After reviewing the application and its supporting materials, HRPP staff or IRB members may offer feedback and request revisions. When the investigator responds, reviewers evaluate the project again to see whether their feedback and requests have been adequately addressed.
To fully protect subjects, HRPP/IRB reviewers must approve a study before investigators start any work with humans, their information or their biospecimens. The HRPP/IRB cannot approve a study or its activities after it has begun or after it is finished.