Protections for Subjects in Human Research, 53838-53866 [05-18010]
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Federal Register / Vol. 70, No. 175 / Monday, September 12, 2005 / Proposed Rules
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 26
[OPP–2003–0132; FRL–7728–2]
RIN 2070–AD57
Protections for Subjects in Human
Research
Environmental Protection
Agency (EPA).
ACTION: Proposed rule.
AGENCY:
SUMMARY: EPA proposes and invites
public comment on a rulemaking to ban
intentional dosing human testing for
pesticides when the subjects are
pregnant women or children, to
formalize and further strengthen
existing protections for subjects in
human research conducted or supported
by EPA, and to extend new protections
to adult subjects in intentional dosing
human studies for pesticides conducted
by others who intend to submit the
research to EPA. This proposal, the first
of several possible Agency actions,
focuses on third-party intentional
dosing human studies for pesticides, but
invites public comment on alternative
approaches with broader scope.
DATES: Comments must be received on
or before December 12, 2005. Under the
Paperwork Reduction Act, comments on
the information collection provisions
must be received by OMB on or before
October 12, 2005.
ADDRESSES: Submit your comments,
identified by docket identification (ID)
number OPP–2003–0132, by one of the
following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov/. Follow the online instructions for submitting
comments.
• Agency Website: https://
www.epa.gov/edocket/. EDOCKET,
EPA’s electronic public docket and
comment system, is EPA’s preferred
method for receiving comments. Follow
the on-line instructions for submitting
comments.
• E-mail: Comments may be sent by
e-mail to opp-docket@epa.gov,
Attention: Docket ID Number OPP–
2003–0132.
• Mail: Public Information and
Records Integrity Branch (PIRIB)
(7502C), Office of Pesticide Programs
(OPP), Environmental Protection
Agency, 1200 Pennsylvania Ave., NW.,
Washington, DC 20460–0001, Attention:
Docket ID Number OPP–2003–0132. In
addition, please mail a copy of your
comments on the information collection
provisions to the Office of Information
and Regulatory Affairs, Office of
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Management and Budget (OMB), Attn:
Desk Officer for EPA, 725 17th St., NW.,
Washington, DC 20503.
• Hand Delivery: Public Information
and Records Integrity Branch (PIRIB),
Office of Pesticide Programs (OPP),
Environmental Protection Agency, Rm.
119, Crystal Mall #2, 1801 S. Bell St.,
Arlington, VA, Attention: Docket ID
Number OPP–2003–0132. Such
deliveries are only accepted during the
Docket’s normal hours of operation, and
special arrangements should be made
for deliveries of boxed information.
• Instructions: Direct your comments
to docket ID number OPP–2003–0132.
EPA’s policy is that all comments
received will be included in the public
docket without change and may be
made available online at https://
www.epa.gov/edocket/, including any
personal information provided, unless
the comment includes information
claimed to be Confidential Business
Information (CBI) or other information
whose disclosure is restricted by statute.
Do not submit information that you
consider to be CBI or otherwise
protected through EDOCKET,
regulations.gov, or e-mail. The EPA
EDOCKET and the regulations.gov
websites are ‘‘anonymous access’’
systems, which means EPA will not
know your identity or contact
information unless you provide it in the
body of your comment. If you send an
e-mail comment directly to EPA without
going through EDOCKET or
regulations.gov, your e-mail address
will be automatically captured and
included as part of the comment that is
placed in the public docket and made
available on the Internet. If you submit
an electronic comment, EPA
recommends that you include your
name and other contact information in
the body of your comment and with any
disk or CD ROM you submit. If EPA
cannot read your comment due to
technical difficulties and cannot contact
you for clarification, EPA may not be
able to consider your comment.
Electronic files should avoid the use of
special characters, any form of
encryption, and be free of any defects or
viruses. For additional information
about EPA’s public docket visit
EDOCKET on-line.
• Docket. All documents in the
docket are listed in the EDOCKET index
at https://www.epa.gov/edocket/.
Although listed in the index, some
information is not publicly available,
i.e., CBI or other information whose
disclosure is restricted by statute.
Certain other material, such as
copyrighted material, is not placed on
the Internet and will be publicly
available only in hard copy form.
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Publicly available docket materials are
available either electronically in
EDOCKET or in hard copy at the Public
Information and Records Integrity
Branch (PIRIB), Rm. 119, Crystal Mall
#2, 1801 S. Bell St., Arlington, VA. This
Docket Facility is open from 8:30 a.m.
to 4 p.m., Monday through Friday,
excluding legal holidays. The Docket
telephone number is (703) 305–5805.
FOR FURTHER INFORMATION CONTACT:
William L. Jordan, Mailcode 7501C,
Office of Pesticide Programs,
Environmental Protection Agency, 1200
Pennsylvania Ave., NW., Washington,
DC 20460; telephone number: (703)
305–1049; fax number: (703) 308–4776;
e-mail address: jordan.william@epa.gov.
SUPPLEMENTARY INFORMATION: This
proposed rule, the first of several
possible Agency actions, would
significantly strengthen the ethical
framework for conducting and
reviewing human studies, especially
intentional dosing human studies for
pesticides.
With respect to human research
conducted by EPA (‘‘first-party
research’’), or by others with EPA’s
support (‘‘second-party research’’), this
proposed rule would: (1) Categorically
prohibit any intentional dosing studies
involving pregnant women or children
as subjects; and (2) adopt the
Department of Health and Human
Services (HHS) regulations that provide
additional protections to pregnant
women and children as subjects of other
than intentional dosing studies.
With respect to human research
conducted by third parties--i.e., by
others without any support from EPA or
other federal government agencies--the
proposed rule would: (1) Categorically
prohibit any third-party intentional
dosing studies for pesticides involving
pregnant women or children as subjects;
(2) extend the provisions of the Federal
Policy for the Protection of Human
Subjects of Research (the ‘‘Common
Rule’’) to all other third-party
intentional dosing human studies
intended for submission to EPA under
the pesticide laws; (3) require, before
testing is initiated, submission to EPA of
protocols and related information for
proposed research covered by this
extension of the Common Rule; and (4)
require information about the ethical
conduct of covered human studies when
the results of the research are submitted
to EPA.
In addition, the proposed rule would:
(1) Establish an independent Human
Studies Review Board to review
proposals for covered intentional dosing
human research and reports of
completed research; (2) specify
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measures EPA would consider to
address non-compliance with the
provisions of a final rule along the lines
of this proposal; (3) define the ethical
standards EPA would apply in deciding
whether to rely on relevant,
scientifically sound data derived from
intentional dosing human studies for
pesticides; and (4) forbid EPA to rely in
its decision-making under the pesticide
laws on human research involving
intentional exposure of pregnant women
or children.
This document is organized into 14
units:
• Unit I. contains ‘‘General
Information’’ about the applicability of
this proposed rule, how to obtain
additional information, how to submit
comments in response to the request for
comments, and certain other related
matters.
• Unit II. summarizes the Agency’s
goals for this proposed rulemaking and
the terms of the proposal itself, and
places the proposal in the context of the
larger debate over the conduct and
regulatory use of research with human
subjects.
• Unit III. provides background
information about the history of human
subjects research protection and about
events leading up to this proposal.
• Unit IV. discusses EPA’s proposal
to extend the requirements of its
codification of the Common Rule, 40
CFR part 26, to third-party intentional
dosing human studies for pesticides.
(EPA and other federal departments and
agencies who have adopted the
Common Rule conduct research with
human subjects to provide critical
information on environmental risks,
exposures, and effects in humans. This
is referred to in this document as ‘‘firstparty’’ research. EPA and other
Common Rule departments and
agencies also support with contracts,
grants, or in other ways research with
human subjects conducted by others.
This is referred to as ‘‘second-party’’
research. When research with human
subjects is conducted by others without
support from EPA or other Common
Rule departments or agencies, it is
referred to as ‘‘third-party’’ research.)
• Unit V. discusses EPA’s proposal to
require submission of protocols and
other information about proposed thirdparty intentional dosing human studies
for pesticides before the studies begin,
so that EPA and an advisory Human
Studies Review Board may review and
comment on the ethical and scientific
aspects of the proposals.
• Unit VI. discusses rulemaking to
ban research with pesticides involving
intentional dosing of children, and to
adopt additional protections, beyond
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those in the Common Rule, for children
as subjects of other types of research.
This ban would apply both to EPA and
to regulated third parties.
• Unit VII. addresses rulemaking to
ban research with pesticides involving
intentional dosing of pregnant women,
fetuses, or newborns, and to adopt
additional protections, beyond those in
the Common Rule, for pregnant women,
fetuses, and newborns as subjects of
other types of research. This ban, too,
would apply both to EPA and to
regulated third parties.
• Unit VIII. explains EPA’s decision
to defer adoption of additional
protections for prisoners as research
subjects.
• Unit IX. discusses possible
measures that EPA might use to address
noncompliance with the requirements
of a final rule along the lines of this
proposal.
• Unit X. discusses the ethical
standards that EPA proposes to use in
deciding whether or not to rely on
completed human studies in Agency
decision-making.
• Unit XI. demonstrates the
compliance of this proposal with the
requirements in the Department of the
Interior, Environment, and Related
Agencies Appropriations Act, 2006,
regarding third-party intentional dosing
human toxicity studies for pesticides.
• Unit XII. discusses EPA’s responses
to comments from the Department of
Health and Human Services on a draft
of this proposal.
• Unit XIII. discusses the Agency’s
evaluation of the impacts of this
proposal as required under various
statutes and Executive Orders.
• Finally, Unit XIV. discusses the
Agency’s thinking with respect to the
effective date of a final rule.
I. General Information
A. Does this Action Apply to Me?
This action is directed to the public
in general. This action may, however, be
of particular interest to those who
conduct human research on substances
regulated by EPA. Since other entities
may also be interested, the Agency has
not attempted to describe all the specific
entities that may be affected by this
action. If you have any questions
regarding the applicability of this action
to a particular entity, consult the person
listed under FOR FURTHER INFORMATION
CONTACT.
B. How Can I Access Electronic Copies
of this Document and Other Related
Information?
In addition to using EDOCKET (https://
www.epa.gov/edocket/), you may access
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this Federal Register document
electronically through the EPA Internet
under the ‘‘Federal Register’’ listings at
https://www.epa.gov/fedrgstr/. A
frequently updated electronic version of
the Code of Federal Regulations (CFR) is
available at https://www.gpoaccess.gov/
ecfr/.
C. What Should I Consider as I Prepare
My Comments for EPA?
1. Submitting CBI. Information so
marked will not be disclosed except in
accordance with procedures set forth in
40 CFR part 2.
2. Tips for preparing your comments.
When submitting comments, remember
to:
i. Identify the rulemaking by docket
number and other identifying
information (subject heading, Federal
Register date, and page number).
ii. Follow directions. The agency may
ask you to respond to specific questions
or organize comments by referencing a
Code of Federal Regulations (CFR) part
or section number.
iii. Explain why you agree or disagree;
suggest alternatives and substitute
language for your requested changes.
iv. Describe any assumptions and
provide any technical information and/
or data that you used.
v. If you estimate potential costs or
burdens, explain how you arrived at
your estimate in sufficient detail to
allow for it to be reproduced.
vi. Provide specific examples to
illustrate your concerns, and suggest
alternatives.
vii. Explain your views as clearly as
possible, avoiding the use of profanity
or personal threats.
viii. Make sure to submit your
comments by the comment period
deadline identified.
II. Summary of EPA Goals and the
Context for the Proposed Rulemaking
EPA is charged with protecting public
health and the environment by
regulating air and water pollutants,
pesticides, hazardous wastes, industrial
chemicals, and other environmental
substances. To meet this responsibility
EPA collects and reviews the best
available scientific information to
understand how these substances may
affect human health and the world we
live in. The Agency typically considers
a wide range of information about each
substance, including its potential to
cause harm--i.e., its toxicity--and how
and at what levels people may be
exposed to it--i.e., their exposure. By
linking information on toxicity with
estimates of exposure, EPA can estimate
the risk posed by a substance to an
exposed population, and then decide
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whether that risk justifies regulation of
releases of the substance into the
environment.
A. How EPA Assesses Risks to People
The Agency’s understanding of
potential risks to people is usually
based on tests performed with
laboratory animals. For example, EPA
typically requires pesticide companies
to perform over 20 different kinds of
animal studies to identify or measure
toxic effects before a pesticide can be
registered for use. These studies differ
in the kinds of animals used, the
duration of exposure, the age of test
animals, and the pathway of exposure-through food, air, or the skin. When
they are considered together, they
provide a good general understanding of
a pesticide’s potential effects.
Comparable animal data are usually
available when EPA makes regulatory
decisions about other kinds of
environmental substances as well.
Animal studies, however, are not the
only source of relevant information for
characterizing potential risks.
Sometimes EPA can better understand
the potential risks of a substance by
looking at how people respond when
they have been directly exposed to it.
For example, EPA uses information
from accident and incident reports, in
which people may have been exposed to
a substance after a spill or some other
unintentional release. EPA also uses
data from epidemiological studies
comparing health outcomes of two
otherwise similar groups of people who
differ in their level of exposure to a
particular substance (e.g., those who
work with a chemical vs. those who do
not).
In addition to incident and
epidemiology data, human exposure
studies have also improved EPA’s risk
assessments. EPA often bases its
estimates of potential human exposure
to environmental substances on
monitoring studies measuring
concentrations of a substance in air,
water, food, or on surfaces. This kind of
information about environmental
concentrations can then be used to
predict the amount of a substance
people will breathe, eat, drink, or absorb
through their skin. Sometimes, however,
the relationship between environmental
concentrations of a substance and
potential human exposure is unclear,
and can be understood only through
research involving human subjects. For
example, the actual exposure of a farmer
applying a pesticide will depend on
such factors as the type of spray
equipment used, the amount and kind
of pesticide used, the type of protective
clothing worn (e.g., gloves, respirator,
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long pants), and how many hours are
worked each day. To determine more
accurately the exposures farmers and
other applicators actually receive, EPA
requires pesticide companies to measure
the amount of pesticide deposited on an
applicator’s body and clothing during a
spray session. The results of studies like
this provide critical data about
exposures that can be used to define
protective standards for pesticide
handlers and applicators. Without these
and similar studies characterizing the
exposures received by individuals in the
normal course of their work and daily
life, the Agency would not understand
adequately either what types of
application equipment and protective
clothing were necessary for a pesticide
to be used safely, or how soon
harvesters or others could safely enter
pesticide-treated areas.
Another type of human study that can
contribute to EPA’s risk assessments
involves intentional exposure of
subjects to low doses of a substance to
measure how the substance is absorbed,
distributed, metabolized, and excreted
in humans. Humans respond to some
substances in different ways from
animals, and studies of this kind can
provide essential support for safety
monitoring programs, such as those
which analyze and measure the known
metabolites of a substance in the blood
or urine of workers or others to
determine if they’ve been exposed to the
substance.
Although EPA has not and will not
use its authorities to require or
encourage it, third parties have
occasionally conducted and submitted
to EPA reports of research involving
intentional dosing of human subjects to
identify or measure toxic effects. These
studies typically involve intentional
exposure to an environmental substance
in a controlled laboratory or clinical
setting.
Decades of experience in reviewing
both animal and human studies of all
kinds has demonstrated that animal data
alone can sometimes provide an
incomplete or even a misleading picture
of the safety or risks of a substance.
Sometimes human data show that
people are more sensitive than animals,
and support regulatory measures more
protective than would be indicated by
animal data. This has been the case, for
example, for arsenic, certain air
pollutants, and certain pesticide active
ingredients such as methyl
isothiocyanate (MITC) and hexavalent
chromium. More often, though,
information from human studies
confirms insights based on animal
testing. Even in these cases, however,
the availability of scientifically sound
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human data can strengthen the basis for
EPA’s regulatory actions.
B. Societal Concern over Ethically
Deficient Human Research
Scientific experimentation involving
human beings has raised controversy for
a long time. The history of human
research contains well-known examples
of unethical behavior in the name of
science, which have led to reforms in
the way the government and others
carry out and oversee human research.
Through these reforms, the standards for
ethical human research have evolved to
become progressively more stringent
and protective of the subjects of the
research. Not all previously conducted
human studies, however, met the ethical
standards of their own time, and some
older research falls well short of today’s
ethical standards. Even contemporary
research is sometimes ethically
deficient.
For over 7 years EPA has been at the
center of an intense debate about the
acceptability of certain intentional
dosing human studies for pesticides,
and about what to do with human
studies which are ethically deficient. In
this debate some have argued that EPA
should disassociate itself entirely from
ethically problematic research behavior
by refusing to consider the resulting
data in its regulatory decisions. Those
who hold this view interpret Agency
reliance on an ethically flawed study as
an endorsement of the investigators’
behavior, and as encouragement to
others to engage in similarly
problematic research. They also argue
that EPA’s reliance on ethically
deficient human data could directly
benefit the wrong-doer. For example, if
EPA based a regulatory decision on a
human study that shows humans to be
less sensitive than animals, the result
might be a less stringent regulatory
measure that would be advantageous to
the company that conducted the study.
If the key study was ethically deficient,
then the company could benefit from its
misconduct.
On the other hand, data from human
research has contributed enormously to
scientific understanding of the risks
posed by every kind of environmental
substance. Recognizing the importance
of such knowledge to EPA’s past
regulatory actions, some argue that the
Agency should take all relevant and
scientifically sound information--not
excluding ethically deficient human
data--into account in its regulatory
decision-making. They argue that any
ethical deficiencies are the fault of the
researchers, not of EPA. They further
argue that by relying on scientifically
valid and relevant data from an ethically
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deficient study EPA does no additional
harm to the subjects of the research, and
EPA’s refusal to rely on such data could
do nothing to benefit the subjects of the
research. Moreover, they assert that
while the Agency cannot undo what has
already happened, EPA can clearly
express its disapproval of past unethical
conduct. They note that to replicate
scientifically sound but ethically flawed
human studies may not be ethical, no
matter how carefully such replicate
research might be conducted, since any
increment of risk to potential subjects
would not be justified by anticipated
new generalizable knowledge. Holders
of this view also stress the importance
of strengthening protections for
volunteers who participate in future
studies, while taking advantage of all
that can be learned from past research
to benefit society.
EPA finds compelling many of the
points made by both sides, and agrees
with those who say that the possibility
of conducting and using human studies
in regulatory decision-making must be
approached with the utmost caution.
Each side bases its arguments on
important societal values. Our mission
is to make the best possible regulatory
decisions to protect public health and
the environment in this country, and to
support similar efforts around the
world. We do not want to ignore
potentially important information that
might benefit our decision-making. At
the same time, we agree that our
conduct should encourage high ethical
standards in research with human
subjects and strongly discourage
unethical research.
Many participants in the public
debate over whether EPA should rely on
scientifically sound and relevant but
ethically flawed data have tended to
frame possible policy choices in ways
that discount or ignore the values and
goals of those with whom they disagree.
But the Agency must find a way to
reconcile multiple goals.
• EPA believes it must fulfill its
mandate to do the best possible job of
protecting public health. We think our
decisions are generally better if they
reflect consideration of all available,
scientifically valid, and relevant
knowledge.
• EPA believes its goal is to ensure,
to the extent possible, that all people
who participate as subjects of human
research are treated ethically, are fully
informed of the potential risks, and
experience no harm from their
participation. We hope--through our
rules, policies, procedures, and
regulatory actions--to discourage or
prevent the conduct of human studies
that do not meet rigorous ethical and
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scientific standards. (A scientifically
inadequate human study is inherently
unethical, because it fails to provide
new information reliable enough to
justify subjecting volunteers to any risks
by participating in the study.)
• EPA believes the federal
government should use all of its
authorities to make clear that certain
kinds of human research can never be
acceptable. In particular, we regard as
unethical and would never conduct,
support, require, or approve any study
involving intentional exposure of
pregnant women, infants, or children to
a pesticide.
C. EPA Consultation with the National
Academy of Sciences
The conduct and consideration of
data from human research inevitably
raises difficult, contentious issues, and
EPA has sought counsel from others in
trying to resolve these issues. We have
asked for expert advice from our Agency
scientific peer review groups, and we
have sought public comments through
multiple Federal Register Notices (see
Unit III.). The most extensive advice has
come from the National Academy of
Sciences (NAS) who, at the Agency’s
request, prepared a report entitled
‘‘Intentional Human Dosing Studies for
EPA Regulatory Purposes,’’ issued in
February 2004 (NAS Report).
The NAS developed its report after
long and thoughtful consideration of the
full range of issues. Their
recommendations addressed whether or
not EPA should rely on the results of
ethically deficient human studies, and
what standards should guide the
conduct of future human research. The
NAS Report concluded that the answers
to these questions should start from the
existing standards for the ethical
treatment of human research embodied
in federal regulations known officially
as the ‘‘Federal Policy for the Protection
of Human Subjects of Research’’ but
generally referred to as the ‘‘Common
Rule.’’ The NAS Report then offered
numerous recommendations, supported
by detailed rationales, for how to apply
the principles of the Common Rule to
the particular issues confronting EPA.
The NAS Report discusses the full range
of types of human studies available to
EPA and the full breadth of statutory
programs under which they might be
considered.
The Common Rule has been
promulgated in regulations by 15 federal
departments and agencies, including
EPA. In addition, the Central
Intelligence Agency must comply with
all subparts of 45 CFR part 46 under
Executive Order 12333. The Common
Rule establishes a comprehensive
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framework for the review and conduct
of proposed human research to ensure
that it will be performed ethically. The
central requirements of the Common
Rule are: (1) That people who
participate as subjects in covered
research are selected equitably and give
their fully informed, fully voluntary
written consent; and (2) that proposed
research be reviewed by an independent
oversight group referred to as an
Institutional Review Board (IRB), and
approved only if risks to subjects have
been minimized and are reasonable in
relation to anticipated benefits, if any, to
the subjects, and the importance of the
knowledge that may reasonably be
expected to result.
D. Summary Scope of this Proposal
The Agency recognizes that issues
arise about human testing of all classes
of environmental substances, not only
pesticides, and under all its legal
authorities, and not only the pesticide
laws. This proposal, however, focuses
on the most pressing of issues: defining
appropriate ethical standards for
investigator conduct and for Agency use
of third-party intentional dosing human
studies for pesticides.
The Agency acknowledges that a final
rule along the lines being proposed
would not address, much less resolve,
all the issues in the current debate about
human research. But the Agency views
this proposal as an essential and
urgently needed first step in what could
be a series of Agency actions to address
a wider range of human research under
other statutory authorities. Although we
believe a stepwise approach will put
stronger protections in place sooner,
EPA is open to considering an expanded
scope for this proposed rule to address
either a broader range of human
research designs or decision-making
under other statutory authorities.
Accordingly, in later units of this
preamble the Agency has identified
alternatives to each aspect of this
proposal. Note that there are many ways
in which the different elements of the
proposed rule and the identified
alternatives could be combined; we
encourage commenters to consider and
address how the whole of the rule
should fit together, in addition to the
merits of specific alternatives. Public
comment will play an important part in
our choices for the scope and terms of
the final rule.
III. Introduction
A. Ethical Standards for Conducting
Human Research
Over the years, scientific research
with human subjects has provided
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valuable information to help
characterize and control risks to public
health, but its use has also raised
particular ethical concerns for the
welfare of the human participants in
such research as well as scientific issues
related to the role of such research in
assessing risks. Society has responded
to these concerns by defining general
standards for conducting human
research.
In the United States, the National
Commission for the Protection of
Human Subjects of Biomedical and
Behavioral Research issued in 1978 The
Belmont Report: Ethical Principles and
Guidelines for the Protection of Human
Subjects of Research. This document
can be found in the docket for this
proposed rule and on the web at https://
www.hhs.gov/ohrp/humansubjects/
guidance/belmont.htm. For many U. S.
federal departments and agencies, the
principles of the Belmont Report are
implemented through the Federal Policy
for the Protection of Human Subjects
(the Common Rule). The Common Rule,
promulgated by 15 federal departments
and agencies, including the EPA, on
June 18, 1991 (56 FR 28003), applies to
all research involving human subjects
conducted, supported or otherwise
subject to regulation by any federal
department or agency that has adopted
the Common Rule and has taken
appropriate administrative action to
make it applicable to such research. The
Common Rule as promulgated by EPA
(40 CFR part 26) has applied to human
subjects research conducted or
supported by EPA since it was put into
place in 1991.
