or the routine collection, handling, storage,
policy/rt_guide_final.html). biospecimens. and disbursement of biospecimens
• Investigator and institutional 3. Institute the level of security might not rise to the level of ‘‘inventor’’
research qualifications. appropriate to the type of biorepository. of an invention. Inventorship is
• Ethical oversight where required by determined by patent law and must be
D. Custodianship
Federal regulations or local institutional considered on a case-by-case basis by
requirements. 1. In the application for proposal for trained legal personnel.
• Adequate funding for the biorepository funding, propose plans for 3. Recognize that biorepositories have
biorepository. formal and continuing responsibility for no inherent rights to future IP, including
In addition to the above, the following custodianship (not ownership) of reach-through rights in inventions made
points should also be considered while collected biospecimens and associated by investigators using samples obtained
assessing access privileges: data as part of the biorepository from the biorepository.
a. Biospecimens and associated protocol. 4. Ensure through MTAs that research
clinical data should be appropriately 2. In the application for proposal for data developed using biospecimens are
matched with the specific scientific biorepository funding, also address made available to the research
investigations for which they are plans for the handling and disposition community. (See sample in Appendix
intended. of biospecimens and associated data at 2.)
b. The local decision-making body one or more of the following points: (a)
End of the active support of the grant, Guidelines Details
should take local principles into
account. Ethical considerations should (b) accomplishment of the specific 1. Technical and Operational
come first among principles that guide research objectives of the study, (c) Guidelines
the decisionmaking process. depletion of biospecimens, and/or (d)
achievement of critical data endpoints. A. Biospecimen Collection, Processing,
c. Biorepositories should establish an
3. Require disclosure of financial or Storage, Retrieval, and Dissemination
appeals process for addressing disputes
over allocation decisions. professional conflicts of interests of Although the specific mission of a
3. Apply guidelines to all new biorepository personnel, consistent with biorepository will result in the use of
collections and, whenever possible, to institutional procedures and policies. different collection and processing
existing collections. 4. Use clear and specific informed procedures, common principles should
4. If applicable and where monetary consent language to ensure that those apply to all biospecimen types. The
charges are necessary, charge only to who contribute biospecimens and/or guidelines below are based on current,
recover costs as appropriate to retrieve data for research purposes are fully published information and will be
and disseminate specimens. informed that the research done with revised periodically as new information
5. If a biorepository must close due to these biospecimens may help develop is generated from ongoing research
lack of funding or otherwise cannot products, tests, or discoveries that may projects.
maintain or use the biospecimens, the have commercial value (also see A.1.
availability of biospecimens should be Determining Which Biospecimens To
above).
announced for transfer to the research Collect
community (e.g., via a Web site). E. Intellectual Property 1. Collection priorities should be
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Transfer should be consistent with the 1. For the transfer of materials in based on the defined purpose of each
informed consent and allowable use of academic-industrial collaborations, use NCI-supported biorepository in
biospecimens. the NIH Simple Letter Agreement (SLA), supporting specific types of research.
6. Within the biorepository, use a the Uniform Biological Material Biorepositories should track researchers’
system of data access with defined Transfer Agreement (UBMTA), or other requests to guide the collection and

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storage process and to attempt to tracked in the biorepository informatics trained to adhere to applicable SOPs. A
anticipate which biospecimen types system. Biorepositories should also pathologist should be involved for
(e.g., matched blood, serum, plasma, record data on the collection and expertise in collecting and processing
buffy coat, saliva, urine) will make the processing procedures used.1 surgical and autopsy biospecimens. It is
biorepository most useful for future • For tissue biospecimens, the time important that a pathologist determine
research. Researchers should involve for collection should be minimized as what tissue is necessary for pathologic
biorepository scientists as early as much as possible; biospecimen diagnosis and what is excess and can be
possible during study planning to temperature should be reduced as soon given to the biorepository for research
develop a strong approach for as possible after collection. Biospecimen purposes. This is crucial in ensuring
biospecimen collection. processing time should be minimized if that patient care is not compromised.
2. NCI-sponsored biorepositories freezing is the stabilization endpoint. If
fixation is the stabilization endpoint, Biospecimen Storage
should strive to collect materials from
diverse populations representative of control of processing time between The following general guidelines
the United States. However, this goal maximum and minimum durations may section applies to all types of
may depend on the specific purpose, be required. biospecimens, such as wet tissue, frozen
such as the disease focus, of the NCI • Rapid processing may not be as tissue, paraffin-embedded tissue, glass
studies supported by the biorepository. critical for other types of biospecimens, slides, blood, serum, and urine.
such as blood, and optimal processing Individual types of biospecimens
Biospecimen Collection and Processing times may vary depending on the should be handled according to SOPs
Biospecimen collection occurs in analysis method for which a specific to each biospecimen type and to
many contexts, including surgical biospecimen is used. Examples of data the biomolecules to be analyzed in that
procedures, organ donation and to record for blood biospecimens biospecimen type (e.g., RNA, DNA,
transplantation, autopsies, include collection time relative to protein, lipid, etc.).
venipuncture, and evacuation; for treatment or other interventions, time of 1. Standardized protocols should be
population-based studies, collection day at collection, whether the patient applied consistently in preparing and
may occur in field locations such as was fasting, and whether he or she was storing biospecimens to ensure their
hospitals or study participants’ homes. sitting or standing during collection. quality and to avoid introducing
1. The NCI will provide guidance in 3. NCI-supported biorepositories variables into research studies.
the future on guidelines for biospecimen should seek to use the processing Biorepositories should record storage
collection while allowing for flexibility method that preserves the greatest conditions and especially deviations
when new methodologies are warranted. number of analytes, unless the aim of a from SOPs, including information about
SOPs will enhance the comparability of particular study specifically requires temperature, thaw/refreeze episodes,
research results and help make alternative processing. To select and equipment failures. Each piece of
biospecimens interchangeable. This processing methods (such as freezing, storage equipment should have a log
guidance will include: fixation, and the use of stabilizing containing the manufacturer’s manual,
• Collection protocols for various additives), a biorepository should define records of equipment operation, and
biospecimen types based on solid its goals and the research priorities of descriptions of maintenance, repairs,
research data. the studies it supports. Procedures and calibration. Storage conditions
• A high level of biospecimen should maximize the potential for should be recorded automatically, and
annotation, consistent across NCI- biospecimen distribution and research the performance of all long-term storage
sponsored biorepositories, recording key use. When possible, individual systems and equipment should be
data, such as time to banking, time of biospecimens should be divided into reviewed annually using standardized
ischemia, time of biospecimen excision, aliquots or fractions and/or preserved by protocols (Mager et al. 2004). Calibrated
character of chemical preservation, time multiple processing methods. devices should be used to validate
of fixation, etc. For paraffin-embedded Biorepositories that validate automated temperature measurements.
biospecimens, it may prove important biospecimen quality for specific 2. Biospecimens should be stored in a
for the interpretation of analytic data research applications should use as stabilized state. For blood
derived from these biospecimens to little of the biospecimen as possible. biospecimens, all components should be
have documentation of the specific Biorepository Personnel stored where possible. This is
protocol through which a biospecimen particularly important for large,
was processed before it was placed in Personnel involved in biorepository population-based studies, for which it is
paraffin. Appropriate and complete management and use, including difficult to predict how biospecimens
documentation surrounding researchers, technicians, nurses, will be analyzed in the future.
biospecimen collection, processing, and surgeons, pathologists, A biorepository should avoid
storage are essential and relevant to the anesthesiologists, and assistants, should unnecessary thawing and refreezing of
quality of research data to be obtained. be aware of the purpose and goals of the frozen biospecimens or frozen samples
• Uniform, nonredundant sample biorepository. To ensure the collection of biomolecules extracted from the
nomenclature across NCI-sponsored of high-quality biospecimens for biospecimens. When thawing/refreezing
biorepositories. research, collection, and processing, is necessary, a biorepository should
• State-of-the-art sample tracking personnel should be well qualified and follow consistent and validated
procedures and supporting informatics. protocols to ensure continued stability
• A QMS to ensure adherence to
1 NCI will support research to determine the
of the analytes of interest. Methods,
effects of various biospecimen processing methods
standards. on analyte preservation. Biorepositories should such as inventory tracking, should be
2. Biorepositories should record data continually attempt to improve collection and established to minimize disruption of
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relevant to research goals. As processing methods to maximize the quality of the stable environment during sample
appropriate for the study, for all types materials for molecular analysis. NCI-supported retrieval.
biorepositories should document the effects of
of biospecimens, the amount of time different processing methods and develop
In selecting biospecimen storage
elapsed during collection and guidelines for biospecimen processing based on the temperature, consider the biospecimen
processing should be recorded and goal of preserving various analytes. type, the anticipated length of storage,

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the biomolecules of interest, and Biospecimen containers should be well as the type of biospecimens and
whether goals include preserving viable chosen with analytical goals in mind. their intended use (Landi and Caporaso
cells. Paraffin blocks should be stored at For example, when samples will be 1997). The number of biospecimens per
temperatures below 80 °F (27 °C) in an tested for the presence of xenobiotic package also affects whether
area with pest and humidity control. In chemicals, containers should be free of temperature can be maintained for all
the case of liquids, such as blood and xenobiotic contamination. Certified biospecimens in the shipment. Send a
urine, consider separating biospecimen RNase-free containers should be used prior test shipment, of frozen water
components before storage to preserve for all steps in handling RNA samples. samples for example, before shipping
each constituent under its optimal 5. Each storage container should have extremely valuable samples, to check
condition. However, whole-blood a unique identifier for the biospecimen the adequacy of coolants and any
(rather than fractional) cryopreservation aliquot that is firmly affixed to the potential obstacles to a successful
is recommended as an efficient and container, clearly and legibly marked, shipment. In addition, conditions
cost-effective option for processing and able to endure storage conditions. throughout a critical shipment can be
viable cells in large-scale studies (Hayes All other relevant information should be monitored by enclosing a device that
et al. 2002). When in doubt as to tied to this unique identifier, bearing in records temperature during transport.
possible future uses, store tissues in the mind study participant confidentiality, Placing samples in sealed bags with a
vapor phase of liquid nitrogen freezers security, and informed consent desiccant can be used to control
to ensure long-term viability. Lower provisions. Inventory systems should humidity.
storage temperatures and the use of a relate the presence of each aliquot to its To maintain proper temperature
cryoprotectant (such as DMSO) are specific position in a specific freezer, during shipping, use appropriate
recommended to maintain viable cells refrigerator, or shelf. insulation, gel packs, dry ice, or liquid
for long periods of time (ISBER 2005). 6. Automated security systems should nitrogen (dry shipper). To maintain
Planned analyses should consider the continuously monitor the function of refrigerated temperatures (2°C to 8°C),
difference in temperature between the storage equipment. Backup equipment, use gel packs conditioned at ¥15°C or
bottom and top of a liquid nitrogen such as an alternative power source, phase change material rated for
freezer; the temperature at the top of a should be automatically activated when refrigerated transport. To maintain
liquid nitrogen should be consistently necessary. Emergency procedures frozen temperatures, use gel packs
below ¥140 °C. should be in place if freezers fail or conditioned at or below ¥20°C. For
exceed a preset temperature. SOPs frozen temperatures at ¥70°C, use dry
Avoid self-defrosting freezers that
should be in place for alerting personnel ice pellets or sheets. Note that dry ice
cause damaging effects to biospecimens,
and for moving biospecimens to is considered a hazardous substance for
even those in capped tubes, by
alternative storage locations. shipping purposes. For maintaining
enhancing desiccation (Holland et al.
Biorepository SOPs should include temperatures at or below ¥150°C, use a
2003).
procedures for responding to severe liquid nitrogen dry shipper (ISBER
3. Biorepositories should establish weather and floods as well as specific 2005). Use insulated packaging to
rules for disposing of biospecimens power and equipment failures. protect biospecimens from extremely
before storing them. Consider the Personnel should be trained in safety hot or cold ambient conditions.
anticipated storage interval when related to biospecimen handling, use of Whenever intending to maintain
selecting storage conditions. If possible equipment, and SOPs for responding to samples below ambient temperature,
with available resources, store control emergency situations. For particularly include enough refrigerant to allow for
biospecimens under each condition valuable biospecimens, an empty, a 24-hour delay in transport (ISBER
used in the biorepository and assess functioning freezer should be available 2005). Temperature-sensitive material
these control biospecimens at regular in case of single-freezer failure. Also should be handled by a courier with
intervals to assess the effects of storage consider storing replicate biospecimens resources to replenish the refrigerant in
time on desired qualities such as in at least two different locations to case of a shipping delay (ISBER 2005).
viability, preservation of morphology, safeguard against storage or handling Paraffin blocks and slides should be
and biochemical integrity. failures (NBN Blueprint 2003; Landi and shipped at room temperature in an
4. Storage vessels should be stable Caporaso 1997; Caporaso and Vaught insulated package via overnight carrier.
under planned storage conditions. Vial 2002; Eiseman et al. 2003). The use of insulated packages is
size and number should be suitable for important to minimize the effect of
typical aliquots, anticipated investigator Shipping Biospecimens temperature fluctuations and to protect
uses, and number of investigators. 1. Retrieval. Biospecimens should be the blocks from temperatures higher
Volume and type of containers should retrieved from storage according to than 80°F (27°C). Flat biospecimens,
prevent sample loss and minimize the biorepository SOPs that safeguard such as dried blood samples on
costs of collection and storage. Screw- biospecimen quality. Before retrieval, absorbent pads or cards, should be
cap cryovials should be used for long- systems should be in place to verify that enclosed in watertight plastic bags and
term, low-temperature storage; glass the request has received approval from shipped in a sturdy outer package or
vials or vials with popup tops are the appropriate committee(s). SOPs commercial envelope. Samples on glass
unsuitable for long-term storage should include a checklist to confirm or plastic slides should be cushioned
(Caporaso & Vaught 2002). Wrap snap- completion of the retrieval process. and shipped inside a sturdy (not
frozen biospecimens in aluminum foil Document deviations during retrieval, flexible) outer package. Triple packaging
or place them in commercial storage such as inventory inconsistencies, should be used for liquid samples.
containers to minimize desiccation damaged containers, thawing or 3. Documentation. The biorepository
(Grizzle 2004). Choose labeling and refreezing, etc. should notify a recipient before
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printing systems that will be stable 2. Shipping conditions. When seeking shipping to confirm that the recipient
under the long-term storage conditions to regulate biospecimen temperature can accept the package and properly
appropriate for the biospecimen. Face during shipping, consider the shipping store the biospecimens. Packages should
shields and appropriate gloves should time, distance, climate, season, method be bar-coded and tracked by the
be worn for worker protection. of transportation, and regulations as biorepository and the recipient. A

