Request to perform research on animals - a decision if the specified research is an Experiment on animals as defined by law | Authority For Biological and Biomedical Models

Explanatory notes to the applicant:

A. The Animal Welfare Act (experiments on animals) Law, - 1994, regulates experiments on animals. The implementation of the law is entrusted to the Ministry of Health through the Council for Animal Experiments and through the ethics committee of the institution .

B. If the principle investigator (PI) estimates that the study is considered experiment on animals - then he should submit an Ethics application in the Authority for Biological Models (ABBM) website, and there is no need to fill out this form.

C. For the attention of the submitting PIs: requests will only be accepted until a week before the date of the meeting (usually first or second Sunday of the month) . Requests submitted at later dates will be discussed at the next meeting.

D. It is the duty of the PI to attach to the submission form any prior / relevant information regarding the requested materials / devices or any type of treatment to the animal.

E. Guiding principles for the committee's decisions are formulated from time to time and a document containing these principles can be obtained from the secretary of the Ethics Committee at: abbmethics@savion.huji.ac.il.

F. If the committee approves the study as not an animal experiment, an orderly certificate of validity for a 4-year term will be issued and the PI will be able to carry out the research in accordance with the rules in his / her department / institution.

G. By signing this form, the PI is committed to abide by law, and to conduct the research, according to the guidelines of the Hebrew University, and the university's ethics committee.

H. The PI is not permitted to initiate the research before receiving the official committee approval which will be sent by the committee coordinator.

Research Title - in Hebrew *

Research Title - in English *

Principal Investigator

Name *

Personal Ethics No. *

Cell Phone *

E-mail *

The institution to which the PI belongs *

Comments:

Scientific abstract (up to 500 words) *

Research partner names and / or initiator names *

Research partner names - e.g. students or other researchers. Initiator names - e.g. if this is a request from the Israeli Veterinary Services or Ministry of Health or a commercial body.

Purpose of the study *

Describe the purpose of the research and the rationale underlying it. * For the PIs attention: use of un-labeled drugs, requires application and approval (Form 29c).

Materials / Methods *

Please describe here for the tested substances or methods what is the existing information or experience at this stage (what had been used in the Koret Vet hospital or other institutions, what were the results so far, are there any relevant publications, etc.)

The animal on which the study will be conducted

Species *

Number of animals *

Ownership (wildlife, private owners, etc.) *

If the study animals are animals with owners, the PI undertakes to get the signed "owner consent " before the initiation of the experiment . please mark:

I hereby undertake to obtain an owner consent by completing the “owner consent” form.

Location of the animals at the time of the study *

Description of the study *

Describe the protocol to be carried out on the animals and the treatment they will receive including a description of procedures to be conducted in the different experimental groups, including control groups ((such as taking various samples, imaging, anesthesia, analgesia , etc.) , including the methods of monitoring the implementation of the procedures or giving the treatments and the fate of animals at the end of the study.

Statement of Conflicts of Interest

Conflict of interest is a situation in which there is an interest (financial or otherwise), whether of private, family or business level, affecting or likely to affect professional judgment of any aspect in the research.

please mark: *

I hereby declare that there is no conflict of interest in this study.

Other

If other - please specify *

Name of principal investigator / supervisor submitting this form *

FOR OFFICE USE ONLY - please don't fill.

Date of committee's discussion

Day

Month

Year

Main points in the discussion:

Decision

The request was reviewed according to the principles decided by the Ethics Committee's inspection team and the following decision was made:

The research is an experiment that requires the approval of the ethics committee for animals experiments. The PI needs to submit a regular ethics request in the Ethics system.

The research is not an experiment as defined in the law and does not require approval by the ethics Committee for animals experiments. Attached is a formal confirmation including confirmation number.

Chairman of the Ethical Faculty Committee

Name

Date

Day

Month

Year

52a595a2d46bdfe36ebeb665f25c64e8

e301ea49e6a7ede6042c559b6c157836

a18cdfba55146e8cea2c771d95638ee8