Marodin Gabriela, França Paulo Henrique Condeixa de, Salgueiro Jennifer Braathen, Motta Marcia Luz da, Tannous Gysélle Saddi, Lopes Anibal Gil
Dev World Bioeth. 2014 Dec;14(3):127-31. doi: 10.1111/dewb.12012. Epub 2012 Dec 21.
Informed consent is recognized as a primary ethical requirement to conduct research involving humans. In the investigations with the use of human biological material, informed consent (IC) assumes a differentiated condition on account of the many future possibilities. This work presents suitable alternatives for IC regarding the storage and use of human biological material in research, according to new Brazilian regulations. Both norms - Resolution 441/11 of the National Health Council, approved on 12 May 2011, and Ordinance 2.201 (NATIONAL GUIDELINES FOR BIOREPOSITORIES AND BIOBANKS OF HUMAN BIOLOGICAL MATERIAL FOR RESEARCH PURPOSE) of the Brazil Ministry of Health, approved on 14 September 2011 - state that the consent of subjects for the collection, storage and use of samples stored in Biobanks is necessarily established by means of a Free and Informed Consent Form (ICF). In order to obtain individual and formal statements, this form should contain the following two mutually exclusive options: an explanation about the use of the stored material in each research study, and the need for new consent or the waiver thereof when the material is used for a new study. On the other hand, ICF suitable for Biorepositories must be exclusive and related to specific research. Although Brazilian and international regulations identify the main aspects to be included in the IC, efforts are still necessary to improve the consent process, so that the document will become a bond of trust between subject and researcher.
知情同意被视为开展涉及人类的研究的一项主要伦理要求。在使用人类生物材料的调查中,由于存在诸多未来可能性,知情同意呈现出一种有别于常规的情况。根据巴西新法规,本文针对研究中人类生物材料的存储和使用提出了合适的知情同意替代方案。两项规范——2011年5月12日批准的国家卫生委员会第441/11号决议以及2011年9月14日批准的巴西卫生部第2.201号法令(《用于研究目的的人类生物材料生物样本库和生物银行国家指南》)——均指出,必须通过自由和知情同意书(ICF)来确立生物样本库中样本的采集、存储和使用的受试者同意。为了获得个人和正式声明,该表格应包含以下两个相互排斥的选项:对每项研究中存储材料的使用说明,以及当材料用于新研究时是否需要新的同意或放弃同意。另一方面,适用于生物样本库的ICF必须是排他性的且与特定研究相关。尽管巴西和国际法规确定了知情同意中应包含的主要方面,但仍需努力改进同意程序,以使该文件成为受试者与研究人员之间的信任纽带。