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Clinical Research and the Law - Patricia M. Tereskerz

Clinical Research and the Law

Buch | Softcover
288 Seiten
2012
Wiley-Blackwell (Verlag)
978-1-4051-9567-6 (ISBN)
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This book provides a comprehensive resource for medical professionals on the various legal aspects involved in conducting clinical research.
CLINICAL RESEARCH AND THE LAW

The legal implications of conducting clinical research and trials are becoming more complex. Everyone involved in clinical research increasingly needs to be aware of not only the ethical issues at stake but also how the law affects medical practice and research. Much of clinical research and trial law and litigation is comparatively recent and researchers need to ensure current compliance on a wide range of issues including:



standards and duty of care
conflicts of interest
establishing clinical trials
informed consent
research contracts
the disclosure and withholding of clinical trial results

Clinical Research and the Law comprehensively discusses these topics and provides the answers to the legal questions and potential pitfalls encountered in medical research. It is an up-to-date, practical guide for clinical investigators and their institutional administrators, particularly risk managers and research administrators, as well as healthcare administrators and members of institutional review boards.

This book is also a key resource for medical students, postgraduate research students, practicing attorneys and counselors for teaching hospitals and institutions undertaking clinical research and contract research organizations.

Patricia M. Tereskerz Associate Professor and Director, Program in Ethics and Policy in Healthcare, Center for Biomedical Ethics and Humanities, University of Virginia School of Medicine, Charlottesville, VA, USA

Preface, ix

Chapter 1: Research malpractice and negligence, 1

1.1 Background, 1

1.2 Drugs: brief description of definitions, 4

1.3 Brief overview: conduct of clinical trials, 5

1.4 Medical devices, 6

1.5 Research malpractice: the basics, 7

1.6 Negligence actions and research: interesting aspects of medical research negligence cases, 8

Chapter 2: Duty of care: understanding the legal differences between medical treatment and medical research, 23

2.1 Establishing duty of care, 23

2.2 Do sponsors have a legal duty?, 27

Chapter 3: Establishing standard of care and violation of standard of care, 33

3.1 Research malpractice and using expert testimony to establish the standard of care, 34

3.2 Lessons learned from surgical innovation cases, 35

3.3 Standard of care and informed consent cases, 36

Chapter 4: Informed consent in clinical research, 37

4.1 Basics on informed consent in the clinical treatment setting: background, 37

4.2 Informed consent as applied to the research setting, 40

4.3 Informed consent and federal regulations, 42

4.4 Case law and federal regulations, 43

4.5 Clinical trials and pediatric patients, 46

Chapter 5: Liability issues for institutional review boards (IRBs) and data safety monitoring boards (DSMBs), 55

5.1 Liability for negligence, 56

5.2 Standard of care, 57

5.3 Proximate cause and damages, 59

5.4 Defense, 60

5.5 Practical considerations: the need for indemnification, 62

5.6 Special considerations for DSMBs, 62

Chapter 6: Legal aspects of financial conflicts of interest in clinical trials, 65

6.1 Overview, 66

6.2 Legislative background: road to creating financial conflicts of interest, 68

6.3 Financial conflicts of interest: evidence that financial conflicts of interest are problematic, 69

6.4 Regulations/legislation, 70

6.5 Litigation involving financial conflicts of interest in clinical trials, 74

6.6 Applying novel legal theories to financial conflicts of interest cases, 79

6.7 Other clinical trial cases involving financial conflicts of interest claiming constitutional violations, 81

Chapter 7: Disclosure of clinical trial information: legal ramifications of withholding study results, 87

7.1 GlaxoSmithKline, 89

7.2 Vioxx and Merck, 91

7.3 Government and other clinical trial disclosure requirements, 97

7.4 Medical journal editors and disclosure of clinical trial information, 98

Chapter 8: Clinical trials and insider trading, 105

8.1 Purpose of insider trading laws, 105

8.2 Proving insider trading, 106

8.3 Penalties, 108

8.4 Insider trading cases and clinical trials, 108

8.5 Beware: investigators and relationships with the investment industry—a risk of recent vintage, 111

8.6 Setting the stage, 113

Chapter 9: Clinical trials and criminal law, 117

9.1 How clinical trial investigators have been implicated in criminal acts, 119

9.2 False Claims Act cases and health-care fraud, 120

9.3 Clinical trial False Claims Act cases, 122

9.4 Enforcement of the False Claims Act against institutions, 130

9.5 Anti-kickback law, 132

9.6 Health-care fraud, 138

9.7 Mail and wire fraud/making false statements to government officials, 141

9.8 Proposed new FDA rule, 143

Chapter 10: Clinical trial contracts, 145

10.1 Key terms/scope of study, 146

10.2 Costs/payments, 147

10.3 Data, 147

10.4 Intellectual property, 148

10.5 Indemnification/injuries, 148

10.6 Publications, 149

10.7 Various sundry provisions, 149

Appendix A: Glossary of common terms used in connection with clinical trials, 151

Appendix B: Research involving human subjects, 163

Appendix C: Best pharmaceuticals for Children Act, 173

Appendix D: Pediatric research Equity Act of 2003, 193

Appendix E: Title 21–food and drugs: additional safeguards for children in clinical investigations, 203

Appendix F: Proposed standardized/harmonized clauses for clinical trial agreements, 209

Appendix G: Responsibility of applicants for promoting objectivity in research for which public health service funding is sought and responsible prospective contractors, 225

Index, 257

Verlagsort Hoboken
Sprache englisch
Maße 140 x 216 mm
Gewicht 304 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete
Recht / Steuern EU / Internationales Recht
Recht / Steuern Privatrecht / Bürgerliches Recht Medizinrecht
ISBN-10 1-4051-9567-3 / 1405195673
ISBN-13 978-1-4051-9567-6 / 9781405195676
Zustand Neuware
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