The Declaration of Helsinki is a set of ethical principles regarding human experimentation Clarifications of Articles 29, 30 (–); Sixth revision (); Seventh revision (). 3 Future; 4 Timeline (WMA meetings); 5 See. Helsingforsdeklarationen som en sam- ling etiska principer i syfte att vägleda läkare och andra som medverkar i medi- cinsk forskning som omfattar männi- skor. Från Helsingforsdeklarationen och Biomedicinkonventionen till den svenska Genom en ändring i lagen ändras etikprövningslagens definition av.

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Wherever possible unproven methods should be tested in the context of research where there is reasonable belief of possible benefit Article Article 30 was debated further at the meeting, with another proposed clarification [50] but did not result in any convergence of thought, and so decisions were postponed for another year, [53] [54] but again a commitment was made to protecting the vulnerable.

The New England Journal of Medicine.

Declaration of Helsinki

The responsibility for the protection of research subjects must always rest with the physician or other health care professionals and never with the research subjects, even though they have given consent.

The revision was almost twice the length of the original. Public debate was relatively slight compared to previous cycles, and in general supportive. JAMA Dec 20 The risks must be continuously monitored, assessed and documented by the researcher. This article is about the human medical experimentation ethics document. Informed consent was developed further, made more prescriptive and partly moved from ‘Medical Research Combined with Professional Care’ into the first section Basic Principleswith the burden of proof for not requiring consent being placed on the investigator to justify to the committee.

The duty to the individual was given primacy over that to society Article I. British Journal of Clinical Pharmacology. In such situations the research may be done only after consideration and approval of a research ethics committee.

In medical research involving human subjects capable of giving informed consent, each potential subject must be adequately informed of the aims, methods, sources of funding, any possible conflicts of interest, institutional affiliations of helsingforsdeklarrationen researcher, the anticipated benefits and potential risks of the study and the discomfort it may entail, post-study provisions and any other relevant aspects of the study. WMA revises the Declaration of Hslsingforsdeklarationen.

Research on patients or healthy volunteers requires the supervision of a competent and appropriately qualified physician or other health care professional. No amendment to the protocol may be made without consideration and approval by the committee.


The researcher must provide monitoring information to the committee, especially information about any serious adverse events. The controversies and national divisions over the text have continued.

Despite these changes, as Macklin predicted, consensus was no closer and the Declaration was considered by some to be out of touch with contemporary thinking, [57] and even the question of the future of the Declaration became a matter for conjecture.

Declaration of Helsinki – Wikipedia

Investigators still have to abide by local legislation but will be held to the higher standard. By helsingforsdeklaratipnen this site, you agree to the Terms of Use and Privacy Policy.

Helsingforsdeklqrationen individuals must not be included in a research study that has no likelihood of benefit for them unless it is intended to promote the health of the group represented by the potential subject, the research cannot instead be performed with persons capable helsingforddeklarationen providing informed consent, and the research entails only minimal risk and minimal burden. The cornerstone of research ethics”. The distinction between therapeutic and non-therapeutic research introduced in the original document, criticised by Levine [19] [38] was removed to emphasise the more general application of ethical principles, but the application of the principles to healthy volunteers is spelt out in Articlesand they are referred to in Article 8 ‘those who will not benefit personally from the research’ as being especially vulnerable.

The protocol should contain a statement of the ethical considerations involved and should indicate how the principles in this Declaration have been addressed. Surprisingly, although the wording helsingforsdeklaratuonen virtually unchanged, this created far more protest in this revision.

Amongst the many changes was an increased emphasis on the need to benefit the communities in which research is undertaken, and to draw attention to the ethical problems of experimenting on those who would not benefit from the research, such as developing countries in which innovative medications would not be available.

The actual claims to authority particularly on a global level, by the insertion of the word “international” in article 10 has been challenged.

Consistent with the mandate of the WMA, the Declaration is addressed primarily to physicians. Indian Journal of Dermatology, Venereology and Leprology. This new role for the Declaration has been both denounced [18] and praised, [39] Macklin R.

Historical and contemporary perspectives. These implications further came into public view since the Helsinki declaration had stated, “In the treatment of the sick person, the physician must be free to helsinbforsdeklarationen a new diagnostic and therapeutic measure, if in his or her judgement, it offers hope of saving life, reestablishing health or alleviating suffering.


Risks, Burdens and Benefits When a potential research subject who is deemed incapable of giving informed consent is able to give assent to decisions about participation in research, the physician must seek that assent in addition to the consent of the helsingfkrsdeklarationen authorised representative. The opposing view, as expressed by Levine [19] and by Temple and Ellenberg [43] is referred to as ‘placebo orthodoxy’, insisting that placebo controls are more scientifically efficient and are justifiable where the risk of harm is low.

These included the claims that the continuing trials in developing countries were unethical, and pointing out a fundamental discrepancy in decisions to change the study design in Thailand but not Africa. Ethical Principles For Medical Research. Where for compelling and scientifically sound methodological reasons the use of any intervention less effective than the best proven one, the use of placebo, or no intervention is necessary to determine the efficacy or safety of an intervention.

Research Ethics Committees The subsequent initiation of further placebo helisngforsdeklarationen trials carried out in developing countries and funded by the United States Centers for Disease Control or National Institutes of Health raised considerable concern when it was learned that patients in trials in the US had essentially unrestricted access to the drug, while those in developing countries did not.

Researchers, authors, sponsors, editors and publishers all have ethical obligations with regard to the publication and dissemination of the results of research. Justification was provided by a WHO group in Geneva which concluded ” Placebo-controlled trials offer the best option for a rapid and scientifically valid assessment of alternative antiretroviral drug regimens to prevent transmission of HIV “. Foreign clinical studies not conducted under an investigational new drug application.

Declaration of Helsinki – WMA – The World Medical Association

Consent to remain in the research must be obtained as soon as possible from the subject or a legally authorised representative. Negative and inconclusive as well as positive results must be published or otherwise made publicly available. Bulletin of the World Health Organization.

Theoretical Medicine and Bioethics. A Step Forward or More Confusion?