Ethical tradeoffs in trial design: Case study of an HPV vaccine trial in HIV-infected adolescent girls in lower income settings

J. C. Lindsey, S. K. Shah, G. K. Siberry, P. Jean-Philippe, M. J. Levin

Research output: Contribution to journalArticle

Abstract

The Declaration of Helsinki and the Council of the International Organization of Medical Sciences provide guidance on standards of care and prevention in clinical trials. In the current and increasingly challenging research environment, the ethical status of a trial design depends not only on protection of participants, but also on social value, feasibility, and scientific validity. Using the example of a study assessing efficacy of a vaccine to prevent human papilloma virus in HIV-1 infected adolescent girls in low resource countries without access to the vaccine, we compare several trial designs which rank lower on some criteria and higher on others, giving rise to difficult trade-offs. This case demonstrates the need for developing more nuanced guidance documents to help researchers balance these often conflicting criteria.

Original languageEnglish (US)
Pages (from-to)95-104
Number of pages10
JournalDeveloping World Bioethics
Volume13
Issue number2
DOIs
StatePublished - Aug 2013

Keywords

  • Clinical trials
  • Public health
  • Research ethics
  • Standard of care
  • Vaccines

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy

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