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BIOETHICS
(CLASS-2)
By
SROTA DAWN
M.PHARM(PHARMACOLOGY)
1.
• Ethical principles
2.
• Institutional Review Board
3.
• Standard Operating Procedures
(SOP) for Institutional Ethics
Committee for Human Research
4
• Institutional ethical
committee
5.
• ICMR
1. Honesty:
Honestly report data, results,
methods and procedures and
publication status. Do not fabricate,
falsify or misinterpret data.
2. Objectivity :
Strike to avoid bias in
experimental design, data analysis,
data interpretation etc.
GENERAL BASIC
PRINCIPALS OF ETHICS
3. Integrity:
Keep your promises and agreements,
act with sincerity, strive for consistency of
thought and action.
4. Carefulness:
Avoid careless errors and negligence
. Carefully and critically examine your own
work. Keep good record of research
activities such as data collection, research
design and correspondence with agencies
or journals
5. Openness:
6. Respect for intellectual property:
i) Honor patents, copyright and other
forms of intellectual property.
ii) Do not use unpublished data ,
methods or results without permission
iii) Never plagiarizes
7. Confidentiality:
Protect confidential communication such
as paper or grants submitted for
publication, personnel records, trade or
military secrets and patient records
8. Respect for colleagues:
Respect your colleagues and treat
them fairly
9. Non discrimination:
Avoid discrimination against
colleagues or students on the basis of
sex, race, or other factors that are not
related to their scientific competence
and integrity
10. Social Responsibility:
INSTITUTIONAL REVIEW
BOARD
INSTITUTIONAL REVIEW BOARD
(IRB), is also known as
an Independent ethics committee
or ethical review board.
It is a committee that has been
formally designated to approve,
monitor, and review biomedical and
behavioural research involving
humans
Need of IRB
 IRBs are most commonly used for studies
in the fields of health and the social
sciences, including anthropology,
sociology, and psychology
 The need of IRBs is to protect human
subjects from physical or psychological
harm.
 IRBs attempt to ensure protection of
subjects by reviewing research protocols
Role of IRB
 IRB will review and approve all types of
research proposals involving human
participants with a view to safeguard the
dignity, rights, safety and well being of all
actual and potential research participants.
 it will look into the aspects of informed
consent process, risk benefit ratio,
distribution of burden and benefit and
provisions for appropriate compensations
wherever required.
Role of IRB
 It will review the proposals before start of
the study as well as monitor the research
throughout the study until and after
completion of the study through
appropriate well documented procedures.
 It is mandatory that IRB/IECs will be to
review all research projects involving
human subjects to be conducted at the
Institute, irrespective of the funding
agency. The role of IEC can be modified
according to the requirement of each
Institute
Standard Operating Procedures (SOP) for
Institutional Ethics Committee for Human
Research
Objective:
The objective of this SOP is to contribute to the
effective functioning of the Institutional Ethics
Committee (IEC) so that a quality and consistent
ethical review mechanism for health and
biomedical research is put in place for all proposals
dealt by the Committee as prescribed by the Ethical
guidelines for biomedical research on human
subjects of ICMR.
Documentation:
For a thorough and complete review, all research
proposals should be submitted
with the following documents :
1. Name of the applicant with designation
2. Name of the Institute/ Hospital / Field area
where research will be conducted.
3. Approval of the Head of the Department /
Institution
4. Protocol of the proposed research
5. Ethical issues in the study and plans to address
these issues.
6. Proposal should be submitted with all relevant
enclosures like pro formae, case report forms,
questionnaires, follow - up cards, etc.
7. Informed consent process, including patient
8. For any drug / device trial, all relevant pre-
clinical animal data and clinical trial data from
other centres within the country / countries, if
available.
9. Curriculum vitae of all the investigators with
relevant publications in last five years.
10. Any regulatory clearances required.
11. Source of funding and financial requirements
for the project.
12. Other financial issues including those related
to insurance
13. An agreement to report only Serious Adverse
Events (SAE) to IEC.
14. Statement of conflicts of interest, if any.
15. Agreement to comply with the relevant national
and applicable international Guidelines.
16. A statement describing any compensation for
study participation (including expenses and access
to medical care) to be given to research
participants; a description of the arrangements for
indemnity, if applicable (in study-related injuries); a
description of the arrangements for insurance
coverage for research participants, if applicable; all
significant previous decisions(e.g., those leading to
a negative decision or modified protocol) by other
ECs or regulatory authorities for the proposed
study (whether in the same location or elsewhere)
and an indication of the modification(s) to the
protocol made on that account. The reasons for
negative decisions should be provided.
