The document outlines the 14 principles of Good Clinical Practice (GCP) which provide a standard framework for clinical trials involving human subjects. The principles include requiring ethical conduct of research, a clearly described research protocol, identifying risks and benefits, approval by an ethics committee, obtaining informed consent, qualified investigators, and maintaining quality and confidentiality standards. The objectives of the training course are to explain the GCP principles, describe their relationship to regulatory roles, and identify their application.

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WHO GCP PRINCIPLES
GCP Training Course
National Agency of Drug and Food Control
Jakarta, 11 – 12 June 2008

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OBJECTIVES
1. To explain the principles in GCP.
2. To describe the relationship between GCP
principles and the role of Regulatory.
3. To identify application of the GCP Principles.

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Principle 1 :
ETHICAL CONDUCT
1. Research involving humans should be :
 scientifically sound, and
 Conducted in accordance with basic ethical
principles, which have their origin in the
Declaration of Helsinki.

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Principle 1 : cont ………
Three basic ethical principles of equal importance,
namely :
 respect for persons,
 beneficence, and
 justice,

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Principle 2 :
RESEARCH DESCRIBED IN A PROTOCOL
 Research involving humans should be :
 scientifically justified, and
 Described in a clear and detailed protocol.

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Principle 3 :
RISK IDENTIFICATION
 Before research involving humans is initialed :
 Foreseeable risk and discomforts and any
anticipated benefit(s) for the individual
research subject and society  should be
identified.

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Principle 3 : cont ………
Research of investigational products or procedures
should be supported by :
 adequate non – clinical and
 when applicable, clinical information.

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Principle 4 :
BENEFIT – RISK ASSESMENT
 Research involving humans should be initiated,
only if :
 The anticipated benefit(s) for the individual
research subject and society clearly
outweigh the risks.
 The benefit of the results of the trial to
science and society should be taken into
account  but still the rights, safety and
well being of the research subjects is the
most important consideration.

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 Research involving humans  should receive
Independent Ethics Committee / Institutional
Review Board (IEC/IRB) approval / favorable
opinion prior to initiation.
Principle 5 :
REVIEW BY INDEPENDENT ETHIC
COMMITTED/INDEPENDENT REVIEW BOARD

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 Research involving humans  should be
conducted in compliance with the approved
protocol.
Principle 6 :
PROTOCOLCOMPLIANCE

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 Freely given informed consent should be
obtained from every subject :
– prior to research participation.
– in accordance with national culture(s) and
requirements ( e.g for incapable subjects
need authorized representative ).
Principle 7 :
INFORMED CONSENT

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Principle 8 :
CONTINUING REVIEW /
ONGOING BENEFIT – RISK ASSESSMENT
 Research involving humans should be
continued  only if the benefit – risk profile
remain favorable.

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Qualified and duly licensed medical personnel
( i.e physician or, when appropriate, dentist )
 should be responsible for the subjects
medical care and any medical decision (s).
Principle 9 :
INVESTIGATOR QUALIFICATIONS

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Each individual involved in conducting a trial
should be :
 Qualified (educated, trained and experienced ), and
 Currently licensed to do so, where required.
Principle 10 :
STAFF QUALIFICATION

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All clinical trial information  should be
recorded, handled, and stored in a way that
allows its accurate :
 Reporting
 Interpretation, and
 Verification
Principle 11 :
RECORDS

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The confidentiality of records that could
identify subjects should be protected 
respecting the privacy and confidentiality rules
in accordance with the applicable regulatory
requirement(s).
Principle 12 :
CONFIDENTIALITY / PRIVACY

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Investigational products should be
manufactured, handled, and stored in
accordance :
 with applicable Good Manufacturing Practice (GMP),
and
 should be used in accordance with the approved
protocol.
Principle 13 :
GOOD MANUFACTURING PRACTICE

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Systems with procedures that assures the
quality of every aspect of the trial  should be
implemented.
Principle 14 :
QUALITY SYSTEM

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Summary

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