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Biomedical Research in Developing Countries - UNICRI

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Guidel<strong>in</strong>es for Good<br />

Cl<strong>in</strong>ical Practice <strong>in</strong><br />

Cl<strong>in</strong>ical Trials<br />

1998<br />

The United<br />

K<strong>in</strong>gdom, Medical<br />

<strong>Research</strong> Council<br />

This document provides good cl<strong>in</strong>ical<br />

practices for trials funded by the Medical<br />

<strong>Research</strong> Council, the largest public sector<br />

organization <strong>in</strong> the United K<strong>in</strong>gdom that<br />

directly f<strong>in</strong>ances human health research.<br />

Guidel<strong>in</strong>es on<br />

Ethical Review of<br />

Medical <strong>Research</strong><br />

1998<br />

Ch<strong>in</strong>a, Committee<br />

on <strong>Research</strong><br />

Involv<strong>in</strong>g Human<br />

Subjects<br />

Ch<strong>in</strong>ese Guidel<strong>in</strong>es are not substantially<br />

different from those <strong>in</strong> Europe and <strong>in</strong> USA.<br />

They regulate topics such as <strong>in</strong>formed<br />

consent, the responsibilities of<br />

<strong>in</strong>vestigators, the rights of research<br />

subjects, and the adm<strong>in</strong>istrative<br />

management of ethical reviews and legal<br />

responsibilities. The document states also<br />

that research <strong>in</strong> Ch<strong>in</strong>a be based on<br />

<strong>in</strong>ternational recognized ethical pr<strong>in</strong>ciples.<br />

Operational<br />

Guidel<strong>in</strong>es for<br />

Ethics<br />

Committees that<br />

Review <strong>Biomedical</strong><br />

<strong>Research</strong><br />

2000<br />

WHO<br />

This guidance was published by WHO <strong>in</strong><br />

order to set the appropriate procedures for<br />

the work of Ethics Committees that review<br />

biomedical research, <strong>in</strong> compliance with the<br />

ethical and scientific standards established<br />

by <strong>in</strong>ternational guidel<strong>in</strong>es. The purpose of<br />

the guidel<strong>in</strong>es is to practically support and<br />

facilitate the ethical review function with<strong>in</strong><br />

countries, <strong>in</strong> l<strong>in</strong>e with exist<strong>in</strong>g national laws<br />

and regulations or the strengthen this<br />

functions, where needed. In fact, the<br />

guidel<strong>in</strong>es “should be used by national and<br />

local bodies <strong>in</strong> develop<strong>in</strong>g, evaluat<strong>in</strong>g, and<br />

progressively ref<strong>in</strong><strong>in</strong>g standard operat<strong>in</strong>g<br />

procedures for the ethical review of<br />

biomedical research.” The guidance <strong>in</strong>cludes<br />

a detailed discussion on the role of an<br />

Ethical Committee, on the m<strong>in</strong>imum<br />

requirement for the proper function<strong>in</strong>g of a<br />

EC (<strong>in</strong>clud<strong>in</strong>g membership requirements,<br />

terms and conditions of appo<strong>in</strong>tments,<br />

tra<strong>in</strong><strong>in</strong>g for members and consultants) on<br />

the review and decision mak<strong>in</strong>g process.<br />

Ethical<br />

Considerations <strong>in</strong><br />

HIV Preventive<br />

Vacc<strong>in</strong>e <strong>Research</strong><br />

2000<br />

UNAIDS<br />

This document is composed by 18 guidance<br />

po<strong>in</strong>ts on Ethical Considerations <strong>in</strong> HIV<br />

Preventive Vacc<strong>in</strong>e <strong>Research</strong> and it is the<br />

result of a series of meet<strong>in</strong>g held <strong>in</strong> Geneva,<br />

Switzerland, <strong>in</strong> 2000. This document<br />

underl<strong>in</strong>es the importance of the analysis of<br />

critical elements <strong>in</strong> HIV vacc<strong>in</strong>e research<br />

and other references <strong>in</strong> this field, which<br />

should be consulted dur<strong>in</strong>g the research: the<br />

Nuremberg Code (1947); the Declaration of<br />

Hels<strong>in</strong>ki; the Belmont Report (1979 - US<br />

National Commission for the Protection of<br />

Human Subjects of <strong>Biomedical</strong> and<br />

Behavioral <strong>Research</strong>); the International<br />

Ethical Guidel<strong>in</strong>es for <strong>Biomedical</strong> <strong>Research</strong><br />

Involv<strong>in</strong>g Human Subjects (1993 - CIOMS),;<br />

the WHO’s Good Cl<strong>in</strong>ical Practice<br />

Guidel<strong>in</strong>e (1995); and the International<br />

Conference on Harmonisation Good<br />

Cl<strong>in</strong>ical Practice Guidel<strong>in</strong>e (1996).<br />

45

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