17. Plans for publication of results – positive or
Institutional ethical
committee(ICE)Authority under which IEC is
constituted:
The Institutional Head constitutes the
IEC.
•The duration of appointment is initially for a
period of 2-3 years
Members of ICE:
1. Chairperson(Committee should preferably be
from outside the Institution and not head of the
same Institution to maintain the independence of
the Committee)
2. 1-2 basic medical scientists.
5. One social scientist / representative of non-
governmental voluntary agency
6. One philosopher / ethicist /
theologian(academic discipline)
7. One lay person from the community
8. Member-Secretary(generally belongs to the
same Institution should conduct the business of the
Committee.)
Members of ICE:
Element of review
a. Scientific design and conduct of the study.
b. Approval of appropriate scientific review
committees.
c. Examination of predictable risks/harms.
d. Examination of potential benefits.
e. Procedure for selection of subjects in
methodology including inclusion/ exclusion,
withdrawal criteria and other issues like
advertisement details.
f. Management of research related injuries,
adverse events.
g. Compensation provisions.
h. Justification for placebo in control arm, if any.
i . Availability of products after the study, if
applicable.
j. Patient information sheet and informed
consent form in local language.
k. Protection of privacy and confidentiality.
l. Involvement of the community, wherever
necessary.
m. Plans for data analysis and reporting
n. Adherence to all regulatory requirements and
applicable guidelines
o. Competence of investigators, research and
supporting staff
p. Facilities and infrastructure of study sites
q. Criteria for withdrawal of patients,
suspending or terminating the study
ICMR
 Indian Council of Medical
Research(ICMR) is one of the oldest and
largest medical research bodies in
the world.
History of ICMR
 In 1911, the Government of India set up
the Indian Research Fund
Association (IRFA) with the specific
objective of sponsoring and
coordinating medical research in
After independence, several important
changes were made in the organisation and the
activities of the IRFA. It was redesignated the
Indian Council of Medical
Research (ICMR) in 1949,
with considerably expanded scope of functions.
The ICMR is funded by
the Government of India through the
Ministry of Health and Family Welfare.
Bioethics2 by srota dawn

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Bioethics2 by srota dawn

  • 2. 1. • Ethical principles 2. • Institutional Review Board 3. • Standard Operating Procedures (SOP) for Institutional Ethics Committee for Human Research 4 • Institutional ethical committee 5. • ICMR
  • 3. 1. Honesty: Honestly report data, results, methods and procedures and publication status. Do not fabricate, falsify or misinterpret data. 2. Objectivity : Strike to avoid bias in experimental design, data analysis, data interpretation etc. GENERAL BASIC PRINCIPALS OF ETHICS
  • 4. 3. Integrity: Keep your promises and agreements, act with sincerity, strive for consistency of thought and action. 4. Carefulness: Avoid careless errors and negligence . Carefully and critically examine your own work. Keep good record of research activities such as data collection, research design and correspondence with agencies or journals 5. Openness:
  • 5. 6. Respect for intellectual property: i) Honor patents, copyright and other forms of intellectual property. ii) Do not use unpublished data , methods or results without permission iii) Never plagiarizes 7. Confidentiality: Protect confidential communication such as paper or grants submitted for publication, personnel records, trade or military secrets and patient records
  • 6. 8. Respect for colleagues: Respect your colleagues and treat them fairly 9. Non discrimination: Avoid discrimination against colleagues or students on the basis of sex, race, or other factors that are not related to their scientific competence and integrity 10. Social Responsibility:
  • 7. INSTITUTIONAL REVIEW BOARD INSTITUTIONAL REVIEW BOARD (IRB), is also known as an Independent ethics committee or ethical review board. It is a committee that has been formally designated to approve, monitor, and review biomedical and behavioural research involving humans
  • 8. Need of IRB  IRBs are most commonly used for studies in the fields of health and the social sciences, including anthropology, sociology, and psychology  The need of IRBs is to protect human subjects from physical or psychological harm.  IRBs attempt to ensure protection of subjects by reviewing research protocols
  • 9. Role of IRB  IRB will review and approve all types of research proposals involving human participants with a view to safeguard the dignity, rights, safety and well being of all actual and potential research participants.  it will look into the aspects of informed consent process, risk benefit ratio, distribution of burden and benefit and provisions for appropriate compensations wherever required.
