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CITI - informed consent Exam Questions and Answers 100% Pass

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CITI - informed consent Exam Questions and Answers 100% Pass

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CITI - informed consent Exam

Questions and Answers 100% Pass


An investigator is confronted with a life-threatening situation that necessitates

using a test article in a human subject who is unable to provide informed consent

and there is no time to obtain consent from the individual's legal representative

and no alternative method or recognized therapy is available. Under the FDA

regulations for using test articles, which of the following describes the best course

of action for the investigator: - CORRECT ANSWER-The investigator and an

independent physician agree that the situation necessitates the use of the test

article. An exception or waiver for informed consent can be made under these

circumstances. The IRB will be notified later.

The life- threatening situation requires a timely decision so that the test article can

be ethically used. It would be unethical to withhold emergency treatment until a

research protocol is submitted and approved by the IRB. Not using the test article

in a situation where it might save a life is also unethical. The Federal regulations

(21 CFR 50.24) provide the option of using the test article in a life-threatening

condition involving an individual subject where the following requirements for an

exception from informed consent are met. 1. The investigator, with the

, concurrence of another physician, believes the situation necessitates the use of a

test article (i.e., an investigational drug, device, or biologic). 2. The subject and/or

legally authorized representative is unable to communicate consent 3. There is

insufficient time to obtain consent. And 4. No alternative exists that will provide

an equal or better chance of saving the subject's life.

A 46-year-old man is currently enrolled in a Phase 2 study of a drug for severe

diabetic neuropathy. While the study is on going, a new drug becomes

commercially available that may have equal or greater benefit to the subject. The

investigator should do which of the following? - CORRECT ANSWER-Give the

subject comprehensive information about the new drug, including its side effects.

Discuss the pros and cons of both the investigational drug and the commercially

available drug and then allow the subject to decide whether to withdraw from the

research to take the new drug.

Phase 2 clinical trials involve volunteers who have the disease or condition to be

treated. These trials help physicians and researchers begin to learn more about the

safety of the new drug treatment and how well the drug treats the targeted disease

or condition. Several different doses of the drug may be tested to see which dose

has the desired effects. Subjects are monitored for side effects and for any

improvement in their illness, symptoms, or both. Informed consent is not a one-

time procedure but a continuing and ongoing process. 45 CFR 116(b) and 21 CFR




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