21 CFR Part 50 Flashcards
What does 21 CFR Part 50 cover?
Protection of Human Subjects
What three applications are included in this chapter that are important for you to be aware of?
1) Investigational new drug application, part 312 2) A new drug application, part 314. 3) Application for an Investigational New Device Exemption.
Clinical Investigation means..
any experiment that involves a test article and one or more human subjects and that either is subject to requirements for prior submission to the FDA or is not subject to requirements for prior submission to the FDA but the results of which are intended to be submitted later to or held for inspection by the FDA as part of an application for a research or marketing permit.
Investigator
individual who actually conducts a clinical investigation
Sponsor
person who initiates a clinical investigation, but who does not actually conduct the investigation.
Sponsor-Investigator
individual who both initiates and actually conducts, alone or with others, a clinical investigation.
Human Subject
individual who is or becomes a participant in research, either as a recipient of the test article or as a control.
Exceptions from informed consent for emergency research
1) subject is in a life-threatening situation and collection of valid scientific evidence is necessary to determine safety and effectiveness of particular interventions. 2) Obtaining consent is not feasible. 3) Participation in the research holds out the prospect of direct benefit. 4) The clinical investigation could not practicably be carried out without the waiver. 5) the tx plan makes sense and the investigator is doing what he/she can to contact a legally authorized rep. 6) IRB has approved 7) additional protections of the rights and welfare of the subjects will be provided
Elements of informed consent
1) statement that the study involved research. 2) description of any reasonably foreseeable risks or discomforts to the subject. 3) description of any benefits to the subject or others. 4) disclosure of alternative procedures. 5) statement describing the extent to which confidentiality of records will be maintained 6) statement regarding compensation and medical tx if any injury. 7) who to contact for answers to pertinent questions about research and subjects rights. 8) participation is voluntary.
Additional elements of informed consent
1) statement that the particular tx may involve additional risk to the subject. 2) anticipated circumstances under which participation may be terminated. 3) any additional costs. 4) consequences of a subjects decision to withdraw. 5) statement that significant findings during the research will be provided. 6) approximate number of subjects involved in the study.
What is 21 CFR Part 50 Subpart b 20
General requirements for informed consent.
What is 21 CFR Part 50 Subpart b 23
Exception from general requirements
What is 21 CFR Part 50 Subpart b 24
Exception from informed consent requirements for emergency research
What is 21 CFR Part 50 Subpart b 25
Elements of informed consent
What is 21 CFR Part 50 Subpart b 27
Documentation of Informed consent