A Survey on the Current Status of Human Research Protection Program Settlement and Subject Protection Activities in Korea

국내 임상시험 및 대상자 보호프로그램 도입 현황과 안전관 리체계에 대한 설문조사 연구

  • Park, Sinyoung (Human Research Protection Center, Severance Hospital, Yonsei University Health System) ;
  • Cho, Su Jin (Center for Human Research Protection Program, Seoul National University Hospital) ;
  • Seo, Kyung Jeong (Center for Human Research Protection Program, Seoul National University Bundang Hospital) ;
  • Kim, Jin Seok (Human Research Protection Center, Severance Hospital, Yonsei University Health System)
  • 박신영 (세브란스병원 임상연구관리실 임상연구보호센터) ;
  • 조수진 (서울대학교병원 임상연구윤리센터) ;
  • 서경정 (분당서울대병원 임상연구윤리센터) ;
  • 김진석 (세브란스병원 임상연구관리실 임상연구보호센터)
  • Received : 2021.08.27
  • Accepted : 2021.09.13
  • Published : 2021.09.30

Abstract

Purpose: The purpose of this study is to assess the status of the Human research Protection Program (HRPP) within a hospital or a research institute in Korea. Methods: Survey was conducted during June 12th-21th 2019. Survey was distributed to the members of Korean Association of IRB (KAIRB) through each IRB office. Descriptive statistics were performed using SPSS ver. 26. Results: A total of 86 people responded, and 75 (87.0%) answered that they have perceived the HRPP. Seventy out of 86 respondents (81.4%) were conducting internal audit, several institutions were operated simultaneously the other form of audits such as IRB audit, system audit. Regarding the management of Suspected Unexpected Serious Adverse Reaction (SUSAR), 62.8% answered that they have regulation that can decide to suspend the study when there is a risk to subject safety. Among the respondents, 66.3% performed 'Help desk.' Conclusion: In this study, we assessed the current status of HRPP operation at each research institution based on Ministry of Food and Drug Safety (MFDS) HRPP guidelines. The HRPP accredited institution operated the subject protection activities according to this program, and even if the HRPP was not officially operated, the related activities were conducted focusing on the cases that could have a significant impact on the safety of research subjects. In order to ensure the quality of domestic clinical trials and to stably establish the HRPP, efforts at the individual institution level will be required.

Keywords

Acknowledgement

This study was funded by Ministry of Food and Drug Safety with Grant no. 20190404A54-00.

References

  1. Massett HA, Hampp SL, Goldberg JL, Mooney M. Meeting the challenge: the National Cancer Institute's Central Institutional Review Board for multi-site research. J Clin Oncol 2018;36:819-24. https://doi.org/10.1200/JCO.2017.76.9836
  2. Vardeny O, Hernandez AF, Cohen LW, Franklin A, Baqai M, Palmer S, et al. Transitioning to the National Institutes of Health single institutional review board model: piloting the use of the streamlined, multi-site, accelerated resources for trials IRB reliance. Clin Trials 2019;16:290-6. https://doi.org/10.1177/1740774519832911
  3. Burr JS, Johnson AR, Vasenina V, Bisping S, Coleman RW, Botkin JR, et al. Implementing a central IRB model in a multicenter research network. Ethics Hum Res 2019;41:23-8.
  4. Tsan MF, Tsan LW. Assessing the quality of human research protection programs to improve protection of human subjects participating in clinical trials. Clin Trials 2015;12:224-31. https://doi.org/10.1177/1740774514568688
  5. Kurzrock R, Kantarjian H, Stewart DJ. A cancer trial scandal and its regulatory backlash. Nat Biotechnol 2014;32:27-31. https://doi.org/10.1038/nbt.2792
  6. Association for the Accreditation of Human Research Protection Programs (AAHRPP) [Internet]. Washington, DC: AAHRPP; [cited 2021 Apr 7]. Available from: http://www.aahrpp.org.
  7. Ministry of Food and Drug Safety. Guidance for operating Human Research Protection Program. Cheongju (Korea): Ministry of Food and Drug Safety; 2014.
  8. Institute of Medicine (US) Committee on Assessing the System for Protecting Human Research Subjects. Preserving Public Trust: Accreditation and Human Research Participant Protection Programs. Washington (DC): National Academies Press (US); 2001.
  9. Anderson JA, Sawatzky-Girling B, McDonald M, Pullman D, Saginur R, Willison DJ. Research ethics broadly writ: beyond REB review. Health Law Rev 2011;19:12-24.
  10. Bairy KL, Pereira P. Accreditation of human research protection program: an Indian perspective. Perspect Clin Res 2012;3:80-4. https://doi.org/10.4103/2229-3485.96455
  11. Wolf LE, Croughan M, Lo B. The challenges of IRB review and human subjects protections in practice-based research. Med Care 2002;40:521-9. https://doi.org/10.1097/00005650-200206000-00009
  12. Seo MJ. Press Release. As clinical trials increase, adverse drug reactions also ↑... 36 deaths last year. MEDIGATE [Internet]. 2020 Oct 16 [cited 2021 Apr 7]. Available from: http://medigatenews.com/news/2187887540.
  13. Kwak SJ, Choi BI. Research on the development of a standard model for the Subject Protection Program (HRPP) suitable for the domestic situation. Cheongju (Korea): Ministry of Food and Drug Safety; 2014.
  14. Easa D, Kim K, Kato K, Ho T. The research subject advocate at the University of Hawai'i Clinical Research Center: an added resource for protection of human subjects. Hawaii Med J 2006;65:50-2.
  15. Wolf LE, Croughan M, Lo B. The challenges of IRB review and human subjects protections in practice-based research. Med Care 2002;40:521-9. https://doi.org/10.1097/00005650-200206000-00009