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7. ETHICAL ISSUES IN NEUROSCIENCE RESEARCH ON SUBSTANCE DEPENDENCE TREATMENT AND PREVENTION





                        B.  Basic principles for all medical research
                        10. It is the duty of the physician in medical research to protect the life, health,
                            privacy, and dignity of the human subject.
                        11. Medical research involving human subjects must conform to generally
                            accepted scientific principles, be based on a thorough knowledge of the
                            scientific literature, other relevant sources of information, and on adequate
                            laboratory and, where appropriate, animal experimentation.
                        12. Appropriate caution must be exercised in the conduct of research which
                            may affect the environment, and the welfare of animals used for research
                            must be respected.
                        13. The design and performance of each experimental procedure involving human
                            subjects should be clearly formulated in an experimental protocol. This
                            protocol should be submitted for consideration, comment, guidance, and
                            where appropriate, approval to a specially appointed ethical review
                            committee, which must be independent of the investigator, the sponsor or
                            any other kind of undue influence. This independent committee should be in
                            conformity with the laws and regulations of the country in which the research
                            experiment is performed. The committee has the right to monitor ongoing
                            trials. The researcher has the obligation to provide monitoring information
                            to the committee, especially any serious adverse events. The researcher
                            should also submit to the committee, for review, information regarding
                            funding, sponsors, institutional affiliations, other potential conflicts of interest
                            and incentives for subjects.
                        14. The research protocol should always contain a statement of the ethical
                            considerations involved and should indicate that there is compliance with
                            the principles enunciated in this Declaration.

                        15.  Medical research involving human subjects should be conducted only by
                            scientifically qualified persons and under the supervision of a clinically
                            competent medical person. The responsibility for the human subject must
                            always rest with a medically qualified person and never rest on the subject
                            of the research, even though the subject has given consent.
                        16. Every medical research project involving human subjects should be preceded
                            by careful assessment of predictable risks and burdens in comparison with
                            foreseeable benefits to the subject or to others. This does not preclude the
                            participation of healthy volunteers in medical research. The design of all
                            studies should be publicly available.
                        17. Physicians should abstain from engaging in research projects involving
                            human subjects unless they are confident that the risks involved have
                            been adequately assessed and can be satisfactorily managed. Physicians
                            should cease any investigation if the risks are found to outweigh the
                            potential benefits or if there is conclusive proof of positive and beneficial
                            results.



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