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biorepository shipping log, either manufacturer prior to use. Outer biospecimens collected using multiple
written or computerized, should track packaging is regulated as to material, methodologies and procedures,
shipments from and to the biorepository size, and ability to withstand a 1.2- including tissue collection, blood
and include the following information: meter drop test as outlined in IATA draws, and buccal cell and urine
shipment/invoice number; recipient (or Section 6.6.1. Leakage of the contents collections. Researchers rely on banked
source); date shipped (or received); should not affect the cushioning biospecimens for a wide variety of
courier name and package tracking material or outer packaging (IATA purposes, including target discovery
number; sample description; number of 2004). Some shipping agents designate and validation, prevention research,
samples shipped (or received); the same three layers of packaging and research on early detection, genetic
condition on arrival; study name and absorbent material between outer and studies, and epidemiologic analyses.
number, if available; key investigator’s secondary packaging. Specifics of the The data recorded by biorepositories
name; and signature of biospecimen primary containers for diagnostic depend on the types of biospecimens
recipient (ISBER 2005). biospecimens, liquid biospecimens, and they collect and the studies they
Standardized paperwork should solid biospecimens are described on the support. It is critically important for
accompany shipments. Biorepository shipping agents’ Web sites. Styrofoam excellence in research that NCI-
personnel should send a shipping chests containing dry ice may be used supported biorepositories use SOPs for
manifest, a list of sample identification to ship samples that should be biospecimen collection, processing, and
numbers, and descriptions of samples maintained at low temperatures (Landi storage. While harmonization of these
electronically to the biospecimen and Caporaso 1997). However, the procedures is the ultimate goal, the NCI
recipient and include a hard copy of the shipping agent may exclude Styrofoam is engaged in research to identify the
manifest in the shipment itself. as an acceptable outer packaging. To best set of protocols and methods to
Identifying data should be available for confirm that shipping conditions meet produce high-quality biospecimens.
the use of shipping or customs agents as sample needs, shipping personnel Regardless, biospecimens must maintain
well. Some shipping agents require an should review test reports from donor privacy in all collection of
itemized list of contents between the packaging that has been tested to meet clinical data.
secondary and outer packaging of regulation requirements. Packaging
diagnostic biospecimens. should be used in the same Determining Data Sets
Biorepository personnel should verify configuration under which it was tested 1. The NCI will define the minimal
biospecimen labels and pathology (ISBER 2005). clinical data to be collected for all
reports against the packing list for Consult OSHA regulations to biospecimens, as appropriate for the
consistency and correctness. determine whether a substance requires research protocol at NCI-supported
A feedback questionnaire should be a biohazard label. Ship Category A biorepositories. This universal set will
enclosed in each shipment for QA/QC infectious substances in accordance change over time. Biorepositories
purposes, requesting feedback about the with IATA Packing Instruction (PI) 602 should adopt the harmonized
quality of samples received (Eiseman et (IATA 2004). Ship Category B infectious
al. 2003). nomenclature being developed by the
substances (also designated as NCI for clinical data and establish
4. Regulatory considerations. Consult diagnostic specimen, clinical specimen,
ISBER Best Practices (ISBER 2005) for algorithms to translate raw data into
or biological specimen, category B) in standard nomenclature.
information concerning international compliance with IATA PI 650.
transport regulations and classifying Ship dry, noninfectious biospecimens 2. NCI-supported biorepositories
biospecimens for shipment. Failure to (e.g., dried blood, tissue, saliva, or hair) should establish additional data
conform to international air transport with special packaging as specified by categories for specific types of research.
regulations will result in delay or the shipping agent. Wet-fixed Collecting Clinical Data
refusal of shipment and probable biospecimens shipped in formalin/
biospecimen deterioration. Regulations formaldehyde should include ‘‘ICAO/ 1. NCI-funded biorepositories should
must be followed precisely, since IATA’’ under additional handling strive to collect and store all relevant
improperly packaged or labeled goods information (Grizzle 2004). clinical data associated with a
will be refused for transport by airlines 5. Training. Training of personnel for biospecimen. This will maximize the
or delayed at customs (Holland et al. shipment of biospecimens is strongly use of biospecimens for current and
2003). For international shipments, recommended (ISBER 2005). Training future short-term and longitudinal
biorepository personnel should prepare should be updated at least every 2 years. studies. Biorepositories should
safety declarations for foreign customs Dangerous goods training may be encourage participating investigators to
(Landi and Caporaso 1997). required for some biorepository annotate biospecimens to the fullest
For packaged biospecimens, personnel. A record of training should extent possible consistent with
International Air Transport Association be maintained of all employees involved biorepository goals and/or study design.
(IATA 2004) regulations require three in the shipping process. Training and Data collection activities should
packaging components: (1) A primary certification are available through conform to FDA requirements if and
inner receptacle, (2) secondary various shipping vendors (ISBER 2005). where applicable, so that the data can be
packaging, and (3) rigid outer packaging. On completion of training, the training cited and/or used in Investigational
The primary receptacles should be organization issues a certificate of New Drug and Investigational Device
packed in the secondary packaging so completion. Exemption applications.
that, under normal conditions of 2. The NCI will develop a tiered
transport, they cannot break, be B. Collecting and Managing Clinical system of clinical data annotation,
punctured, or leak their contents into Data which will define the potential of any
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the secondary packaging. Secondary Extensive annotation of tissue given biospecimen in supporting high-
packaging should be secured in outer biospecimens is crucial to the overall quality research and will guide
packaging with cushioning material. usefulness of the biorepository as a decisions on the appropriate use of
Secondary containers for diagnostic resource for scientific research (Eiseman biospecimens by the scientific
biospecimens should be certified by the et al. 2003). Biorepositories store community.

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3. NCI-supported biorepositories Informatics To Support the Tracking of • Policies for managing records.
should employ a uniform, Data 3 • QA/QC policies and procedures for
nonredundant vocabulary (caBIG 1. A biorepository informatics system supplies, equipment, instruments,
common data elements [CDEs]) for should track all aspects of biospecimen reagents, labels, and processes
clinical data across sponsored collection, processing, and distribution employed in sample retrieval and
biorepositories. to prevent the confusion of samples and processing.
4. NCI-supported biorepositories to support annotation. • Safety programs.
should track researchers’ requests for 2. A biorepository should comply • Emergency safety policies and
specific clinical data to guide with applicable privacy laws, human procedures, including the reporting of
refinements of data collection subjects regulations, and local staff injuries and exposure to potential
guidelines. institutional requirements governing the blood-borne pathogens.
5. NCI-supported biorepositories acquisition of biospecimens and • Policies and procedures for the
should employ a method for validating associated clinical data (see the section investigation, documentation, and
the clinical data collected. These data on Ethical, Legal, and Policy Guidelines reporting of accidents, errors,
should be validated to ensure accuracy for more discussion of clinical data and complaints, and adverse outcomes.
in downstream scientific research. the protection of patient privacy). • Policies and procedures and
6. NCI-supported biorepositories schedules for equipment inspection,
should comply with applicable privacy C. Quality Assurance/Quality Control
maintenance, repair, and calibration.
(QA/QC)
and human subjects protection • Procedures for disposal of medical
regulations governing the acquisition of NCI-supported biorepositories should waste and other biohazardous waste.
biospecimens and associated clinical develop a formalized QA/QC policy to • Policies and procedures regarding
data. Biospecimens should be linked to minimize errors that could adversely the training of technical and QA/QC
clinical data in compliance, as affect scientific results. QA/QC policies staff members.
applicable, with the HIPAA regulations should be customized for the intended 2. Implementation. The biorepository
and with HHS and FDA human subjects and potential uses of biospecimens in a director and/or the individual
protection regulations. given biorepository. responsible for the QA/QC program
Longitudinal Clinical Data 2 QMS should review and approve all SOPs
and associated process validation
1. As the study requirements dictate, Each biorepository should either
studies prior to implementation. Upon
NCI-supported biorepositories should establish a written QMS or adhere to
implementation, all SOPs must be
collect and store longitudinal data one published by the organization with
followed as written.
following applicable informed consent which the biorepository is associated.
3. Modifications. Each biorepository
requirements. The QMS should describe the
should have a document control
2. Depending on the study design, biorepository’s QA/QC programs and
program and policies for governing,
information linked to samples should describe approaches for ensuring that
modifying, or revising SOPs. Each
include demographic data, lifestyle program requirements are met (ISBER
modification should be approved by the
factors, environmental and occupational 2005). The QMS should describe
biorepository director or other
exposures, cancer history, structured procedures for conducting audits in the
appropriate individual(s).
pathology data, any additional following areas:
1. Equipment maintenance and repair. Implementation dates should be
diagnostic studies, information on recorded for all procedures. All SOPs
initial staging procedure, treatment data, 2. Training records and adherence of
staff to required training schedules. should be reviewed every 2 years and
and any other information relevant to have the current date of renewal on the
tracking a patient’s future status for 3. Data management.
4. Recordkeeping. posted copy.
clinical outcomes. NCI-supported 4. Staff access and review. Current
5. Adherence to SOPs.
biorepositories should facilitate copies of the SOPs manual should be
followup with patients. SOPs Manual stored in designated locations and
3. NCI-supported biorepositories Each biorepository should develop available to the staff at all times. The
should maintain identifying and contact written policies and procedures in an staff should review new and revised
information as detailed in the study SOPs manual. The SOPs should state policies and procedures prior to
protocol and as permitted under law policies and define and describe all implementation. Documentation of staff
and by patient consent to enable procedures in detail. review and any associated training
biospecimen use for longitudinal 1. Contents. The SOPs manual should should be recorded.
studies. specifically include at least the
4. NCI-supported biorepositories following information: D. Biosafety
should establish, as necessary, new • Biospecimen-handling policies and Laboratories and biorepositories that
policies and protocols to facilitate the procedures, including supplies, handle biospecimens expose their
submission of outcome data, ensure methods, and equipment used. employees to risks involving infectious
uniformity and patient privacy, and • Laboratory procedures for tests agents and chemicals, as well as the
track treatment and outcomes. performed in-house and any general dangers of a laboratory. A
5. To collect high-quality longitudinal biospecimen aliquoting or other predictable, yet small, percentage of
information, NCI-supported processing. biospecimens will pose a risk to the
biorepositories should require dedicated • Policies and procedures for biorepository workers who process
and trained personnel to curate the shipping and receiving biospecimens, them. All biospecimens should be
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validation process and QA/QC. including the MTAs to be used. treated as biohazards (Grizzle and
2 The NCI plans to partner with its cancer centers, 3 The NCI intends to assist biorepositories in
Fredenburgh 2001). In addition to taking
advocacy groups, and relevant stakeholders to choosing informatics approaches that meet the
biosafety precautions, biorepositories
collect longitudinal data related to particular necessary data tracking and management should adhere to key principles of
studies. requirements set forth by the institute. general laboratory safety.

