Special Protections for Children as Research Subjects 2025

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These special populations include infants and children/pediatric populations, adolescents and young adults, older adults, pregnant people, people with disabilities and/or rare disorders, people who have been underrepresented in clinical research (e.g. African Americans, Native Americans, Latinos, or populations with
In general, human subjects in NIH-funded clinical research, whether healthy volunteers or patient volunteers, are protected under the Federal Policy for the Protection of Human Subjects at 45 CFR 46, also called the Common Rule.
Thus, federal regulations require additional protections for special participant populations, such as: (1) children, (2) prisoners, (3) pregnant women, (4) activities involving fetuses and human in vitro fertilization, (5) persons with cognitive impairment, (6) economically or educationally disadvantaged persons, and (
These populations include: Fetuses, neonates and children; Individuals with impaired decision-making capacity (cognitively impaired, traumatized, sedated, intoxicated, etc.); Prisoners; The terminally ill; Students or employees; Individuals whose first language is not English;
By definition, children are unable to provide informed consent to participate in research, although they might be able to give their assent. The IRB should determine that unless parental permission can be waived adequate provisions are made for soliciting the permission of the parent(s) or legal guardian(s).
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The federal regulations require that IRBs give special consideration to protecting the welfare of particularly vulnerable subjects, such as children, prisoners, pregnant women, mentally disabled persons, or economically or educationally disadvantaged persons.
the research will be conducted in ance with sound ethical principles; and. adequate provisions are made for soliciting the assent of children and the permission of their parents or guardians, as set forth in HHS regulations at 45 CFR 46.408.

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