General requirements for informed consent (45 CFR 46.116)
Except as provided
elsewhere in this policy, no investigator may involve a human being as a
subject in research covered by this policy unless the investigator has obtained
the legally effective informed consent of the subject or the subject's legally
authorized representative. An investigator shall seek such consent only under
circumstances that provide the prospective subject or the representative
sufficient opportunity to consider whether or not to participate and that
minimize the possibility of coercion or undue influence. The information that
is given to the subject or the representative shall be in language
understandable to the subject or the representative. No informed consent,
whether oral or written, may include any exculpatory language through which the
subject or the representative is made to waive or appear to waive any of the
subject's legal rights, or releases or appears to release the investigator, the
sponsor, the institution or its agents from liability for negligence.
(a) Basic elements of
informed consent. Except as provided in paragraph (c) or (d) of this section,
in seeking informed consent the following information shall be provided to each
subject:
(1)
a statement that the study involves research, an explanation of the purposes of
the research and the expected duration of the subject's participation, a
description of the procedures to be followed, and identification of any
procedures which are experimental;
(2)
a description of any reasonably foreseeable risks or
discomforts to the subject;
(3)
a description of any benefits to the subject or to
others which may reasonably be expected from the research;
(4)
a disclosure of appropriate alternative procedures or
courses of treatment, if any, that might be advantageous to the subject;
(5)
a statement describing the extent, if any, to which
confidentiality of records identifying the subject will be maintained;
(6)
for research involving more than minimal risk, an explanation as to whether any
compensation and an explanation as to whether any medical treatments are
available if injury occurs and, if so, what they consist of, or where further
information may be obtained;
(7)
an explanation of whom to contact for answers to pertinent questions about the
research and research subjects' rights, and whom to contact in the event of a
research-related injury to the subject; and
(8)
a statement that participation is voluntary, refusal
to participate will involve no penalty or loss of benefits to which the subject
is otherwise entitled, and the subject may discontinue participation at any
time without penalty or loss of benefits to which the subject is otherwise
entitled.
(b) additional
elements of informed consent. When appropriate, one or more of the following
elements of information shall also be provided to each subject:
(1)
a statement that the particular treatment or procedure
may involve risks to the subject (or to the embryo or fetus, if the subject is
or may become pregnant) which are currently unforeseeable;
(2)
anticipated circumstances under which the subject's
participation may be terminated by the investigator without regard to the
subject's consent;
(3)
any additional costs to the subject that may result
from participation in the research;
(4)
the consequences of a subject's decision to withdraw
from the research and procedures for orderly termination of participation by
the subject;
(5)
A statement that significant new findings developed during the course of the
research which may relate to the subject's willingness to continue
participation will be provided to the subject; and
(6)
the approximate number of subjects involved in the
study.