Clinical research and biomedicine - The influence of the Clinical Trial Directive/Regulation
12 important questions on Clinical research and biomedicine - The influence of the Clinical Trial Directive/Regulation
What is the number of the clinical trial regulation?
The approach to clinical trials are different in all the MS, however there are 3 things that has to be organized, which?
- Principles of clinical confidentiality and disclosure of patient information
- Inclusion of vulnerable groups
- Different structures for application of clinical trials
What are the 3 policy aims of the directive/regulation?
- Protecting individual research subjects: focus on good clinical practice
- Harmonisation of the reporting procedures for safety, monitoring and surveillance of procedures
- Ensuring that the approval procedures for trials are speeded up to facilitate scientific progress
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What is the goal of the Clinical Trial Regulation? How is it achieved (7)?
- Single submission dossier submitting via a single EU portal
- Simplified rules for low intervention clinical trials
- Extension of the tacit agreement principle to whole authorization process
- Commission can conduct controls
- Consistent rules for conducting clinical trials
- New indemnity rules reducing the burden for non commercial sponsors
- Integrity/transparancy of research data
On which legal basis does the EU have competences in the field of clinical research? For the directive and for the regulation?
Regulation: art. 114 TFEU & 168.4 TFEU
What is the scope of application of the directive?
- only about clinical trials: research conducted on humans and that are necessary to test the medicinal product
- experimental treatment is excluded
- does not apply to:
- psychological research
- research into medical devices
- research into tissue, organs or blood
- embryo research
- = only the MS have the competence to deal with these
Which article sets out the basic guidelines for the ethics committee to conducer when assessing trials?
What has been added to the role of the committee since the regulation?
- it's an independent body
- the review may encompass aspect addressed in part 1 and 2
How does art. 29 of the regulation protect the clinical trial subject?
- written, dated and signed
- duly informed
- informed consent shall be documenten
- adequate time to consider his participation
Information duty
- enable to understand
- be kept comprehensive
- provided in a prior interview
- info about damage compensation system
- info on EU trial number and about availability of trial
- summary of results will be available in EU database
Which specific articles protect minors and mentally incapacitated adults
Art. 31-33 regulation
What provisions are related to surveillance of trials?
- info concerning trials in MS is to be entered into a central EU database
Art. 40-46 Regulation
- electronic database
- reporting to the sponsor
- reporting to the agency
- annual reporting
- assessment by member states
What 3 aspects are still to be regulated by the member states after the adoption of the regulation
- "Who can be a legal representative"
- Authorization and oversight of clinical trials: remains the responsibility of MS
- Ethically controversial research bv cloning
- MS may maintain additional measures regarding
- persons performing mandatory military service
- persons deprived of liberty
- persons wh cannot take part in clinical trials
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