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Table 8 Answers to question 9. “Which measures does your institution take “to avoid abuse of this option” as outlined in paragraph 32 of the Declaration of Helsinki?”

From: Ethical principles and placebo-controlled trials – interpretation and implementation of the Declaration of Helsinki’s placebo paragraph in medical research

Safeguards

Country

Ethic Committees/International Review Boards (IRBs)

Austria, Argentina, Cuba, Germany, Ireland, Malaysia, Namibia, Republic of Belarus, Senegal, The EU, United Arab Emirates, Uganda, USA

Trial protocola

Canada, Czech Republic, Ghana, Israel, Slovakia, The EU, The Netherlands,

During the trial: closely monitoring, short time period of trial, rescue medication, patients right to withdraw from the trial at any time

Chile, Cuba, the EU, Republic of Belarus Saudi Arabia

Rejection of trial if not in accordance with requirements

Austria, Czech Republic, The EU, USA

No difference between local and global standard

Botswana, The EU

Add-on study

Germany

No placebo use if effective treatment is available

Japan

Informed consent

The EU

None

United Kingdom

  1. aIncluding: a justification for placebo use, a comparison of placebo to standard therapy and an outline of the methodology that would be used to minimize the risk to trial subjects