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  3. Clinical Investigation Core

Clinical Investigation Core

About

Submit a Service Request

The Clinical Investigation (CI) Core provides services and expertise to conduct clinical studies as well as access to longitudinal databases for epidemiologic and outcomes research. The CI Core’s mission is to accelerate innovative, high-quality, person-centered clinical, translational, and implementation science (IS) research to prevent new HIV infections, advance the quality and health span of persons affected by HIV, dismantle barriers to care, and promotes interventions, and approaches to end the HIV epidemic.

The Cl Core is primarily administered at the UC San Diego Antiviral Research Center (AVRC). The AVRC has multiple examination rooms, laboratory and pharmacy facilities, a data center, conference room, library, and freezers for temporary storage of specimens. Part of the AVRC clinic’s mission has been to document historical outcomes for thousands of patients who have received HIV care at the clinic and through the UC San Diego Medical Center. A variety of clinical, laboratory, and administrative datasets have been assembled since 1990 on more than 6,000 patients. These databases were assembled to improve quality of care and to facilitate observational research on natural history, treatment outcomes, quality of life, and costs of care. Access to de-identified datasets is available to researchers through CI Core services.

Services

The CI Core provides access to rich clinical data and biospecimen resources that support HIV-related research across diverse populations. These resources are not limited to the Owen Clinic; rather, they are part of a national, well‑characterized research network that enables investigators to assess feasibility and pursue analyses efficiently.

Requesting Services

Access to CNICS data or biospecimens follows an established review process coordinated through the CI Core and CNICS governance. The CI Core provides hands-on support with:

  • Feasibility discussions
  • Determining appropriate datasets or specimen types
  • Navigating submission and approval processes
  • Connecting investigators with methodologic or analytic expertise

We strongly encourage investigators to reach out early with questions—particularly if you are unsure whether samples or data exist for your population of interest.

Our goal is to make these resources accessible and to actively support investigator engagement, from project conception through implementation.

Clinical Data, Specimen Repository, and Investigator Access

The University of California San Diego CFAR participates in the CFAR Network of Integrated Clinical Systems (CNICS), a multi-site clinical cohort that integrates:

  • Longitudinal clinical data derived from routine HIV care
  • Demographic, treatment, and outcomes data
  • Linked biospecimens collected using standardized protocols
  • Information about available datasets, specimen types, and participating sites is maintained centrally through CNICS.

Comprehensive and up-to-date details are available via the CNICS website:

This site provides investigators with:

  • Detailed descriptions of available specimen types (e.g., plasma, serum, PBMCs)
  • Information on populations represented (e.g., age, sex, race/ethnicity, transmission risk, comorbidities)
  • Data elements and collection time points
  • Governance and access procedures
How Investigators Determine Sample Availability

Investigators—including early stage and those new to SD CFAR—do not need prior engagement to assess feasibility. Sample and data availability can be determined by:

  1. Reviewing CNICS documentation (linked above), which outlines specimen inventories and cohort characteristics.
  2. Consulting searchable resources provided through CNICS (e.g., structured data dictionaries and feasibility tools).
  3. Submit a service request and engage directly with the CI Core to discuss specific populations or scientific questions.

We recognize that navigating large repositories can feel like a barrier, particularly for emerging investigators. To reduce this, our CI Core team can help investigators identify whether samples relevant to a specific population or research question are available and guide next steps.

Cite CNICS
Support CNICS by citing them in your publications, abstracts and grants.

FAQs
What kinds of clinical data are included in the Owen Clinic database?

The Owen Clinic database includes diagnoses, medications, laboratory tests, and quality-of-life assessments documented on patients under care at the Owen Clinic since 1995.

Do I need IRB approval to obtain data from the Owen Clinic database?

In general, an IRB-approved research protocol is required. We can, however, provide summary data that have no patient identifiers to assist investigators in making sample size and power calculations for grant submissions.

Who has to approve requests for data from the Owen Clinic database?

The co-directors of the Clinical Investigation Core review data requests and assign them a priority based on scientific merit, number of hours required to construct the requested dataset, and number of competing requests for Core services.

Are there additional requirements for investigators receiving Core services?

The Core is required to document how and to what extent our services are used, and how our services are leveraged to support successful grant applications and publications. Therefore, if you would like to use core services, please use our Service Request form. In addition, any conference presentations or publications that resulted in whole or in part from contributions of the CFAR Clinical Investigation and Biostatistics Core should acknowledge CFAR support as follows: "This work was performed with the support of the Clinical Investigation and Biostatistics Core of the UC San Diego Center for AIDS Research (AI036214)." If any grants were awarded based in part on services provided by the Core, we request that you contact us so we can collect information about the award.

What statistical services are available from the Core?

