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An investigator received an updated informed consent form (ICF) from the sponsor for a study closed to enrollment. Subjects are only in long-term follow-up. The change related to frequent radiation imaging at screening, with no change to drug safety profile. Who must the investigator notify first?
Correct Answer: C
* 21 CFR 56.109(a):IRBs must review all changes to informed consent before implementation. * ICH E6(R2) 4.8.2:If new information could affect willingness to continue, consent forms must be revised and approved by the IRB. Even though screening is closed, the IRB/IEC must review the updated form before any subject re-consenting. References:21 CFR 56.109(a); ICH E6(R2) §4.8.2.