The World Medical Association, a
voluntary federation of national medical
associations, has developed and
maintains ethical standards documented
in the Declaration of Helsinki, first
issued in 1964 and revised several times
since then. The latest version of the
Declaration is available at: https://
www.wma.net/e/policy/b3.htm. These
standards apply internationally to
research on the diagnosis and treatment
of human disease, or that adds to
understanding of the causes and
development of disease.
In addition, many public and private
research and academic institutions and
private companies, both in the United
States and in other countries, including
non-federal U.S. and non-U.S.
government organizations, have their
own specific policies related to the
protection of human participants in
research.
Much of the scientific information
supporting EPA’s risk assessments is
generated by researchers who are not
part of or supported by a federal agency.
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This includes a significant portion of
the research with human subjects
submitted to the Agency or retrieved by
the Agency from published sources.
Such research, referred to here as
‘‘third-party’’ research, may be governed
by specific institutional policies
intended to protect research
participants, may fall within the scope
of the Declaration of Helsinki, or might
actually be covered by the Common
Rule if the particular testing institution
holds an assurance approved by the
Department of Health and Human
Services’ (HHS) Office for Human
Research Protections (OHRP). (Under a
‘‘federal-wide assurance’’ issued by
OHRP, a research institution may
voluntarily promise to apply the
Common Rule to all its research with
human subjects, without regard to the
source(s) of funding or other support).
Some research reports provide
insufficient information to support a
judgment whether institutional policies
are consistent with or as protective of
human subjects as the Common Rule, or
even to tell whether such policies or
standards were followed. Thus, even
scientifically well-conducted third-party
human studies may raise difficult
questions for the Agency when it seeks
to determine their acceptability for
consideration.
B. Human Research Issues in EPA’s
Pesticide Program
Although data from human studies
have contributed to assessments and
decisions in most EPA programs, issues
about consideration of and reliance on
third-party human research studies have
arisen most frequently, but not
exclusively, with respect to pesticides.
Under the Federal Insecticide,
Fungicide, and Rodenticide Act (FIFRA)
(7 U.S.C. 136-136y), EPA requires
pesticide companies to conduct studies
needed to evaluate the safety of their
products. While some studies involving
human subjects are required, EPA has
never required intentional dosing
human toxicity studies with pesticides.
EPA has, however, required studies to
measure potential exposure to
pesticides of users or of workers and
others who re-enter areas legally treated
with pesticides. Other required tests
have evaluated the effectiveness of
pesticide products intended to repel
insects and other pests from human
skin. In addition, EPA has required
studies to define pesticide metabolism
and metabolic products in humans, as a
guide to interpretation of biomonitoring
studies of agricultural workers and
others to protect them from exposure to
potentially dangerous levels of pesticide
residues.
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The public controversy over human
testing and pesticides has centered on
studies involving intentional dosing of
human subjects with a pesticide to
identify or measure its toxic effects.
Although the Agency has never required
or encouraged anyone to perform such
tests, pesticide companies have
sometimes chosen to conduct them and
submit them to the Agency. For some
two decades before passage of the Food
Quality Protection Act (FQPA) in 1996,
such studies were rare, but when they
were submitted EPA considered them,
and factored relevant information into
its human health risk assessments. After
passage of FQPA, submission of this
kind of study to the Office of Pesticide
Programs increased; the Agency has
received some twenty studies of this
kind since 1996.
Submission of these studies following
FQPA elicited a strong expression of
public concern. In response, EPA
convened an advisory committee under
the joint auspices of the EPA Science
Advisory Board (SAB) and the FIFRA
Scientific Advisory Panel (SAP) to
address issues of the scientific and
ethical acceptability of such research.
This advisory committee, known as the
Data from Testing of Human Subjects
Subcommittee (DTHSS), met in
December 1998 and November 1999,
and completed its report in September
2000. Their report is available in the
docket for this proposed rulemaking,
and on the web at: https://www.epa.gov/
science1/pdf/ec0017.pdf.
The DTHSS advisory committee heard
many comments at their two public
meetings, and further comments have
been submitted in response to their
published report. The committee agreed
unanimously on several broad
principles, including the following:
• Any policy adopted should reflect
the highest standards, and special
concern for the interests of vulnerable
populations.
• The threshold of justification for
intentional exposure of human subjects
to toxic substances should be very high.
• The justification cannot be to
facilitate commercial interests, but only
to safeguard public health.
• Not only the nature and magnitude
of risks and benefits but their
distribution must be considered in
assessing research protocols.
• Bad science is always unethical.
Yet no clear consensus emerged from
the advisory committee on many other
points, among them both the scientific
merit and the ethical acceptability of
studies to identify or measure toxic
effects of pesticides in human subjects.
A vigorous public debate continued
about the extent to which EPA should
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accept, consider, or rely on third-party
intentional dosing human studies for
pesticides.
Some public commenters have
asserted that the DTHSS committee did,
in fact, achieve consensus. Although the
full committee agreed on some subjects,
the members filed both majority and
minority reports differing on one of the
most important issues under discussion-whether it is ever ethical to conduct or
for EPA to consider a study sponsored
by a pesticide company in which
human subjects were intentionally
dosed with a pesticide to evaluate its
toxicity. The disagreement within the
committee was vehement. After nearly
18 months of discussion, two members
filed a minority report and resigned
from the committee to protest the
position taken by the committee
majority.
In December 2001, EPA asked the
advice of the NAS on the many difficult
scientific and ethical issues raised in
this debate, and also announced the
Agency’s interim approach to thirdparty intentional dosing human toxicity
studies. The Agency’s announcement is
in the docket for this proposed
rulemaking. The announcement
promised that when it received the NAS
report, ‘‘EPA will engage in an open and
participatory process involving federal
partners, interested parties and the
public during its policy development
and/or rule making regarding future
acceptance, consideration or regulatory
reliance on such human studies.’’ In
addition, the press release also stated
that while the Academy was
considering these issues, EPA ‘‘will not
consider or rely on any such human
studies in its regulatory decisionmaking.’’
In early 2002, various parties from the
pesticide industry petitioned the U. S.
Court of Appeals for the D. C. Circuit for
review of EPA’s December 2001 press
release. These parties argued that the
interim approach announced in the
Agency’s December 2001 Press Release
constituted a ‘‘rule’’ promulgated in
violation of the procedural requirements
of the Administrative Procedure Act and
the Federal Food, Drug, and Cosmetic
Act. On June 3, 2003, the Court found
for the petitioners and vacated EPA’s
interim approach, stating:
For the reasons enumerated previously, we
vacate the directive articulated in EPA’s
December 14, 2001 Press Release for a failure
to engage in the requisite notice and
comment rulemaking. The consequence is
that the agency’s previous practice of
considering third-party human studies on a
case-by-case basis, applying statutory
requirements, the Common Rule, and high
ethical standards as a guide, is reinstated and
remains in effect unless and until it is
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replaced by a lawfully promulgated
regulation. See CropLife America v.
Environmental Protection Agency, 329 F.3d
876, 884 - 85 (D.C. Cir. 2003) (referred to as
the CropLife America case).
At EPA’s request, the NAS convened
a committee to provide the requested
advice. The committee met publicly in
December 2002, and again in January
and March 2003. The membership,
meeting schedule, and other
information about the work of this
committee can be found on the NAS
website at: https://www4.nas.edu/
webcr.nsf/ 5c50571a75df494485256a
95007a 091e/
9303f725c15902f685256c44005d8931
?OpenDocument. The committee issued
its final report, ‘‘Intentional Human
Dosing Studies for EPA Regulatory
Purposes: Scientific and Ethical Issues,’’
in February 2004. Their report is
available at: https://www.nap.edu/books/
0309091721/html/.
On May 7, 2003, EPA issued an
advance notice of proposed rulemaking
(ANPR) on Human Testing announcing
its intention to undertake notice-andcomment rulemaking on the subject of
its consideration of or reliance on
research involving human participants
(68 FR 24410) (FRL–7302–8). The ANPR
invited public comment on a broad
range of issues, and EPA received over
600 submissions in response.
Approximately 15 were from pesticide
companies, pesticide users, and
associated trade associations and
groups. These comments mostly favored
the Agency’s use of data from
scientifically sound, ethically
appropriate studies conducted with
human participants. Several of these
groups urged EPA to apply the Common
Rule to human research conducted by
third parties for submission to EPA.
About 60 submissions came from
religious groups, farm-workers’ and
children’s advocacy groups, and
environmental and public health
advocacy organizations. Most of these
groups generally opposed on ethical
grounds EPA’s consideration of results
from human testing, especially those
involving intentional dosing of test
participants with pesticides. Some of
these commenters suggested, however,
that, under certain strict conditions,
EPA might appropriately consider data
from human studies that complied with
the Common Rule. Over 500 private
citizens submitted identical comments
opposing the use of data from human
studies with pesticides in EPA’s
regulatory decision-making. A sizeable
number of other private citizens
expressed dismay in their comments at
what they misunderstood to be an EPA
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proposal to test pesticides on human
subjects.
C. EPA’s Announcement of its Plan and
Process
After consideration of the Court of
Appeals’ decision in the CropLife
America case, the public comments on
the ANPR, and the NAS report, EPA set
out to address the issues involving the
conduct and reliance on human
research. On February 8, 2005, EPA
published and invited public comment
on a Federal Register Notice
announcing EPA’s plan to establish a
comprehensive framework for deciding
whether to consider or rely on certain
types of research with human
participants (70 FR 6661) (FRL–7695–4).
Among other actions called for in this
plan were issuing proposed and final
rules and supplemental guidance, and
expanding the functions and staff of
EPA’s Human Subjects Research Review
Office (HSRRO) and relocating those
functions to the Office of the
Administrator.
The February 8, 2005, Federal
Register Notice also described the
Agency’s case-by-case process for
evaluating human studies, which the
D.C. Circuit required to remain in effect
until superseded by rulemaking. (EPA’s
application of this process with respect
to third party intentional dosing human
toxicity studies for pesticides was
suspended by the EPA 2006
Appropriations Act discussed in Unit
XI.) As the Notice explained:
As mandated by the D.C. Circuit in the
CropLife America case, EPA has resumed
consideration of third-party human studies
on a case-by-case basis, applying statutory
requirements, the Common Rule, and high
ethical standards as a guide. In its
consideration and review of human studies
submitted to the Agency, EPA will continue
to generally accept scientifically valid studies
unless there is clear evidence that the
conduct of those studies was fundamentally
unethical (e.g., the studies were intended to
seriously harm participants or failed to
obtain informed consent), or was
significantly deficient relative to the ethical
standards prevailing at the time the study
was conducted.
In response to the February 8, 2005,
Federal Register Notice, EPA received
approximately 150 comments opposing
pesticide research with human subjects.
In addition, other comments urged
adoption of new standards and specific
safeguards for vulnerable populations;
argued that intentional dosing of
humans to determine toxic effects is
inherently unethical; encouraged EPA to
reinstate its previous moratorium on
such tests; suggested that intentional
human dosing studies are superior to
animal studies in indicating the actual
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toxic effects of a compound in humans,
and that human testing is acceptable if
subjects are adequately informed and
provided with medical monitoring;
expressed concern that the small
number of subjects in many human
studies may not yield statistically
significant results relevant to various
subpopulations; urged that third-party
researchers be required to submit
protocols for review; stated that human
subjects testing should not be conducted
just to provide a no-observed-effectlevel (NOEL) for a single endpoint and
that the studies should be conducted so
as to maximize the amount of data
collected; asserted that the Common
Rule should be the minimum standard
for studies submitted to EPA and that
researchers should also comply with the
Nuremberg Code, Belmont Report, and
Declaration of Helsinki; and argued that
dosing humans with pesticides to
determine a NOEL or no-observedadverse-effect-level (NOAEL) is always
unethical.
EPA has reviewed each of the
comments submitted in response to the
May 7, 2003, ANPR and the February 8,
2005, Proposed Plan and Description of
Review Process. These comments have
provided useful input as the Agency has
developed this proposal. EPA also
expects to receive many useful and
informative comments in response to
this proposal. When a final rule is
published, EPA will respond to the
comments received in response to all
three of these documents.
D. Legal Authority
The proposed rule described in this
document is authorized under
provisions of the following statutes that
EPA administers. Section 25(a) of the
Federal Insecticide, Fungicide, and
Rodenticide Act (FIFRA) authorizes the
Administrator to ‘‘prescribe regulations
to carry out the purposes of [FIFRA].’’
Section 408(e)(1)(C) of the Federal Food,
Drug, and Cosmetic Act (FFDCA)
authorizes the Administrator to issue a
regulation establishing ‘‘general
procedures and requirements to
implement [Section 408].’’ In addition,
the proposed amendments to EPA’s
codification of the Common Rule
regarding first- and second-party
research are authorized pursuant to 5
U.S.C. 301 and 42 U.S.C. 300v-1(b).
On August 2, 2005, the President
signed into law the Department of the
Interior, Environment, and Related
Agencies Appropriations Act, 2006,
Public Law No. 109–54 (Appropriations
Act), which provides appropriated
funds for the Environmental Protection
Agency and other federal departments
and agencies. Unit XI. of this preamble
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discusses how this proposal meets the
requirements of section 201 of the
Appropriations Act, which addresses
EPA activities regarding intentional
dosing human toxicity studies for
pesticides as follows:
None of the funds made available by this
Act may be used by the Administrator of EPA
to accept, consider or rely on third-party
intentional dosing human toxicity studies for
pesticides, or to conduct intentional dosing
human toxicity studies for pesticides until
the Administrator issues a final rulemaking
on this subject. The Administrator shall
allow for a period of not less than 90 days
for public comment on the Agency’s
proposed rule before issuing a final rule.
Such rule shall not permit the use of
pregnant women, infants or children as
subjects; shall be consistent with the
principles proposed in the 2004 report of the
National Academy of Sciences on intentional
human dosing and the principles of the
Nuremberg Code with respect to human
experimentation; and shall establish an
independent Human Subjects Review Board.
The final rule shall be issued no later than
180 days after enactment of this Act.
IV. Extending the Common Rule to
Future Third-Party Human Research
This unit concerns rulemaking to
extend the requirements of EPA’s
Common Rule, 40 CFR part 26, to
certain types of human research
conducted or supported after the
effective date of the rule by regulated
third parties.
Summary of the EPA Proposal
EPA proposes to extend the
requirements of EPA’s Common Rule
(40 CFR 26.101 through 26.124) to thirdparty research, conducted after the
effective date of the rule, which
involves intentional exposure of human
subjects, if the researcher intended to
submit the resulting information to EPA,
or to hold the information for later
inspection by EPA, under FIFRA or the
FFDCA.
A. Background
The Common Rule applies to ‘‘all
research involving human subjects
conducted, supported or otherwise
subject to regulation by any federal
department or agency which takes
appropriate administrative action to
make [the Common Rule] applicable to
such research.’’ See 40 CFR 26.101(a).
The Common Rule defines ‘‘research’’
as:
a systematic investigation, including
research development, testing and
evaluation, designed to develop or contribute
to generalizable knowledge. Activities which
meet this definition constitute research for
purposes of this policy, whether or not they
are conducted or supported under a program
which is considered research for other
purposes. For example, some demonstration
and service programs may include research
activities.
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See 40 CFR 26.102(d).
EPA has promulgated the Common
Rule, making it applicable to human
research that the Agency conducts or
supports. The requirements of EPA’s
codification of the Common Rule
currently do not, however, apply to
third-party human research intended for
submission to or considered by EPA,
except when the research is conducted
under an applicable assurance of
Common Rule compliance approved by
OHRP and that has been voluntarily
extended to cover third-party research.
Currently no federal agency has taken
administrative action to extend the
requirements of the Common Rule to
third-party human research. In 1980 and
1981, however, the Food and Drug
Administration (FDA) promulgated
separate regulations that required
parties conducting covered human
research to comply with provisions
regarding Institutional Review Board
(IRB) review and informed consent. See
Protection of Human Subjects; Informed
Consent, 46 FR 8942 (January 27, 1981)
and Protection of Human Subjects;
Standards for Institutional Review
Boards for Clinical Investigations, 46 FR
8958 (January 27, 1981). These
regulations have since been amended
several times to make them
substantively equivalent to the Common
Rule.
The FDA rules apply to certain testing
by third parties, specifically to:
all clinical investigations regulated by the
Food and Drug Administration under
sections 505(i) and 520(g) of the Federal
Food, Drug, and Cosmetic Act, as well as
clinical investigations that support
applications for research or marketing
permits for products regulated by the Food
and Drug Administration, including foods,
including dietary supplements, that bear a
nutrient content claim or a health claim,
infant formulas, food and color additives,
drugs for human use, medical devices for
human use, biological products for human
use, and electronic products.
See 21 CFR 50.1.
The FDA regulation defines ‘‘clinical
investigation’’ to mean:
. . . any experiment that involves a test
article and one or more human subjects and
that either is subject to requirements for prior
submission to the Food and Drug
Administration under section 505(i) or 520(g)
of the act, or is not subject to requirements
for prior submission to the Food and Drug
Administration under these sections of the
act, but the results of which are intended to
be submitted later to, or held for inspection
by, the Food and Drug Administration as part
of an application for a research or marketing
permit. The term does not include
experiments that are subject to the provisions
of Part 58 of this chapter, regarding
nonclinical laboratory studies.
See 21 CFR 50.3(c).
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FDA regulations further define
‘‘nonclinical laboratory study’’ as a
laboratory-based experiment not
involving humans. See 21 CFR 58.3(d).
The NAS committee did not directly
address extending the requirements of
the Common Rule to third-party human
research; however, the committee did
discuss the Common Rule at length,
using it as the starting point for its
analyses of ethical issues arising from
consideration of the results of
intentional human dosing studies for
EPA regulatory purposes. See, e.g., NAS
Report, chapter 2 and chapters 4-6. The
NAS also recommended a number of
steps to EPA to strengthen protections
for human subjects involved in
intentional dosing studies. See NAS
Report, chapters 4 and 5. While it seems
evident the NAS committee would
support extending the requirements of
the Common Rule beyond first and
second parties, the committee did not
declare a position on the scope of thirdparty human research which should be
covered by such an extension.
The NAS committee’s most direct
statements appear in connection with
their Recommendation 6-1:
EPA should require that all human
research conducted for regulatory purposes
be approved in advance by an appropriately
constituted IRB or an acceptable foreign
equivalent.
(Italics in the original.) In explaining
this recommendation, the NAS
suggested ‘‘EPA may wish to use FDA’s
implementation of its equivalent of the
Common Rule (21 CFR Part 50) as a
guide for its adoption of such a
requirement.’’ NAS Report, p. 133.
EPA interprets the NAS phrase
‘‘research conducted for regulatory
purposes’’ in this context to mean
research intended to be submitted to
EPA for consideration in connection
with any regulatory actions that may be
performed by EPA. (The NAS did not
limit this or other recommendations to
human research received under specific
EPA statutory authorities.) The Agency
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interprets the NAS recommendation for
prior IRB approval of all such research
to be equivalent to a recommendation
that the Common Rule should be
extended to it. The NAS
recommendations do not specifically
address application of the Common
Rule requirements for informed consent,
but they do characterize non-consensual
research as fundamentally unethical.
With these interpretations, adoption and
implementation of the NAS
recommendations would put EPA in a
position very similar to that of FDA.
B. Proposal
EPA proposes to extend the
requirements of EPA’s Common Rule
(40 CFR 26.101 through 26.124) to thirdparty research conducted after the
effective date of the rule, which
involves intentional exposure of human
subjects, if the researcher intended to
submit the resulting information to EPA,
or to hold the information for later
inspection by EPA, under FIFRA or the
FFDCA.
Extension of the Common Rule is
supported by a significant number of
public comments which favored
applying equivalent ethical standards to
both EPA and third-party research. EPA
agrees, and for this reason is proposing
no changes to the substantive content of
the Common Rule.
EPA has also given a great deal of
thought to the scope of the proposed
extension of the Common Rule. In the
May 7, 2003, ANPR the Agency
identified many factors that could
possibly be used to define the range of
future third-party research to which the
requirements of the Common Rule
might be extended. Among these factors
are the nature or purpose of the
substance tested, the design of the
research, and the affiliation or purpose
of the investigators.
EPA proposes to extend its
codification of the Common Rule to
third-party research intended for
submission to EPA under the pesticide
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53845
laws, and involving intentional dosing
for any purpose. The figure below
illustrates how these factors are related.
The entire circle represents the universe
of third-party human studies conducted
for pesticides after the effective date of
the rule. Segment A represents toxicity
studies i.e., studies involving
intentional dosing to identify or
measure a toxic effect which are
intended to be submitted to EPA under
the pesticide laws, FIFRA or FFDCA.
Segment B represents all other human
studies intended for submission to EPA
under the pesticide laws which involve
intentional dosing, but for purposes
other than identifying or measuring
toxic effects. Examples in this category
would include studies of Absorption,
Distribution, Metabolism, and Excretion
(ADME), insect repellent efficacy
studies, and some non-occupational
exposure studies. Segment C represents
other studies intended for submission to
EPA under the pesticide laws which do
not involve intentional dosing.
Examples in this category would
include most occupational exposure
studies, and studies involving use of
registered pesticides for approved uses
according to label directions.
Segments A, B, and C taken together
represent all human studies intended
for submission to EPA under the
pesticide laws. Segment D represents all
other pesticide studies, defined only by
their not being intended for submission
to EPA. Examples in this category
would include studies conducted for
publication, or to meet regulatory
requirements in countries other than the
U.S., or by state governments for their
own use.
Segments A and B taken together
represent all intentional dosing human
studies intended for submission to EPA
under the pesticide laws. This is the
scope of extension of EPA’s Common
Rule proposed in § 26.102(j) of the
regulatory text.
BILLING CODE 6560–50–S
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BILLING CODE 6560–50–C
This scope for extending EPA’s
Common Rule was selected as a priority
in order to address public concern.
Intentional dosing human studies with
pesticides have generated the greatest
level of public concern, and although
the Agency’s previous Federal Register
Notices in May 2003 and February 2005,
have broadly addressed human studies
under all EPA statutes, stakeholder
comments have overwhelmingly
focused on human research with
pesticides. The Agency intends,
however, to continue to explore the
feasibility of extending EPA’s Common
Rule to third-party studies used to
inform decisions under statutory
authorities other than FIFRA or the
FFDCA, and is open to the possibility of
applying EPA’s Common Rule to a
different range of pesticide research.
Three key elements define the range
of research which would fall within the
scope of this proposed rule. First is
when the research is conducted. The
proposed rule would apply EPA’s
Common Rule to covered research
initiated after the effective date of the
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final rule. Such a provision would allow
researchers to come into compliance
with the new requirements in an orderly
manner.
The second element is research
involving intentional dosing or
exposure of a human subject. Proposed
§ 26.102(k) of the regulatory text defines
‘‘research involving intentional
exposure of a human subject’’ as ‘‘a
study of an environmental substance in
which the exposure to the substance
experienced by a human subject
participating in the study would not
have occurred but for the human
subject’s participation in the study.’’
Human studies that do not involve
intentional exposure are limited by the
terms of this proposed definition to
those where the exposure of the subjects
would have occurred even if the
subjects had not been participating in
research. For example, under this
definition a study would not be
considered to involve intentional
exposure if it monitored agricultural
workers (such as professional fruit
thinners or harvesters or other workers)
who perform their usual work in areas
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that have been treated with pesticides at
rates and using methods registered and
approved by EPA. While they are
participating in the research these
workers’ urine and blood may be
collected for analysis to evaluate
biological responses, or they may wear
patches attached to their clothing that
are collected at the end of the shift for
analysis to measure exposure.
Studies which do not involve
intentional exposure such as passive
observation or ambient monitoring
studies do not alter the level of exposure
of a subject to an environmental
substance, and in fact any exposure is
not a consequence of the subject’s
participation in the research, but results
from the subject’s pursuit of normal
work or life activities. Thus extending
EPA’s Common Rule only to third-party
research involving intentional exposure
focuses on the cases where heightened
oversight is potentially most important.
Although pesticide studies which do
not involve intentional exposure would
not be covered by this proposed
extension of EPA’s Common Rule,
FIFRA section 12(a)(2)(P) would apply
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because a pesticide is involved. This
provision of FIFRA makes it unlawful
for any person ‘‘to use any pesticide in
tests on human beings unless such
human beings (i) are fully informed of
the nature and purposes of the test and
of any physical or mental health
consequences which are reasonably
foreseeable therefrom, and (ii) freely
volunteer to participate in the test.’’
This essential protection of the integrity
and safety of the subjects does not
depend on application of the Common
Rule to the research.
