If the University is the research sponsor, CTRG reviews and approves all amendments to protocols and associated documents before submission to regulatory bodies. This is essential in order for the University to fulfil its sponsorship role and to ensure that indemnity can accommodate the changes proposed. The decision as to whether an amendment is substantial or non-substantial is ultimately the sponsor's.

Examples of substantial and non-substantial amendments are available on the HRA website

In order for CTRG to review and approve both substantial and non-substantial amendments, amended text must be shown as a tracked change and a completed (but not locked) amendment tool needs to be provided (for further guidance refer to the IRAS help section and the HRA training video on how to complete the amendment tool). 

Once the amendment is authorised by CTRG, you will need to submit both tracked change and clean versions of documents via the online amendment submission portal (for further guidance refer to the HRA training video on how to complete the amendment tool). CTIMP submission to MHRA is via the Common European Submission Platform (CESP).

CTRG needs copy of the approved letter(s) and an amendment should not be implemented until all approvals are in place.