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      Investigación clínica y buenas prácticas clínicas. Más historias por contar

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Con el objetivo de garantizar la conducción ética de la investigación científica en seres humanos y que en su ejecución prevalezcan el interés por la salud y el bienestar de los sujetos participantes, se han desarrollado diversas pautas, normas y parámetros dirigidos a la comunidad científica que implementa la investigación en estos sujetos. Uno de esos parámetros normativos es el de las buenas prácticas clínicas, el cual, luego de su implementación a través de la Resolución 2378 de 2008, se ha convertido en un documento orientador de gran relevancia para la investigación clínica en Colombia. El presente artículo relata sus orígenes y versiones, y reflexiona sobre sus limitaciones frente al debate ético que gira alrededor de la evaluación de protocolos de investigación por parte de los comités de ética.

          Translated abstract

          Resumo Com o objetivo de garantir a condução ética da pesquisa científica em seres humanos e que em sua execução prevaleça o interesse pela saúde e pelo bem-estar dos sujeitos participantes, foram desenvolvidas diversas pautas, normas e parâmetros dirigidos à comunidade científica que implementa a pesquisa nesses sujeitos. Um desses parâmetros normativos é o das boas práticas clínicas, o qual, depois de sua implementação por meio da Resolução 2378 de 2008, tornou-se um documento orientador de grande relevância para a pesquisa clínica na Colômbia. O presente artigo relata suas origens e versões, e reflete sobre suas limitações com relação ao debate ético que gira em torno da avaliação de protocolos de pesquisa, por parte dos comitês de ética.

          Translated abstract

          Abstract For guaranteeing the ethical conduct of scientific research on human beings in which the interest in the health and well-being of the participating subjects prevail, various guidelines, standards, and parameters have been established for the scientific community. One of these regulatory parameters is good clinical practice, which, after its implementation by Resolution 2378 of 2008, has become a highly relevant guide for clinical trials in Colombia. This article relates its origins and versions and goes over its limitations regarding the ethical debate on ethics committees evaluating research protocols.

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          Most cited references61

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          Ethics and clinical research.

          H BEECHER (1966)
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            Thalidomide: the tragedy of birth defects and the effective treatment of disease.

            Thalidomide was a widely used drug in the late 1950s and early 1960s for the treatment of nausea in pregnant women. It became apparent in the 1960s that thalidomide treatment resulted in severe birth defects in thousands of children. Though the use of thalidomide was banned in most countries at that time, thalidomide proved to be a useful treatment for leprosy and later, multiple myeloma. In rural areas of the world that lack extensive medical surveillance initiatives, thalidomide treatment of pregnant women with leprosy has continued to cause malformations. Research on thalidomide mechanisms of action is leading to a better understanding of molecular targets. With an improved understanding of these molecular targets, safer drugs may be designed. The thalidomide tragedy marked a turning point in toxicity testing, as it prompted United States and international regulatory agencies to develop systematic toxicity testing protocols; the use of thalidomide as a tool in developmental biology led to important discoveries in the biochemical pathways of limb development. In celebration of the Society of Toxicology's 50th Anniversary, which coincides with the 50th anniversary of the withdrawal of thalidomide from the market, it is appropriate to revisit the lessons learned from the thalidomide tragedy of the 1960s.
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              The importance of Good Clinical Practice guidelines and its role in clinical trials

              Good Clinical Practice (GCP) is an international ethical and scientific quality standard for the design, conduct, performance, monitoring, auditing, recording, analyses and reporting of clinical trials. It also serves to protect the rights, integrity and confidentiality of trial subjects. It is very important to understand the background of the formation of the ICH-GCP guidelines as this, in itself, explains the reasons and the need for doing so. In this paper, we address the historical background and the events that led up to the formation of these guidelines. Today, the ICH-GCP guidelines are used in clinical trials throughout the globe with the main aim of protecting and preserving human rights.
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                Author and article information

                Journal
                pebi
                Persona y Bioética
                pers.bioét.
                Universidad de la Sabana (Chia, Cundinamarca, Colombia )
                0123-3122
                2027-5382
                December 2020
                : 24
                : 2
                : 188-204
                Affiliations
                [1] Bogotá orgnamePontificia Universidad Javeriana Colombia fernando.suarez@ 123456javeriana.edu.co
                Article
                S0123-31222020000200188 S0123-3122(20)02400200188
                10.5294/pebi.2020.24.2.6
                d7a4109e-8c94-4103-9dd5-937aab751bc4

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 61, Pages: 17
                Product

                SciELO Colombia

                Categories
                Artículos de reflexión

                Pesquisa,pesquisa em ética,comissão de ética,comités de ética,Research,ethics research,ethics committees,investigación,ética en investigación

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