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Biohazard Precautions laboratory biosafety for use in radioactive materials requires proper
Laboratories and biorepositories must developing an overall program in safety training and equipment to obtain
assume that all human biospecimens and associated training programs. licenses from the NRC and/or local
are potentially infective and Among the agencies that oversee agencies.
biohazardous, regardless of whether laboratory biosafety programs are the
E. Biorepository Informatics: Data
they are frozen, dried, fixed, processed OSHA and the CLSI. The CDC oversees
Management and Inventory Control and
in paraffin, or otherwise processed. programs that handle Select Agents.
2. Identify risks and other general Tracking
Human biospecimens are defined as
issues of biosafety. Identify frequent Driven by advances in genomics and
blood, other bodily fluids, solid tissues,
biorepository activities and analyze proteomics, informatics systems have
tissue products, and cell lines. The
safety issues involved with each become increasingly critical to the
greatest risks are posed by exposure to
activity, and implement suitable research enterprise. Informatics systems
the human immunodeficiency virus
controls. that support NCI-sponsored
(HIV), the hepatitis viruses, and the
3. Improve biosafety by developing biorepositories must be robust and
prion that causes Creutzfeldt-Jakob
written working guidelines that are reliable and able to meet changing needs
disease, but there are additional
based on Federal and State while remaining interoperable.
significant exposures as outlined by
requirements, experience, and An informatics system should support
Grizzle and Fredenburgh (2001).
published information. These guidelines all aspects of biorepository operations,
29 CFR 1910.1030 requires that
should be reviewed and updated including (but not limited to) patient
vaccination be offered to all personnel
regularly and modified in response to enrollment and consent; biospecimen
who may be potentially exposed to
problems or if they prove ineffective. collection, processing, storage, and
human blood, body fluids and tissues, 4. Develop and implement a training
or other potentially infectious materials. program. Each employee should receive dissemination; QA/QC; collection of
Biorepository work practices must be patient data; data security; validation
training in relevant areas of safety before documentation; and management
based on universal precautions practices beginning work, and the training should
similar to those used in laboratories and be updated annually. reporting functions. The system should
clinical settings. Two basic important also manage clinical annotations to the
5. Record and arrange for treatment biospecimens and, where possible,
safety precautions should be followed in for all incidents where personnel are
laboratories and biorepositories that support those patient followup needs
exposed to biohazards or are potentially permitted by ethical considerations and
handle biospecimens: Wash hands infected.
frequently, and always wear face appropriate regulations. Biorepository
protection and gloves when handling General Laboratory Safety systems should also be interoperable
biospecimens or working within or with those that house endpoint assay
In addition to biosafety,
around freezers. Additional good data (e.g., proteomics, genomics) to
biorepositories need to follow strict
general laboratory work practices are ensure that integration of data from
general safety regulations and
outlined in Table 4 of Grizzle and multiple sources will be possible. The
procedures. Recommendations
Fredenburgh (2001). NCICB has developed caBIG
regarding general laboratory safety
A biorepository must establish clear (see https://cabig.nci.nih.gov/), a
follow. Additional details and
policies regarding the inclusion or voluntary network or grid connecting
references regarding biorepository safety
exclusion of high-risk biospecimens. individuals and institutions to enable
can be found in the ISBER Best
Human biospecimens should be the sharing of data and tools. The
Practices, Section J, and Appendix A
handled according to, at a minimum, informatics systems selected or
(ISBER 2005).
BSL–2 as outlined in the CDC/NIH 1. Chemical safety. Follow U.S. developed for new biorepositories
booklet Biosafety in Microbiological and regulations concerning chemical safety, should be caBIG-compatible at the
Biomedical Laboratories (CDC and NIH which protect employees from exposure ‘‘silver’’ level (see https://
1999). Under BSL–2, when biospecimen to hazardous levels of chemicals in cabig.nci.nih.gov/
containers are opened for processing, biorepositories, including, for example, guidelines_documentation) with the
they should be handled in a BSL–2 formaldehyde used to fix tissues. goal of interoperability with other
biological safety cabinet (hood). All Biorepositories should also comply with systems. Where systems for existing
biorepositories that handle human OSHA regulations governing biorepositories are being replaced or
biospecimens should operate under the occupational exposure to hazardous upgraded, they should also be
OSHA’s blood-borne pathogens chemicals in laboratories (29 CFR compatible at the silver level. For
standard and should develop an 1910.1450). existing software, migration paths to
exposure control plan (29 CFR 2. Electrical safety. Freezers and other silver level compatibility should be
1910.1030). Additional precautions biorepository equipment must be identified, with the expectation that this
apply, as outlined in the CDC booklet. properly grounded. will become a requirement in later
Some activities may require higher 3. Fire safety. Emergency plans must versions of these guidelines.
containment, and in other cases, less be in place and practiced on a regular General Informatics Guidelines
stringent practices may be acceptable. basis. Purchase noncombustible freezers
Therefore, it is best to ensure that and refrigerators. 1. Each biospecimen should be
biorepository staff members are trained 4. Physical safety. Repetitive strain assigned a unique identifier (number
to perform risk assessments and and back injuries are typical and/or barcode) at the time of
determine appropriate biosafety levels. occupational biohazards in the collection.
biorepository. Take proper precautions 2. Specific clinical and
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Guidelines to prevent these and other accidents and epidemiological data should be
1. Identify governmental and injuries typical of the laboratory/ identified by the same number and/or
accrediting agency requirements biorepository environment. barcode.
regarding biohazards and likely sources 5. Radiological safety. Any laboratory 3. The same number or code should
of current information concerning or biorepository that processes be used to track a biospecimen from

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collection through processing, storage, 8. All NCI-supported biorepository 2. Software and system engineering
and distribution. databases at an individual institution organizations should meet at least
4. The biorepository database should should be in a secure site monitored by Capability Maturity Model Integration
be updated each time the biospecimen the institution. All systems should have (CMMI) Level 3 (Carnegie Mellon 2005).
is moved within or out of the a backup plan. Biorepositories should
Ethical and Legal Issues 4
biorepository. eliminate unsecured, ad hoc databases,
such as those recorded in Excel, Access, 1. An honest broker-guided procedure
Functionality of Biorepository should be used to protect research
and FileMaker Pro, and manage data by
Informatics Systems participants’ privacy for samples and
the central informatics system.
1. Biorepository informatics Institutions without the capabilities to data in all NCI-sponsored
management systems should be based provide such infrastructure should seek biorepositories. The honest broker may
on use cases and other domain level external hosting arrangements for such be considered a function of the
modeling techniques (e.g., data or object a system. informatics system, not necessarily an
models) that capture the needs for individual.
Integration 2. The system should allow users to
managing biorepositories. SOPs for the
activities carried out in a biorepository 1. The informatics system at each perform only those operations for which
should largely drive the design of NCI-supported biorepository should be they have permission at the object,
informatics systems. able to integrate with the host record, and attribute levels.
2. At the biorepository level, institution’s clinical data systems, 3. Permissions and user roles should
informatics systems should focus on including the anatomic pathology be defined to ensure proper access to
inventory functions, tracking all phases laboratory information system (AP–LIS), data and biospecimens in compliance
of sample acquisition, processing, the clinical pathology laboratory with all applicable privacy laws and
handling, QA/QC, and distribution from information system (CP–LIS), and the human subjects regulations (45 CFR part
collection site (patient) to utilization Cancer Registry. The NCI is developing 46). Data about biospecimens should be
(researcher). Restocking of returned, the caTISSUE Clinical Annotation provided on terms that are not
unused samples from the researcher, if Engine to assist in this effort. exorbitant, do not grant reach-through
allowed, also must be tracked. Tracking 2. NCI-supported biorepositories rights, or are otherwise not unduly
should also include documenting should use informatics systems that onerous (i.e., are consistent with NIH
multiple, preexisting, external physical support the linking of biospecimens research tools and data policies—see
biospecimen identifiers, such as with associated research data (e.g., http://www.nih.gov/news/researchtools/
barcodes with non-identifying genomic and proteomic analyses) and, and http://grants1.nih.gov/grants/
information. when available, agreed upon limits, if policy/data_sharing/index.htm).
4. All existing systems should be
3. The informatics system must be any, on use of the sample. If applicable,
mapped to minimal standards (to be
able to link the information it contains NCI-supported biorepositories should
defined by NCI), and a timeline should
to the physical biospecimen containers track the levels of consent that each
be set for implementation to encourage
via labels on those containers (e.g., patient has given for the use of his or
the adoption of a federated informatics
paper labels/barcodes). her biospecimens and whether that
system.
4. Systems should utilize data consent has been withdrawn.
5. NCI-supported biorepositories
elements from a common metadata Interoperability should meet relevant State and Federal
biorepository, such as the Cancer Data requirements encouraging the use of
Standards Repository (caDSR, see 1. Informatics systems at individual
electronic signatures where appropriate,
http://ncicbsupport.nci.nih.gov/sw/ NCI-supported biorepositories should be
and IT accessibility standards for
content/caDSR.html). connected through a centralized,
handicapped persons.
5. The informatics system should enterprise-level framework.
account for ‘‘legacy’’ identifiers and be 2. Semantic and syntactic standards Assessing Biorepository Informatics
able to track multiple identifiers and should be common across the Systems
any barcodes generated in the resource. individual bioinformatics systems. 1. Existing or ‘‘legacy’’ biorepositories
6. Informatics systems should be able 3. While informatics systems at NCI- should be evaluated on the basis of their
to track clinical data associated with a supported biorepositories will have respective levels of informatics
biospecimen and minimally should different informatics requirements based capabilities, including the usage of
support the collection of a ‘‘universal on workflow, systems should be CDEs, access to data through standard
clinical data set.’’ The NCI will work interoperable to integrate clinical and queries, data accuracy, and adherence to
with biorepositories to develop this research data and establish distributed other stated guidelines.
minimal clinical data set to be collected tissue resources. 2. The biorepository informatics
for all biospecimens, as appropriate for 4. NCI-supported biorepositories system should provide reporting
the research protocol at NCI-supported should support a minimum set of capabilities that allow biorepository
biorepositories. This universal data set common queries that can be run across managers to monitor its state in terms of
will change over time. The informatics all systems using common data the scientific best practices described
system should be able to link elements. In the future, all NCI- elsewhere in these guidelines. The
biospecimen data with external sources supported systems should support system should provide information to
of clinical data. queries across multiple systems or those managers to maintain the requisite
7. Tools used to extract structured biorepository networks. level of biospecimen quality.
information from free-text data, such as
Development
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surgical pathology reports, should be 4 The NCI will develop and implement SOPs for

validated as to their accuracy in 1. Software and system development annotating clinical data to accompany samples
stored in NCI-supported biorepositories. Informatics
performing that task. Biorepositories methodology should be followed for systems should be designed to accept these
should routinely monitor the initial development and subsequent annotations and link them with samples in a
performance of such tools. revisions. deidentified manner.

