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Volume 349:2076-2077 November 20, 2003 Number 21
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The Office for Human Research Protections and the NIH

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by Steinbrook, R.
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To the Editor: Steinbrook notes in his Perspective article (Aug. 14 issue)1 that in its review of the protocols for the trials of treatment for the acute respiratory distress syndrome (ARDS) conducted by the ARDS Network, the Office for Human Research Protections (OHRP) concluded that institutional review boards (IRBs) must use greater rigor in fulfilling their regulatory obligations.2 In multicenter trials, study subjects would be far better served by centralization of the responsibility for the protection of human subjects than by reliance on an inefficient and sometimes ineffective system in which multiple IRBs duplicate each other's efforts in performing this . . . [Full Text of this Article]



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