Naming it ‘nano’: Expert views on ‘nano’ terminology in informed consent forms of first-in-human nanomedicine trials

Author:

Satalkar Priya1,Elger Bernice Simone1,Shaw David1

Affiliation:

1. Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland

Abstract

Background: Obtaining valid informed consent (IC) can be challenging in first-in-human (FIH) trials in nanomedicine due to the complex interventions, the hype and hope concerning potential benefits, and fear of harms attributed to ‘nano’ particles. Aim: We describe and analyze the opinions of expert stakeholders involved in translational nanomedicine regarding explicit use of ‘nano’ terminology in IC documents. Methods: We draw on content analysis of 46 in-depth interviews with European and North American stakeholders. Results: We received a spectrum of responses (reluctance, ambivalence, absolute insistence) on explicit mention of ‘nano’ in IC forms with underlying reasons. Conclusion: We conclude that consistent, clear and honest communication regarding the ‘nano’ dimension of investigational product is critical in IC forms of FIH trials.

Publisher

Future Medicine Ltd

Subject

Development,General Materials Science,Biomedical Engineering,Medicine (miscellaneous),Bioengineering

Reference30 articles.

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2. World Medical Association, (WMA). WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects. Fortaleza, Brazil, October 2013. www.wma.net/en/30publications/10policies/b3/.

3. European Parliament, Council of the European Union. Directive 2001/20/EC of the European Parliament and of the Council of 4 April 2001 on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use. http://ec.europa.eu/health/files/eudralex/vol–1/dir_2001_20/dir_2001_20_en.pdf.

4. U.S. Department of Health and Human Services. U.S. Code of Federal Regulations, 45 CFR 46; revised 2009. www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html.

5. National Health Services. UK. Information sheets and consent forms. Guidance for researchers and reviewers. March 2011. www.hra.nhs.uk/documents/2013/09/information-sheet-and-consent-form-guidance.pdf.

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