在COVID-19中,人类挑战试验的案例
1Melbourne Law School, University of Melbourne, Parkville, VIC, Australia. gdrewett@gmail.com.
Journal of bioethical inquiry
|September 18, 2023
概括
人类受控感染试验 (CHIT) 加快了对COVID-19的理解和治疗开发. 本综述审查了早期COVID-19挑战研究中CHIT历史,伦理和WHO标准的合规性.
科学领域:
- 传染性疾病 传染性疾病
- 医学伦理 医学伦理
- 临床试验 临床试验
背景情况:
- 随着COVID-19的流行,人们迫切需要对疾病的理解和新型治疗方法的研究.
- 人类受控感染试验 (CHIT) 是快速研究的潜在途径.
- 在COVID-19时代之前,有故意感染人类和CHIT的历史先例存在.
研究的目的:
- 检查CHITs的历史和以前的使用情况.
- 在COVID-19大流行背景下分析CHIT的关键伦理考虑.
- 审查世界卫生组织 (WHO) 对道德COVID-19人类挑战研究的标准,并评估已开始试验的合规性.
主要方法:
- 蓄意感染人类和CHITs的历史审查.
- 分析伦理框架和指导方针,特别是世卫组织的标准.
- 对两个启动的COVID-19 CHIT的案例研究审查,评估它们遵守道德标准和世卫组织标准.
主要成果:
- 在COVID-19大流行之前,CHIT有历史基础.
- 在COVID-19 CHITs的背景下,出现了特定的伦理挑战.
- 对两家COVID-19 CHIT的评估表明它们符合世卫组织的标准和伦理考虑.
结论:
- CHIT为加速COVID-19研究提供了一个有价值的模型.
- 在COVID-19 CHIT的设计和执行中,道德考虑至关重要.
- 世卫组织的标准为确保这些研究的伦理可接受性提供了一个框架.
相关概念视频
Clinical Trials
6.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.8K
Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K
Controls in Experiments
7.8K
When conducting an experiment, it is crucial to have control to reduce bias and accurately measure the dependent variables. It also marks the results more reliable. Controls are elements in an experiment that have the same characteristics as the treatment groups but are not affected by the independent variable. By sorting these data into control and experimental conditions, the relationship between the dependent and independent variables can be drawn. A randomized experiment always includes a...
7.8K
Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K


