Evidence map›Paper›PMID 36047278›Full record

ArticleEthics & human research2022

Ethical Criteria for Improved Human Subject Protections in Phase I Healthy Volunteer Trials.

Rebecca L Walker, Douglas MacKay, Margaret Waltz, Anne D Lyerly, Jill A Fisher

Open access · hybridAbstract read
In one paragraph

Article in Ethics & human research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 21 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Rebecca L WalkerProfessor of social medicine and of philosophy at the University of North Carolina at Chapel Hill.
Douglas MacKayAssociate professor of public policy at the University of North Carolina at Chapel Hill.
Margaret WaltzResearch associate in the Department of Social Medicine at the University of North Carolina at Chapel Hill.
Anne D LyerlyProfessor of social medicine and on the core faculty in the Center for Bioethics at the University of North Carolina at Chapel Hill.
Jill A FisherProfessor of social medicine and on the core faculty in the Center for Bioethics at the University of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · US

Funding

Healthy Volunteers as Model Organisms: Comparative Research Ethics and Policy for Phase I trialsR01GM099952 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FISHER, JILL A, WALKER, REBECCA · 2012 to 2020
$3.6M
National Institute of General Medical Sciences of the National Institutes of Health R01GM099952NIGMS NIH HHS R01 GM099952
6 · The paper itself

Abstract

Phase I healthy volunteer trials test the safety and tolerability of investigational pharmaceuticals. In them, participants are exposed to study-drug risks without the possibility of direct medical benefit and typically must spend days or weeks in a residential research facility. Monetary payments are used to incentivize enrollment and compensate participants for their time. Together, these features of phase I healthy volunteer trials create a research context that differs markedly from most other clinical research, including by enrolling disproportionate numbers of economically disadvantaged people of color as participants. Due to these unique trial features and participation patterns, traditional biomedical research oversight offers inadequate ethical and policy guidance for phase I healthy volunteer research. This article details five ethical criteria crafted to be responsive to the particularities of this type of research: translational science value, fair opportunity and burden sharing, fair compensation for service, experiential welfare, and enhanced voice and recourse.

Indexed as

Clinical Trials, Phase I as TopicEthics, ResearchHealthy VolunteersHumansPolicyVulnerable PopulationsBelmont Reportcompensation for researchhealthy volunteershuman subjects researchphase I trials

Identifiers

PMID36047278
PMCPMC9931499
OpenAlexW4294129687

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.