Associated with Industry Clinical Research Agreement

Submit by: Submit through the MSIP Agreement Portal
Reviewed by: Mount Sinai Innovation Partners (MSIP)
Signed by: Sybil Lombillo, PhD, JD, Managing Director, Intellectual Property and Technology Transactions; Patrick Cheng, Managing Director, Finance and Operations, MSIP

To Provide Data to dbGaP or another NIH database

Send to: irb@mssm.edu
Reviewed by: Program for the Protection of Human Subjects (PPHS)
Signed by: Glenn Martin, MD, Senior Associate Dean for Human Subjects Research

For more information, refer to the National Institute of Health section on the PPHS website.

Please be aware that NIH may require that the Grants and Contracts Office email the document signed by Dr. Martin.

All Outgoing Data Use Agreements Except for those Associated with the National Institutes of Health and/or Industry Clinical Research Agreements

Login to: MSIP Agreement Portal, request an agreement, select and fill out the appropriate request form (Other, in this case), and attach any additional files.
Reviewed by: Mount Sinai Innovation Partners (MSIP)
Signed by: Sybil Lombillo, PhD, JD, Director, Intellectual Property and Asset Development

Note: If this is to access a “limited data set,” and the entity does not have a template agreement, you can obtain a template from the Program for the Protection of Human Subjects (PPHS) site and then proceed as instructed above. The template is located under HIPAA Waivers and Data Use Agreement Template – “EXTERNAL Sharing of Data with Other Institutions”.

To Access Data from an Industry Partner for Non-Clinical Research

Login to: MSIP Agreement Portal, request an agreement, select and fill out the appropriate request form (Other, in this case), and attach any additional files.
Reviewed by: Mount Sinai Innovation Partners (MSIP)
Signed by: Sybil Lombillo, PhD, JD, Director, Intellectual Property and Asset Development

To Access Data from the Federal Database of Genotypes and Phenotypes (dbGaP)

Send to: Automatic routing through online dbGaPAuthorized Access System.
Reviewed by: Grants and Contracts Office (GCO)
Signed by: Jessica Moise, Grants and Contracts Officer, Senior Associate Dean for Sponsored Programs; Amanda Amescua, Director, GCO; or Hadijah Vactor, Director, GCO. LatoyaPalmer, Associate Director, GCO.

Note: Do not use personal email addresses (e.g., gmail, hotmail). IT representative listed may be Kristin Myers or Patricia Kovatch.

To Access Data from Any Non-Industry Entity

Send to: contracts@mssm.edu 
Reviewed by: Grants and Contracts Office (GCO).
Signed by: Jessica Moise, Grants and Contracts Officer, Senior Associate Dean for Sponsored Programs; Amanda Amescua, Director, GCO; or Hadijah Vactor, Director, GCO. Latoya Palmer, Associate Director, GCO.

Note: If this is to access a “limited data set,” and the entity does not have a template agreement, you can obtain a “Data Use Agreement: For Icahn School of Medicine Researchers” template from the Program for the Protection of Human Subjects (PPHS) site and then proceed as instructed above. Click here to download it.