The third element in the proposed
extension of EPA’s Common Rule is the
intent of the investigator to submit the
research to EPA under the pesticide
laws. The proposed rule would apply
only to research that was intended,
when it was initiated, to be submitted
to EPA, or to be held for EPA’s later
inspection, under FIFRA or FFDCA. The
intent to submit under the pesticide
laws both defines the scope of the
extension to pesticides and their
ingredients, and meets the requirement
of the Common Rule that covered
research be ‘‘otherwise subject to
regulation.’’ Research not intended for
submission to EPA may not meet this
standard.
The proposal at § 26.101(k) of the
regulatory text also specifies the
following approach to determining the
intention of research sponsors or
investigators to submit the results of the
research to EPA:
For purposes of determining a person’s
intent under paragraph (j) of this section,
EPA may consider any available information
relevant to determining the intent of a person
who conducts or supports research with
human subjects after the effective date of the
rule. EPA shall rebuttably presume such
intent existed if:
(1) The person or the person’s agent has
submitted or made available for inspection
the results of such research to EPA; or
(2) The person is a member of a class of
people who, or whose products or activities,
are regulated by EPA under its statutory
authorities and, at the time the research was
initiated, the results of the research would be
relevant to EPA’s exercise of that statutory
authority with respect to that class of people,
products or activities.
This would provide a straightforward
basis for both researchers and the
Agency to determine before research is
initiated whether the requirements of
EPA’s Common Rule apply to it.
EPA considered extending its
codification of the Common Rule to all
human research which the Agency
obtains and uses in its decision-making,
without regard to the intent of the
investigators or sponsors to submit it to
the Agency. This approach would
extend Common Rule protections to the
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subjects of a wider range of research, but
it would entail serious problems in
implementation. Much research of
relevance to EPA decision-making is
conducted by people who are not
regulated by the Agency and can be
presumed to have no intention to
submit it to the agency. This may
include research done in academic
institutions, much research done
outside the U.S., and a substantial
portion of published research. As a
practical matter, EPA is unable to
identify in advance what research
(conducted without the intention to
submit it to EPA) might someday be
relevant to an EPA decision. Thus, a
researcher could not readily tell before
conducting the research whether it
would fall within the scope of an
extension of EPA’s Common Rule. The
researcher would only know with
certainty whether EPA had decided to
use the results of his or her research
after it was completed, when it would
be impossible to comply with the
Common Rule. The commitment to
comply with the Common Rule must be
made before conducting the research,
since it imposes procedural and other
requirements on the conduct of the
research. Thus, the requirement to
comply with the Common Rule must
also be known before the research
begins. While EPA has not put this
forward as its preferred approach, the
Agency encourages comment and
suggestions that may modify its
proposed position.
C. Topics for Public Comment
The Agency has considered a number
of alternatives to the proposed rule and
invites public comment on whether EPA
should adopt any combination of these
alternatives for the final rule, including
any potential constraints:
1. Extending the application of EPA’s
Common Rule to all research with
human subjects intended for submission
to EPA under some or all of its statutory
authorities, rather than limiting it to
studies intended for submission under
FIFRA or FFDCA.
2. Limiting the application of EPA’s
Common Rule to research with human
subjects involving intentional exposure
for the purpose of identifying or
measuring a toxic effect, rather than
applying it to all studies involving
intentional exposure.
3. Extending the application of EPA’s
Common Rule to all research with
human subjects, rather than limiting it
to research involving intentional
exposure.
4. Extending the application of EPA’s
Common Rule to all research with
human subjects that EPA uses in its
decision-making, rather than limiting it
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to research intended for submission to
EPA.
5. Adopting an alternative definition
of intentional exposure that would limit
it to research conducted in laboratories
or clinics, and exposing subjects to an
environmental substance at a level
above the median ambient levels in the
environment.
6. Adopting an approach to
determining a person’s intent to submit
research to EPA differing from that
proposed in § 26.101(k) of the regulatory
text.
7. Codifying all requirements
applicable to regulated third parties in
a separate part of 40 CFR, so that the
provisions of 40 CFR part 26 would
apply only to research conducted or
supported by EPA.
All of the alternatives identified above
assume that EPA would accept for
review, in at least some circumstances,
some research involving intentional
exposure of a human subject to a
pesticide. It should be noted, however,
that some public comments received on
the ANPR advocated a rule that would
prohibit EPA from considering any
research involving intentional dosing of
a human subject with a pesticide. EPA’s
request for comment on an alternative
reflecting that view appears in Unit X.
V. Submission of Protocols, and
Establishment of the Human Studies
Review Board
This unit discusses rulemaking to
require third parties who intend to
conduct covered human research to
submit a protocol and other information
about the proposed research to EPA for
a scientific and ethical review, and to
establish a Human Studies Review
Board.
Summary of EPA Proposal
EPA proposes to require prior
submission of protocols and related
information for proposed third-party
human research covered by the rule.
This rule as proposed would apply to
the same range of research to which
EPA’s Common Rule would be
extended--i.e., all intentional dosing
human studies intended for submission
to EPA under the pesticide laws. EPA
also proposes to establish a Human
Studies Review Board to provide an
additional scientific and ethical peer
review for such research. Finally, the
Agency proposes to require that
submitted reports of covered third-party
studies include detailed documentation
of the ethical conduct of the studies.
A. Background
The Common Rule requires that the
protocol and other information
concerning any proposed human
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research be reviewed and approved by
an IRB before the research is initiated.
The Common Rule further provides that
although a decision by an IRB to reject
a proposal cannot be overruled,
requirements in addition to IRB
approval may be imposed before
research may proceed. 40 CFR 26.103,
26.112, and 26.124.
Since its adoption of the Common
Rule, EPA has followed an internal
procedure requiring prior approval by
the Agency’s Human Subjects Research
Review Official (HSRRO) of all
proposed first- and second-party
research with human subjects
conducted or supported by EPA, in
addition to and subsequent to approval
of the research proposal by the
cognizant local IRB.
In addition to compliance with its
rules equivalent to the Common Rule
(21 CFR parts 50 and 56), FDA rules
governing research with Investigational
New Drugs (INDs) require FDA’s prior
review of protocols for certain clinical
studies for INDs. See 21 CFR part 312.
The NAS committee addressed the
question of prior EPA review of
protocols for proposed human studies
directly in their recommendation 6-2:
To ensure that intentional dosing studies
conducted for EPA regulatory purposes meet
the highest scientific and ethical standards,
EPA should establish a Human Studies
Review Board to address in an integrated way
the scientific and ethical issues raised by
such studies. To the extent possible, this
board should review in a timely manner the
protocols and the justification for all
intentional dosing studies intended for
submission to EPA, as well as study results
when completed. These reviews should be
conducted regardless of the sponsor or site of
performance, and EPA should communicate
the results of the reviews to relevant parties.
In the discussion supporting this
recommendation, the NAS Committee
advocated that EPA’s review of
protocols should precede review by
local IRBs, so that each IRB, which is
likely to see proposals for research with
environmental substances only
infrequently, would have the benefit in
their deliberations of the review by the
EPA board, which would see all such
proposals, and would develop
specialized expertise in their
assessment. NAS Report, p. 135.
The NAS Committee envisioned a
process of prior review of protocols
analogous to that used by FDA in their
review of protocols for INDs. They
further recommended that the
conclusions of the EPA protocol review
should be advisory, rather than
mandatory, that the Human Studies
Review Board should be relatively
small, consisting of individuals with
expertise in both scientific disciplines
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and bioethics, and should report
directly to the Office of the
Administrator of EPA. NAS Report, pp.
135-36.
The NAS Committee also considered
whether submission of protocols for
proposed research to EPA should be
mandatory or voluntary:
The main argument for mandatory review
was the importance of this review process. .
. . [R]equiring review of proposed
experiments in advance would lead to fewer
inappropriate studies. In addition, making
pre-experiment review mandatory should
build public confidence that problematic
experiments are being minimized and would
guarantee that EPA knew of all relevant
industry-sponsored experiments. [NAS
Report, p. 138.]
In summary the Committee stated on
p. 138:
Ultimately the committee concluded that
pre-experiment review of studies intended
for submission to EPA should be mandatory,
if legally and logistically feasible.
B. Proposal
EPA proposes to require prior
submission of protocols and related
information for proposed third-party
human research covered by the rule.
The rule would apply to the same range
of research to which EPA’s Common
Rule would be extended--i.e., all
intentional dosing human studies
intended for submission to EPA under
the pesticide laws. EPA also proposes to
establish a Human Studies Review
Board to provide an additional scientific
and ethical peer review for such
research. Finally, the Agency proposes
to require that submitted reports of
covered third-party studies include
detailed documentation of the ethical
conduct of the studies.
The Agency agrees with the NAS that
review of proposals by EPA and the
Human Studies Review Board (HSRB)
could identify scientific and ethical
concerns that an IRB might not
recognize. The Agency also thinks that
the number of studies likely to be
submitted and the resulting review
burden will be consistent with timely
responses to protocol submissions.
There are potential advantages to
placing the EPA review of proposals
either before or after the review by local
IRBs. On the one hand, the NAS
committee argues that if the EPA and
HSRB reviews come first, it would
improve the consistency and quality of
the reviews and benefit the local IRBs
who would be likely to see far fewer
study proposals of this sort than the
EPA reviewers. On the other hand,
reviewing the proposals after IRB
approval would be consistent with
FDA’s practice in reviewing clinical
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trials for investigational new drugs, and
with EPA’s practice in overseeing its
own first- and second-party research,
and would give the EPA reviewers the
benefit of the results of the IRB review.
This sequence would also reinforce the
centrality of the IRB judgment in the
overall scheme of implementing the
Common Rule.
Based on its experience with central
review of its first- and second-party
research with human subjects, EPA is
concerned that if the HSRB review
precedes the IRB review, many
relatively routine issues of research
design and documentation now handled
between the IRB and investigators
would add to the workload of the HSRB.
Conversely, if the IRB reviews at the
relevant institutions are placed first in
sequence, they will continue to solve
many of the general ethics and science
considerations commonly encountered
in study design, facilitating a more
focused and efficient secondary review
by the HSRB of issues peculiar to
covered studies. The HSRB could share
accumulated insights about the issues
surrounding intentional dosing studies
with environmental substances through
guidance to IRBs to inform their future
consideration of covered studies.
Based on this reasoning, EPA
proposes to require submission of
protocols for review by EPA staff and
the HSRB after approval of the proposal
by the local IRB(s). EPA welcomes
comment on this issue.
The proposal also specifies the range
of information to be provided with
submitted protocols, and with the
results of the research. This list of topics
is derived from the Common Rule
criteria for IRB approval of proposed
research at 40 CFR 26.111. This
information will have been gathered for
presentation to the IRB, and it should
not be any additional burden to provide
the same range of information to the
Agency.
As recommended by the NAS, EPA
proposes to establish a Human Studies
Review Board (Board) to address in an
integrated way the scientific and ethical
issues raised by such studies.
Specifically, the Agency proposes to
convene a small group of appropriately
qualified experts and to enlist their
support in reviewing covered research
proposals, i.e., third-party research
involving intentional exposure of
human subjects, when the results of
such research are intended to be
submitted to EPA under the pesticide
laws. After completing its initial staff
assessment of a research proposal, the
Agency would send its review, the
proposal, and supporting materials to
the Board for further review and
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comment. As recommended by the
NAS, EPA intends to reexamine the
functions of the Human Studies Review
Board after 5 years.
C. Topics for Public Comment
The Agency has considered
alternatives to the proposed rule and
invites public comment on whether EPA
should adopt any of these alternatives
for the final rule:
1. To what extent should EPA define
by rule the range of functions of the
HSRB, its procedures, or how it should
be constituted? What should its
functions be? How should it operate?
Should it be formed under the Federal
Advisory Committee Act (FACA), or
some other authority? How best could
its independence and integrity be
protected from improper influence?
2. Should review of protocols for
proposed research by EPA and the
HSRB precede (as recommended by the
NAS) or follow (as proposed) review by
the local IRB?
3. Should submission of protocols for
EPA and HSRB review before conduct of
the research be made entirely voluntary?
4. How much time should be allowed
for review by EPA and HSRB of
submitted protocols? Should the rule
establish a deadline for EPA’s response
and define the consequence of missing
such a deadline?
5. Should more or less information be
required about proposed research than
is specified in the proposed rule? For
example, should EPA specify elements
of the protocol that must be contained
in the description of the ‘‘research
proposal’’? Might the rule exempt from
submission certain types of
correspondence between an investigator
and an IRB, such as correspondence
concerning financial arrangements?
6. Should more or less documentation
of the ethical conduct of the research be
required than is specified in the
proposed rule, when the results of the
research are submitted to the Agency?
For example, might the rule require
additional information comparing the
demographic characteristics of the study
subjects to the demographics of the
larger population from which the
prospective participants were recruited?
Or might the rule exempt from
submission with the report of completed
research documentation previously
provided during the protocol review?
7. Should the scope of the
requirement to submit proposed
protocols be identical to the scope of
third-party research covered by the
extension of EPA’s Common Rule, as
that might be expanded under some of
the alternatives listed for public
comment in Unit IV.? For example, if
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the scope of subpart A were expanded
to cover all human research intended for
submission to EPA, should protocol
submission be required for the same
range of research, or might protocol
submission be limited to human
research involving intentional
exposure?
8. Should EPA establish, by rule,
criteria identifying types of protocols
(e.g., skin irritation studies on products
intended for use involving long-term
contact with human skin such as
commercial detergents and some
consumer products) that may not
warrant review by the Human Studies
Review Board and, if so, what should
those criteria be?
VI. Additional Protections for Children
This unit concerns rulemaking to
establish additional protections, beyond
the Common Rule, for children who
may be subjects in research.
Summary of EPA Proposal
EPA proposes to categorically prohibit
third parties engaged in research
covered by the proposed extension of
EPA’s Common Rule from conducting
any study involving intentional dosing
of children, and to apply the same
prohibition to human research that EPA
conducts or supports. EPA further
proposes to prohibit its own reliance in
its decision-making under the pesticide
laws on any research involving
intentional dosing of children. Finally,
as recommended by NAS, EPA proposes
to adopt formally additional protections
for children as subjects of other than
intentional dosing research--protections
it has long applied in practice in
research which it conducts or supports.
A. Background
EPA has never conducted or
supported intentional dosing studies
with children, but EPA has both
conducted and sponsored observational
studies in which some of the subjects
were children. None of these studies
have involved intentional dosing. They
were observational studies that did not
alter the children’s exposure to
substances routinely experienced in
their community. Many of these studies
have collected data on children’s
activity patterns (e.g., time spent
indoors, outdoors, sleeping, playing).
Other research involving children has
measured their levels of exposure to
environmental substances in their daily
lives--for example, monitoring pesticide
levels in the urine of children whose
parents work on farms where pesticides
are used. Whenever the Agency
conducts or supports scientific studies
involving children, EPA not only
follows the requirements of its Common
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53849
Rule but also, as a matter of practice,
applies the additional protections
established by HHS for research with
children.
While it has not been common in
recent years for third parties to perform
research on environmental substances
with children, it should be noted that
EPA has received data from several
previously conducted third-party
studies involving children. Most of
these studies were conducted in the last
century, well before the Common Rule
was adopted. EPA cannot, of course,
predict how many studies involving
children that third parties may conduct
in the future, but based on recent
experience, the Agency thinks it likely
there will be very few, if any.
As part of its discussion of issues
related to the selection of research
subjects, the NAS report specifically
addressed whether and when children
could ethically be allowed to participate
in human research. Among other things,
the NAS concluded that children, as
potential subjects in human research,
raise special concerns. Not only do
children--particularly younger children-have less capacity to understand the
potential consequences from
participation in a human study, but they
are also quite vulnerable to influence by
adults. Both factors make compliance
with the principle of voluntary,
informed consent more difficult.
While the NAS Report did not
directly address whether it would ever
be ethical to conduct a study
intentionally exposing children to
substances to determine their toxicity,
we think the NAS did not believe such
testing could ever be justified. In 2004,
when the NAS released the report and
panelists answered reporters’ questions,
the panelists explained that they could
not envision any situation in which an
investigator or the head of an agency
could satisfy the ethical standards for
testing a pesticide on children to
determine whether (or at what level) it
caused adverse effects. See https://
www.nap.edu/webcast/
webcast_detail.php? webcast_id=264.
HHS has addressed these issues in a
regulation promulgated in 1983.
Additional Protections for Children
Involved as Subjects in Research, 48 FR
9814 (March 8, 1983). This regulation,
codified at 45 CFR part 46, subpart D
(§§ 46.401 through 46.409), applies only
to research involving children as
subjects which is conducted or
supported by HHS or conducted by
third parties under a Federal-wide
Assurance (FWA) approved by OHRP.
The HHS regulation greatly restricts the
enrollment of children in research
involving greater than minimal risk.
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In 1997, the Education Department
adopted similar rules to govern research
involving children as subjects that it
conducts or supports. See Additional
ED Protections for Children Who Are
Subjects in Research, 62 FR 63221
(November 26, 1997), codified at 34 CFR
part 97, subpart D, §§ 97.401 through
97.409. In 2001, the Food and Drug
Administration promulgated an interim
final rule, codified at 21 CFR 50.51
through 50.56, establishing additional
protections for children participating in
certain clinical investigations conducted
by third parties. Additional Safeguards
for Children in Clinical Investigations of
FDA-Regulated Products, 66 FR 20589
(April 24, 2001). Although the FDA and
HHS rules are essentially equivalent in
content, the FDA rule applies only to
research conducted by regulated third
parties.
In its Recommendation 5-2 the NAS
Committee recommended:
EPA should adopt Subpart D of the
Regulations for the Protection of Human
Research Subjects. At a minimum, EPA
should adhere to Subpart D’s requirements
for research involving children.
B. Proposal
EPA proposes to categorically prohibit
third parties engaged in research
covered by the proposed extension of
EPA’s Common Rule from conducting
any study involving intentional dosing
of children, and to apply the same
prohibition to human research that EPA
conducts or supports. EPA further
proposes to prohibit its own reliance in
its decision-making under the pesticide
laws on any research involving
intentional dosing of children. Finally,
as recommended by NAS, EPA proposes
to adopt formally additional protections
for children as subjects of other than
intentional dosing research--protections
it has long applied in practice in
research which it conducts or supports.
EPA is proposing to adopt and
incorporate into a new subpart D of 40
CFR part 26 the essential content of
subpart D of the HHS rule, 45 CFR part
46, with certain changes. EPA has made
minor editorial changes to the adopted
language necessary to reflect that the
proposed rule would apply to third
parties as well as to EPA, and would be
implemented by EPA. Substantive
changes are limited to: (1) Making the
rule applicable to the same kinds of
third-party research that would be
covered by the extension of EPA’s
Common Rule by proposed § 26.101(j),
(2) defining ‘‘children’’ as persons under
the age of 18, and (3) creating
placeholders for (but not adopting) the
provisions in 45 CFR 46.406, 46.407 and
46.409 by reserving 40 CFR 26.406,
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26.407, and 26.409. EPA does not
consider these provisions applicable to
research with environmental
substances.
EPA opposes research involving
intentional exposure of children, and
believes that prohibiting such research
represents sound public policy. With
this in mind, EPA has chosen not to
propose rule text comparable to the
HHS rules at 45 CFR 46.406 or 46.407,
and has identified those sections in the
proposed EPA rule as ‘‘Reserved.’’ 45
CFR 46.409 has been reserved in the
proposed EPA rule as well, since it
concerns only research approved under
45 CFR 46.406 or 46.407.
EPA also proposes to add at the end
of subpart D rules which would: (1)
Prohibit both EPA and third parties
covered by proposed § 26.101(j) from
conducting or supporting an intentional
dosing study involving children, and (2)
prohibit EPA itself from relying in its
decision-making under the pesticide
laws on any research involving
intentional dosing of children with
pesticides.
EPA proposes to change the definition
of ‘‘children’’ from the HHS standard to
define a finite upper age limit of 18. The
HHS definition in 45 CFR 46.402(a)
defers to local standards:
Children are persons who have not
attained the legal age for consent to
treatments or procedures involved in the
research, under the applicable law of the
jurisdiction in which the research will be
conducted.
EPA notes that 18 is the age of majority
in the U.S. for essentially all purposes
except the purchase of alcohol. At 18
one can enlist in the military or vote.
Minor wards of the courts are
discharged as adults at age 18. Eighteen
is also typically the minimum age for
participation in human research as an
adult subject. Public comment is invited
on whether a finite upper age limit is
needed in the definition of ‘‘children,’’
and if so, whether it should be 18 or a
different age.
C. Topics for Public Comment
The Agency has considered a number
of alternatives to the proposed rule and
invites public comment on whether EPA
should adopt any of these alternatives
for the final rule:
1. Should the proposed subpart D
regulations apply to broader or narrower
categories of third-party research
identified in Unit IV. of this preamble,
possibly covering all research intended
for submission to EPA involving
intentional exposure of human subjects
to any class of environmental substance;
or covering all research being
considered by EPA, etc.?
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2. Should the scope of the ban on
conducting new intentional dosing
research involving children as subjects,
proposed at § 26.240 of the regulatory
text, be made broader or narrower?
3. Should the scope of the ban on
EPA’s reliance in its decision-making on
intentional dosing research involving
children as subjects, proposed at
§ 26.421 of the regulatory text, be made
broader or narrower?
4. Should ‘‘children’’ be defined as
persons under the age of 21, or some
other finite age than the age of 18 as
proposed? Or should EPA adopt
unchanged the definition of ‘‘children’’
in the HHS regulation at 45 CFR
46.402(a)?
5. Should EPA adopt the sections of
the HHS subpart D regulation it has
proposed to reserve, including 45 CFR
46.406, addressing ‘‘research involving
greater than minimal risk and no
prospect of direct benefit to individual
subjects, but likely to yield
generalizable knowledge about the
subject’s disorder or condition’’; 45 CFR
46.407, addressing ‘‘research not
otherwise approvable which presents an
opportunity to understand, prevent, or
alleviate a serious problem affecting the
health or welfare of children’’; and 45
CFR 46.409, addressing inclusion of
wards in research approved under 45
CFR 46.406 or 46.407?
6. Under what circumstances, if any,
should EPA be permitted to rely in its
decision-making under the pesticide
laws on research involving intentional
dosing of children?
VII. Additional Protections for Pregnant
Women, Fetuses, and Certain Newborns
This unit concerns rulemaking to
establish additional protections, beyond
the Common Rule, for pregnant women,
fetuses, and newborns who may be
subjects in research.
Summary of EPA Proposal
EPA proposes to categorically prohibit
third parties engaged in research
covered by the proposed extension of
EPA’s Common Rule from conducting
any study involving intentional dosing
of pregnant women, fetuses, or
newborns, and to apply the same
prohibition to human research that EPA
conducts or supports. EPA further
proposes to prohibit itself from relying
in its decision-making under the
pesticide laws on research involving
intentional dosing of pregnant women,
fetuses, or newborns. Finally EPA
proposes to adopt formally additional
protections for pregnant women,
fetuses, and newborns as subjects of
other than intentional dosing research-protections it has long applied in
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populations, such as children, prisoners,
pregnant women, mentally disabled persons,
or economically or educationally
disadvantaged persons.
practice in research which it conducts
or supports.
A. Background
EPA has never conducted or
supported intentional dosing studies
with pregnant women, but over the
years, EPA has both conducted and
sponsored observational studies in
which some of the subjects were
pregnant women. They were
observational studies which did not
involve any intentional exposure, and
participation in them as subjects did not
alter the exposure of the pregnant
women to substances routinely
experienced in their daily lives. For
example, EPA, through the STAR
(Science to Achieve Results) grant
program, has awarded grants for both
urban and rural studies on pregnant
women and children in partnership
with the National Institutes of Health as
part of the Centers for Children’s
Environmental Research and Disease
Prevention. These research centers are
multi-disciplinary and foster
community participation in multiple
aspects of the research process. The
results are directly relevant to the
development of estimates of pesticide
exposure for pregnant women, fetuses,
and very young children; to assessment
of genetic susceptibility to pesticide
poisoning; and to application of
proposed EPA guidelines for cumulative
risk assessment of mixed exposures to
multiple pesticides. These are the first
investigations of the potential health
consequences of pesticide exposures to
young children to include in-depth
assessments of children’s physical and
neuro-behavioral development and
respiratory health. This research also
characterizes pesticide and allergen
levels in the home environment,
resident density, and child safety, and
tests the effectiveness of interventions
aimed at reducing pesticide exposures.
