Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]Code Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6817f23d74574-trace').style.display = (document.getElementById('cakeErr6817f23d74574-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr6817f23d74574-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6817f23d74574-code').style.display = (document.getElementById('cakeErr6817f23d74574-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr6817f23d74574-context').style.display = (document.getElementById('cakeErr6817f23d74574-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr6817f23d74574-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6817f23d74574-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement. </div> <div style="text-align: justify"> <br /> </div>', 'credit_writer' => 'The Hindu, 13 January, 2012, http://www.thehindu.com/todays-paper/tp-national/article2797242.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'amend-clinical-trial-rules-after-wider-consultations-health-activists-12545', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 12545, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 12425, 'metaTitle' => 'LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists', 'metaKeywords' => 'Health', 'metaDesc' => ' -The Hindu &nbsp; Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry...', 'disp' => '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement.</div><div style="text-align: justify"><br /></div>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement. </div> <div style="text-align: justify"> <br /> </div>', 'credit_writer' => 'The Hindu, 13 January, 2012, http://www.thehindu.com/todays-paper/tp-national/article2797242.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'amend-clinical-trial-rules-after-wider-consultations-health-activists-12545', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 12545, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 12425 $metaTitle = 'LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists' $metaKeywords = 'Health' $metaDesc = ' -The Hindu &nbsp; Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry...' $disp = '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement.</div><div style="text-align: justify"><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists | Im4change.org</title> <meta name="description" content=" -The Hindu Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Amend clinical trial rules after wider consultations: health activists</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"> </div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">“While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement.</div><div style="text-align: justify"><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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'' : 'none')">Context</a><pre id="cakeErr6817f23d74574-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6817f23d74574-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement. </div> <div style="text-align: justify"> <br /> </div>', 'credit_writer' => 'The Hindu, 13 January, 2012, http://www.thehindu.com/todays-paper/tp-national/article2797242.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'amend-clinical-trial-rules-after-wider-consultations-health-activists-12545', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 12545, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 12425, 'metaTitle' => 'LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists', 'metaKeywords' => 'Health', 'metaDesc' => ' -The Hindu &nbsp; Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry...', 'disp' => '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. 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They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. 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They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement.</div><div style="text-align: justify"><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists | Im4change.org</title> <meta name="description" content=" -The Hindu Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Amend clinical trial rules after wider consultations: health activists</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"> </div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">“While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement.</div><div style="text-align: justify"><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr6817f23d74574-trace').style.display = (document.getElementById('cakeErr6817f23d74574-trace').style.display == 'none' ? 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'' : 'none')">Context</a><pre id="cakeErr6817f23d74574-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr6817f23d74574-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> &nbsp; </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement. </div> <div style="text-align: justify"> <br /> </div>', 'credit_writer' => 'The Hindu, 13 January, 2012, http://www.thehindu.com/todays-paper/tp-national/article2797242.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'amend-clinical-trial-rules-after-wider-consultations-health-activists-12545', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 12545, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 12425, 'metaTitle' => 'LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists', 'metaKeywords' => 'Health', 'metaDesc' => ' -The Hindu &nbsp; Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry...', 'disp' => '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. 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They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> &ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. 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They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,&rdquo; a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. &ldquo;The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,&rdquo; says the statement.</div><div style="text-align: justify"><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/amend-clinical-trial-rules-after-wider-consultations-health-activists-12545.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists | Im4change.org</title> <meta name="description" content=" -The Hindu Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Amend clinical trial rules after wider consultations: health activists</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"> </div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">“While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement.</div><div style="text-align: justify"><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> “While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement. </div> <div style="text-align: justify"> <br /> </div>', 'credit_writer' => 'The Hindu, 13 January, 2012, http://www.thehindu.com/todays-paper/tp-national/article2797242.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'amend-clinical-trial-rules-after-wider-consultations-health-activists-12545', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 12545, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 12425, 'metaTitle' => 'LATEST NEWS UPDATES | Amend clinical trial rules after wider consultations: health activists', 'metaKeywords' => 'Health', 'metaDesc' => ' -The Hindu Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry...', 'disp' => '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify"> </div><div style="text-align: justify">Issues of conflict of interest within Ethics Committee remain to be resolved, they say</div><div style="text-align: justify">Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">“While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement.</div><div style="text-align: justify"><br /></div>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 12425, 'title' => 'Amend clinical trial rules after wider consultations: health activists', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Hindu </div> <div style="text-align: justify"> </div> <div style="text-align: justify"> Issues of conflict of interest within Ethics Committee remain to be resolved, they say </div> <div style="text-align: justify"> Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> “While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> These are not part of any hospital but owned and operated by private commercial interest. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. </div> <div style="text-align: justify"> <br /> </div> <div style="text-align: justify"> There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. 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They have suggested wider consultations before the amendments are notified.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">“While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">These are not part of any hospital but owned and operated by private commercial interest.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement.</div><div style="text-align: justify"><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'
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Amend clinical trial rules after wider consultations: health activists |
-The Hindu Issues of conflict of interest within Ethics Committee remain to be resolved, they say Public health activists and women's rights groups have raised concerns over compensation-related amendments to the Drugs and Cosmetic Rules 2011 proposed by the Union Health Ministry for subjects of clinical trials. They have suggested wider consultations before the amendments are notified. The proposed amendments pertain to the Drugs and Cosmetics Rules, 1945 (rule 122 DAA) saying that compensation in case of injury or death during the clinical trial would be solely decided by the Ethics Committee. As of now, the compensation is decided by the trial sponsors, be it a pharmaceutical company, the government or an institution, in consultation with the Ethics Committee. “While we believe that regulation is necessary given the unchecked proliferation of clinical trials in India today, we also believe that the proposed amendment falls short of ensuring comprehensive and effective regulation,” a statement issued by Sarojini N. of Sama and Srinivasan S. of Locost said here on Thursday. Drawing the attention of the government to the problem areas, the statement says the issues of conflict of interest within the Ethics Committee remain to be resolved as there could be institutional biases with the committee depending on who the Principal Investigator of the trial is. Importantly, many independent Ethics Committees are formed to pass protocols rather than look at them objectively. These are not part of any hospital but owned and operated by private commercial interest. While compensation will depend on injury or death on a case-by-case basis and this cannot be standardised, a wide variation in compensation decided by different Ethics Committees may not be desirable because trials may start migrating to the centres with relatively lenient Ethics Committees. The government should arrive at a specific compensation amount for death whether related or unrelated to clinical trial. For serious adverse events, an algorithm could be developed and compensation awarded based on the algorithm points. Further, the statement says new rules have been expanded to include protocol violation and negligence of researchers, failure of investigational products, administration of placebo, adverse effects due to concomitant medication, and injury to a child in uterus. There needs much more discussion and elaboration as they still do not include many concerns. “The new rules will cover only permanent injury or death with no relief for even prolonged temporary injury. Also, death or injury in a trial is routinely attributed to the natural progression of the disease rather than the adverse effect of the drug being tested. There is no independent system of verification by outside experts which results in a large number of drug-related injuries and deaths being denied compensation,” says the statement. |