  • 10. Role of IRB  It will review the proposals before start of the study as well as monitor the research throughout the study until and after completion of the study through appropriate well documented procedures.  It is mandatory that IRB/IECs will be to review all research projects involving human subjects to be conducted at the Institute, irrespective of the funding agency. The role of IEC can be modified according to the requirement of each Institute
  • 11. Standard Operating Procedures (SOP) for Institutional Ethics Committee for Human Research Objective: The objective of this SOP is to contribute to the effective functioning of the Institutional Ethics Committee (IEC) so that a quality and consistent ethical review mechanism for health and biomedical research is put in place for all proposals dealt by the Committee as prescribed by the Ethical guidelines for biomedical research on human subjects of ICMR.
  • 12. Documentation: For a thorough and complete review, all research proposals should be submitted with the following documents : 1. Name of the applicant with designation 2. Name of the Institute/ Hospital / Field area where research will be conducted. 3. Approval of the Head of the Department / Institution 4. Protocol of the proposed research 5. Ethical issues in the study and plans to address these issues. 6. Proposal should be submitted with all relevant enclosures like pro formae, case report forms, questionnaires, follow - up cards, etc. 7. Informed consent process, including patient
  • 13. 8. For any drug / device trial, all relevant pre- clinical animal data and clinical trial data from other centres within the country / countries, if available. 9. Curriculum vitae of all the investigators with relevant publications in last five years. 10. Any regulatory clearances required. 11. Source of funding and financial requirements for the project. 12. Other financial issues including those related to insurance 13. An agreement to report only Serious Adverse Events (SAE) to IEC. 14. Statement of conflicts of interest, if any. 15. Agreement to comply with the relevant national and applicable international Guidelines.
  • 14. 16. A statement describing any compensation for study participation (including expenses and access to medical care) to be given to research participants; a description of the arrangements for indemnity, if applicable (in study-related injuries); a description of the arrangements for insurance coverage for research participants, if applicable; all significant previous decisions(e.g., those leading to a negative decision or modified protocol) by other ECs or regulatory authorities for the proposed study (whether in the same location or elsewhere) and an indication of the modification(s) to the protocol made on that account. The reasons for negative decisions should be provided. 17. Plans for publication of results – positive or
  • 15. Institutional ethical committee(ICE)Authority under which IEC is constituted: The Institutional Head constitutes the IEC. •The duration of appointment is initially for a period of 2-3 years Members of ICE: 1. Chairperson(Committee should preferably be from outside the Institution and not head of the same Institution to maintain the independence of the Committee) 2. 1-2 basic medical scientists.
  • 16. 5. One social scientist / representative of non- governmental voluntary agency 6. One philosopher / ethicist / theologian(academic discipline) 7. One lay person from the community 8. Member-Secretary(generally belongs to the same Institution should conduct the business of the Committee.) Members of ICE:
  • 17. Element of review a. Scientific design and conduct of the study. b. Approval of appropriate scientific review committees. c. Examination of predictable risks/harms. d. Examination of potential benefits. e. Procedure for selection of subjects in methodology including inclusion/ exclusion, withdrawal criteria and other issues like advertisement details. f. Management of research related injuries, adverse events. g. Compensation provisions. h. Justification for placebo in control arm, if any.
  • 18. i . Availability of products after the study, if applicable. j. Patient information sheet and informed consent form in local language. k. Protection of privacy and confidentiality. l. Involvement of the community, wherever necessary. m. Plans for data analysis and reporting n. Adherence to all regulatory requirements and applicable guidelines o. Competence of investigators, research and supporting staff p. Facilities and infrastructure of study sites q. Criteria for withdrawal of patients, suspending or terminating the study
  • 19. ICMR  Indian Council of Medical Research(ICMR) is one of the oldest and largest medical research bodies in the world. History of ICMR  In 1911, the Government of India set up the Indian Research Fund Association (IRFA) with the specific objective of sponsoring and coordinating medical research in
  • 20. After independence, several important changes were made in the organisation and the activities of the IRFA. It was redesignated the Indian Council of Medical Research (ICMR) in 1949, with considerably expanded scope of functions. The ICMR is funded by the Government of India through the Ministry of Health and Family Welfare.