Between the Needy and the Greedy: The Quest for a Just and Fair Ethics of Clinical Research
Solbakk, Jan Helge
Journal of medical ethics 2010 Aug; 36(8): 500-4
The acceleration of the market globalisation process over the last three decades has internationalised clinical research and influenced both the way in which it is funded and the development and application of research practices. In addition, in recent years international multicentre randomised clinical trials have become the model par excellence for research on new medicines. The neoliberal model of globalisation has induced a decline in state power, both with regard to establishing national research for health priorities and to influencing the development of adequate ethical guidelines to protect human beings that participate in multinational research. In this respect, poor and low-income countries, which lack sustainable control and review systems to deal with the ethical and methodological challenges of complex studies conducted by researchers from affluent countries and funded by large multinational pharmaceutical companies, are particularly vulnerable. The aim of the present paper is to explore critically some of the actual and possible ethical pitfalls of globalisation of clinical research and propose mechanisms for turning transnational clinical research into a more cooperative and fairer enterprise.
Clinical Trials; Clinical Research; Ethics; Guidelines; Health; Health Priorities; Power; Research; Researchers; Review; Human Experimentation Policy Guidelines / Institutional Review Boards; International and Political Dimensions of Biology and Medicine; Research on Foreign Nationals; Economics of Health Care;
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Lorenzo, Cláudio; Garrafa, Volnei; Solbakk, Jan Helge; Vidal, Susana (2010-02)The academic literature in research ethics has been marked in the past decade by a much broader focus on the need for the protection of developing communities subjected to international clinical trials. Because of the ...