Ethical and Scientific Implications of the Globalization of Clinical Research
Abstract
In recent years, the number of clinical trials conducted in the United States has declined, and the majority of study sites are now outside the United States, with marked growth of research in developing countries. The authors discuss the implications of the globalization of clinical research and make recommendations about how to address the challenges that have emerged.
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The literature on conducting clinical trials in low resource countries mostly relates to ethical issues.
“Even within the paucity of literature on conducting clinical trials in low resource countries, the literature mostly relates to ethical issues [19, 26–28].”
From Barriers for conducting clinical trials in developing countries—A systematic review (2018) · cites this paper as [19]
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- Authors
- Glickman, S. W., McHutchison, J. G., Peterson, E. D., Cairns, C. B., Harrington, R. A., Califf, R. M., & Schulman, K. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Duke University (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2009-02-19
- Volume
- 360
- Issue
- 8
- Pages
- 816-823
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1973962628
- Cited by
- 710
- References
- 40
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 15 · 2023: 22 · 2022: 28 · 2021: 27 · 2020: 31 · 2019: 33 · 2018: 42 · 2017: 38 · 2016: 50 · 2015: 54 · 2014: 43 · 2013: 64 · 2012: 80
- FWCI
- 77.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Health Sciences › Medicine › Physiology › Biomedical Ethics and Regulation
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Keywords
- clinical trials, research ethics, developing countries
- MeSH terms
- Clinical Trials as Topic, Humans, Ethics, Research, Internationality
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