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How Clinical Trials Really Work: Rethinking Research Ethics
- Kennedy Institute of Ethics Journal
- Johns Hopkins University Press
- Volume 21, Number 2, June 2011
- pp. 121-139
- 10.1353/ken.2011.0008
- Article
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Despite prevalent concerns about the ethical conduct of clinical trials, little is known about the day-to-day work of trials and the ethical challenges arising in them. This paper reports on a study designed to fill this gap and demonstrates a need to refine the oversight system for trials to reflect an understanding of this day-to-day work. It also illuminates ethical challenges that cannot be addressed by the oversight system and so necessitate a rethinking of the ethics of clinical trials.