Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 9-10, Pages: 659-666
https://doi.org/10.2298/SARH1310659M
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Analysis of regulatory-ethical framework of clinical trials
Milošević-Georgiev Andrijana (Farmaceutski fakultet, Beograd)
Krajnović Dušanka (Farmaceutski fakultet, Beograd)
Milovanović Srđan (Medicinski fakultet, Beograd + Klinički centar Srbije, Klinika za psihijatriju, Beograd)
Ignjatović Svetlana (Farmaceutski fakultet, Beograd + Klinički centar Srbije, Centar za medicinsku biohemiju, Beograd)
Đurić Dušan (Medicinski fakultet, Kragujevac + Institut za rehabilitaciju, Beograd)
Marinković Valentina (Farmaceutski fakultet, Beograd)
Introduction. Every clinical trial has to meet all ethical criteria in
addition to the scientific ones. The basic ethical principles in the clinical
trials are the following: nonmaleficence, beneficence, respect for autonomy
and the principle of justice. Objective. The aim of the study was to analyze
clinical cases with the outcomes leading to the changes in regulatoryethical
framework related to the clinical trials, as well as the outcomes of key
clinical trials that influenced the introduction of the ethical principles
into clinical trials. Methods. This was a descriptive research (methods of
analysis and documentation; desk analysis of the secondary data). Results. By
analyzing the cases from the secondary sources as well as clinical and
ethical outcomes, it may be noticed that the codes, declarations and
regulations have been often preceded by certain events that caused their
adoption. Moral concern and public awareness of the ethical issues have
initiated not only the development of numerous guidelines, codes, and
declarations, but also their incorporation into the legislative acts.
Conclusion. It is desirable that ethical instruments become legally binding
documents, because only in this way will be possible to control all phases of
the clinical trials and prevent abuse of the respondents.
Keywords: clinical trials, regulation, ethical principles, ethical norms
Projekat
Ministarstva nauke Republike Srbije, br. 175036 i br. 41004