26
Mar2018

Research conducted in international settings poses particular challenges for the reviewing IRB, as it must possess adequate knowledge of laws and regulations in the country where the research is taking place, and be sensitive to the area’s cultural norms, in order to appropriately evaluate the study. Social, behavioral, and educational research (SBER) in particular may involve the study of stigmatized health conditions or behaviors, and may require the recruitment of marginalized populations and minors. Conducting research on these topics is important, but it is equally essential that IRBs and researchers mitigate the risk of social consequences that might result from subjects’ participation in the study, such as rejection in their communities or conflict within their families. The regulations regarding human subjects protections vary greatly between countries as well, which can lead to additional difficulties for IRBs. Read more

16
Mar2018

You are the chairperson of an IRB overseeing a study comparing three diabetes drugs. Some of the study participants have been talking about the study on social media. The investigator believes their posts have affected study enrollment, adherence and retention. How should the investigator deal with study participants who are sharing their study experiences online? Read more

9
Mar2018

When research subjects’ capacity to consent is absent, diminished, or fluctuating, additional consent enhancements, safeguards, and support may be required by the IRB. AAHRPP Standard II-4 requires IRBs to provide additional protections for vulnerable subjects in research, including policies and procedures to protect subjects whose capacity to consent is potentially absent, diminished, or fluctuating. The regulations, however, are generally silent on the specifics of these additional protections. Read more

8
Mar2018

As the ethicist for the Caribbean Public Health Agency (CARPHA) and founding president of the Bioethics Society of the English-Speaking Caribbean (BSEC), Dr. Derrick Aarons is on a mission to educate. His conscientious work has helped build a culture of bioethics in the Caribbean, and he is committed to sharing his region’s bioethical perspectives with the rest of the world. Read more

2
Mar2018

As leaders in the development of best practices for repositories, the International Society for Biological and Environmental Repositories (ISBER) recently announced the release of The ISBER Best Practices: Recommendations for Repositories, Fourth Edition. In addition to covering a wide range of scientific and technical issues, The ISBER Best Practices also covers various ethical, legal and social issues (ELSI) related to biorepository operation. Read more

21
Feb2018

You are a member of an IRB reviewing a Phase 2 study for cardozamine, a new drug for treating stress. One of the exclusion criteria in the protocol is: “Educated or employed as an attorney.” The cover letter on the application explains that the study sponsor has been sued on three occasions by attorneys who were study subjects, and does not want it to happen again. You have no other information to make your decision and no clever way to dodge it. Read more

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