It has not been common for third
parties to perform research with
environmental substances involving
pregnant women, fetuses, or newborns.
EPA is unaware of any such studies
with any pesticide or other
environmental substance.
As an essential precondition for
approving any proposed research with
human subjects, the Common Rule
requires that IRBs find that subject
selection is equitable. At 40 CFR
26.111(a)(3) EPA’s codification of the
Common Rule explains:
In making this assessment the IRB should
take into account the purposes of the
research and the setting in which the
research will be conducted and should be
particularly cognizant of the special
problems of research involving vulnerable
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HHS has taken further steps to
provide additional protections specific
to pregnant women, fetuses, and
newborns as subjects of research. In a
regulation initially promulgated on
August 8, 1975 (40 FR 33526) and
revised several times since, codified as
45 CFR part 46, subpart B (45 CFR
46.201 through 46.207), HHS defines
stringent constraints on research with
these particularly vulnerable
populations. The HHS subpart B does
not rule out research with these groups
when it would involve direct benefit to
them, but it requires an especially high
standard of justification and imposes
many procedural and other constraints
on research which would not confer a
direct benefit on the subjects. The HHS
subpart B regulation applies only to
research conducted or supported by
HHS (or conducted under an applicable
assurance of compliance approved by
OHRP and voluntarily extended to cover
other research). The FDA has neither
proposed nor promulgated a version of
the HHS subpart B that would apply to
research conducted by third parties
regulated by FDA.
The NAS Report did not expressly
address the topic of additional
protections for research involving
pregnant women, fetuses, and
newborns. It did, however, discuss
several general considerations affecting
the equitable selection of research
subjects. Citing the Belmont Report’s
principle of justice and the general
requirement in the Common Rule that
‘‘selection of subjects is equitable,’’ the
NAS identified a range of
considerations:
the study population needs to be
representative of the target population of
interest in order for the research results to be
applicable (p. 114);
the selection of research participants
should be inclusive in order to avoid the
exploitation and appearance of exploitation
of any particular social group (p. 114);
some persons may be vulnerable to
coercion or undue influence and hence may
need additional safeguards (p.115); and
some individuals are potentially more
vulnerable to harm in research protocols and
therefore . . . investigators may need to take
steps to minimize risks, such as excluding
those who would face higher risks (p.115).
Based on these general considerations,
in its Recommendation 5-2 the NAS
recommended in part:
IRBs reviewing intentional human
exposure studies should ensure that the
following conditions are met in selecting
research participants:
a. Selection should be equitable.
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b. Selection of persons from vulnerable
populations must be convincingly justified in
the protocol, which also must justify the
measures taken to protect those participants.
c. Selection of individuals with conditions
that put them at increased risk for adverse
effects in such studies must be convincingly
justified in the protocol, which must justify
the measures that investigators will use to
decrease the risks to those participants to an
acceptable level.
While the NAS Report did not
directly address whether it would ever
be ethical to conduct a study
intentionally exposing pregnant women
or fetuses to substances to determine
their toxicity, we think the NAS did not
believe such testing could ever be
justified. In 2004, when the NAS
released the report and panelists
answered reporters’ questions, the
panelists explained that they could not
envision any situation in which an
investigator or the head of an agency
could satisfy the ethical standards for
testing a pesticide on pregnant women
to determine whether (or at what level)
it caused adverse effects. See https://
www.nap.edu/webcast/
webcast_detail.php? webcast_id=264.
B. Proposal
EPA proposes to categorically prohibit
third parties engaged in research
covered by the proposed extension of
EPA’s Common Rule from conducting
any study involving intentional dosing
of pregnant women, fetuses, or
newborns, and to apply the same
prohibition to human research that EPA
conducts or supports. EPA further
proposes to prohibit itself from relying
in its decision-making under the
pesticide laws on research involving
intentional dosing of pregnant women,
fetuses, or newborns. Finally EPA
proposes to adopt formally additional
protections for pregnant women,
fetuses, and newborns as subjects of
other than intentional dosing research-protections it has long applied in
practice in research which it conducts
or supports.
EPA is proposing to adopt and
incorporate into a new subpart B of 40
CFR part 26 the essential content of
subpart B of the HHS rule, 45 CFR part
46, with only a few changes. EPA has
made minor editorial changes to the
language adopted necessary to reflect
that the proposed rule would apply to
third parties as well as to EPA, and
would be implemented by EPA.
Substantive changes are limited to: (1)
Making the rule applicable to the same
kinds of third-party research that would
be covered by the proposed
amendments to EPA’s subpart A; and (2)
creating a placeholder for (but not
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adopting) the provisions in 45 CFR
46.207 by reserving 40 CFR 26.207,
which EPA considers not to be
appropriate for research with
environmental substances.
EPA intends that the standards
contained in proposed §§ 26.204 and
26.205 of the regulatory text would
preclude any research with pregnant
women, fetuses, or neonates who would
not benefit directly from the research.
EPA further believes that no pregnant
woman, fetus, or neonate could possibly
benefit directly from a study involving
their intentional exposure to a pesticide,
and thus believes such research could
never be approved under the provisions
of the proposed rule.
EPA opposes research involving
intentional exposures to pregnant
women, fetuses, or newborns, and
believes this to be sound public policy.
So as to eliminate even a theoretical
possibility such research could be
approved, we have chosen not to
propose adopting 45 CFR 46.207, which
provides a procedure for approving in
exceptional cases research which does
not meet the standards of 45 CFR 46.204
or 46.205.
EPA is also proposing at § 26.220 of
the regulatory text to prohibit both EPA
and third parties covered by proposed
§ 26.101(j) from conducting or
supporting an intentional dosing study
involving as subjects pregnant women,
fetuses, or newborns. Finally, EPA is
proposing at § 26.221 of the regulatory
text to prohibit itself from relying in its
decision-making under the pesticide
laws on research involving intentional
dosing of pregnant women, fetuses, or
newborns.
C. Topics for Public Comment
The Agency has considered a number
of alternatives to the proposed rule and
invites public comment on whether EPA
should adopt any alternatives for the
final rule.
1. Should the proposed subpart B
regulations apply to any of the broader
or narrower categories of third-party
research identified in Unit IV. of this
preamble, possibly covering all research
intended for submission to EPA
involving intentional exposure of
human subjects to any class of
environmental substance; or covering all
research being considered by EPA, etc.?
2. Should the scope of the ban on
conducting new intentional dosing
research involving pregnant women,
fetuses, or newborns as subjects,
proposed at § 26.220 of the regulatory
text, be made broader or narrower?
3. Should the scope of the ban on
EPA’s reliance in its decision-making on
intentional dosing research involving
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pregnant women, fetuses, or newborns
as subjects, proposed at § 26.221 of the
regulatory text, be made broader or
narrower?
4. Should EPA adopt the section of
the HHS subpart B regulation it has
proposed to reserve, 45 CFR 46.207,
addressing ‘‘research not otherwise
approvable which presents an
opportunity to understand, prevent, or
alleviate a serious problem affecting the
health or welfare of pregnant women,
fetuses, or neonates’’?
5. Under what circumstances, if any,
should EPA be permitted to rely in its
decision-making under the pesticide
laws on research involving intentional
dosing of pregnant women, fetuses, or
newborns?
VIII. Additional Protections for
Prisoners
This unit explains EPA’s decision to
defer at this time proposal of rules
providing additional protection for
prisoners, comparable to those adopted
by HHS and codified at 45 CFR part 46,
subpart C.
A. EPA Rationale for Deferral
EPA has decided to defer adoption of
the HHS subpart C rules at this time for
a number of reasons. First, many people
in the ethics community have
concluded that these rules create as
many problems as they solve, providing
inadequate protections for prisoners,
discouraging research on issues
affecting prisoners, and sometimes
putting subjects of ongoing research at
avoidable risk when they become
prisoners. HHS and its advisory
committee, the Secretary’s Advisory
Committee on Human Research
Protections (SACHRP), are actively
considering revisions to the HHS
subpart C, which has not been changed
since its adoption in 1978. EPA is
monitoring the work of this committee
with interest, and will reconsider
adopting additional protections for
prisoners as subjects of research when
its recommendations are known.
In addition, EPA has never conducted
or supported any human studies with
prisoner subjects, and has no intention
to do so in the future. Some third-party
research with prisoner subjects was
submitted to the Agency some 30 or
more years ago; since HHS adopted
subpart C, this type of research has
essentially disappeared, and none has
been submitted to EPA for many years.
We do not expect any to be submitted
to us in the future.
Finally, if either EPA or third parties
should consider performing studies
with prisoner subjects, the prisoners’
participation would still be governed by
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the provisions in EPA’s Common Rule
requiring additional protections (40 CFR
26.111(a)(3) and 26.111(b)) and special
care in informed consent (40 CFR
26.116) when dealing with populations
vulnerable to coercion or undue
influence.
B. Topics for Public Comment
The Agency has considered a number
of alternatives to the position described
and invites public comment on whether
EPA should adopt any of these
alternatives for the final rule:
1. Should EPA adopt an appropriately
revised version of the HHS subpart C
regulation for application to research
conducted or supported by EPA or third
parties, possibly including any of the
types of research or categories of third
parties discussed in Unit IV.?
2. Should EPA include in its final
regulation an express prohibition on any
research involving intentional dosing of
prisoners with pesticides?
IX. Potential Consequences for Failure
to Comply With the Requirements of the
Common Rule Within the Scope of
Today’s Proposed Rule
Summary of EPA Proposal
To encourage compliance with the
requirements of subparts A through D of
this action, EPA proposes, as
circumstances warrant, to: (1) Refuse to
rely on the results of any research that
does not comply with these
requirements; (2) seek withdrawal or
suspension of a research institution’s
Federal-wide Assurance; (3) disqualify a
research institution or its IRB; (4) debar
an entity from receiving federal funds
for research; or (5) present for public
review an objective analysis of the
ethical deficiencies of any human
research relied upon by EPA for
regulatory decision-making under any
statutory authority. These provisions in
proposed §§ 26.501 through 26.504 and
§ 26.506 of the regulatory text closely
follow FDA’s existing regulations in 21
CFR 56.120 through 56.124.
A. Background
There are a number of options
available to agencies seeking to penalize
first- or second-party researchers that
fail to comply with applicable
provisions of the Common Rule. (See
the NAS Report, pp. 60-61). Funding or
sponsoring agencies may: (1) Terminate
or suspend the offending research; (2)
suspend funding for the research; (3)
require written responses regarding
alleged deficiencies, or enactment of
specific changes to research protocols to
address the problems; (4) seek
withdrawal of the OHRP-issued Federalwide Assurance necessary to conduct
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the research; or (5) disqualify an IRB.
With respect to third-party human
research that is not conducted or
sponsored by a federal agency, some or
all of these options may be inapplicable.
A potential consequence for the
conduct of research by a third-party that
fails to comply with Common Rule
requirements that EPA has, by rule,
made applicable is for the Agency to
refuse to rely on the data in regulatory
decision-making. The NAS Report (p.
125) specifically recommends that EPA
‘‘not use data from ethically problematic
studies to inform its regulatory efforts.’’
Recommendation 5-6 of the NAS (p.
127, italics in original) provides that
EPA should operate on the strong
presumption that data obtained in
studies conducted after implementation
of the new rules that do not meet the
ethical standards described in this
report will not be considered in its
regulatory decisions. Similarly, a
number of commenters have suggested
that EPA should not accept, consider, or
rely upon any human subjects studies
that are ethically deficient. The NAS
avers (p. 125) that the question of
addressing human subjects studies that
are non-compliant with ethical
standards ‘‘will rarely arise, especially
after EPA formulates its standards and
procedures.’’ EPA hopes such a
situation will never arise. Nonetheless,
it is incumbent upon the Agency to
address the potential consequences
should such non-compliance occur.
EPA is proposing to extend the
requirements of its codification of the
Common Rule to third party intentional
exposure studies intended to be
submitted under FIFRA or FFDCA. The
Agency proposes to apply the measures
described in proposed subpart E of the
regulatory text to this research; the
Agency would not apply any of these
measures to research falling outside this
scope. In considering the issue of the
appropriate potential consequences for
failure to comply with the requirements
set forth in this proposed rule for such
studies submitted under FIFRA or
FFDCA, the Agency notes that FIFRA
speaks specifically to ethical
considerations for human subjects
research involving pesticides. FIFRA
section 12(a)(2)(P) expressly declares it
unlawful for any person ‘‘to use any
pesticide in tests on human beings
unless such human beings (i) are fully
informed of the nature and purposes of
the test [and] of any physical and
mental consequences which are
reasonably foreseeable therefrom and
(ii) freely volunteer to participate in the
test.’’ Violations of FIFRA section
12(a)(2)(P) are subject to civil and
criminal penalties under section 14 of
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FIFRA. Given that FIFRA expressly
requires that human subjects studies
using pesticides include specific
protections for the human subjects in
such studies, we believe that, where
these requirements have been violated,
EPA is authorized to refuse to rely on
the data and other information resulting
from such studies. The Agency believes
that, as a matter of policy, it would be
appropriate to decline, at least in some
circumstances, to use in regulatory
decision-making under FIFRA the
results of research that is unlawful
under FIFRA. Refusal to rely on data
from completed human studies which
do not comply with applicable
requirements of this part is discussed
further in Unit X.
Thus, while EPA is proposing in some
cases to refuse to rely on data generated
from ethically deficient human studies,
we note that refusal to rely on it is not
the only possible response to the
discovery of ethical deficiencies in
human research. The NAS Report
identifies a number of measures that
HHS and FDA currently use to
encourage compliance. With respect to
third-party research, possible responses
include declaring a particular entity
ineligible to receive future federal
support to conduct human research;
suspending or withdrawing a ‘‘Federalwide Assurance’’ (FWA) held by a
research institution or the approval of
the IRB; disqualifying an IRB; and
addressing the ethical deficiencies of
the research in a public notice (which,
however, would not necessarily
preclude consideration of the data in
regulatory decision-making).
The first two options described are
among the most powerful measures
available to HHS for addressing
problematic conduct under the Common
Rule. The Office for Human Research
Protection (OHRP) of HHS issues FWAs
to institutions that commit to follow the
Common Rule for all federally funded
human research performed at the
institution, and institutions may
voluntarily commit to follow the
Common Rule in all their research,
without regard to sources of funding or
other support. An FWA permits an
institution to receive EPA contracts and
grants to perform human research. If
OHRP determines that an institution is
not complying with the Common Rule,
it may withdraw or suspend approval of
the FWA, thereby preventing the
institution from conducting any
federally supported human research
until HHS deems it deserves to have the
FWA reinstated. FDA also exercises a
similar authority directed at IRBs or
institutions which fail to fulfill their
responsibilities under the FDA rules
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governing third-party human research.
Currently, EPA relies on OHRP’s
established mechanisms when EPA
deems it necessary to seek withdrawal
of a FWA.
In more egregious cases EPA might
disqualify specific investigators or
institutions from eligibility to receive
federal contracts or grants through a
process called ‘‘debarment.’’ Debarment
proceedings follow a common
procedure throughout the Federal
government, and debarment by one
federal agency would effect a
government-wide ban on that entity’s
receiving federal support for research.
Finally, we are aware of no barriers to
the Agency’s publishing an objective
analysis of ethical conduct of any
human research that it may rely on in
its regulatory decision-making. A
candid public discussion of any ethical
shortcomings of such research
accompanied by a discussion of its
scientific strengths, limitations, and
findings, and of the regulatory context
of the Agency’s decision can
communicate both why it was deemed
necessary to consider the research, and
the distaste associated with relying on
ethically deficient research. Full public
discussion of the ethical shortcomings
of human research can contribute a
strong disincentive to repetition of such
ethically deficient conduct by the
investigator and others.
B. Proposal
To encourage compliance with the
requirements of subparts A through D of
the regulatory text, EPA proposes, as
circumstances warrant, to: (1) Refuse to
rely on the results of any research that
does not comply with these
requirements; (2) seek withdrawal or
suspension of a research institution’s
FWA; (3) disqualify a research
institution or its IRB; (4) debar an entity
from receiving federal funds for
research; or (5) present for public review
an objective analysis of the ethical
deficiencies of any human research
relied upon by EPA for regulatory
decision-making under any statutory
authority. These provisions in proposed
§§ 26.501 through 26.504 and § 26.506
of the regulatory text closely follow
FDA’s existing regulations in 21 CFR
56.120 through 56.124.
C. Topics for Public Comment
The Agency has considered a number
of alternatives to the proposed rule and
invites public comment on whether EPA
should adopt any alternatives for the
final rule.
1. Are any additional measures
available to enforce third-party
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compliance with applicable provisions
of proposed subparts A, B, and D?
2. Should EPA define by rule criteria
for determining the most appropriate
consequences for those who conduct or
sponsor ethically deficient human
subjects. If so, what should those
criteria be?
3. If the scope of the extension of
EPA’s Common Rule were broader or
narrower than proposed in § 26.101(j) of
the regulatory text, would the same or
a different range of potential
consequences for failure to comply with
Common Rule requirements apply?
4. FDA has published at 21 CFR part
16 regulations establishing procedures
for deciding whether to disqualify an
IRB or institution that has failed to
comply with applicable requirements.
Should EPA pursue rulemaking to
establish procedural regulations similar
to those of FDA?
X. Ethical Standards for Determining
Whether to Rely on Scientifically
Sound, Completed Human Studies with
Ethical Deficiencies
This unit concerns rulemaking to
establish ethical standards EPA would
apply in deciding whether to rely on the
results from a scientifically sound
completed human study deemed
relevant to an EPA action. Other parts
of today’s proposal address conduct of
both EPA and certain third parties in the
roles of investigators or sponsors of
research with human subjects. It is in
the capacity of investigators that both
EPA and covered third parties are
prohibited by this proposal from
conducting or sponsoring intentional
dosing studies involving pregnant
women, infants, or children as subjects
of the research.
By contrast, this part of the
rulemaking would govern EPA’s
conduct as a regulatory agency, as it
makes decisions to consider or not to
consider reports of completed research
with human subjects in its scientific
assessments, and to rely on or not to
rely on such research in its regulatory
decisions. The Agency recognizes that
the possibility of EPA refusal to rely on
the results of research that does not
meet appropriate ethical standards may
influence the behavior of third parties.
The Agency hopes that such a prospect
would, along with other factors, be
enough to encourage sponsors and
investigators to conform to high ethical
standards when performing covered
human research.
Summary of EPA Proposal
In a new subpart F of 40 CFR part 26,
EPA proposes ethical standards for its
decisions to rely on or not to rely on in
its decision-making reports of
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completed intentional-dosing research
with human subjects being considered
under FIFRA or FFDCA. For covered
types of research conducted after the
effective date of the rule, EPA proposes
to refuse to rely on data from
scientifically sound and relevant human
research unless EPA has adequate
information demonstrating that the
research complied with the Common
Rule. For covered types of research
conducted before the effective date of
the rule, EPA proposes to rely on data
from scientifically sound and relevant
human research unless there is clear
evidence to show the conduct of the
research was fundamentally unethical
or was significantly deficient relative to
the ethical standards prevailing at the
time the research was conducted. EPA
also proposes a formal process to make
an exception to these standards when to
rely on scientifically sound but ethically
deficient research would give crucial
support to a regulatory action more
protective of public health than could
be justified without relying on the
ethically deficient research.
A. Background
The NAS Report specifically
addressed the issue of what role, if any,
ethically deficient or unethical studies
should play in EPA’s regulatory
decisions. The NAS predicted that the
problem would rarely arise, especially
once EPA formulated its standards and
established them though rulemaking or
other means. Nonetheless, the NAS
acknowledged that, when it arises, the
decision is ‘‘ethically vexing’’ (p. 125)
because ‘‘two important goals come into
conflict: first, using the best scientific
data to protect the public and, second,
avoiding incentives for the conduct of
unethical research involving humans
and undermining important ethical
principles’’ (p. 126). The NAS
recognized that different considerations
could affect how this decision is made,
depending primarily on when the
ethically problematic research was
performed in relation to EPA’s
articulation of its standards.
Accordingly, the NAS recommended
two standards for acceptance, applying
respectively to research conducted after
EPA establishes new standards, and to
research conducted before EPA
establishes new standards.
For research conducted after EPA
establishes new standards i.e., after
these proposed rules are promulgated in
final form, the NAS expected there to be
relatively few deficiencies. The NAS
assumed that EPA and the HSRB would
review both scientific and ethical
aspects of proposed human research
before it is conducted. To the extent
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EPA identified ethical issues, the NAS
further assumed the Agency would
inform the researcher who, in turn,
would make appropriate changes. In its
recommendation 5-6 NAS advised EPA
as follows:
EPA should operate on the strong
presumption that data obtained in studies
conducted after implementation of the new
rules* that do not meet the ethical standards
described in this report will not be
considered in its regulatory decisions. Under
exceptional circumstances, studies that fail to
meet these ethical standards may provide
valid information to support a regulatory
standard that would provide greater
protection for public health. Under these
circumstances, EPA should convene a
special, outside panel, consisting of relevant
experts and members of the public, to
examine the cases for and against considering
data from such studies. [*Note: a footnote
here in the text of NAS Recommendation 56 reads: ‘‘The committee uses the term
‘‘rules’’ informally to mean guidance,
guidelines, policy, protocols, rules, or
regulations.’’]
In explaining this recommendation,
the NAS discussed and rejected the
position favoring a categorical refusal to
rely on the results of any ethically
deficient study. The NAS began by
noting that it is critically important to
deter unethical conduct in human
research. The NAS pointed out that
many believe the refusal to rely on data
from ethically deficient studies has an
additional purpose: to avoid involving
the government in ‘‘a kind of symbolic
approval of and complicity in the
unethical research, even after the fact,
[and instead] to express society’s
commitment to fundamental values in
research involving humans’’ (p. 127).
The NAS pointed out that this position
leads to an absolute renunciation of any
benefits of knowledge gained through
the ethically deficient research, and that
in some instances that might compel a
sacrifice in public health.
Thus, the committee recommended
that each case be judged individually, to
take into account the nature of the
unethical behavior and the importance
of the information produced by the
research. The NAS indicated that EPA
should use data from an unethical study
only if a special panel determined the
data were ‘‘crucially important for
protecting public health’’ and could not
otherwise be obtained with reasonable
certainty, within a reasonable time
period, without exposing additional
subjects to additional risk of harm (pp.
126, 128). The committee further
advised that data from unethical studies
should not be used to justify relaxation
of public health standards or to ‘‘favor
the sponsor’s interest’’ (p. 128). Finally,
the committee indicated its view that
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using the special procedure described in
the recommendation would not create
‘‘an incentive for future breaches of the
relevant ethical rules’’ (p. 126).
The NAS Report also addressed what
standard to apply in judging studies
completed before EPA’s rulemaking
becomes effective. (The committee
explained that this standard should also
apply ‘‘to studies that EPA has retrieved
from the public literature’’ (pp. 129–30),
but did not say whether they intended
this standard to apply only to studies
retrieved from the public literature that
were conducted after new EPA rules
become effective.) The committee begins
by pointing out that the selection of a
standard for determining the
acceptability of past research raises
additional considerations, making the
choice ‘‘particularly vexing’’ (p. 128).
They noted in particular two issues:
‘‘whether it is fair to judge past studies
with humans by current ethical
standards’’ (p. 128), and what
evidentiary presumptions should be
used in applying the standard. Although
the NAS did not devote much
discussion to whether to apply
contemporary standards to past studies,
their recommendation 5-7 states clearly
their conclusion that completed
research should be judged by the ethical
standards prevailing at the time the
research was conducted.
The NAS discussed at length
alternative evidentiary presumptions
which could be used in applying the
ethical standard, identifying two broad
choices. The first alternative would be
to assume completed research was
conducted ethically unless clear
evidence shows it was unethical; the
second would be to assume completed
research was conducted unethically
unless clear evidence shows it was
ethical. The committee noted that
documentation of the ethical attributes
of a very large proportion of past human
studies is very limited, not only for
third-party research but also for
government-conducted and governmentsupported research. Applying the
second alternative would mean,
effectively, that a substantial proportion
of completed human research would be
rejected as unethical, solely because
records were unavailable to demonstrate
that it was ethically conducted.
The NAS recommended instead that,
in the absence of information to the
contrary, EPA should assume completed
research was performed ethically. They
favored this approach ‘‘because of
ethical concerns about not considering
scientifically valid data from completed
studies’’ and because setting aside much
or most completed research could lead
investigators ‘‘to conduct additional
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research to obtain similar data to protect
the public, thus subjecting additional
research participants to risk’’ (p. 129).