Core services can be provided to help plan a clinical project, provide sample size calculations, write brief analytic plans for grants and to perform concisely defined analyses. Full statistical support for major clinical research projects is beyond the scope of the Core; it is more the function of the Core to help investigators apply for grants that would then contain sufficient funding for statistical services. All requests are prioritized based on scientific merit and number of competing requests.

Can the Core help with a Safety Monitoring Plan?

The Core offers periodic interim safety reviews for single-site investigator-initiated clinical research projects. We can also help investigators design monitoring plans and assist in assembling a Data and Safety Monitoring Board. However, full DSMB services are beyond the scope of the Core.

How to acknowledge the Clinical Investigation Core in your publications?

If work performed for you at the CFAR Clinical Investigation Core results in publication, please acknowledge us with the following statement so that we may continue to bring you excellent service: "This work was performed with the support of the Clinical Investigation Core of the UC San Diego Center for AIDS Research (AI036214)."

Where are we located?

Clinical Investigation Core faculty and staff are closely associated with two UC San Diego HIV treatment facilities. Office hours are 8:00 a.m. to 4:30 p.m., Monday through Friday. - AntiViral Research Center (AVRC): Behind the UC San Diego Medical Center in Hillcrest. 220 Dickinson Street, Suite A, San Diego, CA 92103-8208. Phone: 619-543-8080. Fax: 619-543-5066. - Owen Clinic: Third floor of the Ambulatory Care Center (ACC). 4168 Front Street, Third Floor, San Diego, CA 92103. Phone: (619) 543-3995. Fax: (619) 543-7841.

Where can I find tools and templates for clinical research?

Facilitating Compassionate Communication – The Center for Compassionate Communication at the T. Denny Sanford Institute for Empathy and Compassion at UC San Diego Health

This is an abbreviated guide as a reference for the exercises and materials the expert facilitators at Center for Compassionate Communication use when teaching live and/or Zoom sessions. By Val Lantz-Gefroh MFA & Evonne Kaplan-Liss MD-MPH

Download File

WE RISE Study Training: Trauma-Informed Research Practices, April 2024

Slide deck covering trauma-informed research practices adapted for the WE RISE Study (D22CN42U). Authored by Jamila Stockman, PhD, MPH, Katherine Anderson, MPH (PhD C.), and Maile Karris, MD. Topics include:

  • What is Trauma-Informed Care?
  • Original Guidelines for Implementing Trauma-Informed Care
  • Application of Trauma-Informed Care in Research Settings
  • Examples of a Trauma-Informed Perspective
  • Vicarious Trauma & Compassion Fatigue
Download PDF

Practical Guide for Implementing a Trauma-Informed Approach – Substance Abuse and Mental Health Services Administration (SAMHSA), June 2023

This practical guide updates and expands the discussion presented in SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach Resource from 2014. The primary goal of this guide is to provide implementation strategies across multiple domains based on the original publication.

Download PDF

Concept of Trauma and Guidance for a Trauma-Informed Approach – Substance Abuse and Mental Health Services Administration (SAMHSA), July 2014

This manual introduces a concept of trauma and offers a framework for becoming a trauma-informed organization, system, or service sector. The manual provides a definition of trauma and a trauma-informed approach, and offers 6 key principles and 10 implementation domains.

Download PDF Other Related Resources from SAMHSA

Core Leadership

Maile Young Karris, MD
Maile Young Karris, MD
Clinical Investigation Core
Co-Director
Laura Bamford, MD
Laura Bamford, MD
Clinical Investigation Core
Co-Director

Questions? Please email cfar@ucsd.edu

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La Jolla, CA 92093 · (858) 534-2230

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  • Who We Are
    • About
    • Leadership & Administration
    • Boards and Committees
    • Membership
    • Support SD CFAR
  • Core Services
    • Administrative Core
    • Advanced Technology Core
      • Single-Cell -Omics Unit
      • Flow Cytometry Unit
      • Omics/Epigenetics Unit
    • Biostatistics and Modeling Core
    • Clinical Investigation Core
    • Developmental Core
    • Sociobehavioral Science Core
  • Grants
    • Developmental Grants
      • Developmental Grant Review Committee
    • Developmental x Clinical Investigation Grants
    • Developmental x HWSPH Grants
    • Community Research Kick Start (CRKS) Grant
    • Clinical Research Kick Start (CI-KS) Grant
    • Next Generation Grant
    • Propel Grant
    • Post-Award Responsibilities
  • Education and Events
    • Calendar
    • HIV Education & Training
    • Research Unplugged
    • Research Day
  • Working Groups
  • Resources
    • Cite the CFAR
      • CFAR Logo
      • NIH Public Access Requirements
    • Collaborative Marketplace
    • Grant Writing
      • Training Videos
      • O-K Review
    • Leadership Academy
    • Manuscript Resources
    • SD CFAR Navigator