Evidence map›Paper›PMID 34496158›Full record

ArticleEthics & human research2021

IRB Decision-Making about Minimal Risk Research with Pregnant Participants.

Amina White, Christine Grady, Margaret Little, Kristen Sullivan, Katie Clark, Monalisa Ngwu, Anne Drapkin Lyerly

Open access · greenAbstract read
In one paragraph

Article in Ethics & human research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Amina WhiteClinical associate professor in the Department of Obstetrics & Gynecology at the University of North Carolina at Chapel Hill.
Christine GradyHead of the Clinical Center Department of Bioethics at the National Institutes of Health.
Margaret LittleProfessor of philosophy at The Kennedy Institute of Ethics.
Kristen SullivanResearch scientist at the Center for Bioethics in the Department of Social Medicine at the School of Medicine at the University of North Carolina at Chapel Hill.
Katie ClarkResearch associate at Yale University and research consultant at CHER Solutions.
Monalisa NgwuIndependent research assistant.
Anne Drapkin LyerlyProfessor in the Department of Social Medicine at the Center for Bioethics at the University of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · USClinical Research Solutions · USKennedy Center · DKNational Institutes of Health · US

Funding

The PHASES Project: Pregnancy and HIV/AIDS-Seeking Equitable StudyR01AI108368 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAY, SUZANNE LOUISE, LYERLY, ANNE DRAPKIN · 2015 to 2024
$6.4M
Integrating Decision Making Studies into HIV Cure Trials: A real-time longitudinal assessmentR01AI127024 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HENDERSON, GAIL E · 2016 to 2019
$2.2M
NIAID NIH HHS R01 AI108368NIAID NIH HHS R01 AI127024
6 · The paper itself

Abstract

Pregnant individuals are often excluded from research without clear justification, even when the research poses minimal risk of harm to the fetus. Little is known about institutional review board (IRB) decision-making practices when reviewing such research. We conducted a survey of current and former IRB personnel in the United States to elicit their interpretations of "minimal risk"-a formal regulatory category-and to identify factors that may influence IRB decisions to approve or disapprove research involving pregnant participants. Study results revealed some consensus among IRB members about the risk level of individual research procedures and hypothetical study vignettes. However, we uncovered important variations not only in the assessment of risk but also in the willingness of IRB members to approve minimal risk research that includes pregnant women. Based on our findings, guidance is needed to assist IRB members in characterizing risk, applying federal regulations, and appropriately ensuring the inclusion or justified exclusion of pregnant people in research.

Indexed as

Ethics Committees, ResearchResearch DesignConsensusFemaleHumansPregnancyRiskUnited Statesclinical trialshuman research ethicsinstitutional review boardIRBminimal risk researchresearch with pregnant personsresearch with pregnant women

Identifiers

PMID34496158
PMCPMC9199078
OpenAlexW3197998778

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.