Based on this discussion, NAS
Recommendation 5-7 reads:
EPA should accept scientifically valid
studies conducted before its new rules* are
implemented unless there is clear and
convincing evidence that the conduct of
those studies was fundamentally unethical
(e.g., the studies were intended to seriously
harm participants or failed to obtain
informed consent) or that the conduct was
deficient relative to then-prevailing ethical
standards. Exceptional cases in which the
Human Studies Review Board determines
that unethically conducted studies may
provide valid information to support a
regulatory standard that would provide
greater protection for public health should be
presented to a special outside panel,
described in Recommendation 5-6, for
consideration. [* Note: a footnote here in the
text of NAS Recommendation 5-7 reads: ‘‘See
footnote 1.’’ The text of the NAS-referenced
footnote 1 is provided above in the note for
Recommendation 5-6.]
B. Proposal
In a new subpart F of 40 CFR part 26,
EPA proposes ethical standards for its
decisions to rely on or not to rely on in
its decision-making reports of
completed intentional-dosing research
with human subjects being considered
under FIFRA or FFDCA. For covered
types of research conducted after the
effective date of the rule, EPA proposes
to refuse to rely on data from
scientifically sound and relevant human
research unless EPA has adequate
information demonstrating that the
research complied with the Common
Rule. For covered types of research
conducted before the effective date of
the rule, EPA proposes to rely on data
from scientifically sound and relevant
human research unless there is clear
evidence to show the conduct of the
research was fundamentally unethical
or was significantly deficient relative to
the ethical standards prevailing at the
time the research was conducted. EPA
also proposes a formal process to make
an exception to these standards when to
rely on scientifically sound but ethically
deficient research would give crucial
support to a regulatory action more
protective of public health than could
be justified without relying on the
ethically deficient research.
The provisions of EPA’s proposed
subpart F address intentional exposure
studies being considered under FIFRA
or the FFDCA. The NAS discussion of
Recommendations 5-6 and 5-7 did not
distinguish between human studies
involving intentional dosing and other
types of human research, although their
report addressed ‘‘intentional human
dosing studies.’’ EPA has chosen to
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limit its proposal in subpart F to
intentional dosing human studies
considered under FIFRA or FFDCA,
because the public debate about relying
on data from human research has
focused primarily on that kind of
testing. EPA expects to continue to
evaluate the ethical conduct of other
types of human research outside the
scope of proposed subpart F on a caseby-case basis, guided by statutory
requirements, the Common Rule, and
high ethical standards, consistent with
the approach described in its February
8, 2005, Federal Register Notice.
For human studies initiated before a
final rule becomes effective, we agree
with the NAS committee that it is
appropriate to measure the conduct of
human studies against the ethical
standards prevailing when the research
was conducted. The history of the
development and revision of widely
accepted standards of ethical research
conduct such as the Nuremberg Code,
the Declaration of Helsinki, the Belmont
Report, and the Common Rule is well
known. Although it is not always easy
to determine what standards prevailed
where the research was conducted, this
history is adequate to identify an
appropriate standard based on when the
research was conducted. This approach
acknowledges that ethical standards
have changed over time, and will surely
change in the future. It would also be
inequitable to apply contemporary
ethical standards retroactively to
research conducted in the past. Before
the effective date of the rule, sponsors
or investigators would have had no
notice of the specific standard EPA
would apply to their data. Moreover,
they can be assumed to have regarded
the ethical standards prevailing at the
time the study was conducted as the
most appropriate benchmark for guiding
their conduct. While the proposed rule
would, strictly speaking, only govern
EPA’s behavior, it provides the basis for
judgment of others’ past conduct. It
seems inherently unfair to hold
researchers to a standard about which
they had no notice and which, after the
fact, they would be unable to comply
with through any further action. But it
does seem reasonable and fair to judge
their behavior against the standards of
which they should have been aware. We
believe this is the essence of NAS
Recommendation 5-7.
The Agency has refined the language
of the standard in NAS
Recommendation 5-7 in two ways. EPA
has retained the evidentiary
presumption recommended by the NAS
committee, but has modified their
suggested requirement for ‘‘clear and
convincing evidence’’ to ‘‘clear
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evidence.’’ The Agency simply cannot
imagine ‘‘clear but unconvincing’’
evidence that research was
fundamentally unethical, and has opted
for brevity. EPA has further modified
the recommended standard to specify
that the Agency will consider refusing
to rely on a past study when it is
‘‘significantly deficient’’ compared to
prevailing ethical standards. This is
intended to acknowledge that minor
recordkeeping or administrative
deficiencies with respect to the
prevailing ethical standard should not
in themselves force the Agency to set
aside an otherwise ethically conducted
and scientifically meritorious study.
For judging the ethical acceptability
of covered human studies initiated after
a final rule becomes effective, EPA
proposes the Common Rule as the
primary standard. In general terms, the
approach to human research covered
under the extension of EPA’s Common
Rule would seem very straightforward.
Once EPA completes rulemaking to
extend to certain third-party research
the requirements of EPA’s Common
Rule and these proposed additional
subparts, it seems entirely appropriate
to expect all research within the scope
of these subparts and conducted after
they take effect to comply with the rule.
If the Agency were to become aware of
covered research that does not comply,
EPA should consider the measures in
proposed subpart E of the regulatory
text and discussed in Unit IX., including
whether it would be appropriate to
refuse to rely on the data. We believe
this is the essence of NAS
Recommendation 5-6.
EPA is not, of course, proposing to
establish FIFRA section 12(a)(2)(P) as a
standard. FIFRA section 12(a)(2)(P) was
enacted in 1972 and implementing
regulations were promulgated in 1980.
Thus FIFRA section 12(a)(2)(P) already
applies to human subjects research with
pesticides, and no additional
rulemaking is necessary to make it
applicable.
EPA also agrees with the NAS
Recommendation 5-6 that the researcher
should bear the burden of
demonstrating compliance with the
standard. Proposed § 26.602 of the
regulatory text provides that the Agency
would accept data from a study covered
by the rule ‘‘only if EPA has adequate
information to determine that the
research was conducted in a manner
that substantially complies with subpart
A and, as applicable, subparts B and D
of this part.’’ EPA has listed in proposed
§ 26.124(c) of the regulatory text the
kinds of information documenting the
ethical conduct of completed human
research that EPA would expect to see
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in a submitted report of such research.
(Note that this documentation would be
additional to records required by 40
CFR 169.2(j), implementing FIFRA
section 12(a)(2)(P) recordkeeping
requirements.) This range of
documentation is derived from the
Common Rule criteria for IRB approval
of proposed research at 40 CFR 26.111.
It will thus have been gathered for
presentation to the IRB and for
submission to EPA with the proposed
protocol for the research, and it should
not be a burden to provide the same
information to the Agency with the
report on the completed study.
Today’s proposal slightly modifies the
standard in NAS recommendation 5-6 to
make it clear that EPA would consider
refusing to rely on a completed human
study only if the study fails to
‘‘substantially’’ comply with the
applicable ethical standards. This
addition reflects EPA’s judgment that
relatively minor administrative or
recordkeeping deficiencies in a
researcher’s compliance with a rule as
complex as the Common Rule would
not in themselves justify rejecting
otherwise scientifically valuable and
ethically conducted research. The
experience of HHS shows that many
studies conducted under the Common
Rule fail to meet every applicable
provision of the Common Rule, yet
many of these deficiencies are deemed
minor. See ‘‘Compliance Oversight in
Human Subjects Protection’’ by Dr.
Kristina C. Borror, Director, Division of
Compliance Oversight in the Office of
Human Research Protections (February
1, 2005), available at: https://
www.hhs.gov/ohrp/sachrp/mtgings/
mtg01-05/ present2/borror_files/
frame.htm.
EPA’s proposed subpart F covers all
intentional human dosing studies that
EPA is considering under FIFRA or
FFDCA. Some of these studies might not
be covered by the proposed extension of
EPA’s Common Rule. The exceptions
would include any intentional exposure
human studies for pesticides that were
not, at the time they were conducted,
intended to be submitted to EPA under
FIFRA or FFDCA. Such studies might be
retrieved from the public literature by
EPA, conducted by U.S. States or by
foreign governments, or conducted by
third parties for regulatory purposes in
other countries. For studies like these,
covered by proposed subpart F but not
by the proposed extension of EPA’s
Common Rule, the question of what
ethical standard to apply is more
difficult.
On the one hand, since the Agency
proposes not to subject this research to
the extension of EPA’s Common Rule, it
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could be argued that it would be
inconsistent and unfair to apply the
standard of the Common Rule to the
Agency’s later decisions about whether
to rely on that research. Sometimes the
person submitting a report of research to
EPA will have had no relationship with
the sponsor or investigator of the
research; a submitter in this situation
could argue that they could be
penalized for actions taken by someone
else with no connection to them, who
was not legally required to follow the
Common Rule and who for whatever
reason chose not to.
On the other hand, once EPA
promulgates a final rule, researchers
would have notice of the ethical
standards EPA would apply in deciding
whether to rely on a completed
intentional dosing human study. With
such notice, researchers could make an
informed decision whether or not to
comply with the requirements of EPA’s
Common Rule. They would have
adequate and timely warning about the
consequences of noncompliance.
Furthermore, it is EPA’s judgment that
it is fair to consider the ‘‘prevailing
ethical standard’’ for research
conducted after the effective date of new
rules to be the Common Rule or a
foreign equivalent. These considerations
argue for subjecting all research
conducted after the effective date of the
new rule to the more demanding ethical
standards defined by that new rule. If
EPA took this approach, its rules might
influence the conduct of a larger
universe of research and thereby
provide greater protection for human
subjects.
EPA proposes therefore, in deciding
whether to rely on data from a
completed study, to apply the Common
Rule to all studies conducted after a
final rule becomes effective and which
are covered by EPA’s new subpart F,
whether or not the research was
required to comply with EPA’s Common
Rule under EPA’s new subpart A. The
primary argument against using the
Common Rule as the ethical benchmark
for all future intentional exposure
human studies is that researchers will
not have had adequate notice. EPA
disagrees; publication of a final rule in
the Federal Register will constitute
adequate notice. Given the widespread
awareness of and consensus on the
Common Rule as the appropriate guide
for ethical conduct of human research,
EPA therefore expects that very few, if
any, sponsors or investigators could
credibly claim ignorance of their ethical
responsibilities to protect human
subjects. Finally, the Agency believes its
use of the Common Rule as the ethical
benchmark for deciding whether to rely
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on a human study would provide
additional incentive for researchers to
act ethically.
Finally, EPA proposes an
extraordinary procedure applicable if
scientifically sound but ethically
deficient human research is found to be
crucial to EPA’s fulfilling its mission to
protect public health. This procedure
would also apply if a scientifically
sound study covered by proposed
§ 26.221 or § 26.421--i.e., an intentional
dosing study involving pregnant women
or children as subjects--were found to be
crucial to the protection of public
health. The Agency accepts the NAS
advice to make these decisions on a
case-by-case basis, taking into account
the particular circumstances of the
study and the way it could affect the
regulatory action, and seeking the best
possible advice. EPA agrees such
decisions should consider the
importance of the research to a potential
regulatory decision, and particularly
whether it would support a regulatory
position more protective of public
health than would be justified without
reliance on the data. Proposed § 26.603
would require EPA, before deciding not
to rely on such data, to seek the advice
of the Human Studies Review Board and
comment from the public.
C. Topics for Public Comment
The Agency has considered a number
of alternatives to the positions described
and invites public comment on whether
EPA should adopt any of these
alternatives for the final rule:
1. Should EPA continue the case-bycase approach articulated in the
February 8, 2005, Federal Register
Notice, not adopting by rule ethical
standards to guide decision-making
with respect to completed, ethically
problematic human studies?
2. Should a final rule establish the
standard that EPA would rely on all
scientifically sound data from covered
intentional exposure human studies
relevant to EPA decision-making,
without regard to any ethical
deficiencies in the studies?
3. Should a final rule establish a
different criterion for acceptance of
research conducted before the effective
date of the rule than the criterion
proposed in § 26.601 of the regulatory
text? Should a final rule identify
specific factors to be considered or
criteria to be applied in determining
whether research was ‘‘fundamentally
unethical’’ or ‘‘significantly deficient
with respect to prevailing standards’’?
4. Should a final rule establish the
standard that, in making decisions
under FIFRA and FFDCA, EPA would
never rely on data from a study
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involving intentional exposure of any
human subject to a pesticide when a
purpose of the study was to identify or
measure toxic effects?
5. Should a final rule establish the
standard that EPA would not rely on an
intentional exposure human study
covered under proposed subpart F if the
study did not comply with the Common
Rule, without regard to when the
research was conducted?
6. Should a final rule establish the
standard in NAS Recommendation 5-7
for all three categories of completed
research covered by proposed subpart F
of the regulatory text--i.e., (1) Research
conducted before the rule becomes
effective; (2) research conducted after
the rule becomes effective and required
to comply with EPA’s Common Rule;
and (3) research conducted after the rule
becomes effective but not required to
comply with EPA’s Common Rule?
7. Should a final rule apply a different
standard to research conducted after the
effective date of the final rule,
depending on whether the research was
subject to the requirements of EPA’s
proposed subparts A through D?
8. Should a final rule apply proposed
subpart F to a different range of thirdparty human research, including any of
the categories discussed in Unit IV., or
apply different ethical standards to
research in different categories within
an altered scope?
9. Should a final rule apply a standard
other than ‘‘substantial’’ compliance
with the requirements in EPA’s
proposed subparts A through D, perhaps
requiring ‘‘full’’ or ‘‘complete’’
compliance with those requirements?
How should minor, administrative
deficiencies be treated under an
alternative standard?
10. Should a final rule permit use of
the exception procedure in proposed
§ 26.603 when research falling within
the prohibitions of proposed § 26.221 or
§ 26.421--i.e., research involving
intentional exposure of pregnant women
or children--is deemed crucial to the
protection of public health?
11. Should a final rule identify
additional factors EPA will consider in
deciding whether to rely on a completed
human study that does not meet the
appropriate standard in proposed
§ 26.601 or § 26.602 of the regulatory
text?
XI. EPA’s 2006 Appropriations Act
This unit discusses how this proposed
rule meets the requirements of the
Department of the Interior,
Environment, and Related Agencies
Appropriations Act, 2006,
(Appropriations Act) relating to
intentional dosing human toxicity
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studies for pesticides. This unit contains
six sections. Section A reviews the
provisions of the 2006 Appropriations
Act and summarizes EPA’s approach to
implementation of its provisions.
Section B addresses the proposed rule’s
prohibition of intentional dosing human
studies for pesticides when the subjects
are pregnant women, infants, or
children. Section C addresses its
consistency with the 2004 NAS report.
Section D addresses its consistency with
the Nuremberg Code. Section E
addresses its establishment of an
independent Human Studies Review
Board. Section F identifies subjects on
which EPA invites public comment.
A. Introduction
On August 2, 2005, the President
signed into law the Department of the
Interior, Environment, and Related
Agencies Appropriations Act, 2006,
Public Law No. 109–54 (Appropriations
Act), which provides appropriated
funds for the Environmental Protection
Agency and other federal departments
and agencies. Section 201 of the
Appropriations Act addresses EPA
activities regarding intentional dosing
human toxicity studies for pesticides as
follows:
None of the funds made available by this
Act may be used by the Administrator of the
Environmental Protection Agency to accept,
consider or rely on third-party intentional
dosing human toxicity studies for pesticides,
or to conduct intentional dosing human
toxicity studies for pesticides until the
Administrator issues a final rulemaking on
this subject. The Administrator shall allow
for a period of not less than 90 days for
public comment on the Agency’s proposed
rule before issuing a final rule. Such rule
shall not permit the use of pregnant women,
infants or children as subjects; shall be
consistent with the principles proposed in
the 2004 report of the National Academy of
Sciences on intentional human dosing and
the principles of the Nuremberg Code with
respect to human experimentation; and shall
establish an independent Human Subjects
Review Board. The final rule shall be issued
no later than 180 days after enactment of this
Act.
Consistent with its interpretation of
the intent of Congress, EPA has not
waited for the beginning of FY 2006 to
discontinue reliance on third-party
intentional human dosing toxicity
studies in its decision-making under
FIFRA and FFDCA. In addition, EPA is
taking the necessary steps to ensure
such studies will not be accepted or
considered after the beginning of FY
2006 and before a final rule is
promulgated. The Agency has not
conducted or supported any intentional
dosing human toxicity studies for
pesticides in the past, and has no
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intention to conduct them at any time
in the future.
The Agency will concentrate its
attention on developing and
promulgating a final rule. As required
by the Appropriations Act, EPA is
providing a period of 90 days for the
public to comment on this proposed
rule. Because the Appropriations Act
directs the Agency to promulgate a final
rule no later than 180 days after
enactment (i.e., by January 29, 2006),
the Agency does not expect to extend
the comment period or to review public
comments received after the close of the
comment period.
B. Prohibition of Intentional Dosing
Human Studies for Pesticides when the
Subjects are Pregnant Women, Infants,
or Children
This proposed rule would ban third
party intentional dosing human studies
for pesticides when the subjects are
pregnant women, infants or children,
without regard to whether the studies
were intended to identify or measure a
toxic effect. Proposed § 26.220 of the
regulatory text would prohibit, without
exception, any third party performing
research covered by the proposed
extension of EPA’s Common Rule from
‘‘conducting or supporting research
involving intentional dosing of any
pregnant woman, fetus, or newborn.’’
Proposed § 26.420 of the regulatory text
would prohibit, without exception, any
third party performing research covered
by the proposed extension of EPA’s
Common Rule from ‘‘conducting or
supporting research involving
intentional dosing of any child.’’ The
same passages would apply the same
prohibitions to EPA, similarly without
exception, in any research it conducts or
supports.
The Agency interprets the phrase
‘‘third-party intentional dosing human
toxicity study for pesticides’’ as used in
the Appropriations Act to refer to a
subset of all third-party intentional
dosing studies intended for submission
to EPA under the pesticide laws, and
thus covered by proposed § 26.101(j) of
the regulatory text. Further, the Agency
interprets the phrase ‘‘pregnant women,
infants or children’’ as used in the
Appropriations Act to have the same
scope and meaning as the phrases ‘‘any
pregnant woman, fetus, or newborn’’
and ‘‘any child’’ in the sections cited
above, when taken together. EPA also
notes that the prohibitions in proposed
§§ 26.220 and 26.420 of the regulatory
text reference proposed § 26.101(j), and
therefore make the prohibitions
applicable to research that was
conducted with the intent to submit the
results to EPA (or hold them for possible
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future inspection) under either of the
pesticide laws, FIFRA or FFDCA. EPA
interprets the phrase, ‘‘for pesticides’’ as
used in the Appropriations Act to mean
research that is intended for
consideration by EPA under the
pesticide laws, and thus which falls
within the scope of proposed § 26.101(j).
EPA invites public comment on these
interpretations of the meaning of the
phrase ‘‘intentional dosing human
toxicity studies for pesticides’’ as it is
used in the Appropriations Act,
particularly as it relates to the scope of
the requirement for a prohibition on
such studies with subjects who are
‘‘pregnant women, infants, or children.’’
C. Consistency with the 2004 NAS
Report
The Appropriations Act directs EPA
to promulgate a rule addressing third
party intentional dosing human toxicity
studies for pesticides that is ‘‘consistent
with the principles proposed in the
2004 report of the National Academy of
Sciences on intentional human dosing.’’
Based on a careful review of the NAS
report, EPA has concluded that the
underlying principles intended by the
NAS committee to be reflected in its
recommendations are the three
‘‘fundamental ethical principles’’
identified by the National Commission
for the Protection of Human Subjects of
Biomedical and Behavioral Research
(National Commission) in its report,
Ethical Principles and Guidelines for the
Protection of Human Subjects of
Research (the ‘‘Belmont Report’’). These
three fundamental principles are respect
for persons, beneficence, and justice.
See NAS Report at pp. 49–50, 98, and
113–14.
The NAS committee makes the point
clearly that they did not propose new
principles: ‘‘the committee was not
required to invent the basic standards
that govern human research in the
United States. These standards are
already embodied in the Federal Policy
for the Protection of Human Subjects
(the Common Rule.)’’ NAS Report pp. 4,
33.
The NAS committee further stated
that the fundamental principles
articulated in the Belmont Report both
undergird and are made operational by
the procedural requirements of the
Common Rule. The following quotations
express this view:
Federal regulations incorporate the
obligation of beneficence by requiring IRBs to
ensure that risks are minimized to the extent
possible, given the research question, and are
reasonable in relation to potential benefits to
the participant or to the importance of the
knowledge to be gained through the research
(40 CFR § 26.111(a)(1)–(2)). NAS Report at
56.
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[D]etermining whether the principle of
beneficence has been satisfied requires
balancing the anticipated risks to study
participants against the anticipated benefits
of the study to society. The risks to
participants must be reasonable in relation to
the societal benefit. In the words of the
Common Rule, the risks must be reasonable
in relation to the importance of the
knowledge that may reasonably be expected
to result (40 CFR § 26.111 (a)(2)). NAS Report
at 107.
According to the Common Rule, IRBs
should not approve a research protocol
involving humans unless ‘selection of
subjects is equitable’ (40 CFR § 26.111(3)).
This requirement derives from the principle
of justice identified in the Belmont Report.
NAS Report at 114.
Voluntary, informed consent by research
participants . . . is a major element in the
system of protection of research participants.
The consent requirement expresses the
principle of respect for persons, including
respect for and promotion of autonomous
choices. The Common Rule stresses this
requirement, as do other codes of research
ethics, including the Nuremberg Code (1949),
the Declaration of Helsinki, and the Good
Clinical Practice guidelines. NAS Report at
120.
Accordingly, EPA concludes that the
‘‘principles proposed in the 2004 report
of the National Academy of Sciences on
intentional human dosing’’ are, in fact,
the ‘‘three fundamental principles’’ of
respect for persons, beneficence, and
justice articulated in the Belmont
Report, and that the Common Rule rests
on the foundation of those principles.
This proposal to extend the coverage of
EPA’s Common Rule to additional
categories of regulated third-party
research is thus entirely consistent with
those principles.
D. Consistency with the Nuremberg
Code
The Appropriations Act directs EPA
to promulgate a rule addressing thirdparty intentional dosing human toxicity
studies for pesticides that is ‘‘consistent
with . . . the principles of the
Nuremberg Code with respect to human
experimentation.’’
The NAS report (p. 47) explains the
history of the Nuremberg Code as
follows:
Public policies regarding the ethical
treatment of humans in research began
forming in the late 1940s, largely in response
to the atrocities committed by Nazi
investigators who were tried before the
Nuremberg Military Tribunal (United States
v. Karl Brandt, et al.) In 1946, the American
Medical Association adopted its first code of
research ethics, which ultimately influenced
the Nuremberg Tribunal’s standards for
ethical research, embodied in the ten ‘‘basic
principles’’ for human research now know as
the Nuremberg Code. [footnotes and
references omitted]
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The Agency has carefully reviewed
this proposed rule, using the 10
principles of the Nuremberg Code as a
guide, and has concluded that it is
consistent with them. A full report of
this analysis has been placed in the
docket for this proposal.
E. Establishment of a Human Studies
Review Board
The Appropriations Act directs EPA
to promulgate a rule that ‘‘shall
establish an independent Human
Subjects Review Board.’’
EPA believes that the entity required
by the Appropriations Act is intended to
be substantially identical to the ‘‘Human
Studies Review Board’’ recommended
by the NAS in Recommendations 6-1, 62, and 6-3 of the NAS Report. (See
discussion in Unit V. of this preamble.)
Consistent with both the requirement of
the Appropriations Act and the
recommendations of the NAS, EPA
proposes, in proposed § 26.124(b) of the
regulatory text, to establish an
independent HSRB. Under this
proposed rule, the review of proposed
research by the HSRB would occur after
review by a local IRB and EPA staff.
This sequence would be consistent both
with EPA’s current practice for
reviewing first- and second-party
human research proposals and with the
practice of FDA for reviewing thirdparty human research proposals. The
NAS Report, however, recommended
that the EPA and HSRB reviews come
before the IRB review. EPA believes it
has discretion to adopt an approach that
differs in this respect from the NAS
recommendation, but seeks public
comment on whether HSRB review
would be more effective before or after
local IRB review.
