The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries

BackgroundThe lack of harmonization of evaluation criteria by Ethics Committees in the European Union (EU) has led to inconsistent ethics reviews received by research sites participating in multicenter non-interventional studies. The European General Data Protection Regulation (GDPR) appears to be i...

Full description

Bibliographic Details
Main Authors: Annalisa Landi, Yanis Mimouni, Viviana Giannuzzi, Franz Schaefer, Annagrazia Altavilla, Spencer Gibson, Daria Julkowska
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1384026/full
_version_ 1827278997458780160
author Annalisa Landi
Yanis Mimouni
Viviana Giannuzzi
Franz Schaefer
Annagrazia Altavilla
Annagrazia Altavilla
Spencer Gibson
Daria Julkowska
author_facet Annalisa Landi
Yanis Mimouni
Viviana Giannuzzi
Franz Schaefer
Annagrazia Altavilla
Annagrazia Altavilla
Spencer Gibson
Daria Julkowska
author_sort Annalisa Landi
collection DOAJ
description BackgroundThe lack of harmonization of evaluation criteria by Ethics Committees in the European Union (EU) has led to inconsistent ethics reviews received by research sites participating in multicenter non-interventional studies. The European General Data Protection Regulation (GDPR) appears to be implemented at national level with a substantial degree of variance in interpretation. The European Reference Networks (ERNs) were struggling in setting an Informed Consent Form (ICF) for registries, allowing reuse of data for research purposes. The aim of this work is to develop an adaptable ICF for research purposes to be used in ERN registries.MethodsTo work on this challenge, a team was established within the European Joint Programme on Rare Diseases (EJP RD) to develop a patients’ registry ICF template allowing easy adaptation to ERNs, country, and site-level specificities. ERN and patients’ representatives validated the choice of developing a GDPR-compliant template for research purposes. The feedback received from 34 Ethics Committees on the Clinical Patient Management System ICF, including the submission of patients’ data to the ERN registries and the EU consent regulatory framework were analyzed along with existing ontologies for data access and reuse. An adaptable ICF was developed following iterative cycles of consultation and review by clinicians, research experts, ethics and regulatory advisors, and patients’ representatives. The development of pediatric material for minor participants was also undertaken.Results and ConclusionResearch oriented ICF templates for adults and for parents/legal representatives of patients were released in 26 national languages. This adaptable ICF aims to foster, according to patients’ preferences, the reuse of registries data for research purposes in compliance with the applicable laws and standards. Pediatric material is being finalized to collect minors’ assent. ICF machine-readability is also progressing to enhance data discovery and facilitate its access and reuse conditions.
first_indexed 2024-04-24T08:11:47Z
format Article
id doaj.art-70975e11dd4c4500b402471a602da30b
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-04-24T08:11:47Z
publishDate 2024-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-70975e11dd4c4500b402471a602da30b2024-04-17T04:55:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-04-011110.3389/fmed.2024.13840261384026The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registriesAnnalisa Landi0Yanis Mimouni1Viviana Giannuzzi2Franz Schaefer3Annagrazia Altavilla4Annagrazia Altavilla5Spencer Gibson6Daria Julkowska7Fondazione per la Ricerca Farmacologica Gianni Benzi Onlus, Bari, ItalyEuropean Joint Programme on Rare Diseases Coordination, INSERM, Paris, FranceFondazione per la Ricerca Farmacologica Gianni Benzi Onlus, Bari, ItalyDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, University of Heidelberg, Heidelberg, GermanyTeddy European Network of Excellence for Paediatric Research, Pavia, ItalyEspace Ethique PACA-Corse Assistance Publique - Hôpitaux de Marseille (AP-HM), Hôpital de la Timone, Marseille, FranceDepartment of Genetics and Genome Biology, University of Leicester, Leicester, United KingdomEuropean Joint Programme on Rare Diseases Coordination, INSERM, Paris, FranceBackgroundThe lack of harmonization of evaluation criteria by Ethics Committees in the European Union (EU) has led to inconsistent ethics reviews received by research sites participating in multicenter non-interventional studies. The European General Data Protection Regulation (GDPR) appears to be implemented at national level with a substantial degree of variance in interpretation. The European Reference Networks (ERNs) were struggling in setting an Informed Consent Form (ICF) for registries, allowing reuse of data for research purposes. The aim of this work is to develop an adaptable ICF for research purposes to be used in ERN registries.MethodsTo work on this challenge, a team was established within the European Joint Programme on Rare Diseases (EJP RD) to develop a patients’ registry ICF template allowing easy adaptation to ERNs, country, and site-level specificities. ERN and patients’ representatives validated the choice of developing a GDPR-compliant template for research purposes. The feedback received from 34 Ethics Committees on the Clinical Patient Management System ICF, including the submission of patients’ data to the ERN registries and the EU consent regulatory framework were analyzed along with existing ontologies for data access and reuse. An adaptable ICF was developed following iterative cycles of consultation and review by clinicians, research experts, ethics and regulatory advisors, and patients’ representatives. The development of pediatric material for minor participants was also undertaken.Results and ConclusionResearch oriented ICF templates for adults and for parents/legal representatives of patients were released in 26 national languages. This adaptable ICF aims to foster, according to patients’ preferences, the reuse of registries data for research purposes in compliance with the applicable laws and standards. Pediatric material is being finalized to collect minors’ assent. ICF machine-readability is also progressing to enhance data discovery and facilitate its access and reuse conditions.https://www.frontiersin.org/articles/10.3389/fmed.2024.1384026/fullinformed consentrare diseasesresearchethics reviewregistries
spellingShingle Annalisa Landi
Yanis Mimouni
Viviana Giannuzzi
Franz Schaefer
Annagrazia Altavilla
Annagrazia Altavilla
Spencer Gibson
Daria Julkowska
The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
Frontiers in Medicine
informed consent
rare diseases
research
ethics review
registries
title The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
title_full The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
title_fullStr The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
title_full_unstemmed The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
title_short The creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review: experience from rare disease registries
title_sort creation of an adaptable informed consent form for research purposes to overcome national and institutional bottlenecks in ethics review experience from rare disease registries
topic informed consent
rare diseases
research
ethics review
registries
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1384026/full
work_keys_str_mv AT annalisalandi thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT yanismimouni thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT vivianagiannuzzi thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT franzschaefer thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT annagraziaaltavilla thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT annagraziaaltavilla thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT spencergibson thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT dariajulkowska thecreationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT annalisalandi creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT yanismimouni creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT vivianagiannuzzi creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT franzschaefer creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT annagraziaaltavilla creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT annagraziaaltavilla creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT spencergibson creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries
AT dariajulkowska creationofanadaptableinformedconsentformforresearchpurposestoovercomenationalandinstitutionalbottlenecksinethicsreviewexperiencefromrarediseaseregistries