Balancing ethical goals in challenging individual participant scenarios occurring in a trial conducted with exception from informed consent

Michelle H. Biros, Neal W. Dickert, David W. Wright, Victoria M. Scicluna, Deneil Harney, Robert Silbergleit, Kurt R Denninghoff, Rebecca D. Pentz

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

In 1996, federal regulations were put into effect that allowed enrollment of critically ill or injured patients into Food and Drug Administration (FDA)-regulated clinical trials using an exception from informed consent (EFIC) under narrowly prescribed research circumstances. Despite the low likelihood that a legally authorized representative (LAR) would be present within the interventional time frame, the EFIC regulations require the availability of an informed consent process, to be applied if an LAR is present and able to provide prospective consent for patient enrollment into the trial. The purpose of this article is to describe a series of unanticipated consent-related questions arising when a potential surrogate decision-maker appeared to be available at the time of patient enrollment into a trial proceeding under EFIC.

Original languageEnglish (US)
Pages (from-to)340-346
Number of pages7
JournalAcademic Emergency Medicine
Volume22
Issue number3
DOIs
Publication statusPublished - Mar 1 2015

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ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Biros, M. H., Dickert, N. W., Wright, D. W., Scicluna, V. M., Harney, D., Silbergleit, R., ... Pentz, R. D. (2015). Balancing ethical goals in challenging individual participant scenarios occurring in a trial conducted with exception from informed consent. Academic Emergency Medicine, 22(3), 340-346. https://doi.org/10.1111/acem.12602