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3. Biorepository informatics systems specific type of research that may be sensitive to cultural issues and should
should be able to provide vital system done in the future on donated work with affected groups to develop
statistics and audit logs of all access to biospecimens may be sufficiently mechanisms for returning or destroying
protected health information in the anticipated and described in the original biospecimens. The option of stripping
database. informed consent to satisfy HHS all direct and indirect identifiers from
regulations. biospecimens should be included in
NCI Infrastructure To Support These 1. The timing of consent (e.g. before consent forms for subjects who later
Guidelines or after surgery) to use specimens for withdraw consent.
The NCI has developed a number of research purposes should not be 6. NCI-supported biorepositories that
initiatives that may be used to assist its imposed rigidly, but the donor must be house identifiable biospecimens and
Cancer Centers that wish to implement informed by a number of important data from children that are obtained
these guidelines and is currently considerations, including ethical with parental or guardian permission
exploring further mechanisms to assist guidelines and logistical constraints. should continually monitor the need for
the community with overall 2. The NCI will provide obtaining informed consent when a
implementation of these biorepositories with a sample consent child reaches the legal age to consent for
recommendations. These initiatives template, for example, the NCI Sample a research study. If the biospecimens/
include the caBIGTM (see https:// Consent Form for Use of Tissue for data are used in studies that require
cabig.nci.nih.gov/), an infrastructure Research (Appendix 1), which should ongoing interactions or interventions
project designed to facilitate the be adapted to conform to applicable with the subject or that continue to meet
exchange of data and programs among state law and local policy, and approved the regulatory definition of ‘‘human
NCI-supported Cancer Centers. An by the appropriate IRB. Although there subjects research’’ and the child reaches
associated Tissue Banking and should be areas of uniformity across all the legal age to consent for new
Pathology Tools Workspace provides NCI-supported biorepositories, there research, this subject’s participation in
specifically for the needs of should also be some flexibility so that research is no longer regulated by 45
biorepositories. As part of this program, biorepositories can adapt the sample CFR 46.408. A legally effective informed
the NCI is developing the following template to their needs. consent should be obtained from the
components: 3. The sample consent forms used by child turned adult subject unless the
1. caTISSUE Core. An Intra/internet- NCI-supported biorepositories should, if IRB waives the requirement for
based application for managing a appropriate, address the use of obtaining informed consent under CFR
biorepository. caTISSUE also provides biospecimens or data by non- 46.116(d).
an object model through which existing government individuals or entities, the 7. FDA regulations must be
biorepository systems may be used as a issue of research leading to future considered for research on existing
standard to share biospecimen data. development of commercial products, biospecimen collections. These
2. caTISSUE-Clinical Annotation. An and the release of individual research regulations may not exempt in vitro
application for handling the annotation results to participants. studies from the requirement for
of biospecimens with clinical data. 4. Research participants should be documented, IRB-approved consent
3. caTIES. A system for extracting allowed to specify the types of research from the sources, even in cases where
concepts from free text pathology for which their biospecimens may be biospecimens have been deidentified.
reports into a structured data model. used, including use in additional future 8. NCI-supported biorepositories
The caDSR and its associated services projects. should establish and document
5. NCI-supported biorepositories transparent policies governing records
provide the infrastructure to handle the
should develop policies and procedures and biospecimen retention. These
standardized terminologies referred to
to handle biospecimens and associated policies should be made available to
in the recommendations. caBIG silver-
computer records for which consent has participants, either in the informed
level compatibility is outlined in the
been withdrawn. Informed consent consent document or in supporting
caBIG documentation at https://
documents should highlight the information. In addition, usage
cabig.nci.nih.gov/
research participant’s or source’s ability agreements with recipient investigators
guidelines_documentation.
to withdraw consent and describe what should specify the retention policy of
2. Ethical, Legal, and Policy Guidelines will take place should consent be the recipient investigator.
A. Informed Consent
withdrawn. • For clinical biospecimens, the
• In the event that consent is timing is informed by Federal and State
Informed consent (pursuant to the withdrawn for the continued research laws governing how long records are
human subjects regulations at 45 CFR use of biospecimens, individually retained.
part 46) is designed to present potential identifiable biospecimens and any • For research biospecimens, the
human research participants with distributed samples must be withdrawn ideal is permanent storage if there are
sufficient information—including from the biorepository, and attempts sufficient resources and storage space,
anticipated procedures, risks, and should be made to retrieve samples. In subject to reasonable foreseeable
benefits—to make an informed decision addition, consent can also be withdrawn research utility (i.e., QA/QC, dated data
to participate in research studies. for the analysis phase of identifiable sets).
Obtaining informed consent for the private information, since it is • Biorepositories should be reviewed
collection and storage of biospecimens considered human subjects research. periodically (e.g., at the time of funding
and for their use in future research is However, a processed sample and the renewal) to determine the utility of
challenging since the specifics of the research data generated from it cannot existing biospecimens, the need for new
future research are often not known at be rescinded. biospecimens, etc.
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the time of biospecimen collection. • In the event that consent is • In the event that biorepositories
Despite this challenge, the informed withdrawn, biospecimens should be close because of lack of funding or
consent information describing the destroyed or alternatively stripped of all otherwise cannot maintain or use the
nature and purposes of the research direct and indirect identifiers. However, biospecimens, the availability of the
should be as specific as possible. The biorepository managers should be biospecimens for transfer should be

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announced to the research community • Protocol-specific requirements that account. Ethical considerations should
(e.g., via a Web site). The transfer of must be met before other access is come first among principles that guide
such biospecimens must be consistent considered. the decisionmaking process.
with human subjects regulations. • Preference for access to • Guidelines should apply to all new
For additional information about IRBs investigators from the protocol collections and, whenever possible, to
and the requirement for OHRP-approved coordinating group or NCI-funded existing collections.
assurance of compliance, see the OHRP investigators before access is granted to • An appeals process should be
Web site at http://www.hhs.gov/ohrp/. others. established for addressing disputes over
• Access granted on the basis of allocation decisions.
B. Access to Biospecimens and Data scientific merit with the following 3. Charges for samples should be used
Access to human biospecimens for criteria: only to recover costs. Cost-recovery
research purposes is crucial for fields 1. Institutional research qualifications models, and thus pricing strategies for
such as genomics, proteomics, and proven investigator experience with biorepositories, can vary. If applicable
metabolomics, molecular imaging, and the method proposed. and where monetary charges are
nanotechnology. Researchers in these 2. Standardized, validated research necessary, charge only to recover costs
areas often rely on federally funded biomarker assay methodology. as appropriate to retrieve and
biorepositories for high-quality 3. A research plan appropriate to disseminate specimens.
answer the study question. 4. NCI-supported biorepositories
biospecimens and associated data.
4. Statistical evaluation which shows should use a system of data access with
1. NCI-funded biorepositories should defined levels of access privileges.
establish clear guidelines, as the that the study question can be addressed
with the samples available. • Access levels should be described
research community’s custodian of in the protocol for operation of the
biospecimens, for sample distribution 5. The investigator has defined
funding and IRB approval for the biorepository, as well as in the informed
(and clinical data sharing) consistent consent form, and should be approved
with ethical principles, prevailing laws project.
6. The investigator has defined a by an IRB and/or bioethics-scientific
and regulations, and, if applicable, advisory board.
consent form language. The NCI intends study interval and will provide
information about the project outcome • Access to research participants’
to have a substantial role in developing identities and medical, genetic, social,
the best practices on which these at the end of that period.
7. The investigator agrees to group and personal histories should be
guidelines will be based. These restricted to only those biorepository
guidelines should build on the work of publication guidelines.
8. The investigator agrees to make staff members who need to access such
other groups and should be: records as part of their assigned duty or
assay data available according to agreed-
• Clear to ensure their to those persons permitted access by
upon rules.
comprehension and adherence. law.
• Access includes negotiated
• Flexible so that biorepositories may arrangement with a clinical protocol • The number of personnel allowed
be responsive to changing scientific coordinating group to provide timely to access links and reidentify
needs. statistical analysis of study results. information should be kept to a
• Amendable to facilitate their • Investigator agrees to compensate minimum, and access should be
adaptability over time. tissue bank for specimen preparation appropriately monitored to ensure
• General enough so they may be and shipping and coordinating group compliance.
applied to different kinds of 5. NCI-supported biorepositories
statisticians for timely data analysis.
should store human biospecimens for
biorepositories. • Provide investigator agreements,
research purposes only and should not
In addition, the best practices will principles and process for review.
serve an individual research
delineate when biospecimens (and • Access policies and procedures
participant’s needs or wishes.
clinical data) should be narrowly or should apply to all biorepositories and
broadly accessible and what should include the following: C. Privacy Protection
justifications will be expected of funded —Investigator agreement covering Research depends on protecting the
biorepositories. confidentiality, use, disposition, and privacy of individuals who contribute
2. Investigators should have timely, security of biospecimens and biospecimens to biorepositories and on
equitable, and appropriate access to associated data. maintaining the confidentiality of
human biospecimens stored at NCI- —Investigator’s written agreement in a associated clinical data and information
supported biorepositories without Material Transfer Agreement that (Eiseman et al. 2003). Applying the
undue administrative burden. A complies with the NIH Research Tool highest possible ethical standards is
prescribed mechanism for rapid Policy. (http://ott.od.nih.gov/policy/ necessary to ensure the support and
turnaround of requests should be in rt_guide_final.html). participation of patients, physicians,
place at NCI biorepositories that (1) —Appropriate ethical oversight. researchers, and others in biorepository
relies on a peer (or stakeholder) review • An appropriate model for activities (NBN Blueprint 2003). With
system that sets priorities as to how biospecimen and associated clinical the recent advances in genomic and
collected biospecimens should be data usage should be based on matching proteomic technology, the sequencing of
allocated to qualified recipient usage with appropriate scientific the human genome, and the increasing
investigators and (2) ensures that investigations (e.g., discovery, reliance by biorepositories on electronic
proposed uses are consistent with the prevalence, initial validation, and web-based databases to track data,
participant’s consent, research purpose, hypothesis testing). The level of it is even more crucial to address the
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and allowable use of biospecimens. identifiability of the biospecimen risk of unintended release or disclosure
• Decisions should be guided by a set should be appropriate for the proposed of sensitive information, which can
of general principles that include: research. place individuals at risk for
• Fair and clearly communicated • The local decisionmaking body discrimination and related groups at
access procedures. should take local principles into risk for stigmatization.

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1. NCI-supported biorepositories 4. NCI-supported biorepositories 4. Ensure through appropriate MTAs


