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Medical Research: A Consumer's Guide for Participation

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APPENDIX A<br />

GLOSSARY<br />

There are many special words that are used to<br />

describe and talk about research. To help you better<br />

understand issues related to medical research, a glossary<br />

of commonly used terms is provided below. While<br />

not all of the words in this glossary appear in this<br />

<strong>Guide</strong>book, they are helpful to know as you decide<br />

whether or not to participate in a clinical trial.<br />

Assent: The process of obtaining one’s agreement to<br />

participate in research.<br />

Bench <strong>Research</strong>: General scientific research that<br />

occurs in a laboratory.<br />

Bias: Permitting expectations or hopes to influence<br />

decisions or analysis of data.<br />

Biologic: A substance made from a living organism<br />

that is used to prevent, diagnose or treat a disease,<br />

such as a vaccine.<br />

Biomarker: A protein occurring in the blood that<br />

indicates health or the presence of an illness.<br />

Biorepository: A facility that collects and stores tissue<br />

and body fluids <strong>for</strong> research, also referred to as a<br />

tissue bank.<br />

Blinded: A study design used to decrease bias. In a<br />

single-blinded study, the research volunteer does not<br />

know if she is receiving the study product. In a<br />

double-blinded study, neither the research volunteer<br />

nor the principal investigator knows who is receiving<br />

the study product.<br />

Case Reports: A research and teaching approach that<br />

uses a detailed discussion of the clinical progress of<br />

one person or several people (case series) and follows<br />

the progress of the person’s disease or treatment.<br />

<strong>Research</strong>ers hope to learn more about the disease<br />

and its treatment by examining how the disease<br />

progresses and what effect a given treatment has.<br />

Case-Control Study: A research approach that<br />

compares detailed in<strong>for</strong>mation about two very similar<br />

groups of people (one that has a disease and one that<br />

doesn’t). <strong>Research</strong>ers use this technique to try to<br />

identify what causes one group to be sick and the<br />

other to be healthy.<br />

Case Report Form (CRF): The <strong>for</strong>m used to collect<br />

and submit in<strong>for</strong>mation and data about a research<br />

study.<br />

Cells: The basic functional units of the body. Groups<br />

of cells that per<strong>for</strong>m common functions create tissues.<br />

Clinical Trial: <strong>Research</strong> into how a new medical<br />

approach works in people. Clinical trials can study<br />

prevention, diagnosis, and treatment options. Also<br />

referred to as clinical research.<br />

Cohort Study: A cohort is a group of people who have<br />

common characteristics. A cohort study looks at<br />

outcomes and compares groups of people who are<br />

alike in many ways but have some differences.<br />

Common Rule: The term used <strong>for</strong> the regulations<br />

that were developed to guide research that is<br />

supported by the federal government and involves<br />

human volunteers as participants.<br />

Compassionate Use Trial: A clinical trial that permits<br />

use of a new, possibly helpful treatment by people<br />

who have a serious disease but do not qualify to be<br />

included in a clinical trial exploring the treatment.<br />

Control Group (also control arm): The group of<br />

people in a clinical trial that do not have the disease<br />

or do not receive the experimental product. Control<br />

group participants may receive a placebo, an alternate<br />

treatment, or no treatment.<br />

Controlled Clinical Trial (also controlled study): A<br />

clinical trial that uses a control group as comparison<br />

to the experimental product.<br />

Cross-Over: A study design where the experimental<br />

and control groups switch halfway through the trial so<br />

that each group receives the study product <strong>for</strong> onehalf<br />

of the trial.<br />

Data and Safety Monitoring Board (DSMB): A group<br />

of people who review data during a clinical trial to<br />

determine whether the risk/benefit ratio remains<br />

acceptable.<br />

Device: A product that is used to prevent, diagnose or<br />

treat disease, but which does not work by a chemical<br />

reaction or metabolism. A device is often an item that<br />

is implanted or applied to the body.<br />

Diagnostic Trial (also screening trial): A clinical trial<br />

that looks <strong>for</strong> better diagnostic tests <strong>for</strong> diseases.<br />

Dose: The amount of drug or biologic given at one<br />

time.<br />

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