The document summarizes challenges facing clinical research in India, including a lack of universal healthcare access, low participation in clinical trials, and issues with ethics committees. It outlines steps to make research more inclusive, such as regulatory approvals, informed consent processes, and safety monitoring. However, it notes that ethics committees lack independent oversight and accountability. For research to progress ethically, it recommends improving training, transparency, and preventing conflicts of interest.

1. ACCELERATING CLINICAL RESEARCH FOR INCLUSIVE DEVELOPMENT Gopal Pai, PhD Head, Clinical Operations Clinigene International Limited (A Biocon Company) 03 Aug 2011

3. ONCE A VERY NOBLE PROFESSION……

5. … NOW PERCEIVED AS A GUINEA PIG SYNDROME ! Help !!! Help !!!

6. Development of medical practice Pre-World War II Empiric Rx Evidence-Based Medicine Personalized Medicine Post-World War II … the future?

7. as much “ art ” as it is “ science ” much of evidence-based medicine is a “ gold-standard in treatment approaches”, keeping the "art" aspect in mind … is as good an approach as any to determining whether evidence-based medical study results are useful to you as you and your doctor consider possible treatment for whatever your medical problem is. From ART to Evidence Based Medicine “ Art” factor

9. So what raises questions on EBM in India ?

11. Should the EBM stop ?

13. Current Indian PV model - 1

14. Current Indian PV model – 2