should establish clear policies for should use clear and specific informed that research data obtained using
protecting the privacy of information. consent language to ensure that those biospecimens are made available to the
These policies may include data who contribute biospecimens and/or research community, consistent with
encryption, coding, and establishing data for research purposes are fully NIH data sharing policies such as the
limited access or varying levels of informed that the research done with Final NIH Statement on Sharing
access to data by biorepository these biospecimens may help to develop Research Data (http://grants.nih.gov/
employees. products, tests, or discoveries that may grants/guide/notice-files/NOT-OD-03-
2. In applications for support, have commercial value (see sample 032.html).
biorepositories should document their template, Appendix 1). References
policies, describe mechanisms for
auditing effectiveness and for E. Intellectual Property Caporaso N, Vaught J. Collection, processing
enforcement, describe required training, and analysis of preneoplastic specimens.
Inventions arising from research using In: Cancer Precursors: Epidemiology,
and specify security measures annotated biospecimens may have Detection, and Prevention. EL Franco, TE
pertaining to employee access to data commercial value. As researchers and Rohan, Eds. (New York: Springer-Verlag,
and biospecimens. industry sponsors have sharply January 2002).
3. The level of security should be increased their demand for properly Carnegie Mellon Software Engineering
appropriate to the type of biorepository. prepared and clinically annotated Institute. Capability Maturity Model
biospecimens, some institutions have Integration (CMMI) Web site, 2005.
D. Custodianship Viewed July 11, 2005, at http://
begun to assert control over
1. NCI-supported biorepositories biospecimens, associated data, and www.sei.cmu.edu/cmmi/.
should propose plans for formal and CDC and NIH (Centers for Disease Control
research findings. The current and Prevention and National Institutes of
continuing responsibility for
variability in IP policies at institutions Health), U.S. Department of Health and
custodianship (not ownership 5) of
hosting NCI-supported research and Human Services. Biosafety in
collected biospecimens and associated
biorepositories may ultimately lead to Microbiological and Biomedical
data as part of the biorepository
problems in biospecimen and data Laboratories (BMBL), 4th ed.
protocol. Biorepositories should address (Washington, DC: U.S. Government
access, timely and open publication,
this issue in applications for funding, Printing Office, May 1999). Viewed July
sharing of research findings, and
specifically, (a) How does the 10, 2005, at http://www.cdc.gov/od/ohs/
establishment of new biorepositories.
biorepository propose to ensure the biosfty/bmbl4/bmbl4toc.htm.
physical integrity of biospecimens? (b) 1. For the transfer of materials in Eiseman E, Bloom G, Brower J, et al. Case
How does the biorepository propose to academic-industrial collaborations, use Studies of Existing Human Tissue
ensure the integrity of the patient data the NIH SLA, the UBMTA, or other Repositories: ‘‘Best Practices’’ for a
that accompany the biospecimens? (c) MTA with terms consistent with the Biospecimen Resource for the Genomic
What plans and protocols exist for the NIH Research Tools Policy and NIH data and Proteomic Era (Santa Monica, CA:
sharing policies. The above agreements RAND Corporation, 2003).
distribution of samples to investigators? Grizzle WE. Practical factors in collecting
(Also see Access to Biospecimens and should be modified where necessary to
cover human subjects research. A tissues for research (unpublished). In:
Data, section B.2 above.) Cooperative Human Tissue Network,
2. Biorepositories should address sample NIH SLA modified to address
Tissue Procurement Training Manual,
plans for the handling and disposition the transfer of human biospecimens is September 24, 2004.
of biospecimens and associated data at attached as Appendix 2. Grizzle WE, Fredenburgh J. Avoiding
one or more of the following points: (a) The following Internet sites are biohazards in medical, veterinary, and
End of the budget period of the grant, (b) relevant to this issue: research laboratories. Biotechnic &
accomplishment of the specific research • http://ott.od.nih.gov/policy/ Histochem 76:183–206, 2001.
research_tool.html. Hayes RB, Smith CO, Huang WY, et al.
objectives of the study, (c) depletion of
• http://www.autm.net/aboutTT/ Whole blood cryopreservation in
biospecimens, or (c) achievement of epidemiological studies. Cancer
critical data endpoints. aboutTT_umbta.cfm.
Epidemiol Biomarkers Prev 11(11):1496–
3. Individuals responsible for • http://grants1.nih.gov/grants/ 8, 2002.
allocating biospecimens or associated policy/data_sharing/index.htm. Health Information Portability and
data from biorepositories should 2. Recognize that biorepository staff Accountability Act of 1996 (HIPAA).
disclose financial or professional members as custodians of biospecimens Viewed July 12, 2005, at http://
conflicts of interest to existing conflict- are not a priori considered inventors aspe.hhs.gov/admnsimp/pll04191.htm.
of-interest committees in the host under patent law for inventions made Holland NT, Smith MT, Eskenazi B, et al.
institution or to the biorepository’s using materials distributed by the Biological sample collection and
biorepository. In general, the staff processing for molecular epidemiological
governing board.
studies. Mutation Res 543:217–34, 2003.
should be informed that one whose sole IATA (International Air Transport
5 The issue of ownership of biospecimens, contribution to an invention consists of Association). Infectious Substances and
associated data, and research findings remains the routine collection, handling, storage,
ambiguous and controversial, partly because of
Diagnostic Specimens Shipping
wide variation and lack of harmonization in the
and disbursement of biospecimens Guidelines, 2004, 5th ed. Available for
regulatory and legal standards used by courts, state might not rise to the level of ‘‘inventor’’ purchase at http://www.iata.org/ps/
legislatures, and Federal regulators in determining of an invention. Inventorship is publications/9052.htm.
ownership rights. The end result has been the use determined by patent law and must be ISBER (International Society for Biological
of unclear or misleading legal language in informed and Environmental Repositories). Best
consent and other documents that does not
considered on a case-by-case basis by
trained legal personnel. practices for repositories I: collection,
adequately address the issue of ownership, by
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storage and retrieval of human biological


either the individual who is the source of the 3. Recognize that biorepositories have materials for research. Cell Preserv
biospecimen, the principal investigators who no inherent rights to future IP, such as
collect and bank the biospecimens, the recipient Technol 3:5–48, 2005.
investigators who use the samples for research
reach-through rights in inventions made Landi MT, Caporaso N. Sample collection,
purposes, or the biorepository and its host by investigators using samples obtained processing and storage. In: Applications
institution. from the biorepository. of Biomarkers in Cancer Epidemiology,

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IARC Scientific Pub. No. 142 (Lyon, These reports will not be put in your health never become known. Due to scientific
France: International Agency for record. The research will not have an effect advances or human errors, your identity
Research on Cancer, 1997). on your care. could become known. Since your DNA
Mager R, Ratcliffe C, Knox K. Developing an information is unique to you, in the future it
operational framework: Standard Things To Think About
may become possible for someone to identify
workflows, operating and quality control The choice to let us keep the leftover tissue you. This would require someone to take
policies and procedures for the for future research is up to you. No matter another tissue sample from you, analyze the
collection, storage and distribution of what you decide to do, it will not affect your DNA, and compare it with data resulting
frozen and paraffin-embedded tissue and care. from this research project. Currently, this risk
blood. Prepared on behalf of DJ Kerr, If you decide now that your tissue can be is very slight.
Director of the National Translational kept for research, you can change your mind If your identity were ever determined, this
Cancer Research Network (NTRAC) and at any time. Just contact us and let us know might cause you and your family some
the National Cancer Research Institute that you do not want us to use your tissue. distress. In addition, if it became known that
(NCRI), 2004. Then any tissue that remains will no longer you have disease-causing DNA changes, there
NBN (National Biospecimen Network) be used for research. However, once is a very small risk that you might have a
Blueprint, Chapter 3: Biospecimen and knowledge is gained from a sample, that harder time getting or keeping a job or health
data collection and distribution. A knowledge cannot be taken back. insurance. Some laws exist that attempt to
Friede, R Grossman, R Hunt, et al., Eds. In the future, people who do research may protect people from such job and insurance
(Durham, NC: Constella Group, Inc., need to know more about your health. While discrimination. However, these laws may not
2003). Viewed July 9, 2005, at http:// the [INSERT ORGANIZATION NAME] may fully protect people from discrimination.
www.ndoc.org/about_ndc/reports/ give them reports about your health, it will Since you share genetic characteristics
NBN_comment.asp. not give them your name, address, phone with your children, parents, brothers, sisters,
NCAB (National Cancer Advisory Board), number, or any other information that will let and other family members, it is possible that
U.S. Department of Health and Human the researchers know who you are. some of these risks may apply to them as
Services. Summary of National Cancer Sometimes tissue is used for familial or well. However, their risks are likely to be
Advisory Board Meeting, November 30– hereditary genetic research (about diseases even lower than yours, since it will be even
December 1, 2004, Bethesda, MD. that are passed on in families). Even if your more difficult to identify them than to
Viewed July 10, 2005, at http:// tissue is used for this kind of research, the identify you.
deainfo.nci.nih.gov/advisory/ncab/ results will not be put in your health records.
132_1104/30nov04mins.pdf. Your tissue will be used only for research Making Your Choice
NCI (National Cancer Institute). The caBIG and will not be sold. However, the research Please read each sentence below and think
(cancer Biomedical Informatics Grid) done with your tissue may help develop new about your choice. After reading each
Web site, no date. Viewed July 11, 2005, products, tests, or discoveries in the future, sentence, circle ‘‘Yes’’ or ‘‘No.’’ No matter
at cabig.nci.nih.gov. which may have commercial value. The what you decide to do, it will not affect your
[INSERT ORGANIZATION NAME] does not care. If you have any questions, please talk
Appendix 1—NCI Sample Consent
plan to share any commercial profits with to your doctor or nurse or call our research
Form for Use of Tissue for Research you. review board at [IRB’s phone number]. If you
The following tissue consent example has Benefits decide now that your tissue can be kept for
been adapted from the NCI Cancer Diagnosis research, you can change your mind at any
Program’s sample consent form, also There will be no direct benefit to you,
time. Just contact us and let us know that you
available at: http:// financially or otherwise, by participating in
do not want us to use your tissue for research
www.cancerdiagnosis.nci.nih.gov/specimens/ this research study.
1. My tissue may be kept for use in research
model.pdf. The accompanying instruction The benefits of research using tissue
to learn about, prevent, or treat cancer.
sheet can be found at http:// include learning more about what causes
Yes No
www.cancerdiagnosis.nci.nih.gov/specimens/ cancer and other diseases, how to prevent
them, and how to treat them. 2. My tissue may be kept for use in research
patient.pdf. to learn about, prevent, or treat other
lllllllllllllllllllll Risks health problems (for example: diabetes,
Name of Tissue Repository Alzheimer’s disease, or heart disease).
The greatest risk to you is the release of
lllllllllllllllllllll Yes No
information from your health records. The
lllllllllllllllllllll 3. My medical record information may be
chance that this information will be given to
Address and phone number associated with research on my tissue.
someone else is very small.
Consent Form for Use of Tissue for Research Making sure that your identity does not Yes No
become known will minimize the chance that 4. Someone from the [INSERT
About Using Tissue for Research you will experience any psychological or ORGANIZATION NAME] may contact me
You are going to have a biopsy (or surgery) social harm. Therefore, we will take every in the future to ask me to take part in more
to see if you have cancer. Your doctor will precaution to safeguard your identity. As research.
remove some body tissue to do some tests. soon as it is collected, your tissue and your Yes No
The results of these tests will be given to you clinical information will be assigned a code Please sign your name here after you circle
by your doctor and will be used to plan your number. That code number will be the only your answers.
care. information attached to your samples and Your Signature: lllllllllllll
We would like to keep some of the tissue clinical information. All other widely used Date: llllllllllllllllll
that is left over for future research. If you identifying information, such as your name, Signature of Doctor/Nurse: llllllll
agree, this tissue will be kept and may be address, phone number, and Social Security Date: llllllllllllllllll
used in research to learn more about cancer number will be removed. The master list,
and other diseases. Please read the which will link your name and the code How Is Tissue Used for Research?
information sheet called ‘‘How Is Tissue number, will be kept under lock and key and (This information brochure is to be
Used for Research?’’ to learn more about in a computer with electronic safeguards. distributed with the informed consent
tissue research. Only authorized people who have agreed in document.)
Your tissue may be helpful for research writing to protect your identity will have
whether you do or do not have cancer. The access to your linked information. Therefore, Where does tissue come from?
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research that may be done with your tissue the researchers and others working with your Whenever a biopsy (or surgery) is
is not designed specifically to help you. It samples and clinical information will not performed, the tissue that is removed is
might help people who have cancer and know your identity. examined under the microscope by a trained
other diseases in the future. Your privacy is very important to us. doctor to determine the nature of the disease
Reports about research done with your However, in spite of these safety measures, and assist with the diagnosis. Your tissue
tissue will not be given to you or your doctor. we cannot guarantee that your identity will will always be used first to help make

