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Policies & Procedures - Emory IRB - Emory University

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<strong>Emory</strong> <strong>University</strong> <strong>IRB</strong> P&Ps Revised 1/18/2013<br />

population, it would be unethical to focus subject recruitment on vulnerable or<br />

disadvantaged groups (e.g., institutionalized people or Prisoners; or patients at free<br />

clinics primarily patronized by people unable to afford other medical care) simply<br />

because they are easily accessible or can be persuaded to participate. An undue share<br />

of Research risks also should not burden groups already burdened by other factors.<br />

Rather attempts should be made to include a fair sampling of the populations who<br />

might benefit from the study. When Research involves persons whose autonomy is<br />

compromised, it is expected that the Research bear some direct relationship to the<br />

conditions or circumstances of the Research subject population. In addition, groups<br />

fully able to consider Research risks and informed consent should be asked to face<br />

Research risks before more Vulnerable Populations. For example, Investigational<br />

Drugs are usually tested in Adults before they are tested in Children. Certain<br />

Investigational Drugs and procedures may be tested in healthy volunteers before being<br />

tested in patients.<br />

Sharing Research Benefits: The <strong>Emory</strong> <strong>IRB</strong> should consider the desires of various groups<br />

to be included in Research. As individuals, and through advocacy groups, many patients<br />

have come to insist on having access to experimental treatments, as these experimental<br />

treatments may potentially provide the best medical care available. In addition,<br />

Researchers, ethicists and public officials have recognized that because many clinical<br />

trials focused primarily on white middle-class Research subject groups, the results of<br />

some trials were of questionable value to members of other social, racial, sexual and<br />

ethnic groups. As a result both the National Institutes of Health (NIH) and FDA now<br />

require that study design include as broad a range of Research subjects as feasible and<br />

the data be analyzed to uncover responses that differ between groups. Whereas<br />

women of child-bearing potential, Pregnant Women, and nursing women previously<br />

were routinely excluded from new drug trials, it is now required that whenever possible<br />

these women be asked to make their own choices regarding participation after being<br />

fully informed of the risks of the Research.<br />

Applicable Regulations:<br />

45 CFR § 46.111(a)(2)<br />

45 CFR § 56.111<br />

Page 12 of 370

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