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Rothstein MA, Patrinos D, Brothers KB, Clayton EW, Joly Y, Zawati MH, Andanda P, Arawi T, Castañeda M, Chalmers D, Chen H, Ghaly M, Hatanaka R, Hendriks AC, Ho CWL, Kaye J, Krekora-Zając D, Lee WB, Mattsson T, Nicolás P, Nnamuchi O, Rial-Sebbag E, Siegal G, Wathuta JM, Knoppers BM. Concordance of International Regulation of Pediatric Health Research. J Pediatr 2023; 260:113524. [PMID: 37245625 DOI: 10.1016/j.jpeds.2023.113524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 05/17/2023] [Accepted: 05/22/2023] [Indexed: 05/30/2023]
Abstract
OBJECTIVE To assess the comparability of international ethics principles and practices used in regulating pediatric research as a first step in determining whether reciprocal deference for international ethics review is feasible. Prior studies by the authors focused on other aspects of international health research, such as biobanks and direct-to-participant genomic research. The unique nature of pediatric research and its distinctive regulation by many countries warranted a separate study. STUDY DESIGN A representative sample of 21 countries was selected, with geographical, ethnic, cultural, political, and economic diversity. A leading expert on pediatric research ethics and law was selected to summarize the ethics review of pediatric research in each country. To ensure the comparability of the responses, a 5-part summary of pediatric research ethics principles in the US was developed by the investigators and distributed to all country representatives. The international experts were asked to assess and describe whether principles in their country and the US were congruent. Results were obtained and compiled in the spring and summer of 2022. RESULTS Some of the countries varied in their conceptualization or description of one or more ethical principles for pediatric research, but overall, the countries in the study demonstrated a fundamental concordance. CONCLUSIONS Similar regulation of pediatric research in 21 countries suggests that international reciprocity is a viable strategy.
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Affiliation(s)
- Mark A Rothstein
- Louis D. Brandeis School of Law, University of Louisville, Rancho Santa Fe, CA.
| | - Dimitri Patrinos
- Centre of Genomics and Policy, McGill University, Montreal, QC, Canada
| | - Kyle B Brothers
- Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY
| | | | - Yann Joly
- Centre of Genomics and Policy, McGill University, Montreal, QC, Canada
| | - Ma'n H Zawati
- Centre of Genomics and Policy, McGill University, Montreal, QC, Canada
| | - Pamela Andanda
- School of Law, University of the Witwatersrand, Johannesburg, South Africa
| | - Thalia Arawi
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Mireya Castañeda
- Institute of Higher Studies Monterrey, National Autonomous University of Mexico, Mexico City, Mexico
| | - Don Chalmers
- School of Law, University of Tasmania, Hobart, Tasmania, Australia
| | - Haidan Chen
- School of Health Humanities, Peking University, Beijing, China
| | - Mohammed Ghaly
- College of Islamic Studies, Hamad Bin Khalifa University, Doha, Qatar
| | | | - Aart C Hendriks
- Institute for Public Law, Leiden University, Leiden, The Netherlands
| | - Calvin W L Ho
- Centre for Medical Ethics and Law, Faculty of Law, University of Hong Kong, Hong Kong
| | - Jane Kaye
- Centre for Law, Health & Emerging Technologies, Faculty of Law, University of Oxford, Oxford, United Kingdom
| | | | - Won Bok Lee
- Ewha Law School, Ewha Womans University, Seoul, South Korea
| | | | - Pilar Nicolás
- Faculty of Law, University of the Basque Country, Vizcaya, Spain
| | - Obiajulu Nnamuchi
- Center for Bioethics and Human Rights, Faculty of Law, University of Nigeria, Nsukka, Enugu State, Nigeria
| | | | - Gil Siegal
- Faculty of Law, Ono Academic College, Kiryat Ono, Israel
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Rothstein MA, Zawati MH, Thorogood A, Beauvais MJS, Joly Y, Brothers KB, Lang M, Andanda P, Ho C, Isasi R, Kaye J, Lee WB, Nnamuchi O, Saltzman A, Knoppers BM. Streamlining ethics review for international health research. Science 2022; 375:825-826. [PMID: 35201881 DOI: 10.1126/science.abn0675] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Single-site review means protection and efficiency.
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Affiliation(s)
- Mark A Rothstein
- Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, Louisville, KY, USA
| | - Ma'n H Zawati
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
| | - Adrian Thorogood
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
| | - Michael J S Beauvais
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
| | - Yann Joly
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
| | - Kyle B Brothers
- Institute for Bioethics, Health Policy and Law, University of Louisville School of Medicine, Louisville, KY, USA
| | - Michael Lang
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
| | - Pamela Andanda
- University of Witswatersrand, Johannesburg, South Africa
| | - Calvin Ho
- Centre for Medical Ethics and Law and the Department of Law, University of Hong Kong, Pokfulam, Hong Kong, PRC
| | - Rosario Isasi
- Department of Human Genetics and John P. Hussman Institute for Human Genomics, University of Miami School of Medicine, Miami, FL, USA
| | | | | | - Obiajulu Nnamuchi
- Centre for Health, Bioethics and Human Rights, Faculty of Law, University of Nigeria, Enugu, Nigeria
| | - Andrea Saltzman
- Office of Research Subject Protection, The Broad Institute, Cambridge, MA, USA
| | - Bartha Maria Knoppers
- Centre of Genomics and Policy, McGill University Faculty of Medicine and Health Sciences, Montreal, QC, Canada
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