You should make an application for ‘protocol amendment’ if you need to make changes to your research plans or revise any protocol-related documents after receiving initial ethics approval.
This is so that the ethics committee can assess the appropriateness of these proposed changes before they take effect.
It is common for researchers to make changes to their original research plans as they progress. In fact, hardly any studies will carry on without ever needing to change something. Examples of protocol amendments include: (14,15)
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Ministry of Health Malaysia (MOH) Medical Research and Ethics Committee. MREC Amendment application form [Internet]. National Medical Research Register; 2016. Available from: https://nmrr.gov.my/doc/Amendment_Application_Form.docx
Medical Research Ethics Committee. SOP III: Post approval review [Internet]. University of Malaya Medical Centre; 2017. Available from: https://www.ummc.edu.my/files/ethic/III.%20POST%20APPROVAL%20REVIEW%20revisedlatestnov18.pdf