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decisions about your care. After all tests have time and will be used to make decisions information attached to your samples and
been done, there is usually some leftover about your care. clinical information. All other widely used
tissue. Sometimes, this tissue is not kept identifying information, such as your name,
Will I benefit from the research using my
because it is not needed for the patient’s care. address, phone number, and Social Security
tissue?
Instead, a patient can choose to have the number, will be removed. The master list,
tissue kept for future research. People who There will be no direct benefit to you, which will link your name and the code
are trained to handle tissue and protect the financially or otherwise. However, it is number, will be kept under lock and key and
donor’s rights make sure that the highest hoped that the results of research on your in a computer with electronic safeguards.
standards are followed by the [INSERT tissue and tissues from other patients will Only authorized people who have agreed in
ORGANIZATION NAME]. Your doctor does provide information that will help other writing to protect your identity will have
not work for the [INSERT ORGANIZATION patients in the future. Your tissue will be access to your linked information. Therefore,
NAME] but has agreed to help collect tissue helpful whether you have cancer or not. the researchers and others working with your
from many patients. Many doctors across the Why do you need information from my samples and clinical information will not
country are helping in the same way. If you health records? know your identity.
agree, only leftover tissue will be saved for Your privacy is very important to us.
In order to do research with your tissue, However, in spite of these safety measures,
research. Your doctor will take only the
researchers may need to know some things we cannot guarantee that your identity will
tissue needed for your care during surgery.
about you. (For example: Are you male or never become known. Due to scientific
Why do people do research with tissue? female? What is your race or ethnic group? advances or human errors, your identity
How old are you? Have you ever smoked?) could become known. Since your DNA
Research with tissue can help find out
This helps researchers answer questions information is unique to you, in the future it
more about what causes cancer, how to
about diseases. The information that will be may become possible for someone to identify
prevent it, and how to treat it. Research using
given to the researcher includes your age, you. This would require someone to take
tissue can also answer other health questions.
sex, race, diagnosis, treatments, and possibly another tissue sample from you, analyze the
Some of these include finding the causes of
some family history. This information is DNA, and compare it with data resulting
diabetes and heart disease or finding genetic collected by your hospital from your health
links to Alzheimer’s. from this research project. Currently, this risk
record and sent to the [INSERT
is very slight.
What type of research will be done with my ORGANIZATION NAME] but without your
If your identity were ever determined, this
tissue? name or other identifying information. If
might cause you and your family some
more information is needed, the [INSERT
Many different kinds of studies use tissue. distress. In addition, if it became known that
ORGANIZATION NAME] may send it to the
Some researchers may develop new tests to you have disease-causing DNA changes, there
researcher.
find diseases. Others may develop new ways is a very small risk that you might have a
to treat or even cure diseases. In the future, Will my name be attached to the records that harder time getting or keeping a job or health
some of the research may help develop new are given to the researcher? insurance. Some laws exist that attempt to
products, such as tests and drugs. No. Your name, address, phone number, protect people from such job and insurance
Some research looks at diseases that are and anything else that could identify you discrimination. However, these laws may not
passed on in families (called familial or will be removed before the other information fully protect people from discrimination.
hereditary genetic research). Research done goes to the researcher. Since you share genetic characteristics
with your tissue may look for genetic causes with your children, parents, brothers, sisters,
and signs of disease. How could the records be used in ways that and other family members, it is possible that
might be harmful to me? some of these risks may apply to them as
How do researchers get the tissue? well. However, their risks are likely to be
Sometimes, health records have been used
Researchers from universities, hospitals, against patients and their families. For even lower than yours, since it will be even
and other health organizations conduct example, insurance companies may deny a more difficult to identify them than to
research using tissue. They contact the patient insurance or employers may not hire identify you.
[INSERT ORGANIZATION NAME] and someone with a certain illness (such as AIDS
request samples for their studies. The or cancer). The results of genetic research
Appendix 2—Material Transfer
[INSERT ORGANIZATION NAME] reviews may apply not only to you but also to your Agreement for Human Biospecimens
the way that these studies will be done, and family members. For diseases caused by gene Provider Organization (‘‘Provider’’): llll
decides if any of the samples can be used. changes, the information in one person’s Recipient Organization (‘‘Recipient’’): lll
The [INSERT ORGANIZATION NAME] gets health record could be used against family 1(a). The material to be transferred
the tissue and information about you from members. (‘‘MATERIAL’’) (Name or description of
your hospital and sends the tissue samples human Biospecimen(s) or Collection,
and some information about you to the How am I protected?
Method of Preservation, Organ Source,
researcher. The [INSERT ORGANIZATION The [INSERT ORGANIZATION NAME] is etc.):
NAME] will not send your name, address, in charge of making sure that information
phone number, Social Security number, or about you is kept private. The [INSERT lllllllllllllllllllll
any other identifying information to the ORGANIZATION NAME] will take careful lllllllllllllllllllll
researcher. steps to prevent misuse of records. Your 1(b). Designate the Private Identifiable
name, address, phone number and other Information status of the MATERIAL
Will I find out the results of the research identifying information will be taken off (Please see Annex A for definitions) (check
using my tissue? anything associated with your tissue before it one below):
No, you will not receive the results of is given to the researcher. This would make llUnidentified specimens
research done with your tissue. This is it very difficult for any research results to be llUnidentified or ‘‘anonymous’’ samples
because research can take a long time and linked to you or your family. Also, people llUnidentifiable
must use tissue samples from many people outside the research process will not have llCoded specimens
before results are known. Results from access to results about any one person, which llCoded samples
research using your tissue may not be ready will help protect your privacy. 2. The Recipient will use the MATERIAL
for many years and will not affect your care Making sure that your identity does not (check one only):
right now, but they may be helpful to people become known will minimize the chance that llAs a biorepository that will distribute the
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like you in the future. you will experience any psychological or MATERIAL to the research community
Though research involves the test results of social harm. Therefore, we will take every on behalf of the Provider under a
many different people, your biopsy result precaution to safeguard your identity. As separate Material Transfer Agreement.
involves only you. Your doctor will give you soon it is collected, your tissue and your llTo conduct an independent research
the results of your biopsy when results are clinical information will be assigned a code project (Describe the ‘‘RESEARCH
known. These test results are ready in a short number. That code number will be the only PROJECT’’ below):

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lllllllllllllllllllll 10. Recipient retains ownership of lllllllllllllllllllll


lllllllllllllllllllll intellectual property made by its Signature of Authorized Official
employees using the MATERIAL as part of Date: llllllllllllllllll
Recipient Serving as a Biorepository the RESEARCH PROJECT to the extent lllllllllllllllllllll
3. If the MATERIAL is being provided by the permitted by law or contractual Certification of Recipient Scientist: I have
Provider under this Agreement for the agreements. read and understood the conditions
purpose of the Recipient distributing the outlined in this Agreement, and I agree to
All Parties Agree abide by them in the receipt and use of the
MATERIAL to the research community, the
Provider hereby grants the Recipient 11. THIS MATERIAL IS NOT FOR USE IN MATERIAL.
explicit permission to further distribute the HUMAN SUBJECTS. lllllllllllllllllllll
MATERIAL to the research community as 12. The above MATERIAL is being Scientist Receiving Material
a biorepository. Provider Approval (initial distributed as a service to the research Date: llllllllllllllllll
here) lll community. It is acknowledged that the lllllllllllllllllllll
4. If the Recipient is designated as a MATERIAL is a nonrenewable research
resource and that further distribution for Annex A
biorepository in Article 2, the Recipient is
the custodian of the MATERIAL and research purposes may be determined by Definitions (applicable to Appendix 2)
therefore does not by virtue of this scientific merit of the proposed research
project. Accordingly, the MATERIAL will Coded samples: Sometimes termed
Agreement acquire any intellectual ‘‘linked’’ or ‘‘identifiable,’’ these samples are
property rights in the MATERIAL, nor in be made available to other scientists under
a separate Material Transfer Agreement for supplied by repositories to investigators from
any research conducted by third-parties identified specimens with a code rather than
using the MATERIAL. scientifically approved projects and to the
extent supplies are available. with personally identifying information, such
5. The MATERIAL will be distributed by as a name or Social Security number.
Recipient in compliance with all 13. Any MATERIAL delivered pursuant to
this Agreement is understood to be Coded specimens: Sometimes termed
applicable statutes and regulations. ‘‘linked’’ or ‘‘identifiable,’’ these specimens
experimental in nature and may have
Recipient Conducting an Independent hazardous properties. THE Provider are supplied by repositories to investigators
Research Project MAKES NO REPRESENTATIONS AND with a code rather than with personally
EXTENDS NO WARRANTIES OF ANY identifying information, such as a name or
6. If the MATERIAL is being provided by the Social Security number.
Provider under this Agreement for the KIND, EITHER EXPRESSED OR IMPLIED.
THERE ARE NO EXPRESS OR IMPLIED Unidentifiable: Tissue for which
purpose of the Recipient conducting an identifiable information was not collected or,
independent research project, the WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR if collected, was not maintained and cannot
MATERIAL will be used in compliance be retrieved by the repository.
with all applicable statutes and PURPOSE, OR THAT THE USE OF THE
MATERIAL WILL NOT INFRINGE ANY Unidentified or ‘‘anonymous’’ samples:
regulations. The MATERIAL was collected Samples supplied by repositories to
and is provided in accordance with PATENT, COPYRIGHT, TRADEMARK, OR
OTHER PROPRIETARY RIGHTS. Unless investigators from a collection of
appropriate Federal and local laws, unidentified human biological specimens
Assurances, and Institutional Review prohibited by law, the Recipient assumes
all liability for claims for damages against and can never be traced to an individual.
Board approvals related to Human Subjects Unlinked or ‘‘anonymized’’ samples lack
Research. Recipient is responsible for it by third parties that may arise from its
use, storage, or disposal of the MATERIAL, identifiers or codes that can link a particular
obtaining any necessary Human Subjects sample to an identified specimen or a
research approvals or exemptions required except that, to the extent permitted by law,
the Provider shall be liable to the Recipient particular human being but may have been
to use the MATERIAL for the RESEARCH derived from an identified sample in the
PROJECT. when the damage is caused by the gross
negligence or willful misconduct of the repository.
7. The Recipient will not further distribute Unidentified specimens: For these
the MATERIAL to others who are not Provider.
specimens, identifiable personal information
under the Recipient Scientist’s direct Signatures for Provider was not collected or, if collected, was not
supervision without written consent from Provider Scientist: llllllllllll maintained and cannot be retrieved by the
the Provider. The Recipient shall refer any lllllllllllllllllllll repository.
request for the MATERIAL to the Provider. Provider Organization: llllllllll
8. The Recipient will in no way attempt to lllllllllllllllllllll IV. Implementation
identify or contact the person(s) associated Address: llllllllllllllll A. Date of Implementation
with the biospecimen(s) that make up the lllllllllllllllllllll
MATERIAL. Furthermore, Recipient will lllllllllllllllllllll The adoption of these guidelines is
Name of Authorized Official: lllllll voluntary. However, the NCI may consider
not attempt to obtain or otherwise acquire
lllllllllllllllllllll making these guidelines terms and
any private identifiable information
Title of Authorized Official: lllllll conditions of awards.
associated with the biospecimen(s) that
make up the MATERIAL under this lllllllllllllllllllll B. Roles and Responsibilities
Agreement. The MATERIAL will be coded lllllllllllllllllllll
These guidelines will eventually apply to
or otherwise deidentified. Any widely used Signature of Authorized Official
all applicants of NCI-supported biomedical
identifying information will have been Date: llllllllllllllllll
research involving biorepositories of human
removed. However, it is acknowledged Certification of Provider Authorized Official:
biospecimens. Certain individuals and
that, due to scientific advances such as This Agreementlhas/lhas not been
groups have special roles and responsibilities
DNA analyses or human errors, there is a modified. If modified, the modifications
with regard to the adoption and
small risk that the identity of the person are attached.
implementation of these guidelines.
who was the source of the MATERIAL Signatures for Recipient The NCI staff will provide educational
could become known. Recipient Scientist: lllllllllll opportunities for the extramural and
9. It is intended that Recipient publish the lllllllllllllllllllll intramural community concerning these
results of the RESEARCH PROJECT and Recipient Organization: lllllllll guidelines; monitor its implementation
make the associated data available to the lllllllllllllllllllll during the development, review, award and
research community in a manner Address: llllllllllllllll conduct of research; and manage the NCI
lllllllllllllllllllll
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consistent with the NIH data sharing research portfolio to address these
policies found at http://grants1.nih.gov/ Name of Authorized Official: lllllll guidelines.
grants/policy/data_sharing/index.htm. The lllllllllllllllllllll
Recipient agrees to acknowledge the source lllllllllllllllllllll 1. Principal Investigators
of the MATERIAL in any publications or Title of Authorized Official: lllllll The principal investigator and the
disclosures reporting use of it. lllllllllllllllllllll applicant institution should address the

