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Reasonable risks in clinical research: a critique and a proposal for the Integrative Approach.

Authors
  • London, Alex John
Type
Published Article
Journal
Statistics in medicine
Publication Date
Sep 15, 2006
Volume
25
Issue
17
Pages
2869–2885
Identifiers
PMID: 16810711
Source
Medline
License
Unknown

Abstract

Before participants can be enrolled in a clinical trial, an institutional review board (IRB) must determine that the risks that the research poses to participants are 'reasonable.' This paper examines the two dominant frameworks for assessing research risks and argues that each approach suffers from significant shortcomings. It then considers what issues must be addressed in order to construct a framework for risk assessment that (a) is grounded in a compelling normative foundation and (b) might provide more operationally precise guidance to the deliberations of various stakeholders. The paper concludes by sketching the outlines of what is referred to as the 'Integrative Approach' to risk assessment and by highlighting some of the ways in which this approach may be more promising than current alternatives.

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