送交者: sheepman 于 2006-07-20, 07:26:14:
首先澄清的是,这里说的IRB(Institutional Review Board)就是业界常说的IEC或EC(Independent Ethics Committee),即国内说的伦理委员会,可以明确告诉BLACKBOX的是,近几年,几乎所有的三甲医院都有IEC。
根据ICH GCP的描述, IEC/IRB的责任是“whose responsibility it is to ensure the protection of the rights, safety and well-being of human subjects involved in a trial and to provide public assurance of that protection, by, among other things, reviewing and approving/providing favourable opinion on, the trial protocol, the suitability of the investigator(s), facilities, and the methods and material to be used in obtaining and documenting informed consent of the trial subjects.“ ICH GCP 1.27
IEC/IRB是如何保证the suitability of the investigator(s),即研究者是否合适的哪?
在IEC 一章中写道:”The IRB/IEC should consider the qualifications of the investigator for the proposed trial, as documented by a current curriculum vitae and/or by any other relevant documentation the IRB/IEC requests.”ICH GCP3.1.3
中国《药物临床试验质量管理规范》第三章第十二条 伦理委员会应从保障受试者权益的角度严格按下列各项审议试验方案:(一)研究者的资格、经验、是否有充分的时间参加临床试验,人员配备及设备条件等是否符合试验要求;
显然, IEC/IRB通过审阅研究者(INVESTIGATOR)的简历来评介其是否适合进行临床试验,那么,谁是本案中的研究者(INVESTIGATOR)?
先看一下ICH GCP的定义:
A person responsible for the conduct of the clinical trial at a trial site. If a trial is conducted by a team of individuals at a trial site, the investigator is the responsible leader of the team and may be called the principal investigator. See also Subinvestigator.ICH GCP 1.34
显然,本案中黄红云就该团队的负责领导即本试验的研究者,根据ICH GCP及中国《药物临床试验质量管理规范》的规定,他:
1. 在试验启动前,必须将个人简历交至IEC/IRB审阅通过,但无须提交其他人的名单或简历;
2. 有权决定何人参与试验,(在不违反GCP及相关法律的前提下).
而这位BLACKBOX连GCP的基本概念都搞不清楚,就反复推导,长篇大论,实在有点让人发笑. 但同样有点让人苦笑不得的是,黄红云在回复Blackbox中断然说:Blackbox你说得很对:研究人员是否能参加课题研究,最后决定权在IRB;然而我不向朝阳医院IRB申请,Guest将永远不可能成为我这一研究课题的成员。
或许我们在进行富有激情,充满正义感的辩论前要先学点基础知识.