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Institutional Review Board
Comité de Ética
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Spanish (Latin America)
1
Your Details
*
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Name
Last Name
Email
Country
Affiliation
Position
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2
Head of Department at your Institution
*
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Supervisor
Name
Last Name
Email
Phone (please, include country code)
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3
Head of Research at your Institution
*
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Co-Supervisor
Name
Last Name
Email
Phone (please, include country code)
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4
Co-Investigators
If Applicable
Co-Investigator 1
Email Co-Investigator 1
Co-Investigator 2
Email Co-Investigator 2
Co-Investigator 3
Email Co-Investigator 3
Co-Investigator 4
Email Co-Investigator 4
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5
Your Institution
*
This field is required.
About your Institution
Name
Address
City
State
Postal Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Colombia
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Your Proposal
*
This field is required.
Proposal Details
Title
Allergy and immunology
Agriculture and veterinary medicine
Anesthesiology
Artificial intelligence
Biomedical engineering
Dermatology
Diagnostic radiology
Emergency medicine
Epidemiology and public health
Family medicine
Gene therapy and virology
Internal medicine
Medical genetics
Neurology
Nuclear medicine
Obstetrics and gynecology
Odontology
Ophthalmology
Pathology
Pediatrics
Physical medicine and rehabilitation
Preventive medicine
Psychiatry and psychology
Radiation oncology
Robotics
Surgery
Tropical diseases
Urology
Please Select
Allergy and immunology
Agriculture and veterinary medicine
Anesthesiology
Artificial intelligence
Biomedical engineering
Dermatology
Diagnostic radiology
Emergency medicine
Epidemiology and public health
Family medicine
Gene therapy and virology
Internal medicine
Medical genetics
Neurology
Nuclear medicine
Obstetrics and gynecology
Odontology
Ophthalmology
Pathology
Pediatrics
Physical medicine and rehabilitation
Preventive medicine
Psychiatry and psychology
Radiation oncology
Robotics
Surgery
Tropical diseases
Urology
Field (please, select all that apply)
Video (please, record yourself for up to 3 minutes explaining the proposal and paste it here as a nonlisted YouTube video)
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7
Funding and Approval
*
This field is required.
Proposal Details
Please Select
This project has no ethical approval yet
This project has ethical approval already
Please Select
Please Select
This project has no ethical approval yet
This project has ethical approval already
Ethical Approval
Evaluator (only if your proposal has another ethical approval)
Foundation grant
Government grant
microscopIA
Institution grant
Pharmaceutical company grant
Private organization grant
Other
Please Select
Foundation grant
Government grant
microscopIA
Institution grant
Pharmaceutical company grant
Private organization grant
Other
Fund Source (please, select all that apply)
Sponsors (please, include all your funders)
Informed consent signed by the patient
Informed consent signed by multiple patients
Ethics committee approval
Please Select
Informed consent signed by the patient
Informed consent signed by multiple patients
Ethics committee approval
Documents you have...
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8
Study Design
*
This field is required.
Proposal Details
Please Select
EXPERIMENTAL Animal Model
EXPERIMENTAL Cell Culture and Tissue Engineering
EXPERIMENTAL Medical Device
EXPERIMENTAL Randomized Controlled Trial
INTERVIEW Questionnaires or Survey
INTERVIEW Structured interviews
INTERVIEW Semi-structured interviews
INTERVIEW Open ended interviews
OBSERVATIONAL Case-Control
OBSERVATIONAL Cohort (longitudinal)
OBSERVATIONAL Cross-Sectional
OBSERVATIONAL Ecological (population-based)
OBSERVATIONAL Non-participatory observation
OBSERVATIONAL Participatory observation
OTHER
Please Select
Please Select
EXPERIMENTAL Animal Model
EXPERIMENTAL Cell Culture and Tissue Engineering
EXPERIMENTAL Medical Device
EXPERIMENTAL Randomized Controlled Trial
INTERVIEW Questionnaires or Survey
INTERVIEW Structured interviews
INTERVIEW Semi-structured interviews
INTERVIEW Open ended interviews
OBSERVATIONAL Case-Control
OBSERVATIONAL Cohort (longitudinal)
OBSERVATIONAL Cross-Sectional
OBSERVATIONAL Ecological (population-based)
OBSERVATIONAL Non-participatory observation
OBSERVATIONAL Participatory observation
OTHER
Type of Study Design
Condition or Disease
Estimated Enrollment
Please Select
Retrospective
Prospective
Please Select
Please Select
Retrospective
Prospective
Time Perspective
Estimated Study Start Date (dd/mm/yyyy)
Estimated Study Completion Date (dd/mm/yyyy)
Children (18 years or younger)
Adults (18 years and older)
Not human subjects
Please Select
Children (18 years or younger)
Adults (18 years and older)
Not human subjects
Ages Eligible for Study (please, select all that apply)
Men
Women
Not human subjects
Please Select
Men
Women
Not human subjects
Sexes Eligible for Study (please, select all that apply)
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9
Brief Summary
*
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Please, provide a short synopsis of no more than 300 words.
0/300
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10
Inclusion Criteria
Eligibility Criteria
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11
Exclusion Criteria
Eligibility Criteria
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12
Describe Group and Cohorts
Eligibility Criteria
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13
Intervention Trial Description
Clinical Trials Only
Please Select
Open-label
Double-blind
Triple-blind
Quadruple-blind
Please Select
Please Select
Open-label
Double-blind
Triple-blind
Quadruple-blind
Masking
Please Select
Randomized
Non-randomized
Please Select
Please Select
Randomized
Non-randomized
Allocation
Please Select
Single-center
Multicenter
Please Select
Please Select
Single-center
Multicenter
Number of Centers
Please Select
Single group assignment
Parallel assignment
Crossover assignment
Sequential assignment
Please Select
Please Select
Single group assignment
Parallel assignment
Crossover assignment
Sequential assignment
Intervention Model
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14
Active Comparator and Intervention/Tratment
Clinical Trials Only
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15
Experimental and Intervention/Tratment
Clinical Trials Only
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16
Primary Outcome or Objective
Assessment
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17
Secondary Outcomes or Objectives
Assessment
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18
Statistical Analysis and Variables
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19
Documents
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Please, upload any documents which you consider are relevant to the consideration of your proposal
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