F. Additional Topics for Public
Comment
Although EPA thinks that today’s
proposal satisfies the provisions in the
Appropriations Act and, in particular, is
consistent with the principles of both
the Nuremberg Code and the 2004 NAS
Report, the Agency recognizes that, as a
matter of policy, it might be appropriate
to include in the final rule additional
provisions arising from either the
Nuremberg Code or the 2004 NAS
Report. Therefore, in addition to the
topics identified above, the Agency
invites the public to comment on any
specific provisions of either the
Nuremberg Code or the 2004 NAS report
that may be appropriate for inclusion in
the final rule.
XII. FIFRA Review Requirements
Pursuant to FIFRA section 25(a), the
Agency submitted a draft of this
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proposed regulation to the FIFRA
Scientific Advisory Panel (SAP), the
U.S. Department of Agriculture (USDA),
the Committee on Agriculture in the
House of Representatives, and the
Committee on Agriculture, Nutrition,
and Forestry in the United States
Senate. In addition, the Agency
submitted a draft of this proposed rule
to the Department of Health and Human
Services (HHS).
The FIFRA SAP waived its review of
this proposal because the significant
scientific and ethical issues involved
have already been reviewed by the SAP.
(See the report of the SAB/SAP Data
from Testing of Human Subjects
Subcommittee in the docket for this
proposal and on the web at: https://
www.epa.gov/science1/pdf/ec0017.pdf.)
The Agency met with the staff of the
Congressional Committees, and where
warranted, has made changes to the
draft proposal based upon those
discussions.
USDA, the U.S. Department of
Veterans Affairs, and HHS provided
many helpful comments through the
interagency review process, leading to
numerous changes in the draft proposal.
In addition, comments dated August 15,
2005, and August 26, 2005, which EPA
received from Cristina V. Beato, M.D.,
Acting Assistant Secretary for Health at
HHS, have been placed in the docket for
this rulemaking, and are summarized
here with EPA’s responses.
EPA thanks HHS for providing very
helpful comments very quickly. In
summary, HHS expressed strong
support for EPA’s effort to extend the
protections of EPA’s Common Rule to
research regulated by EPA under FIFRA.
HHS welcomes EPA’s decision to adopt
additional regulatory protections of
pregnant women, fetuses, newborns,
and children, formalizing EPA’s
longstanding practice. HHS also
welcomes EPA’s proposal to prohibit
EPA involvement in or consideration of
intentional exposure studies done to
investigate toxic effects.
HHS made four ‘‘major’’ comments.
First, HHS stated that it could not
support changes to the content of
subpart A, the Common Rule, and
recommended that EPA revise its
proposal to incorporate all changes
proposed to §§ 26.101, 26.102, and
26.124 in a separate subpart. EPA
appreciates and shares HHS’s concern
for maintaining uniformity in subpart A-the regulation common to all the
Common Rule departments and
agencies--and promises that the final
rule will accomplish the extension of
EPA’s Common Rule without altering
the common text. We have not made the
requested change in this proposal
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53859
because we want first to solicit public
comment on how best to achieve clarity
in our codification of these new
requirements. Would the requirements
applicable to regulated third parties be
best expressed as HHS has suggested, in
a separate subpart of 40 CFR part 26, or
would it be clearer if all the
requirements applying to regulated third
parties were codified together in an
entirely separate part, after the model of
the FDA rules at 21 CFR parts 50 and
56?
Second, HHS notes in their August 15
written comment that FDA may have
additional comments, but did not have
time to complete them in the greatly
compressed scheduled imposed by the
demands of the Appropriations Act.
FDA’s comments were received on
August 26, and this proposal has been
amended to reflect all their suggested
clarifications and changes. The Agency
would also welcome additional
comments from HHS and FDA, and will
address them in the final rule.
Third, HHS recommends that EPA
modify its proposal to incorporate a ban
on research involving intentional
exposure of prisoners, parallel to the
bans proposed on similar research
involving pregnant women, fetuses,
newborns, and children. EPA has
specifically requested public comment
on this suggestion in Unit VIII., and will
seriously consider adopting such a ban
in the final rule.
The final major HHS comment
expresses concern that the ethical
standard proposed in § 26.601 of the
regulatory text, to be applied to research
conducted before the effective date of
new EPA rules, may be too permissive,
and ‘‘fails to provide helpful guidance
on what would separate an acceptable
study from an unacceptable one.’’ The
standard EPA has proposed, as
explained in Unit X., is based on the
advice of the NAS committee, which
thought long and hard about this issue.
EPA, too, has thought a great deal about
this criterion, and has identified several
topics for public comment at the end of
Unit X., including the specific points
raised by HHS in this comment. We will
consider all these comments in deciding
on a standard for the final rule.
In addition to the four ‘‘major’’
comments discussed above, HHS
provided 23 additional ‘‘specific’’
comments. Although some of the
passages HHS cited in the draft proposal
they reviewed do not appear in this
published proposal, EPA has adopted
all the specific suggestions for
clarifications and rewording suggested
by HHS. The final HHS comment,
however, questions whether submission
to EPA of reports of completed research
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should be made mandatory when the
research proposal has been reviewed
and approved by EPA. EPA has not
proposed this, because FIFRA section
6(a)(2) already requires any applicant
for registration or registrant of a
pesticide to provide to EPA any
‘‘additional factual information
concerning adverse effects of a
pesticide’’ that it becomes aware of. It is
EPA’s interpretation that it would be a
violation of this provision for a
regulated third party to refuse to submit
a report upon completion of research
which EPA had approved as a proposal
in order to suppress ‘‘additional factual
information concerning adverse effects.’’
XIII. Statutory and Executive Order
Reviews
A. Executive Order 12866
Under Executive Order 12866,
entitled Regulatory Planning and
Review (58 FR 51735, October 4, 1993),
the Office of Management and Budget
(OMB) determined that this proposed
rule is a ‘‘significant regulatory action’’
under section 3(f) of the Executive
Order because this action might raise
novel legal or policy issues.
Accordingly, EPA submitted this
proposed rulemaking to OMB for review
under Executive Order 12866 and any
changes made in response to OMB
comments have been documented in the
public docket for this rulemaking as
required by section 6(a)(3)(E) of the
Executive Order.
In addition, EPA has prepared an
economic analysis of the potential costs
and benefits associated with this
proposed action, which is contained in
a document entitled Economic Analysis
of Proposed Human Studies Rule. A
copy of this document is available in the
public docket for this proposed rule and
is briefly summarized here.
The analysis describes the benefits of
the proposed rulemaking in qualitative
terms. These benefits included greater
protections for test subjects, and a
corresponding reduction in their risks,
to the extent that affected researchers
are not already following the Common
Rule. The benefits to sponsors of thirdparty human research include a better
understanding of the standards that EPA
will apply in determining whether to
rely on the results of their studies, and
thus, the opportunity to design and
perform studies that are more likely to
meet EPA standards, leading to more
efficient Agency reviews. The Agency
believes the general public will benefit
from the proposed rule because the rule
will strengthen the protections for
human subjects and reinforce the
Agency’s strong commitment to base its
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decisions on scientifically sound
information.
The analysis also estimates the costs
of the proposed rule by focusing on the
costs to third parties of complying with
the new requirements and the costs to
EPA of implementing the new
requirements. In general, EPA believes
that most, if not all, third-party research
intended for submission to EPA that
involves intentional exposure of human
subjects already complies with the
Common Rule or an equivalent foreign
standard. For purposes of this analysis,
EPA assumed that current practice was
in full compliance with the Common
Rule. In contrast, EPA assumed that
other types of third-party human
research do not comply with the
Common Rule, although it is likely that
many responsible for such research are
aware of and do follow Common Rule
principles relating to informed consent
and IRB review.
After reviewing the history of EPA’s
consideration of research involving
human subjects in its various program
offices, EPA estimates that the proposed
rule would affect only a limited number
of third-party studies involving human
subjects each year. EPA also collected
data on the cost per study of compliance
with the Common Rule. These costs
include preparing documents to support
review by an IRB and the expense
associated with the IRB review. These
costs are very minor relative to the
overall cost of conducting the studies.
For EPA, the costs are associated with
the review of protocols and the review
of completed human studies by EPA
staff and the Human Studies Review
Board.
EPA evaluated a range of options,
from no action to an expansive rule. The
first option was not to promulgate any
rule, thereby continuing the current
practice. All other options evaluated
would apply to third-party human
research that was conducted with the
intent to submit the results to EPA
under either FIFRA or FFDCA. The
second option consisted of extending
the requirements of EPA’s Common
Rule to such third-party human research
only when it involved intentional
exposure studies for the purpose of
identifying or quantifying a toxic effect.
The third option, which reflects the rule
being proposed, would extend the
requirements of EPA’s Common Rule to
all third-party intentional exposure
human studies intended for submission
under FIFRA or FFDCA. Option 4
would extend the requirements of EPA’s
Common Rule to all third-party human
research intended for submission under
the pesticide laws. All of the latter three
options include a requirement for third
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parties to submit protocols for review
prior to initiating the types of human
research covered by the Common Rule.
Finally, options 2–4 include a provision
prohibiting the Agency and third parties
from conducting covered human
research with pregnant women or
children as subjects.
For all of the options, the potential
costs of the proposed rule to third-party
researchers and EPA are estimated to be
very low, both because the number of
affected studies is relatively small and
because the costs of compliance with
the Common Rule are low. Where the
option simply reflects the current
practice (option 1) the added total
incremental costs to third-party
sponsors of human research are zero.
EPA assumes that currently the
pesticide industry is already spending
$159,000 to $196,000 annually to
comply with the Common Rule for
intentional exposure human studies and
the Agency is currently spending
$113,000 a year to review, on a case-bycase basis, the ethical aspects of such
studies. Option 2 would add an
estimated total annual incremental cost
to third parties of $7,532, and an
estimated annual cost to EPA of
$220,894. Option 3 would add an
estimated total annual incremental cost
to third parties of $16,140, and an
estimated annual cost to EPA of
$327,630. Option 4 would add an
estimated total annual incremental cost
to third parties of $202,700 to $242,796,
and an estimated annual cost to EPA of
$601,134. The higher estimated costs for
option 4 reflect the Common Rule
compliance burden on third-party
researchers who perform human studies
not involving intentional exposure of
human subjects, and the costs for EPA
to review such completed studies and
protocols for intentional exposure
studies.
The proposed rule, if finalized as
proposed, is estimated to result in a
total annual incremental cost to third
parties of approximately $16,000, and
an estimated annual cost to EPA of
approximately $328,000.
B. Paperwork Reduction Act
The information collection
requirements in this proposed rule have
been submitted to the Office of
Management and Budget (OMB) under
the Paperwork Reduction Act, 44 U.S.C.
3501 et seq. The Information Collection
Request (ICR) document prepared by
EPA has been assigned EPA ICR No.
2195.01, and a copy of the ICR has been
placed in the public docket for this
proposed rule.
This new information collection
activity is planned to ensure that sound
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and appropriate scientific data are
available to EPA when making
regulatory decisions, and to protect the
interests, rights and safety of those
individuals that are participants in the
type of research activity that is the
subject of this proposed rule.
Specifically, this new information
collection activity consists of proposed
reporting and recordkeeping
requirements. Whenever respondents
intend to conduct research for
submission to EPA under the pesticide
laws that involves intentional dosing of
human subjects, they will be required to
submit study protocols to EPA and a
cognizant local IRB before such research
is initiated so that the scientific design
and ethical standards that will be
employed during the proposed study
may be reviewed and approved.
Respondents will also be required to
submit information about the ethical
conduct of completed research that
involved intentional dosing of human
subjects when such research is
submitted to EPA.
Some responses to this collection of
information will be required in order to
obtain or retain a benefit (i.e., a
pesticide registration). Other responses
will be voluntarily submitted at the
initiative of the regulated entity. The
information collection activity
described in the ICR will be initiated by
respondents as a condition of EPA’s
consideration of the research when it is
subsequently submitted to EPA.
FIFRA sections 3(c)(1)(F) and
3(c)(2)(B) authorize EPA to require
various data in support of a pesticide’s
continued registration or an application
for a new or amended pesticide
registration. FIFRA section 12(a)(2)(P)
forbids any person ‘‘to use any pesticide
in tests on human beings unless such
human beings (i) are fully informed of
the nature and purposes of the test and
of any physical and mental health
consequences which are reasonably
foreseeable therefrom, and (ii) freely
volunteer to participate in the test.’’
An agency may not conduct or
sponsor, and a person is not required to
respond to an information collection
request unless it displays a currently
valid OMB control number. The OMB
control numbers for EPA’s regulations
codified in Chapter 40 of the CFR, after
appearing in the preamble of the final
rule, are listed in 40 CFR part 9 for
display purposes, and are also included
on any related collection instrument
(e.g., the form or survey instrument).
EPA anticipates that respondents will
submit 30 studies that involve
intentional dosing of human subjects
under FIFRA or FFDCA to EPA per year
and that the preparation of the required
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information will require about 32 hours
per study for a total estimated annual
burden hours for affected entities of 960
hours, representing a total estimated
annual paperwork cost of $440,160. It is
important to note that this total annual
paperwork burden and cost estimate
includes activities related to initial rule
familiarization, as well as activities that
researchers already perform and would
continue to perform even without the
Agency’s rulemaking in this area (i.e.,
developing a protocol and maintaining
records). The average annual burden on
EPA for reviewing this information for
each study submission is estimated to
be 80 hours per study, representing a
paperwork related labor cost of about
$14,672 per response and a total annual
cost of $440,160.
Under the PRA, ‘‘burden’’ means the
total time, effort, or financial resources
expended by persons to generate,
maintain, retain, or disclose or provide
information to or for a Federal agency.
This includes the time needed to review
instructions; develop, acquire, install,
and utilize technology and systems for
the purposes of collecting, validating,
and verifying information, processing
and maintaining information, and
disclosing and providing information;
adjust the existing ways to comply with
any previously applicable instructions
and requirements; train personnel to be
able to respond to a collection of
information; search data sources;
complete and review the collection of
information; and transmit or otherwise
disclose the information.
Direct your comments on the
Agency’s need for this information, the
accuracy of the provided burden
estimates, and any suggested methods
for minimizing respondent burden,
including the use of automated
collection techniques, to EPA using the
public docket that has been established
for this proposed rule (docket ID
number OPP–2003–0132) at https://
www.epa.gov/edocket/. In addition,
send a copy of your comments about the
ICR to OMB at: Office of Information
and Regulatory Affairs, Office of
Management and Budget, 725 17th St.,
NW., Washington, DC 20503, Attention:
Desk Office for EPA ICR No. 2195.01.
Since OMB is required to complete its
review of the ICR between 30 and 60
days after September 12, 2005, please
submit your ICR comments for OMB
consideration to OMB by October 12,
2005.
The Agency will consider and address
comments received on the information
collection requirements contained in
this proposal when it develops the final
rule.
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53861
C. Regulatory Flexibility Act
Pursuant to section 605(b) of the
Regulatory Flexibility Act (RFA), 5
U.S.C. 601 et seq., after considering the
potential economic impacts of today’s
proposed rule on small entities, the
Agency hereby certifies that this
proposal will not have a significant
adverse economic impact on a
substantial number of small entities.
This determination is based on the
Agency’s economic analysis performed
for this rulemaking, which is
summarized in Unit XIII.A., and a copy
of which is available in the public
docket for this rulemaking. The
following is a brief summary of the
factual basis for this certification.
Small entities include small
businesses, small organizations, and
small governmental jurisdictions. For
purposes of assessing the impacts of
today’s proposed rule on small entities,
small entity is defined in accordance
with the RFA as: (1) A small business
as defined by the Small Business
Administration’s (SBA) regulations at 13
CFR 121.201; (2) a small governmental
jurisdiction that is a government of a
city, county, town, school district, or
special district with a population of less
than 50,000; and (3) a small
organization that is any not-for-profit
enterprise which is independently
owned and operated and is not
dominant in its field.
As discussed in Unit XIII.A., the total
annual cost to researchers covered by
this proposed rule is estimated to be
$16,000, or under $600 per study. This
is a trivially small portion of the overall
cost of performing such studies, each of
which is estimated to cost from
$125,000 to $500,000. After reviewing
the history of EPA’s consideration on
human research in its various program
offices, EPA estimates that the proposed
rule would affect only a limited number
of third-party human studies each year.
Because both the number of affected
studies is relatively small and the costs
of compliance with the Common Rule
are low, the potential overall costs to
third parties are also small. Although
we cannot predict whether or how many
small entities might engage in the
subject matter research in the future, the
Agency expects that there will be no or
minimal impact from this proposed rule
on small entities.
We continue to be interested in the
potential impacts of the proposed rule
on small entities and welcome
comments on all aspects related to such
impacts.
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D. Unfunded Mandates Reform Act
Under Title II of the Unfunded
Mandates Reform Act of 1995 (UMRA)
(Public Law 104–4), EPA has
determined that this action does not
contain a Federal mandate that may
result in expenditures of $100 million or
more for State, local, and tribal
governments, in the aggregate, or the
private sector in any one year. As
described in Unit XIII.A., the estimated
total costs associated with this action
are approximately $16,000 per year.
This cost represents the incremental
cost to researchers attributed to the
additional procedural requirements
contained in this proposal. Based on
historical submissions, EPA has
determined that State, local, and tribal
governments rarely perform human
research intended for submission to
EPA under FIFRA or FFDCA. In
addition, the proposed rule is not
expected to significantly or uniquely
affect small governments. Accordingly,
this action is not subject to the
requirements of sections 202 and 205 of
UMRA.
E. Executive Order 13132
Pursuant to Executive Order 13132,
entitled Federalism (64 FR 43255,
August 10, 1999), EPA has determined
that this proposed rule does not have
‘‘federalism implications,’’ because it
will not have substantial direct effects
on the states, on the relationship
between the national government and
the states, or on the distribution of
power and responsibilities among the
various levels of government, as
specified in the Order. As indicated
earlier, instances where a state performs
human research intended for
submission to EPA under FIFRA or
FFDCA are extremely rare. Therefore,
this proposed rule may seldom affect a
state government. Thus, Executive
Order 13132 does not apply to this
proposed rule. In the spirit of the Order,
and consistent with EPA policy to
promote communications between the
Agency and State and local
governments, EPA specifically solicits
comment on this proposed rule from
State and local officials.
F. Executive Order 13175
As required by Executive Order
13175, entitled Consultation and
Coordination with Indian Tribal
Governments (59 FR 22951, November
6, 2000), EPA has determined that this
proposed rule does not have tribal
implications because it will not have
substantial direct effects on tribal
governments, on the relationship
between the Federal government and
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the Indian tribes, or on the distribution
of power and responsibilities between
the Federal government and Indian
tribes, as specified in the Order. As
indicated previously, instances where a
tribal government performs human
research intended for submission to
EPA under FIFRA or FFDCA are
extremely rare. Thus, Executive Order
13175 does not apply to this proposed
rule. In the spirit of the Order, and
consistent with EPA policy to promote
communications between the Agency
and State and local governments, EPA
specifically solicits comment on this
proposed rule from tribal officials.
G. Executive Order 13045
Executive Order 13045, entitled
Protection of Children from
Environmental Health Risks and Safety
Risks (62 FR 19885, April 23, 1997) does
not apply to this proposed rule because
this action is not designated as an
‘‘economically significant’’ regulatory
action as defined by Executive Order
12866 (see Unit XIII.A.). Further, this
proposal does not establish an
environmental standard that is intended
to have a negatively disproportionate
effect on children. To the contrary, this
action will provide added protections
for children who may participate in the
research covered by the proposed rule.
H. Executive Order 13211
This proposed rule is not subject to
Executive Order 13211, entitled Actions
Concerning Regulations that
Significantly Affect Energy Supply,
Distribution, or Use (66 FR 28355, May
22, 2001) because it is not likely to have
any significant adverse effect on the
supply, distribution, or use of energy.
I. National Technology Transfer and
Advancement Act
Section 12(d) of the National
Technology Transfer and Advancement
Act of 1995 (NTTAA), 15 U.S.C. 272
note) directs EPA to use voluntary
consensus standards in its regulatory
activities unless to do so would be
inconsistent with applicable law or
impractical. Voluntary consensus
standards are technical standards (e.g.,
materials specifications, test methods,
sampling procedures) that are
developed or adopted by voluntary
consensus standards bodies. NTTAA
directs EPA to provide Congress,
through OMB, with explanations when
the Agency decides not to use available
and applicable voluntary consensus
standards. This action does not propose
to require specific methods or standards
to generate those data. Therefore, this
proposed rule does not impose any
technical standards that would require
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Agency consideration of voluntary
consensus standards. The Agency
invites comment on its conclusion
regarding the applicability of voluntary
consensus standards to this proposed
rulemaking.
J. Executive Order 12898
This proposed rule does not have an
adverse impact on the environmental
and health conditions in low-income
and minority communities. Therefore,
under Executive Order 12898, entitled
Federal Actions to Address
Environmental Justice in Minority
Populations and Low-Income
Populations (59 FR 7629, February 16,
1994), the Agency has not considered
environmental justice-related issues.
Although not directly impacting
environmental justice-related concerns,
the provisions of the proposed rule
would require researchers to use
procedures to ensure equitable selection
of test subjects in covered human
research.
XIV. Effective Date
EPA considers the expeditious
application of these new protections to
be in the public interest and accordingly
proposes to provide no longer period
than is essential between publication of
a final rule and its effective date. The
Agency believes a longer transition
period is not likely to be necessary in
light of the relatively few studies
affected by this proposal.
FIFRA section 25(a)(4), 7 U.S.C.
136w(a)(4), provides that:
Simultaneously with the promulgation of
any rule or regulation under this Act, the
Administrator shall transmit a copy thereof
to the Secretary of the Senate and the Clerk
of the House of Representatives. The rule or
regulation shall not become effective until
the passage of 60 calendar days after the rule
or regulation is so transmitted.
Since this regulation would be issued
under the authority of FIFRA, this
requirement defines the minimum time
lapse after promulgation before a final
rule could become effective. EPA thus
proposes that the final rule would be
effective 60 days after its promulgation
and transmittal to Congress. EPA invites
public comment on the timing of the
effective date of the final rule.
List of Subjects in 40 CFR Part 26
Environmental protection, Human
research subjects, Reporting and
recordkeeping requirements.
Dated: September 6, 2005.
Stephen L. Johnson,
Administrator.
Therefore, it is proposed that 40 CFR
chapter I be amended as follows:
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PART 26—[AMENDED]
1. By revising the authority citation
for part 26 to read as follows:
Authority: 5 U.S.C. 301; 7 U.S.C.
136w(a)(1); 21 U.S.C. 346a(e)(1)(C); and 42
U.S.C. 300v-1(b).
2. By redesignating §§ 26.101 through
26.124 as subpart A and adding a new
subpart heading to read as follows:
Subpart A—Basic Federal Policy for
Protection of Human Research
Subjects
3. By amending § 26.101 by adding
paragraphs (j) and (k) to read as follows:
§ 26.101
To what does this policy apply?
*
*
*
*
*
(j) Except as provided in paragraphs
(a) and (b) of this section, this policy
applies to all research involving
intentional exposure of a human subject
if, at any time prior to initiating such
research, any person who conducted or
supported such research intended:
(1) To submit results of the research
to EPA for consideration in connection
with any regulatory action that may be
performed by EPA under the Federal
Insecticide, Fungicide, and Rodenticide
Act (7 U.S.C. 136 et seq.) or section 408
of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 346a); or
(2) To hold the results of the research
for later inspection by EPA under the
Federal Insecticide, Fungicide, and
Rodenticide Act (7 U.S.C. 136 et seq.) or
section 408 of the Federal Food, Drug,
and Cosmetic Act (21 U.S.C. 346a).
(k) For purposes of determining a
person’s intent under paragraph (j) of
this section, EPA may consider any
available information relevant to
determining the intent of a person who
conducts or supports research with
human subjects after the effective date
of the rule. EPA shall rebuttably
presume such intent existed if:
(1) The person or the person’s agent
has submitted or made available for
inspection the results of such research
to EPA; or
(2) The person is a member of a class
of people who, or whose products or
activities, are regulated by EPA under
FIFRA or the FFDCA and, at the time
the research was initiated, the results of
the research would be relevant to EPA’s
exercise of its authority under FIFRA or
the FFDCA with respect to that class of
people, products, or activities.
4. By amending § 26.102 by adding
paragraph (k) to read as follows:
§ 26.102
Definitions.
