Responsible Research: A Systems Approach to Protecting Research Participants

Front Cover

When 18-year-old Jesse Gelsinger died in a gene transfer study at the University of Pennsylvania, the national spotlight focused on the procedures used to ensure research participants' safety and their capacity to safeguard the well-being of those who volunteer for research studies.

Responsible Research outlines a three-pronged approach to ensure the protection of every participant through the establishment of effective Human Research Participant Protection Programs (HRPPPs). The approach includes:

  • Improved research review processes,
  • Recognition and integration of research participants' contributions to the system, and
  • Vigilant maintenance of HRPPP performance.

Issues addressed in the book include the need for in-depth, complimentary reviews of science, ethics, and conflict of interest reviews; desired qualifications for investigators and reviewers; the process of informed consent; federal and institutional oversight; and the role of accreditation. Recommendations for areas of key interest include suggestions for legislative approaches, compensation for research-related injury, and the refocusing of the mission of institutional review boards. Responsible Research will be important to anyone interested in the issues that are relevant to the practice of using human subjects as research participants, but especially so to policy makers, research administrators, investigators, and research sponsorsâ€"but also including volunteers who may agree to serve as research participants.

 

Contents

Executive Summary
1
1 Introduction
29
2 A Systemic Approach to Human Research Participant Protection Programs
45
Scientific Conflict of Interest and Ethical Review of Research Protocols
70
4 The ParticipantInvestigator Interface
108
5 Improving Protection Through Oversight and Data and Safety Monitoring
136
6 Improving Human Research Participant Protection Program Performance and Clarifying Roles
162
7 Improving an Evolving National Human Research Participant Protection System
197
References
217
Appendix A Data Sources and Methods
231
Appendix B
236
Appendix C Clarifying Protocol Accountability
249
Appendix D Committee Biographies
263
Index
277
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