The definition of placebo in the informed consent forms of clinical trials.

AIM: Lack of knowledge concerning the nature of placebo and why it is necessary may influence the participation of patients in clinical trials. The objective of the present study is to review how placebo is described in written information for participants in clinical trials to be evaluated by a Hum...

Full description

Bibliographic Details
Main Authors: Astrid Hernández, Josep-E Baños, Cristina Llop, Magí Farré
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4244087?pdf=render
_version_ 1828527033603325952
author Astrid Hernández
Josep-E Baños
Cristina Llop
Magí Farré
author_facet Astrid Hernández
Josep-E Baños
Cristina Llop
Magí Farré
author_sort Astrid Hernández
collection DOAJ
description AIM: Lack of knowledge concerning the nature of placebo and why it is necessary may influence the participation of patients in clinical trials. The objective of the present study is to review how placebo is described in written information for participants in clinical trials to be evaluated by a Human Research Ethics Committee. METHODS: All research protocols submitted for evaluation in a Spanish hospital during 2007-2013 were reviewed. The main characteristics of the studies using a placebo were collected. Three authors read each of them to determine how the term "placebo" was explained and if there was any comment on its efficacy and safety. RESULTS: Two thousand seven-hundred and forty research protocols were evaluated, of which three hundred and fifty-nine used a placebo. Pharmaceutical companies sponsored most placebo-controlled clinical trials (91.9%), and phase III studies were the commonest (59.9%). Oncology (15.0%), cardiology (14.2%), and neurology (13.1%) made the greatest contributions. A review of the informed consent forms showed that placebo was described in a similar manner in most studies: the explanation was limited to between four and eight words. Very few gave information about the risks of its use or adverse reactions from its administration. None of the studies provided details about the placebo effect. And 23 lacked any information about placebo at all. CONCLUSIONS: Explanations about placebo in informed consent forms is often scarce, and information about the placebo effect and associated risks are absent. This situation may influence a full understanding of placebo by participants in clinical trials and might reduce their informed decision to participate.
first_indexed 2024-12-11T21:33:24Z
format Article
id doaj.art-aee6e6aeda1242a080579f95d059f729
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T21:33:24Z
publishDate 2014-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-aee6e6aeda1242a080579f95d059f7292022-12-22T00:50:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11365410.1371/journal.pone.0113654The definition of placebo in the informed consent forms of clinical trials.Astrid HernándezJosep-E BañosCristina LlopMagí FarréAIM: Lack of knowledge concerning the nature of placebo and why it is necessary may influence the participation of patients in clinical trials. The objective of the present study is to review how placebo is described in written information for participants in clinical trials to be evaluated by a Human Research Ethics Committee. METHODS: All research protocols submitted for evaluation in a Spanish hospital during 2007-2013 were reviewed. The main characteristics of the studies using a placebo were collected. Three authors read each of them to determine how the term "placebo" was explained and if there was any comment on its efficacy and safety. RESULTS: Two thousand seven-hundred and forty research protocols were evaluated, of which three hundred and fifty-nine used a placebo. Pharmaceutical companies sponsored most placebo-controlled clinical trials (91.9%), and phase III studies were the commonest (59.9%). Oncology (15.0%), cardiology (14.2%), and neurology (13.1%) made the greatest contributions. A review of the informed consent forms showed that placebo was described in a similar manner in most studies: the explanation was limited to between four and eight words. Very few gave information about the risks of its use or adverse reactions from its administration. None of the studies provided details about the placebo effect. And 23 lacked any information about placebo at all. CONCLUSIONS: Explanations about placebo in informed consent forms is often scarce, and information about the placebo effect and associated risks are absent. This situation may influence a full understanding of placebo by participants in clinical trials and might reduce their informed decision to participate.http://europepmc.org/articles/PMC4244087?pdf=render
spellingShingle Astrid Hernández
Josep-E Baños
Cristina Llop
Magí Farré
The definition of placebo in the informed consent forms of clinical trials.
PLoS ONE
title The definition of placebo in the informed consent forms of clinical trials.
title_full The definition of placebo in the informed consent forms of clinical trials.
title_fullStr The definition of placebo in the informed consent forms of clinical trials.
title_full_unstemmed The definition of placebo in the informed consent forms of clinical trials.
title_short The definition of placebo in the informed consent forms of clinical trials.
title_sort definition of placebo in the informed consent forms of clinical trials
url http://europepmc.org/articles/PMC4244087?pdf=render
work_keys_str_mv AT astridhernandez thedefinitionofplacebointheinformedconsentformsofclinicaltrials
AT josepebanos thedefinitionofplacebointheinformedconsentformsofclinicaltrials
AT cristinallop thedefinitionofplacebointheinformedconsentformsofclinicaltrials
AT magifarre thedefinitionofplacebointheinformedconsentformsofclinicaltrials
AT astridhernandez definitionofplacebointheinformedconsentformsofclinicaltrials
AT josepebanos definitionofplacebointheinformedconsentformsofclinicaltrials
AT cristinallop definitionofplacebointheinformedconsentformsofclinicaltrials
AT magifarre definitionofplacebointheinformedconsentformsofclinicaltrials