*
*
*
*
*
(k) Research involving intentional
exposure of a human subject means a
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study of an environmental substance in
which the exposure to the substance
experienced by a human subject
participating in the study would not
have occurred but for the human
subject’s participation in the study.
5. By revising § 26.124 to read as
follows:
§ 26.124
Conditions.
(a) With respect to any research
project or any class of research projects
the department or agency head may
impose additional conditions prior to or
at the time of approval when in the
judgment of the department or agency
head additional conditions are
necessary for the protection of human
subjects.
(b) Prior submission and review of
proposed human research. Any person
who intends to conduct human research
covered by § 26.101(j) shall, after
receiving approval from all appropriate
IRBs, submit to EPA at least 90 days
prior to initiating such research all
information relevant to the proposed
research specified by § 26.115(a) to be
prepared and maintained by an IRB, and
the following additional information, to
the extent not otherwise covered:
(1) A discussion of:
(i) The potential risks to human
subjects;
(ii) The measures proposed to
minimize risks to the human subjects;
(iii) The expected benefits of such
research, and to whom they would
accrue;
(iv) Alternative means of obtaining
information comparable to what would
be collected through the proposed
research; and
(v) The distribution and balance of
risks and benefits of the proposed
research.
(2) The information for subjects and
written informed consent agreements as
provided to the IRB, and as approved by
the IRB.
(3) Information about how subjects
will be recruited, including any
advertisements proposed to be used.
(4) All correspondence between the
IRB and the investigators or sponsors.
(5) Following initial evaluation of the
protocol by Agency staff, EPA shall
submit the protocol and all supporting
materials, together with the staff
evaluation, to the Human Studies
Review Board. This Board shall consist
of members who are not employed by
the Agency, who meet the ethics
requirements for special government
employees, and who have expertise in
fields appropriate for review of human
research. The Board shall review and
comment on the scientific and ethical
aspects of research proposals and
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53863
reports of completed intentional dosing
research with human subjects which
EPA intends to rely on in its decisionmaking under FIFRA or FFDCA, and, on
request, advise EPA on ways to
strengthen its programs for protection of
human subjects of research.
(c) Submission of information
pertaining to ethical conduct of
completed human research. Any person
who submits to EPA data derived from
human research covered by this subpart
shall also provide to EPA information
documenting compliance with the
requirements of this subpart. Such
information should include:
(1) Copies of all of the records
relevant to the research specified by
§ 26.115(a) to be prepared and
maintained by an IRB.
(2) Copies of sample records used to
document informed consent as specified
by § 26.117, but not identifying any
subjects of the research.
(3) Copies of all correspondence, if
any, between EPA and the researcher or
sponsor pursuant to paragraph (b) of
this section.
6. By adding new subparts B through
F to read as follows:
Subpart B—Additional Protections for
Pregnant Women, Fetuses, and Newborns
Involved in Research
Sec.
§ 26.201 To what do these regulations
apply?
§ 26.202 Definitions.
§ 26.203 Duties of IRBs in connection with
research involving pregnant women,
fetuses, and neonates.
§ 26.204 Research involving pregnant
women or fetuses.
§ 26.205 Research involving neonates.
§ 26.206 Research involving, after delivery,
the placenta, the dead fetus, or fetal
material.
§ 26.207–26.219 [Reserved]
§ 26.220 Prohibition of research involving
intentional dosing of pregnant women,
fetuses, or newborns.
§ 26.221 Prohibition of EPA reliance on
research involving intentional dosing of
pregnant women, fetuses, or newborns.
Subpart C—Additional Protections
Pertaining to Research Involving Prisoners
as Subjects [Reserved]
Subpart D—Additional Protections for
Children Involved as Subjects in Research
§ 26.401 To what do these regulations
apply?
§ 26.402 Definitions.
§ 26.403 IRB duties.
§ 26.404 Research not involving greater
than minimal risk.
§ 26.405 Research involving greater than
minimal risk but presenting the prospect
of direct benefit to the individual
subjects.
§ 26.406 [Reserved]
§ 26.407 [Reserved]
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§ 26.408 Requirements for permission by
parents or guardians and for assent by
children.
§ 26.409–26.419 [Reserved]
§ 26.420 Prohibition of research involving
intentional dosing of children.
§ 26.421 Prohibition of EPA reliance on
research involving intentional dosing of
children.
Subpart E—Administrative Actions for
Noncompliance
§ 26.501 Lesser administrative actions.
§ 26.502 Disqualification of an IRB or an
institution.
§ 26.503 Public disclosure of information
regarding revocation.
§ 26.504 Reinstatement of an IRB or an
institution.
§ 26.505 Debarment.
§ 26.506 Actions alternative or additional to
disqualification.
Subpart F—Ethical Standards for Assessing
Whether to Rely on the Results of Human
Research in EPA Regulatory Decisions
§ 26.601 Human research conducted prior
to [effective date of the final rule].
§ 26.602 Human research conducted after
[effective date of the final rule].
§ 26.603 Exceptions for human research.
Subpart B—Additional Protections for
Pregnant Women, Fetuses, and
Newborns Involved in Research
§ 26.201
apply?
To what do these regulations
(a) Except as provided in paragraph
(b) of this section, this subpart applies
to all research involving pregnant
women, human fetuses, neonates of
uncertain viability, or nonviable
neonates conducted or supported by the
Environmental Protection Agency
(EPA). This includes all research
conducted in EPA facilities by any
person and all research conducted in
any facility by EPA employees. This
subpart also applies to all research
involving pregnant women, human
fetuses, neonates of uncertain viability,
or nonviable neonates covered by
§ 26.101(j).
(b) The exemptions at § 26.101(b)(1)
through (b)(6) are applicable to this
subpart.
(c) The provisions of § 26.101(c)
through (i) are applicable to this
subpart. Reference to State or local laws
in this subpart and in § 26.101(f) is
intended to include the laws of federally
recognized American Indian and Alaska
Native Tribal Governments.
(d) The requirements of this subpart
are in addition to those imposed under
the other subparts of this part.
§ 26.202
Definitions.
The definitions in § 26.102 shall be
applicable to this subpart as well. In
addition, the definitions at 45 CFR
46.202(a) through (f) and at 45 CFR
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involving children covered by
§ 26.101(j).
(1) This includes research conducted
by EPA employees, except that each
head of an Office of the Agency may
adopt such nonsubstantive, procedural
modifications as may be appropriate
from an administrative standpoint.
§ 26.203 Duties of IRBs in connection with
(2) It also includes research
research involving pregnant women,
conducted or supported by EPA outside
fetuses, and neonates.
the United States, but in appropriate
The provisions of 45 CFR 46.203 are
circumstances, the Administrator may,
applicable to this section.
under § 26.101(e), waive the
applicability of some or all of the
§ 26.204 Research involving pregnant
women or fetuses.
requirements of these regulations for
research of this type.
The provisions of 45 CFR 46.204 are
(b) Exemptions at § 26.101(b)(1) and
applicable to this section.
(b)(3) through (b)(6) are applicable to
§ 26.205 Research involving neonates.
this subpart. The exemption at
The provisions of 45 CFR 46.205 are
§ 26.101(b)(2) regarding educational
applicable to this section.
tests is also applicable to this subpart.
§ 26.206 Research involving, after delivery, However, the exemption at
§ 26.101(b)(2) for research involving
the placenta, the dead fetus, or fetal
survey or interview procedures or
material.
observations of public behavior does not
The provisions of 45 CFR 46.206 are
apply to research covered by this
applicable to this section.
subpart, except for research involving
§ 26.207–26.219 [Reserved]
observation of public behavior when the
investigator(s) do not participate in the
§ 26.220 Prohibition of research involving
activities being observed.
intentional dosing of pregnant women,
(c) The exceptions, additions, and
fetuses, or newborns.
provisions for waiver as they appear in
Notwithstanding any other provision
§ 26.101(c) through (i) are applicable to
of this part, under no circumstances
this subpart.
shall EPA or a person when covered by
§ 26.101(j) conduct or support research
§ 26.402 Definitions.
involving intentional dosing of any
The definitions in § 26.102 shall be
pregnant woman, fetus, or newborn.
applicable to this subpart as well. In
46.202(h) are applicable to this subpart.
For purposes of this part, Administrator
means the Administrator of the
Environmental Protection Agency and
any other officer or employee of the
Environmental Protection Agency to
whom authority has been delegated.
§ 26.221 Prohibition of EPA reliance on
research involving intentional dosing of
pregnant women, fetuses, or newborns.
In its regulatory decision-making
under the Federal Insecticide,
Fungicide, and Rodenticide Act (7
U.S.C. 136 et seq.) or section 408 of the
Federal Food, Drug, and Cosmetic Act
(21 U.S.C. 346a), EPA shall not rely on
any research involving intentional
dosing of any pregnant women, fetuses,
or newborns, except when such research
is deemed scientifically sound and
crucial to the protection of public
health, under the procedure defined in
§ 26.603.
Subpart C—Additional Protections
Pertaining to Research Involving
Prisoners as Subjects [Reserved]
Subpart D—Additional Protections for
Children Involved as Subjects in
Research
§ 26.401
apply?
To what do these regulations
(a) This subpart applies to all research
involving children as subjects,
conducted or supported by EPA. This
subpart also applies to all research
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addition, as used in this subpart:
(a) Children are persons who have not
attained the age of 18.
(b) Assent means a child’s affirmative
agreement to participate in research.
Mere failure to object should not, absent
affirmative agreement, be construed as
assent.
(c) Permission means the agreement of
parent(s) or guardian to the
participation of their child or ward in
research.
(d) Parent means a child’s biological
or adoptive parent.
(e) Guardian means an individual
who is authorized under applicable
State, Tribal, or local law to consent on
behalf of a child to general medical care.
§ 26.403
IRB duties.
The provisions of 45 CFR 46.403 are
applicable to this section.
§ 26.404 Research not involving greater
than minimal risk.
EPA will conduct or fund research in
which the IRB finds that no greater than
minimal risk to children is presented,
only if the IRB finds that adequate
provisions are made for soliciting the
assent of the children and the
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permission of their parents or guardians,
as set forth in § 26.408.
§ 26.405 Research involving greater than
minimal risk but presenting the prospect of
direct benefit to the individual subjects.
EPA will conduct or fund research in
which the IRB finds that more than
minimal risk to children is presented by
an intervention or procedure that holds
out the prospect of direct benefit for the
individual subject, or by a monitoring
procedure that is likely to contribute to
the subject’s well-being, only if the IRB
finds and documents that:
(a) The risk is justified by the
anticipated benefit to the subjects.
(b) The relation of the anticipated
benefit to the risk is at least as favorable
to the subjects as that presented by
available alternative approaches.
(c) Adequate provisions are made for
soliciting the assent of the children and
permission of their parents or guardians,
as set forth in § 26.408.
§ 26.406
[Reserved]
§ 26.407
[Reserved]
§ 26.408 Requirements for permission by
parents or guardians and for assent by
children.
(a) In addition to the determinations
required under other applicable sections
of this subpart, the IRB shall determine
that adequate provisions are made for
soliciting the assent of the children,
when in the judgment of the IRB the
children are capable of providing assent.
In determining whether children are
capable of assenting, the IRB shall take
into account the ages, maturity, and
psychological state of the children
involved. This judgment may be made
for all children to be involved in
research under a particular protocol, or
for each child, as the IRB deems
appropriate. If the IRB determines that
the capability of some or all of the
children is so limited that they cannot
reasonably be consulted or that the
intervention or procedure involved in
the research holds out a prospect of
direct benefit that is important to the
health or well-being of the children and
is available only in the context of the
research, the assent of the children is
not a necessary condition for proceeding
with the research. Even where the IRB
determines that the subjects are capable
of assenting, the IRB may still waive the
assent requirement under circumstances
in which consent may be waived in
accord with § 26.116(d).
(b) In addition to the determinations
required under other applicable sections
of this subpart, the IRB shall determine,
in accordance with and to the extent
that consent is required by § 26.116, that
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adequate provisions are made for
soliciting the permission of each child’s
parents or guardian. Where parental
permission is to be obtained, the IRB
may find that the permission of one
parent is sufficient for research to be
conducted under §26.404 or §26.405.
(c) In addition to the provisions for
waiver contained in § 26.116, if the IRB
determines that a research protocol is
designed for conditions or for a subject
population for which parental or
guardian permission is not a reasonable
requirement to protect the subjects (for
example, neglected or abused children),
it may waive the consent requirements
in subpart A of this part and paragraph
(b) of this section, provided an
appropriate mechanism for protecting
the children who will participate as
subjects in the research is substituted,
and provided further that the waiver is
not inconsistent with Federal, State or
local law. The choice of an appropriate
mechanism would depend upon the
nature and purpose of the activities
described in the protocol, the risk and
anticipated benefit to the research
subjects, and their age, maturity, status,
and condition.
(d) Permission by parents or
guardians shall be documented in
accordance with and to the extent
required by § 26.117.
(e) When the IRB determines that
assent is required, it shall also
determine whether and how assent must
be documented.
§§ 26.409–26.419
[Reserved]
§ 26.420 Prohibition of research involving
intentional dosing of children.
Notwithstanding any other provision
of this part, under no circumstances
shall EPA or a person when covered by
§ 26.101(j) conduct or support research
involving intentional dosing of any
child.
§ 26.421 Prohibition of EPA reliance on
research involving intentional dosing of
children.
In its regulatory decision-making
under the Federal Insecticide,
Fungicide, and Rodenticide Act (7
U.S.C. 136 et seq.) or section 408 of the
Federal Food, Drug, and Cosmetic Act
(21 U.S.C. 346a), EPA shall not rely on
any research involving intentional
dosing of any child, except when such
research is deemed scientifically sound
and crucial to the protection of public
health, under the procedure defined in
§ 26.603.
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53865
Subpart E—Administrative Actions for
Noncompliance
§ 26.501
Lesser administrative actions.
(a) If apparent noncompliance with
the applicable regulations in subparts A
through D of this part concerning the
operation of an IRB is observed by a
duly authorized investigator during an
inspection, the inspector will present an
oral or written summary of observations
to an appropriate representative of the
IRB. EPA may subsequently send a letter
describing the noncompliance to the
IRB and to the parent institution. The
agency will require that the IRB or the
parent institution respond to this letter
within a time period specified by EPA
and describe the corrective actions that
will be taken by the IRB, the institution,
or both to achieve compliance with
these regulations.
(b) On the basis of the IRB’s or the
institution’s response, EPA may
schedule a reinspection to confirm the
adequacy of corrective actions. In
addition, until the IRB or the parent
institution takes appropriate corrective
action, the Agency may:
(1) Withhold approval of new studies
subject to the requirements of this part
that are conducted at the institution or
reviewed by the IRB;
(2) Direct that no new subjects be
added to ongoing studies subject to this
part;
(3) Terminate ongoing studies subject
to this part when doing so would not
endanger the subjects; or
(4) When the apparent noncompliance
creates a significant threat to the rights
and welfare of human subjects, notify
relevant State and Federal regulatory
agencies and other parties with a direct
interest in the agency’s action of the
deficiencies in the operation of the IRB.
(c) The parent institution is presumed
to be responsible for the operation of an
IRB, and EPA will ordinarily direct any
administrative action under this subpart
against the institution. However,
depending on the evidence of
responsibility for deficiencies,
determined during the investigation,
EPA may restrict its administrative
actions to the IRB or to a component of
the parent institution determined to be
responsible for formal designation of the
IRB.
§ 26.502 Disqualification of an IRB or an
institution.
(a) Whenever the IRB or the
institution has failed to take adequate
steps to correct the noncompliance
stated in the letter sent by the Agency
under § 26.501(a) and the EPA
Administrator determines that this
noncompliance may justify the
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disqualification of the IRB or of the
parent institution, the Administrator
may institute appropriate proceedings.
(b) The Administrator may disqualify
an IRB or the parent institution if the
Administrator determines that:
(1) The IRB has refused or repeatedly
failed to comply with any of the
regulations set forth in this part, and
(2) The noncompliance adversely
affects the rights or welfare of the
human subjects of research.
(c) If the Administrator determines
that disqualification is appropriate, the
Administrator will issue an order that
explains the basis for the determination
and that prescribes any actions to be
taken with regard to ongoing human
research, covered by subparts A through
D of this part, conducted under the
review of the IRB. EPA will send notice
of the disqualification to the IRB and the
parent institution. Other parties with a
direct interest, such as sponsors and
investigators, may also be sent a notice
of the disqualification. In addition, the
agency may elect to publish a notice of
its action in the Federal Register.
(d) EPA may refuse to consider in
support of a regulatory decision the data
from human research, covered by
subparts A through D of this part, that
was reviewed by a disqualified IRB or
conducted at a disqualified institution,
unless the IRB or the parent institution
is reinstated as provided in § 26.504, or
unless such research is deemed
scientifically sound and crucial to the
protection of public health, under the
procedure defined in § 26.603.
§ 26.503 Public disclosure of information
regarding revocation.
A determination that EPA has
disqualified an institution and the
administrative record regarding that
determination are disclosable to the
public under 40 CFR part 2.
§ 26.504 Reinstatement of an IRB or an
institution.
An IRB or an institution may be
reinstated if the Administrator
determines, upon an evaluation of a
written submission from the IRB or
institution that explains the corrective
action that the institution or IRB plans
to take, that the IRB or institution has
provided adequate assurance that it will
operate in compliance with the
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standards set forth in this part.
Notification of reinstatement shall be
provided to all persons notified under
§ 26.501(c).
§ 26.505
Debarment.
If EPA determines that an institution
or investigator repeatedly has not
complied with or has committed an
egregious violation of the applicable
regulations in subparts A through D of
this part, EPA may recommend that
institution or investigator be declared
ineligible to participate in EPAsupported research (debarment).
Debarment will be initiated in
accordance with procedures specified at
40 CFR part 32.
§ 26.506 Actions alternative or additional
to disqualification.
Disqualification of an IRB or of an
institution is independent of, and
neither in lieu of nor a precondition to,
other statutorily authorized proceedings
or actions. EPA may, at any time, on its
own initiative or through the
Department of Justice, institute any
appropriate judicial proceedings (civil
or criminal) and any other appropriate
regulatory action, in addition to or in
lieu of, and before, at the time of, or
after, disqualification. The Agency may
also refer pertinent matters to another
Federal, State, or local government
agency for any action that that agency
determines to be appropriate.
Subpart F—Ethical Standards for
Assessing Whether to Rely on the
Results of Human Research in EPA
Regulatory Decisions
§ 26.601 Human research conducted prior
to [effective date of the final rule].
Unless there is clear evidence that the
conduct of that research was
fundamentally unethical (e.g., the
research was intended to seriously harm
participants or failed to obtain informed
consent), or was significantly deficient
relative to the ethical standards
prevailing at the time the research was
conducted, EPA will generally accept
and rely on relevant, scientifically valid
data from research that:
(a) Was initiated prior to [effective
date of the final rule],
(b) Involved intentional exposure of a
human subject,
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(c) Did not involve intentional
exposure of a pregnant woman, fetus,
newborn, or child, and
(d) Is being considered under the
Federal Insecticide, Fungicide, and
Rodenticide Act or the Federal Food,
Drug, and Cosmetic Act.
§ 26.602 Human research conducted after
[effective date of the final rule].
EPA will generally accept and rely on
relevant, scientifically valid data from
research that:
(a) Was initiated after [effective date
of the final rule],
(b) Involved intentional exposure of a
human subject,
(c) Did not involve intentional
exposure of a pregnant woman, fetus,
newborn, or child, and
(d) Is being considered under the
Federal Insecticide, Fungicide, and
Rodenticide Act or the Federal Food,
Drug, and Cosmetic Act only if EPA has
adequate information to determine that
the research was conducted in a manner
that substantially complies with
subparts A through D of this part.
§ 26.603
Exceptions for human research.
(a) Before reaching a decision not to
rely on scientifically useful and relevant
data derived from research that does not
meet the applicable standards of
§§ 26.601 through 26.602, or that
involves intentional exposure of a
pregnant woman, fetus, newborn, or
child, EPA will consider whether the
data are crucial to a regulatory decision
that would be more protective of public
health than could be justified without
relying on the data.
(b) Before making a decision under
this section, EPA will solicit the views
of the Human Studies Review Board and
provide an opportunity for public
comment.
(c) If EPA decides to rely on data
derived from a study that does not meet
the applicable standards of §§ 26.601
through 26.602, EPA will include in the
explanation of its decision a thorough
discussion of the significant ethical
deficiencies of the study, as well as the
full rationale for concluding that relying
on the study is crucial to protection of
public health.
[FR Doc. 05–18010 Filed 9–8–05; 9:19 am]
BILLING CODE 6560–50–S
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Agencies
[Federal Register Volume 70, Number 175 (Monday, September 12, 2005)]
[Proposed Rules]
[Pages 53838-53866]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-18010]
[[Page 53837]]
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Part II
Environmental Protection Agency
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40 CFR Part 26
Protections for Subjects in Human Research; Proposed Rule
Federal Register / Vol. 70, No. 175 / Monday, September 12, 2005 /
Proposed Rules
[[Page 53838]]
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ENVIRONMENTAL PROTECTION AGENCY
40 CFR Part 26
[OPP-2003-0132; FRL-7728-2]
RIN 2070-AD57
Protections for Subjects in Human Research
AGENCY: Environmental Protection Agency (EPA).
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: EPA proposes and invites public comment on a rulemaking to ban
intentional dosing human testing for pesticides when the subjects are
pregnant women or children, to formalize and further strengthen
existing protections for subjects in human research conducted or
supported by EPA, and to extend new protections to adult subjects in
intentional dosing human studies for pesticides conducted by others who
intend to submit the research to EPA. This proposal, the first of
several possible Agency actions, focuses on third-party intentional
dosing human studies for pesticides, but invites public comment on
alternative approaches with broader scope.
DATES: Comments must be received on or before December 12, 2005. Under
the Paperwork Reduction Act, comments on the information collection
provisions must be received by OMB on or before October 12, 2005.
ADDRESSES: Submit your comments, identified by docket identification
(ID) number OPP-2003-0132, by one of the following methods:
Federal eRulemaking Portal: https://www.regulations.gov/.
Follow the on-line instructions for submitting comments.
Agency Website: https://www.epa.gov/edocket/. EDOCKET,
EPA's electronic public docket and comment system, is EPA's preferred
method for receiving comments. Follow the on-line instructions for
submitting comments.
E-mail: Comments may be sent by e-mail to opp-
docket@epa.gov, Attention: Docket ID Number OPP-2003-0132.
Mail: Public Information and Records Integrity Branch
(PIRIB) (7502C), Office of Pesticide Programs (OPP), Environmental
Protection Agency, 1200 Pennsylvania Ave., NW., Washington, DC 20460-
0001, Attention: Docket ID Number OPP-2003-0132. In addition, please
mail a copy of your comments on the information collection provisions
to the Office of Information and Regulatory Affairs, Office of
Management and Budget (OMB), Attn: Desk Officer for EPA, 725 17th St.,
NW., Washington, DC 20503.
Hand Delivery: Public Information and Records Integrity
Branch (PIRIB), Office of Pesticide Programs (OPP), Environmental
Protection Agency, Rm. 119, Crystal Mall 2, 1801 S. Bell St.,
Arlington, VA, Attention: Docket ID Number OPP-2003-0132. Such
deliveries are only accepted during the Docket's normal hours of
operation, and special arrangements should be made for deliveries of
boxed information.
Instructions: Direct your comments to docket ID number
OPP-2003-0132. EPA's policy is that all comments received will be
included in the public docket without change and may be made available
online at https://www.epa.gov/edocket/, including any personal
information provided, unless the comment includes information claimed
to be Confidential Business Information (CBI) or other information
whose disclosure is restricted by statute. Do not submit information
that you consider to be CBI or otherwise protected through EDOCKET,
regulations.gov, or e-mail. The EPA EDOCKET and the regulations.gov
websites are ``anonymous access'' systems, which means EPA will not
know your identity or contact information unless you provide it in the
body of your comment. If you send an e-mail comment directly to EPA
without going through EDOCKET or regulations.gov, your e-mail address
will be automatically captured and included as part of the comment that
is placed in the public docket and made available on the Internet. If
you submit an electronic comment, EPA recommends that you include your
name and other contact information in the body of your comment and with
any disk or CD ROM you submit. If EPA cannot read your comment due to
technical difficulties and cannot contact you for clarification, EPA
may not be able to consider your comment. Electronic files should avoid
the use of special characters, any form of encryption, and be free of
any defects or viruses. For additional information about EPA's public
docket visit EDOCKET on-line.