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inclusion of the guidelines in each V. Abbreviation Definitions Used in these Adverse outcome. An undesirable effect or
application and proposal. Applicants should Guidelines untoward complication consequent to or
provide a statement of compliance in each reasonably related to specimen integrity
area relevant to their studies where such Abbreviation Definition (ISBER 2005).
information is not already provided. Aliquot. A portion of a specimen that has
caBIG .......... cancer Biomedical been divided into separate, smaller parts,
2. Institutional Review Boards (IRBs) Informatics Grid usually liquid, which are typically stored in
As the IRBs implement the guidelines, the caDSR ......... cancer Data Standards Repos- separate containers as individual samples.
use of the ‘‘NCI Sample Consent Form for itory The term aliquot may also be used as a noun
Use of Tissue for Research,’’ adapted to caTIES ........ cancer Text Information Ex-
to denote a single sample (ISBER 2005).
traction System
conform with applicable state law and local Annotation. Explanatory or extra
caTISSUE ... component of the NCI cancer
policy, and the ‘‘Material Transfer Agreement information associated with a particular
Biomedical Informatics
for Human Biospecimens,’’ are strongly biospecimen. Annotations may be added by
Grid
encouraged in future applications. CDC ............ Centers for Disease Control either the pathologist or the resource
3. Peer Review Groups and Prevention collector.
CDEs ........... common data elements Audit. A documented review of
In conducting peer review for scientific procedures, records, personnel functions,
CFR ............. Code of Federal Regulations
and technical merit, appropriately equipment materials, facilities, and/or
CHTN ......... Cooperative Human Tissue
constituted initial review groups (including Network vendors to evaluate adherence to written
study sections), technical evaluation groups, CLIA ........... Clinical Laboratory Improve- SOPs or government laws and regulations
and intramural review panels will evaluate ment Amendments (ISBER 2005).
the proposed plan for the inclusion of the CLSI ............ Clinical and Laboratory Bioinformatics. Research, development, or
guidelines. Where the guidelines have not Standards Institute (for- application of computational tools and
been adopted or implemented, the peer merly NCCLS, National approaches for expanding the use of
review should evaluate the impact on the Committee for Clinical Lab- biological, medical, behavioral, or health
quality of the biospecimens collected, stored, oratory Standards) data, including those to acquire, store,
and or analyzed. DNA ........... deoxyribonucleic acid organize, archive, analyze, or visualize such
FDA ............ U.S. Food and Drug Adminis- data (as defined by the NIH Biomedical
4. National Cancer Advisory Board (NCAB)
tration Information Science and Technology
The NCAB has approved these guidelines GSA ............ General Services Administra- Initiative Consortium (http://
in their draft form, in the interest of ensuring tion www.bisti.nih.gov/CompuBioDef.pdf)
sufficient biospecimens of documented HHS ............ U.S. Department of Health (Eiseman et al. 2003)).
quality to support NCI-sponsored research and Human Services Biorepository. A place, room, or container
and the findings that guide the scientific HIPAA ........ Health Insurance Portability where biospecimens are stored.
policy of the NCI. Modifications to these and Accountability Act of Biorepositories vary considerably, ranging
guidelines will be considered in light of the 1996 from formal organizations to informal
overall NCI policy and available scientific HIV ............. human immunodeficiency collections of materials in an individual
data. virus researcher’s freezer.
IATA .......... International Air Transport Biorepository informatics system. The
5. Extramural Program Staff Association software, hardware, written documents,
NCI Extramural Program staffs are familiar ICAO .......... International Civil Aviation support, and training that are necessary to
with the scientific merits and capabilities of Organization annotate, track, and distribute biospecimens
the sponsored researchers. Staff IRB .............. institutional review board within a biorepository or biorepositories.
understanding of the guidelines and their ISBER ......... International Society for Bio- Biospecimen or specimen. A quantity of
rationale will be essential in assisting in a logical and Environmental tissue, blood, urine, or other biologically
balanced and rational implementation by Repositories derived material used for diagnosis and
sponsored researchers. MTA ........... Material Transfer Agreement analysis. A single biopsy may generate
NBN ............ National Biospecimen Net- several specimens, including multiple
6. NCI Director work paraffin blocks or frozen specimens. A
The NCI Director may recommend NCAB ......... National Cancer Advisory specimen can include everything from
modifications to the guidelines based on Board subcellular structures (DNA) to cells, tissue
subsequent information. NCI ............. National Cancer Institute (bone, muscle, connective tissue, and skin),
OBBR .......... Office of Biorepositories and
7. Educational Outreach by NCI To Inform organs (e.g., liver, bladder, heart, kidney),
Biospecimen Research (at
the Professional Community blood, gametes (sperm and ova), embryos,
the NCI)
fetal tissue, and waste (urine, feces, sweat,
NCI-sponsored researchers are located and OHRP ......... Office for Human Research
hair and nail clippings, shed epithelial cells,
operate within a wide variety of facilities, Protections
and placenta).
including pathology laboratories, surgical OSHA ......... Occupational Safety and
caBIG (cancer Biomedical Informatics
practices, comprehensive cancer treatment Health Administration
PI ................ packaging instruction Grid). A voluntary network or grid
centers, and clinical or basic research connecting individuals and institutions to
laboratories. The guidelines as published by QA .............. quality assurance
QC .............. quality control enable the sharing of data and tools, creating
the NCI are not intended to substitute, a World Wide Web of cancer research. The
QMS ........... quality management system
supersede, or otherwise replace existing SLA ............ Simple Letter of Agreement goal of this project is to speed the delivery
requirements but to be a complement to these SOPs ........... standard operating proce- of innovative approaches for the prevention
requirements and to be applied in the dures and treatment of cancer. caBIG is being
absence of guidelines. UBMTA ...... Uniform Biological Material developed under the leadership of the NCI
8. Applicability to Foreign Research Transfer Agreement Center for Bioinformatics. Nearly 500 people
Involving Human Subjects from approximately 50 NCI-designated
NCI Glossary of Terms for Purposes of These Cancer Centers and other organizations are
For foreign awards, the NCI guidelines for Guidelines working collaboratively on over 70 projects
research conducted outside the U.S. are the
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Accident. Any occurrence that deviates in a 3-year pilot project. For more
same as those for research conducted in the from SOPs or applicable government laws information on caBIG, visit http://
United States. Where local laws or and regulations during specimen retrieval, cabig.nci.nih.gov.
regulations differ, investigators should processing, labeling, storage, or distribution caDSR (cancer Data Standards Repository).
provide the NCI with a rationale for alternate that may affect subsequent use of those The standards repository that hosts CDEs
approaches. specimens (ISBER 2005). developed by various NCI-sponsored

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organizations. caDSR components are individual, information, or material has been Disposition. Final destination of specimens
instrumental in the collection of metadata shared (with some degree of loss of privacy) (ISBER 2005).
associated with clinical trials. caDSR tools in confidence (NBN Blueprint 2003). Distribution. A process that includes
facilitate the search and retrieval of CDEs and Container. Enclosure for one unit or units receipt of request for specimens, selection of
caDSR is the single, authoritative source of of specimen(s) (ISBER 2005). appropriate specimens, and final inspection,
common data. Cooperative Human Tissue Network in conjunction with subsequent shipment
caTIES (cancer Text Information (CHTN). A six-division, decentralized, NCI- and delivery of specimens to another
Extraction System). A project that will focus funded, infrastructure that provides biorepository, specimen collection center, or
on two important challenges of biomedical biomedical researchers with access to human laboratory (ISBER 2005).
informatics; namely, information extraction tissue. Established in response to a Request Dry ice. Solid-phase carbon dioxide.
from free text and access to tissue. for Applications in 1987, the CHTN has Genomics. The study of genes and their
Specifically, caTIES has three primary goals: provided more than 500,000 high-quality function; the study of all or a substantial
(1) Extract coded information from free-text tissue biospecimens from a variety of organs portion of the genes of an organism as a
surgical pathology reports using controlled to more than 1,000 investigators for the dynamic system, over time, to determine how
terminologies to populate caBIG-compliant conduct of basic and developmental cancer those genes interact and influence biological
data structures, (2) provide researchers with research. Eighty percent of these researchers pathways, networks, and physiology.
the ability to query, browse, and acquire are from academic or government Honest broker. A neutral intermediary
annotated tissue data and physical material institutions; only 20 percent of users are from between the individual whose tissue and
across a network of federated sources, and (3) industry. data are being studied and the researcher.
pioneer research for distributed text Cryoprotectant. An additive that serves to The honest broker collects and collates
information extraction within the context of minimize osmotic imbalances that occur with pertinent information regarding the tissue
caBIG. caTIES modules will be developed as the progression of freezing fronts through a source, replaces identifiers with a code, and
generalized components available on the substance and is intended to limit the releases only coded information to the
caBIG, in order to facilitate reuse by other amount of cell damage due to cell shrinkage researcher (Eiseman et al. 2003).
caBIG projects requiring tissue information and intracellular ice formation (ISBER 2005). Human subject. A living individual about
extraction. Custodianship. Relates to the caretaking whom an investigator, either professional or
caTISSUE. A modular, open-source responsibility for the specimen collection, student, conducting research obtains (1) Data
specimen inventory and tracking system that including management and documentation, through intervention or interaction with the
will encompass a core database module for as well as rights to determine the conditions individual or (2) identifiable private
those Centers in need of new solutions, as under which the specimens are accessed and information (45 CFR 46.102(f)). A Human
well as application programming interfaces used. subject may also be a patient, but is not
Data. Values derived from scientific
(APIs), software development toolkits (SDKs), necessarily one.
experiments or diagnostic procedures
and additional annotation modules for those Indemnification. A legal term of art
organized especially for scientific analysis in
centers with legacy systems that wish to link meaning to secure a person or entity against
a numerical form suitable for processing by
into the virtual tissue repositories and query hurt, loss, injury, or other damages suffered.
computer (NBN Blueprint 2003).
across Cancer Centers. The caBIG Tissue Informatics. The use of science, computer
Data Sharing Policy (NIH Data Sharing
Banks and Pathology Tools Workspace Policy). ‘‘NIH believes that data sharing is science, information technologies, and other
(TBPTW) is responsible for the release of essential for expedited translation of research technologies to provide data, information,
caTISSUE. results into knowledge, products, and and knowledge to an individual or an
Clinical data. Data pertaining to or procedures to improve human health. NIH organization. The term is synonymous with
founded on actual observation and treatment endorses the sharing of final research data to information science. See also biorepository
of patients. serve these and other important scientific informatics system.
Clinical trial research. Research studies goals and expects and supports the timely Informatics system. Refers to the software,
that evaluate new interventions, drugs, or release and sharing of final research data hardware, written documents, support, and
medical therapies given to human research from NIH-supported studies for use by other training necessary to annotate, track, and
participants in strictly scientifically researchers. ‘‘Timely release and sharing’’ is distribute biospecimens within a
controlled settings. The purpose of such defined as no later than the acceptance for biorepository or biorepositories.
trials is to determine whether one or more publication of the main findings from the Informed consent. An educational process
screening, prevention, and/or treatment final data set. Effective with the October 1, between the investigator and the prospective
options are safe, effective, and better than 2003 receipt date, investigators submitting an subject (or the subject’s legally authorized
current standard care. NIH application seeking $500,000 or more in representative) as a means to ensure respect
Code of Federal Regulations (CFR). The direct costs in any single budget period are for persons; mutual understanding of
Code of Federal Regulations is a publication expected to include a plan for data sharing research procedures, risks, rights, and
that codifies the general and permanent rules or state why data sharing is not possible’’ responsibilities; and continuous voluntary
published in the Federal Register by the (Grants Policy Statement, 12/03). The NIH participation (NBN Blueprint 2003).
executive departments and agencies of the Data Sharing Policy is not itself a Institutional review board. A specially
Federal Government. It is published by the requirement to share data but rather to have constituted review body established or
Office of the Federal Register, National a plan to address sharing of data or to state designated by an entity to protect the welfare
Archives and Records Administration, why sharing is not possible. (NIH Grants of human subjects recruited to participate in
Washington, DC (ISBER 2003). Policy Statement Web site http:// biomedical or behavioral research.
Coded samples. Sometimes termed grants2.nih.gov/grants/policy/data_sharing/ Intellectual property. Creative ideas and
‘‘linked’’ or ‘‘identifiable,’’ these samples are data_sharing_guidance.htm). expressions of the human mind that have
supplied by biorepositories to investigators Deidentified protected health information. commercial value and receive the legal
from identified specimens with a code rather Health information that does not identify an protection of a property right. The major legal
than with personally identifying information, individual and with respect to which there mechanisms for protecting intellectual
such as a name or Social Security number. is no reasonable basis to believe that the property rights are copyrights, patents, and
Collection. See Retrieval. information can be used to identify an trademarks. Another form of protection for
Common Data Elements (CDEs). CDEs individual. Such information is not data sets available in Europe and most of the
standardize metadata between a series of individually identifiable health information industrialized world, except the US, is called
software systems. Such standardization (45 CFR 164.514(a)-(c)) (Eiseman et al. 2003). ‘‘sui generis rights in data.’’ Intellectual
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ensures that the same meaning of words is Demographic data. Data relating to property rights enable owners to deny some
used and that data model and application statistical characteristics of human parties or persons from access and use of the
components are reusable. In addition, it eases populations (e.g., age, gender). property and thus to protect it from
the integration of systems. Deviation. An intentional or unintentional unauthorized use.
Confidentiality. A principle emergent from event that is a departure from a procedure or Interoperability. The ability of two or more
a relationship in which something about an a normal practice (ISBER 2005). systems or components to exchange

