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ETHICAL & REGULATORY ASPECTS
OF HUMAN SUBJECTS
LEARNING OBJECTIVES
• Become aware of the National Ethical Guidelines for
Biomedical and Health Research involving Human
participant and children (ICMR) 2017.
• Understand the essential requirements for current ethical
considerations for conducting clinical trial in India
Upon completion of this session, the trainees will:
WHAT WILL WE LEARN IN THIS SESSION?
• National ethical guidelines for biomedical and health
research on human participants and children 2017 by ICMR
• Some Related Regulations
INDIAN COUNCIL OF MEDICAL RESEARCH (ICMR)
GUIDELINES
NATIONAL ETHICAL GUIDELINES FOR BIOMEDICAL AND HEALTH
RESEARCH INVOLVING HUMAN PARTICIPANTS (2017)
SECTION 1:
STATEMENT OF GENERAL PRINCIPLES
SECTION 1: STATEMENT OF GENERAL PRINCIPLES
SECTION 2:
GENERAL ETHICAL ISSUES
SECTION 2: GENERAL ETHICAL ISSUES
BENEFIT-RISK ASSESSMENT
CATEGORISATION BASED ON RISK
INFORMED CONSENT PROCESS
INFORMED CONSENT PROCESS
DISTRIBUTIVE JUSTICE
DISTRIBUTIVE JUSTICE
PAYMENT AND COMPENSATION
PAYMENT AND COMPENSATION
PAYMENT AND COMPENSATION
CONFLICT OF INTEREST
SELECTION OF VULNERABLE AND SPECIAL GROUPS
AS RESEARCH PARTICIPANTS
OTHER GENERAL ETHICAL ISSUES
SECTION 3:
RESPONSIBLE CONDUCT OF RESEARCH
RESPONSIBLE CONDUCT OF RESEARCH
WHO REGULATES CLINICAL TRIALS FOR
NEW DRUGS IN INDIA?
DATA ACQUISITION, MANAGEMENT, SHARING &
OWNERSHIP
REVIEWING AND REPORTING RESEARCH
RESPONSIBLE AUTHORSHIP AND PUBLICATION
POLICIES FOR HANDLING RESEARCH
MISCONDUCT
Fabrication, falsification and plagiarism
REGISTRATION WITH CLINICAL TRIAL REGISTRY
OF INDIA (CTRI)
COLLABORATIVE RESEARCH
COLLABORATIVE RESEARCH
COLLABORATIVE RESEARCH
SECTION 4:
ETHICS REVIEW PROCEDURES
SECTION 4:
ETHICAL REVIEW PROCEDURES
ETHICS COMMITTEE (EC): ELEMENTS
COMPOSITION OF AN EC
SPECIAL SITUATIONS: ETHICS REVIEW
ROLE OF ETHICS COMMITTEE
TYPES OF REVIEW
DECISION MAKING
DIVISION OF RESPONSIBILITY FOR REVIEW
CONTINUING REVIEW
SITE MONITORING
RECORD KEEPING AND ARCHIVING
REGISTRATION OF EC
ACCREDITATION OF ETHICS COMMITTEE
SECTION 5:
INFORMED CONSENT PROCESS
INFORMED CONSENT PROCEDURES
TYPES OF CONSENT DOCUMENTED
AUDIO-VISUAL RECORDING OF CONSENT
SECTION 6:
VULNERABILITY
VULNERABILITY
VULNERABILITY – INCLUSION CRITERIA
SECTION 7:
CLINICAL TRIALS OF DRUGS AND OTHER INTERVENTIONS
CLINICAL TRIALS
CLINICAL TRIALS
CLINICAL TRIALS
CLINICAL TRIALS
SECTION 8:
PUBLIC HEALTH RESEARCH
SECTION 8:
PUBLIC HEALTH RESEARCH
SECTION 9:
SOCIAL AND BEHAVIOURAL SCIENCES RESEARCH
FOR HEALTH
SOCIAL AND BEHAVIOURAL SCIENCES RESEARCH
FOR HEALTH
SECTION 10:
HUMAN GENETICS TESTING AND RESEARCH
HUMAN GENETICS TESTING AND RESEARCH
SECTION 11:
BIOLOGICAL MATERIALS, BIO BANKING AND DATASETS
BIOLOGICAL MATERIALS, BIO BANKING & DATA
SETS
CONSENT OPTIONS
SECTION 12:
RESEARCH DURING HUMANITARIAN EMERGENCIES
AND DISASTERS
HUMANITARIAN EMERGENCIES & DISASTERS
RESEARCH ON CHILDREN
RESEARCH ON CHILDREN
ASSENT
CHILD’S REFUSAL
SAMPLE COLLECTION
RECAP
1. Which are the latest ethical guidelines for human research released by ICMR
and when?
National ethical guidelines for biomedical and health research involving human
participants and for children 2017
2. Is it mandatory to register the clinical trials in CTRI
As of now it is mandatory to register the regulatory clinical trials in CTRI.
3. Is it mandatory for ECs to register?
Yes, it is mandatory to seek CDSCO registration for ECs reviewing regulatory
clinical trials & DHR for others
RECAP
4. Should only written and signed informed consent form be obtained?
As the situation may require oral, audio or A/V consent may be taken.
5. Can deception be used with regard to informed consent?
Yes, occasionally in social & behavioural science research.
6. Who owns the biological material/data?
Only the donor
SUMMARY
In this session, we briefly learnt about:
DISCLAIMER
The information within this presentation is based on the presenter’s
expertise and experience and represents the views of the presenter
for the purpose of training.
THANK YOU

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