Intentional Human Dosing Studies for EPA Regulatory Purposes: Scientific and Ethical Issues

Front Cover

The EPA commissioned The National Academies to provide advice on the vexing question of whether and, if so, under what circumstances EPA should accept and consider intentional human dosing studies conducted by companies or other sources outside the agency (so-called third parties) to gather evidence relating to the risks of a chemical or the conditions under which exposure to it could be judged safe. This report recommends that such studies be conducted and used for regulatory purposes only if all of several strict conditions are met, including the following:

  • The study is necessary and scientifically valid, meaning that it addresses an important regulatory question that can't be answered with animal studies or nondosing human studies;
  • The societal benefits of the study outweigh any anticipated risks to participants. At no time, even when benefits beyond improved regulation exist, can a human dosing study be justified that is anticipated to cause lasting harm to study participants; and
  • All recognized ethical standards and procedures for protecting the interests of study participants are observed.

In addition, EPA should establish a Human Studies Review Board (HSRB) to evaluate all human dosing studiesâ€"both at the beginning and upon completion of the experimentsâ€"if they are carried out with the intent of affecting the agency's policy-making.

From inside the book

Contents

Executive Summary and Recommendations
1
1 Introduction and Background
21
2 The Regulatory Framework for Protecting Humans in Research
46
3 Scientific Justification for and Conduct of Intentional Human Dosing Studies
66
4 A RiskBenefit Framework for Assessing Intentional Human Dosing Studies
84
5 Ethical Considerations in the Review of Intentional Human Dosing Studies
110
6 Procedures for EPA Review of Intentional Human Dosing Studies
132
7 EPAs Use of Data from Intentional Human Dosing Studies in Risk Assessment
144
APPENDIXES
159
Appendix B Pharmacokinetics and Metabolism of Pesticides
168
Appendix C Biographical Sketches of the Members and Staff of the Committee on the Use of Third Party Toxicity Research with Human Research Pa...
173
Appendix D Biographical Sketches of the Members of the Science Technology and Law Panel
185
Appendix E Meeting Agendas
192
Appendix F Combined Registrants List for All Meetings
201
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