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know someth<strong>in</strong>g about the participant or that the result<br />

that they are go<strong>in</strong>g to get might impact and they would like<br />

to eventually go back then they would need to put their<br />

proposal to the IRB and to -- if they needed to use samples<br />

to do a new study where it was not specifically stated <strong>in</strong><br />

the orig<strong>in</strong>al <strong>in</strong>formed consent where a lot of our<br />

epidemiological studies <strong>in</strong> stored samples do not have<br />

genetic consent.<br />

So you want to go -- if you need identifiers --<br />

and one of the reasons you might need identifiers is that<br />

let's say you collected studies to do hypertension and now<br />

you want to look at renal disease because it is related to<br />

hypertension. So that can be considered broadly related.<br />

But let's say you wanted to look at pulmonary function and<br />

that is not really considered broadly related, you would<br />

need to go back to your IRB. Okay. So that is why you<br />

might want to go back.<br />

Now for the new studies the <strong>in</strong>formed consent<br />

should be obta<strong>in</strong>ed for all new studies whether they are<br />

<strong>in</strong>tended to do genetics or not, or cl<strong>in</strong>ical trials, or<br />

epidemiological studies, should be obta<strong>in</strong>ed to facilitate<br />

do<strong>in</strong>g future genetic studies whether it is anticipated or<br />

not just to allow the door to be opened. And that these<br />

<strong>in</strong>formed consent documents should be organized <strong>in</strong> a layered

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