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information and to use the information that subset of individually identifiable Safety. Processes, procedures, and
has been exchanged. information that can be disclosed only under technologies to ensure freedom from danger
Invention. A new and useful process, the following conditions: (1) The use or or harm.
machine, manufacture or composition of disclosure is sought solely to review PHI as Sample. Portions of specimens distributed
matter, or any new and useful improvement, necessary to prepare the research protocol or to researchers (Eiseman et al. 2003).
finding, or product that advances the state of other similar preparatory purposes, (2) no Semantics. Refers to the ways that
the art or practice and may be patentable. PHI is removed from the covered entity information in a data file should be
Label. Any written, printed, or graphic during review, and (3) the PHI that the interpreted by others.
material on or affixed to a specimen researcher seeks to use or access is necessary Shipping manifest. A written description
container or package (ISBER 2005). for the research purposes. PHI can be of the contents of the shipped package
Liquid nitrogen dry shipper. A container deidentified by removing all 18 identifiers (ISBER 2005).
used for sending samples in the vapor phase listed in section 164.514(b)(2) of the Federal Simple Letter of Agreement. A short form
of liquid nitrogen (ISBER 2005). regulations or by having a qualified of a standard material transfer agreement.
Longitudinal data. Clinical data acquired statistician perform an analysis stating that Specimen. A portion of tissue, blood,
over the course of time. the risk of the information being used is urine, or other material used for diagnosis
Material Transfer Agreement (MTA). A small (ISBER 2005). and analysis. A single biopsy may generate
binding legal agreement between the Proteomics. The study of the full set of several specimens, including a number of
provider of research materials and the proteins encoded by a genome; the study of slides, paraffin blocks, and/or frozen
recipient of the materials that sets forth the identities, quantities, structures, and specimens. See Biospecimen.
conditions of transfer and use, protects biochemical and cellular functions of all Standard operating procedures (SOPs)
proprietary interests, and restricts manual. A group of standard operating
proteins in an organism, organ, or organelle
distribution of the material. An important procedures detailing the specific policies of
and how these properties vary in space, time,
aspect of the MTA is that it normally a biorepository and the procedures used by
and physiological state.
removes liability on the part of the provider the staff/personnel (ISBER 2005).
Quality assurance (QA). An integrated
that might arise from recipient’s use of the Storage. Maintenance of specimens for
system of management activities involving
research material. future use.
planning, implementation, documentation,
Package. A labeled carton, receptacle, or Tissue. Refers generally to a biologic
assessment, and improvement to ensure that
wrapper containing one or more containers collection of cells, and the extracellular
a process or item is of the type and quality
and accompanying labeling material (ISBER matrix and/or intercellular substances
needed for the project. Same as quality
2005). surrounding them. Tissue is most often
management system (QMS) (ISBER 2005).
Paraffin-embedded. Tissue that is formalin referred to in the context of solid tissue, as
Quality control (QC). Specific tests defined
fixed and then embedded in wax. (Note: originating from a solid organ; however,
Other alternative fixation methods may be by the QA or QMS Program to be performed tissue can also be defined broadly to include
used to fix the tissue.) to monitor procurement, processing, collections of cells and intercellular
Patent. A property right granted by the preservation and storage, specimen quality, substances from bodily fluids such as blood.
Federal Government or a Sovereign State to and test accuracy. These may include but are Tissue Banks and Pathology Tools
an inventor. In order to be patentable, an not limited to performance evaluations, Workspace (TBPTW). As one of three caBIG
invention must contain an idea that serves testing, and controls used to determine pilot domain workspaces, the goal of the
some utility, is novel, and is patentable as accuracy and reliability of the biorepository’s TBPTW is to develop a set of tools to
defined under U.S. Patent Law. equipment and operational procedures as inventory, track, mine, and visualize tissue
Patient. A person undergoing medical well as monitoring of the supplies, reagents, samples and related information from a
treatment. equipment, and facilities (ISBER 2005). geographically dispersed biorepository. This
Preservation. Use of chemical agents, Quality management system (QMS). Same Workspace provides an opportunity to bind
alterations in environmental conditions, or as Quality assurance (QA) (ISBER 2005). Cancer Center systems together into a unified
other means during processing to prevent or Quality. Conformance of a specimen or resource through a shared informatics
retard biological or physical deterioration of process with preestablished specifications or infrastructure. Cancer Centers with
a specimen (ISBER 2005). standards (ISBER 2005). experience in successfully developing tools
Prevalence. Number of cases of a disease, Reach-through provisions. Material transfer in this domain are acting as developers,
infected persons, or persons with some other agreements do not usually require financial while other Centers are included as testing
attribute present during a particular interval payments at the time of the transfer, but and validation sites. Cancer Centers that have
of time. many allow the provider to either own, or expressed an interest in sharing information
Privacy. The state or condition of limited license exclusively, or obtain payments upon regarding specimen repositories and data sets
access to an individual and/or to information the sale of, developments that the recipient are participating as early test sites, providing
about that individual. makes with the provider’s materials. These an opportunity to demonstrate how the tools
Procedure. A series of steps designed to are loosely termed ‘‘reach-through’’ perform in actual practice.
result in a specific outcome when followed provisions and are considered by many Translational research. The process of
in order (ISBER 2005). providers to be desirable because they allow applying ideas, insights, and discoveries
Process validation studies. The process of the provider to obtain rights in subject matter generated through basic scientific inquiry to
demonstrating that a specific procedure will to which the provider would not otherwise the prevention or treatment of human
consistently produce expected results within have rights through its ownership or patent disease.
predetermined specifications (ISBER 2005). coverage of the material alone. Reach-through Uniform Biological Material Transfer
Processing. Any procedure employed after provisions are considered undesirable by Agreement (UBMTA). A standardized
specimen collection but prior to its many recipients because they burden all the material transfer agreement with generic
distribution, including preparation, testing, developments created after the use of the language for biological material transfers. It
and releasing the specimen to inventory and material and because they are seen as was created to increase the efficiency of the
labeling (ISBER 2005). providing an unfairly high level of process by decreasing delays in research
Prospective. When an intervention of compensation to the provider for use of the progress during negotiation of material
interest is performed and all relevant material. transfer agreements, while providing uniform
information and observations on its effects Repository. See Biorepository, above. protection for biological materials. The
are gathered after entry into the study. By Research. Systematic investigation, National Institutes of Health published the
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contrast, ‘‘retrospective’’ studies focus on including research development, testing, and Uniform Biological Material Transfer
information that has already been collected. evaluation, designed to develop or contribute Agreement in 1995 and recommends its use
Protected health information (PHI). Any to generalizable knowledge. by all public and nonprofit research
health information that is collected by a Retrieval. The removal, acquisition, institutions. The Association of University
covered entity and is individually recovery, harvesting, or collection of Technology Managers (AUTM) administers
identifiable (NBN Blueprint 2003). Also, a specimens (ISBER 2005). the process of becoming a signatory to the

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Federal Register / Vol. 71, No. 82 / Friday, April 28, 2006 / Notices 25203

Master Agreement. See http://www.autm.net/ (CG–611), U.S. Coast Guard, 2100 2nd the individual or by some identifying
aboutTT/aboutTT_umbta.cfm. Street, SW., Washington, DC 20593– number, symbol, or other identifying
Use case. A description of the process used 0001. Telephone number is 202–475– particular assigned to the individual.
to perform a particular modeling task on a 3519. Information in Homeport about
particular model. It is a user-centered
description of the activities performed by a SUPPLEMENTARY INFORMATION: The registered users and those subject to
user to accomplish a particular goal. The Maritime Transportation Security Act screening for purposes of credentialing
collected use cases specify all the ways the (MTSA) of 2002 establishes a will be maintained in a system of
system can be used. comprehensive national system of records.
Dated: April 10, 2006. transportation security enhancements to The Privacy Act requires each agency
John Niederhuber, protect America’s maritime community to published in the Federal Register a
against the threat of terrorism without description denoting the type and
Deputy Director, Translational and Clinical
Sciences. adversely affecting the flow of character of each system of records that
commerce through United States ports. the agency maintains, and the routine
[FR Doc. 06–3997 Filed 4–27–06; 8:45 am] uses that are contained in each system
BILLING CODE 4140–01–P
The United States Coast Guard (USCG)
is the lead Federal agency for maritime to make agency recordkeeping practices
homeland security and has significant transparent, to notify individuals
enforcement responsibilities under the regarding the uses to which personally
DEPARTMENT OF HOMELAND MTSA. Among other responsibilities identifiable information is put, and to
SECURITY under the MTSA, the Coast Guard assist the individual to more easily find
requires that maritime security plans be such files within the agency.
Coast Guard Individuals may request their own
developed for ports, vessels and
[USCG–2006–24540] facilities, and that those with access to records that are maintained in a system
maritime facilities have credentials of records in the possession or under the
Privacy Act of 1974; System of demonstrating their eligibility for such control of DHS by complying with DHS
Records access. Privacy Act regulations (6 CFR 5.21).
Homeport, a new system of records USCG is hereby publishing the
AGENCY: United States Coast Guard, description of the Homeport system of
Department of Homeland Security. under the Privacy Act of 1974, will
facilitate implementation of these records. In accordance with 5 U.S.C.
ACTION: Notice of Privacy Act system of 552a(r), a report of this new system of
requirements. Representatives of the
records. maritime industry, members of Area records has been provided to the Office
Maritime Security Committees, which of Management and Budget (OMB) and
SUMMARY: The United States Coast to the Congress.
Guard in the Department of Homeland are required under the MTSA, other
Security is creating a new system of entities regulated by the MTSA, and DHS/CG 060
records for the secure collection of USCG and other officials will be able to
register and use Homeport for secure SYSTEM NAME:
information from and about individuals
and entities subject to the requirements information dissemination and Homeport
of the Maritime Transportation Security collaboration. In this aspect regulated
SECURITY CLASSIFICATION:
Act of 2002. entities will be able to use Homeport for
electronic submission and approval of Unclassified, Sensitive.
DATES: The new system of records will
required security plans and the Coast SYSTEM LOCATION:
be effective May 30, 2006, unless
Guard will be able to verify compliance The system is located at the United
comments are received that result in a
with security requirements. Homeport States Coast Guard Operations Systems
contrary determination.
will also be used to collect information Center, 600 Coast Guard Drive,
ADDRESSES: You may submit comments from and about individuals for whom
identified by docket number USCG– Kearneysville, WV 25430–3000.
background screening will be conducted
2006–24540 to the Docket Management for purposes of establishing USCG- CATEGORIES OF INDIVIDUALS COVERED BY THE
Facility at the U.S. Department of approved identification credentials for SYSTEM OF RECORDS:
Transportation. To avoid duplication, access to maritime facilities, and to This system of records covers
please use only one of the following inform owners and operators of those individuals including, but not limited
methods: maritime facilities of the names of to, representatives of the maritime
(1) Web site: http://dms.dot.gov. persons who have passed the industry, members of Area Maritime
(2) Mail: Docket Management Facility, background screening. Homeport also Security Committees, entities regulated
U.S. Department of Transportation, has the capability to be used as a under the maritime Transportation
Room Plaza 401, 400 Seventh Street, communications tool in the event of a Security Act, and government officials.
SW., Washington, DC 20590–0001. natural disaster or other emergency to These persons may complete on-line
(3) Fax: 202–493–2251 (not toll-free). facilitate secure communications. forms and/or request an account to
(4) Delivery: Room PL–401 on the The Privacy Act embodies fair provide the information requested or
Plaza level of the Nassif Building, 400 information principles in a statutory required by the Coast Guard, access/
Seventh Street, SW., Washington, DC, framework governing the means by view sensitive but unclassified
between 9 a.m. and 5 p.m., Monday which the United States Government information, and participate in
through Friday, except Federal holidays. collects, maintains, uses, and collaboration communities. This system
The telephone number is 202–366– disseminates personally identifiable will also cover individuals for whom
9329. information. The Privacy Act applies to background screening will be conducted
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(5) Federal eRulemaking Portal: information that is maintained in a for the purpose of establishing Coast
http://www.regulations.gov. ‘‘system of records.’’ A ‘‘system of Guard-approved identification
FOR FURTHER INFORMATION CONTACT: Mr. records’’ is a group of any records under credentials for access to certain
Donald Taylor, U.S. Coast Guard the control of an agency from which regulated facilities. These individuals
Privacy Officer. Address: Commandant information is retrieved by the name of include, but are not limited to, facility

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