IDE Greenhouse
The U.S. Food and Drug Administration (FDA) Investigational Device Exemption (IDE) regulation (21 CFR Part 812) oversees clinical research involving “investigational” medical devices. FDA considers next-generation sequencing (NGS) and other genomic tests to be in vitro diagnostic devices (IVDs), a type of medical device. As genomic technologies continue to enter the clinical realm, IDE regulation has become increasingly relevant. Sometimes, the applicability of IDE regulation to genomic tests can be difficult to interpret because the regulation was originally crafted to oversee traditional medical devices (e.g., heart valve or insulin pump).
As a leader in genomic research, NHGRI has created the IDE Greenhouse as an educational resource to help understand the regulation in the context of genomics. Genomic studies that were either successfully granted IDEs or classified as posing non-significant risk (NSR) provided the following documents as a reference for investigators and stakeholders. Three studies from the NHGRI Newborn Sequencing in Genomic Medicine and Public Health (NSIGHT) program along with the NIH All of Us research program shared their IDE documents. NHGRI thanks the contributing investigators for their willingness to share this work with the broader research community.
Researchers interested in contributing additional documents to this resource can reach out to ppab@nih.gov.
NSIGHT NC Nexus (University of North Carolina, Initiated 2014)
Pre-Submission to an IDE
Original IDE Application
2016 Annual IDE Progress Report
2017 Supplement to an IDE - 5-Day Notice
2017 Annual IDE Progress Report
2018 Annual IDE Progress Report
2018 Supplement to an IDE – 5 Day Notice
2019 Annual IDE Progress Report
NSIGHT NBSeq (University of California San Francisco, Initiated 2014)
Pre-Submission to an IDE
- Pre-Submission Package Cover Sheet
- Pre-Submission Package
- FDA Receipt for Pre-Submission Package
- Pre-Submission Teleconference Slides
- Pre-Submission Teleconference Attachment: Test Information Sheet for GeneDx
- Pre-Submission Teleconference Minutes
- FDA Receipt for Meeting Minutes
- Pre-Submission Supplement Addressing Company Change
- FDA Receipt for Supplement
- Email Correspondence to Schedule Teleconference
- Confidential Disclosure Agreement Between UCSF and Genelex
- Email Correspondence Regarding Genelex Validation Data
- Email Correspondence Clarifying Study Protocol
- FDA Feedback in Preparation for 4/10/2015 Teleconference
- Correspondence Accompanying FDA Feedback
- Correspondence Regarding UCSF Protocol Change and FDA Confirmation That the Study Will Not Require an IDE
NSIGHT STATseq (Children’s Mercy Hospital Kansas City, Initiated 2014)
All of Us (National Institutes of Health, Initiated 2020)
Original IDE Application
Note: All of Us study documents are provided in a single file. NHGRI created the table as a tool to quickly navigate to specific content.
Last updated: February 2, 2022