Docket. All documents in the docket are listed in the
EDOCKET index at https://www.epa.gov/edocket/. Although listed in the
index, some information is not publicly available, i.e., CBI or other
information whose disclosure is restricted by statute. Certain other
material, such as copyrighted material, is not placed on the Internet
and will be publicly available only in hard copy form. Publicly
available docket materials are available either electronically in
EDOCKET or in hard copy at the Public Information and Records Integrity
Branch (PIRIB), Rm. 119, Crystal Mall 2, 1801 S. Bell St.,
Arlington, VA. This Docket Facility is open from 8:30 a.m. to 4 p.m.,
Monday through Friday, excluding legal holidays. The Docket telephone
number is (703) 305-5805.
FOR FURTHER INFORMATION CONTACT: William L. Jordan, Mailcode 7501C,
Office of Pesticide Programs, Environmental Protection Agency, 1200
Pennsylvania Ave., NW., Washington, DC 20460; telephone number: (703)
305-1049; fax number: (703) 308-4776; e-mail address:
jordan.william@epa.gov.
SUPPLEMENTARY INFORMATION: This proposed rule, the first of several
possible Agency actions, would significantly strengthen the ethical
framework for conducting and reviewing human studies, especially
intentional dosing human studies for pesticides.
With respect to human research conducted by EPA (``first-party
research''), or by others with EPA's support (``second-party
research''), this proposed rule would: (1) Categorically prohibit any
intentional dosing studies involving pregnant women or children as
subjects; and (2) adopt the Department of Health and Human Services
(HHS) regulations that provide additional protections to pregnant women
and children as subjects of other than intentional dosing studies.
With respect to human research conducted by third parties--i.e., by
others without any support from EPA or other federal government
agencies--the proposed rule would: (1) Categorically prohibit any
third-party intentional dosing studies for pesticides involving
pregnant women or children as subjects; (2) extend the provisions of
the Federal Policy for the Protection of Human Subjects of Research
(the ``Common Rule'') to all other third-party intentional dosing human
studies intended for submission to EPA under the pesticide laws; (3)
require, before testing is initiated, submission to EPA of protocols
and related information for proposed research covered by this extension
of the Common Rule; and (4) require information about the ethical
conduct of covered human studies when the results of the research are
submitted to EPA.
In addition, the proposed rule would: (1) Establish an independent
Human Studies Review Board to review proposals for covered intentional
dosing human research and reports of completed research; (2) specify
[[Page 53839]]
measures EPA would consider to address non-compliance with the
provisions of a final rule along the lines of this proposal; (3) define
the ethical standards EPA would apply in deciding whether to rely on
relevant, scientifically sound data derived from intentional dosing
human studies for pesticides; and (4) forbid EPA to rely in its
decision-making under the pesticide laws on human research involving
intentional exposure of pregnant women or children.
This document is organized into 14 units:
Unit I. contains ``General Information'' about the
applicability of this proposed rule, how to obtain additional
information, how to submit comments in response to the request for
comments, and certain other related matters.
Unit II. summarizes the Agency's goals for this proposed
rulemaking and the terms of the proposal itself, and places the
proposal in the context of the larger debate over the conduct and
regulatory use of research with human subjects.
Unit III. provides background information about the
history of human subjects research protection and about events leading
up to this proposal.
Unit IV. discusses EPA's proposal to extend the
requirements of its codification of the Common Rule, 40 CFR part 26, to
third-party intentional dosing human studies for pesticides. (EPA and
other federal departments and agencies who have adopted the Common Rule
conduct research with human subjects to provide critical information on
environmental risks, exposures, and effects in humans. This is referred
to in this document as ``first-party'' research. EPA and other Common
Rule departments and agencies also support with contracts, grants, or
in other ways research with human subjects conducted by others. This is
referred to as ``second-party'' research. When research with human
subjects is conducted by others without support from EPA or other
Common Rule departments or agencies, it is referred to as ``third-
party'' research.)
Unit V. discusses EPA's proposal to require submission of
protocols and other information about proposed third-party intentional
dosing human studies for pesticides before the studies begin, so that
EPA and an advisory Human Studies Review Board may review and comment
on the ethical and scientific aspects of the proposals.
Unit VI. discusses rulemaking to ban research with
pesticides involving intentional dosing of children, and to adopt
additional protections, beyond those in the Common Rule, for children
as subjects of other types of research. This ban would apply both to
EPA and to regulated third parties.
Unit VII. addresses rulemaking to ban research with
pesticides involving intentional dosing of pregnant women, fetuses, or
newborns, and to adopt additional protections, beyond those in the
Common Rule, for pregnant women, fetuses, and newborns as subjects of
other types of research. This ban, too, would apply both to EPA and to
regulated third parties.
Unit VIII. explains EPA's decision to defer adoption of
additional protections for prisoners as research subjects.
Unit IX. discusses possible measures that EPA might use to
address noncompliance with the requirements of a final rule along the
lines of this proposal.
Unit X. discusses the ethical standards that EPA proposes
to use in deciding whether or not to rely on completed human studies in
Agency decision-making.
Unit XI. demonstrates the compliance of this proposal with
the requirements in the Department of the Interior, Environment, and
Related Agencies Appropriations Act, 2006, regarding third-party
intentional dosing human toxicity studies for pesticides.
Unit XII. discusses EPA's responses to comments from the
Department of Health and Human Services on a draft of this proposal.
Unit XIII. discusses the Agency's evaluation of the
impacts of this proposal as required under various statutes and
Executive Orders.
Finally, Unit XIV. discusses the Agency's thinking with
respect to the effective date of a final rule.
I. General Information
A. Does this Action Apply to Me?
This action is directed to the public in general. This action may,
however, be of particular interest to those who conduct human research
on substances regulated by EPA. Since other entities may also be
interested, the Agency has not attempted to describe all the specific
entities that may be affected by this action. If you have any questions
regarding the applicability of this action to a particular entity,
consult the person listed under FOR FURTHER INFORMATION CONTACT.
B. How Can I Access Electronic Copies of this Document and Other
Related Information?
In addition to using EDOCKET (https://www.epa.gov/edocket/), you may
access this Federal Register document electronically through the EPA
Internet under the ``Federal Register'' listings at https://www.epa.gov/
fedrgstr/. A frequently updated electronic version of the Code of
Federal Regulations (CFR) is available at https://www.gpoaccess.gov/
ecfr/.
C. What Should I Consider as I Prepare My Comments for EPA?
1. Submitting CBI. Information so marked will not be disclosed
except in accordance with procedures set forth in 40 CFR part 2.
2. Tips for preparing your comments. When submitting comments,
remember to:
i. Identify the rulemaking by docket number and other identifying
information (subject heading, Federal Register date, and page number).
ii. Follow directions. The agency may ask you to respond to
specific questions or organize comments by referencing a Code of
Federal Regulations (CFR) part or section number.
iii. Explain why you agree or disagree; suggest alternatives and
substitute language for your requested changes.
iv. Describe any assumptions and provide any technical information
and/or data that you used.
v. If you estimate potential costs or burdens, explain how you
arrived at your estimate in sufficient detail to allow for it to be
reproduced.
vi. Provide specific examples to illustrate your concerns, and
suggest alternatives.
vii. Explain your views as clearly as possible, avoiding the use of
profanity or personal threats.
viii. Make sure to submit your comments by the comment period
deadline identified.
II. Summary of EPA Goals and the Context for the Proposed Rulemaking
EPA is charged with protecting public health and the environment by
regulating air and water pollutants, pesticides, hazardous wastes,
industrial chemicals, and other environmental substances. To meet this
responsibility EPA collects and reviews the best available scientific
information to understand how these substances may affect human health
and the world we live in. The Agency typically considers a wide range
of information about each substance, including its potential to cause
harm--i.e., its toxicity--and how and at what levels people may be
exposed to it--i.e., their exposure. By linking information on toxicity
with estimates of exposure, EPA can estimate the risk posed by a
substance to an exposed population, and then decide
[[Page 53840]]
whether that risk justifies regulation of releases of the substance
into the environment.
A. How EPA Assesses Risks to People
The Agency's understanding of potential risks to people is usually
based on tests performed with laboratory animals. For example, EPA
typically requires pesticide companies to perform over 20 different
kinds of animal studies to identify or measure toxic effects before a
pesticide can be registered for use. These studies differ in the kinds
of animals used, the duration of exposure, the age of test animals, and
the pathway of exposure--through food, air, or the skin. When they are
considered together, they provide a good general understanding of a
pesticide's potential effects. Comparable animal data are usually
available when EPA makes regulatory decisions about other kinds of
environmental substances as well.
Animal studies, however, are not the only source of relevant
information for characterizing potential risks. Sometimes EPA can
better understand the potential risks of a substance by looking at how
people respond when they have been directly exposed to it. For example,
EPA uses information from accident and incident reports, in which
people may have been exposed to a substance after a spill or some other
unintentional release. EPA also uses data from epidemiological studies
comparing health outcomes of two otherwise similar groups of people who
differ in their level of exposure to a particular substance (e.g.,
those who work with a chemical vs. those who do not).
In addition to incident and epidemiology data, human exposure
studies have also improved EPA's risk assessments. EPA often bases its
estimates of potential human exposure to environmental substances on
monitoring studies measuring concentrations of a substance in air,
water, food, or on surfaces. This kind of information about
environmental concentrations can then be used to predict the amount of
a substance people will breathe, eat, drink, or absorb through their
skin. Sometimes, however, the relationship between environmental
concentrations of a substance and potential human exposure is unclear,
and can be understood only through research involving human subjects.
For example, the actual exposure of a farmer applying a pesticide will
depend on such factors as the type of spray equipment used, the amount
and kind of pesticide used, the type of protective clothing worn (e.g.,
gloves, respirator, long pants), and how many hours are worked each
day. To determine more accurately the exposures farmers and other
applicators actually receive, EPA requires pesticide companies to
measure the amount of pesticide deposited on an applicator's body and
clothing during a spray session. The results of studies like this
provide critical data about exposures that can be used to define
protective standards for pesticide handlers and applicators. Without
these and similar studies characterizing the exposures received by
individuals in the normal course of their work and daily life, the
Agency would not understand adequately either what types of application
equipment and protective clothing were necessary for a pesticide to be
used safely, or how soon harvesters or others could safely enter
pesticide-treated areas.
Another type of human study that can contribute to EPA's risk
assessments involves intentional exposure of subjects to low doses of a
substance to measure how the substance is absorbed, distributed,
metabolized, and excreted in humans. Humans respond to some substances
in different ways from animals, and studies of this kind can provide
essential support for safety monitoring programs, such as those which
analyze and measure the known metabolites of a substance in the blood
or urine of workers or others to determine if they've been exposed to
the substance.
Although EPA has not and will not use its authorities to require or
encourage it, third parties have occasionally conducted and submitted
to EPA reports of research involving intentional dosing of human
subjects to identify or measure toxic effects. These studies typically
involve intentional exposure to an environmental substance in a
controlled laboratory or clinical setting.
Decades of experience in reviewing both animal and human studies of
all kinds has demonstrated that animal data alone can sometimes provide
an incomplete or even a misleading picture of the safety or risks of a
substance. Sometimes human data show that people are more sensitive
than animals, and support regulatory measures more protective than
would be indicated by animal data. This has been the case, for example,
for arsenic, certain air pollutants, and certain pesticide active
ingredients such as methyl isothiocyanate (MITC) and hexavalent
chromium. More often, though, information from human studies confirms
insights based on animal testing. Even in these cases, however, the
availability of scientifically sound human data can strengthen the
basis for EPA's regulatory actions.
B. Societal Concern over Ethically Deficient Human Research
Scientific experimentation involving human beings has raised
controversy for a long time. The history of human research contains
well-known examples of unethical behavior in the name of science, which
have led to reforms in the way the government and others carry out and
oversee human research. Through these reforms, the standards for
ethical human research have evolved to become progressively more
stringent and protective of the subjects of the research. Not all
previously conducted human studies, however, met the ethical standards
of their own time, and some older research falls well short of today's
ethical standards. Even contemporary research is sometimes ethically
deficient.
For over 7 years EPA has been at the center of an intense debate
about the acceptability of certain intentional dosing human studies for
pesticides, and about what to do with human studies which are ethically
deficient. In this debate some have argued that EPA should disassociate
itself entirely from ethically problematic research behavior by
refusing to consider the resulting data in its regulatory decisions.
Those who hold this view interpret Agency reliance on an ethically
flawed study as an endorsement of the investigators' behavior, and as
encouragement to others to engage in similarly problematic research.
They also argue that EPA's reliance on ethically deficient human data
could directly benefit the wrong-doer. For example, if EPA based a
regulatory decision on a human study that shows humans to be less
sensitive than animals, the result might be a less stringent regulatory
measure that would be advantageous to the company that conducted the
study. If the key study was ethically deficient, then the company could
benefit from its misconduct.
On the other hand, data from human research has contributed
enormously to scientific understanding of the risks posed by every kind
of environmental substance. Recognizing the importance of such
knowledge to EPA's past regulatory actions, some argue that the Agency
should take all relevant and scientifically sound information--not
excluding ethically deficient human data--into account in its
regulatory decision-making. They argue that any ethical deficiencies
are the fault of the researchers, not of EPA. They further argue that
by relying on scientifically valid and relevant data from an ethically
[[Page 53841]]
deficient study EPA does no additional harm to the subjects of the
research, and EPA's refusal to rely on such data could do nothing to
benefit the subjects of the research. Moreover, they assert that while
the Agency cannot undo what has already happened, EPA can clearly
express its disapproval of past unethical conduct. They note that to
replicate scientifically sound but ethically flawed human studies may
not be ethical, no matter how carefully such replicate research might
be conducted, since any increment of risk to potential subjects would
not be justified by anticipated new generalizable knowledge. Holders of
this view also stress the importance of strengthening protections for
volunteers who participate in future studies, while taking advantage of
all that can be learned from past research to benefit society.
EPA finds compelling many of the points made by both sides, and
agrees with those who say that the possibility of conducting and using
human studies in regulatory decision-making must be approached with the
utmost caution. Each side bases its arguments on important societal
values. Our mission is to make the best possible regulatory decisions
to protect public health and the environment in this country, and to
support similar efforts around the world. We do not want to ignore
potentially important information that might benefit our decision-
making. At the same time, we agree that our conduct should encourage
high ethical standards in research with human subjects and strongly
discourage unethical research.
Many participants in the public debate over whether EPA should rely
on scientifically sound and relevant but ethically flawed data have
tended to frame possible policy choices in ways that discount or ignore
the values and goals of those with whom they disagree. But the Agency
must find a way to reconcile multiple goals.
EPA believes it must fulfill its mandate to do the best
possible job of protecting public health. We think our decisions are
generally better if they reflect consideration of all available,
scientifically valid, and relevant knowledge.
EPA believes its goal is to ensure, to the extent
possible, that all people who participate as subjects of human research
are treated ethically, are fully informed of the potential risks, and
experience no harm from their participation. We hope--through our
rules, policies, procedures, and regulatory actions--to discourage or
prevent the conduct of human studies that do not meet rigorous ethical
and scientific standards. (A scientifically inadequate human study is
inherently unethical, because it fails to provide new information
reliable enough to justify subjecting volunteers to any risks by
participating in the study.)
EPA believes the federal government should use all of its
authorities to make clear that certain kinds of human research can
never be acceptable. In particular, we regard as unethical and would
never conduct, support, require, or approve any study involving
intentional exposure of pregnant women, infants, or children to a
pesticide.
C. EPA Consultation with the National Academy of Sciences
The conduct and consideration of data from human research
inevitably raises difficult, contentious issues, and EPA has sought
counsel from others in trying to resolve these issues. We have asked
for expert advice from our Agency scientific peer review groups, and we
have sought public comments through multiple Federal Register Notices
(see Unit III.). The most extensive advice has come from the National
Academy of Sciences (NAS) who, at the Agency's request, prepared a
report entitled ``Intentional Human Dosing Studies for EPA Regulatory
Purposes,'' issued in February 2004 (NAS Report).
The NAS developed its report after long and thoughtful
consideration of the full range of issues. Their recommendations
addressed whether or not EPA should rely on the results of ethically
deficient human studies, and what standards should guide the conduct of
future human research. The NAS Report concluded that the answers to
these questions should start from the existing standards for the
ethical treatment of human research embodied in federal regulations
known officially as the ``Federal Policy for the Protection of Human
Subjects of Research'' but generally referred to as the ``Common
Rule.'' The NAS Report then offered numerous recommendations, supported
by detailed rationales, for how to apply the principles of the Common
Rule to the particular issues confronting EPA. The NAS Report discusses
the full range of types of human studies available to EPA and the full
breadth of statutory programs under which they might be considered.
The Common Rule has been promulgated in regulations by 15 federal
departments and agencies, including EPA. In addition, the Central
Intelligence Agency must comply with all subparts of 45 CFR part 46
under Executive Order 12333. The Common Rule establishes a
comprehensive framework for the review and conduct of proposed human
research to ensure that it will be performed ethically. The central
requirements of the Common Rule are: (1) That people who participate as
subjects in covered research are selected equitably and give their
fully informed, fully voluntary written consent; and (2) that proposed
research be reviewed by an independent oversight group referred to as
an Institutional Review Board (IRB), and approved only if risks to
subjects have been minimized and are reasonable in relation to
anticipated benefits, if any, to the subjects, and the importance of
the knowledge that may reasonably be expected to result.
D. Summary Scope of this Proposal
The Agency recognizes that issues arise about human testing of all
classes of environmental substances, not only pesticides, and under all
its legal authorities, and not only the pesticide laws. This proposal,
however, focuses on the most pressing of issues: defining appropriate
ethical standards for investigator conduct and for Agency use of third-
party intentional dosing human studies for pesticides.
The Agency acknowledges that a final rule along the lines being
proposed would not address, much less resolve, all the issues in the
current debate about human research. But the Agency views this proposal
as an essential and urgently needed first step in what could be a
series of Agency actions to address a wider range of human research
under other statutory authorities. Although we believe a stepwise
approach will put stronger protections in place sooner, EPA is open to
considering an expanded scope for this proposed rule to address either
a broader range of human research designs or decision-making under
other statutory authorities. Accordingly, in later units of this
preamble the Agency has identified alternatives to each aspect of this
proposal. Note that there are many ways in which the different elements
of the proposed rule and the identified alternatives could be combined;
we encourage commenters to consider and address how the whole of the
rule should fit together, in addition to the merits of specific
alternatives. Public comment will play an important part in our choices
for the scope and terms of the final rule.
III. Introduction
A. Ethical Standards for Conducting Human Research
Over the years, scientific research with human subjects has
provided
[[Page 53842]]
valuable information to help characterize and control risks to public
health, but its use has also raised particular ethical concerns for the
welfare of the human participants in such research as well as
scientific issues related to the role of such research in assessing
risks. Society has responded to these concerns by defining general
standards for conducting human research.
In the United States, the National Commission for the Protection of
Human Subjects of Biomedical and Behavioral Research issued in 1978 The
Belmont Report: Ethical Principles and Guidelines for the Protection of
Human Subjects of Research. This document can be found in the docket
for this proposed rule and on the web at https://www.hhs.gov/ohrp/
humansubjects/guidance/belmont.htm. For many U. S. federal departments
and agencies, the principles of the Belmont Report are implemented
through the Federal Policy for the Protection of Human Subjects (the
Common Rule). The Common Rule, promulgated by 15 federal departments
and agencies, including the EPA, on June 18, 1991 (56 FR 28003),
applies to all research involving human subjects conducted, supported
or otherwise subject to regulation by any federal department or agency
that has adopted the Common Rule and has taken appropriate
administrative action to make it applicable to such research. The
Common Rule as promulgated by EPA (40 CFR part 26) has applied to human
subjects research conducted or supported by EPA since it was put into
place in 1991.
The World Medical Association, a voluntary federation of national
medical associations, has developed and maintains ethical standards
documented in the Declaration of Helsinki, first issued in 1964 and
revised several times since then. The latest version of the Declaration
is available at: https://www.wma.net/e/policy/b3.htm. These standards
apply internationally to research on the diagnosis and treatment of
human disease, or that adds to understanding of the causes and
development of disease.
In addition, many public and private research and academic
institutions and private companies, both in the United States and in
other countries, including non-federal U.S. and non-U.S. government
organizations, have their own specific policies related to the
protection of human participants in research.
Much of the scientific information supporting EPA's risk
assessments is generated by researchers who are not part of or
supported by a federal agency. This includes a significant portion of
the research with human subjects submitted to the Agency or retrieved
by the Agency from published sources. Such research, referred to here
as ``third-party'' research, may be governed by specific institutional
policies intended to protect research participants, may fall within the
scope of the Declaration of Helsinki, or might actually be covered by
the Common Rule if the particular testing institution holds an
assurance approved by the Department of Health and Human Services'
(HHS) Office for Human Research Protections (OHRP). (Under a ``federal-
wide assurance'' issued by OHRP, a research institution may voluntarily
promise to apply the Common Rule to all its research with human
subjects, without regard to the source(s) of funding or other support).
Some research reports provide insufficient information to support a
judgment whether institutional policies are consistent with or as
protective of human subjects as the Common Rule, or even to tell
whether such policies or standards were followed. Thus, even
scientifically well-conducted third-party human studies may raise
difficult questions for the Agency when it seeks to determine their
acceptability for consideration.
B. Human Research Issues in EPA's Pesticide Program
Although data from human studies have contributed to assessments
and decisions in most EPA programs, issues about consideration of and
reliance on third-party human research studies have arisen most
frequently, but not exclusively, with respect to pesticides. Under the
Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) (7 U.S.C.
136-136y), EPA requires pesticide companies to conduct studies needed
to evaluate the safety of their products. While some studies involving
human subjects are required, EPA has never required intentional dosing
human toxicity studies with pesticides. EPA has, however, required
studies to measure potential exposure to pesticides of users or of
workers and others who re-enter areas legally treated with pesticides.
Other required tests have evaluated the effectiveness of pesticide
products intended to repel insects and other pests from human skin. In
addition, EPA has required studies to define pesticide metabolism and
metabolic products in humans, as a guide to interpretation of
biomonitoring studies of agricultural workers and others to protect
them from exposure to potentially dangerous levels of pesticide
residues.
The public controversy over human testing and pesticides has
centered on studies involving intentional dosing of human subjects with
a pesticide to identify or measure its toxic effects. Although the
Agency has never required or encouraged anyone to perform such tests,
pesticide companies have sometimes chosen to conduct them and submit
them to the Agency. For some two decades before passage of the Food
Quality Protection Act (FQPA) in 1996, such studies were rare, but when
they were submitted EPA considered them, and factored relevant
information into its human health risk assessments. After passage of
FQPA, submission of this kind of study to the Office of Pesticide
Programs increased; the Agency has received some twenty studies of this
kind since 1996.
Submission of these studies following FQPA elicited a strong
expression of public concern. In response, EPA convened an advisory
committee under the joint auspices of the EPA Science Advisory Board
(SAB) and the FIFRA Scientific Advisory Panel (SAP) to address issues
of the scientific and ethical acceptability of such research. This
advisory committee, known as the Data from Testing of Human Subjects
Subcommittee (DTHSS), met in December 1998 and November 1999, and
completed its report in September 2000. Their report is available in
the docket for this proposed rulemaking, and on the web at: https://
www.epa.gov/science1/pdf/ec0017.pdf.
The DTHSS advisory committee heard many comments at their two
public meetings, and further comments have been submitted in response
to their published report. The committee agreed unanimously on several
broad principles, including the following:
Any policy adopted should reflect the highest standards,
and special concern for the interests of vulnerable populations.
The threshold of justification for intentional exposure of
human subjects to toxic substances should be very high.
The justification cannot be to facilitate commercial
interests, but only to safeguard public health.
Not only the nature and magnitude of risks and benefits
but their distribution must be considered in assessing research
protocols.
Bad science is always unethical.
Yet no clear consensus emerged from the advisory committee on many
other points, among them both the scientific merit and the ethical
acceptability of studies to identify or measure toxic effects of
pesticides in human subjects. A vigorous public debate continued about
the extent to which EPA should
[[Page 53843]]
accept, consider, or rely on third-party intentional dosing human
studies for pesticides.
Some public commenters have asserted that the DTHSS committee did,
in fact, achieve consensus. Although the full committee agreed on some
subjects, the members filed both majority and minority reports
differing on one of the most important issues under discussion--whether
it is ever ethical to conduct or for EPA to consider a study sponsored
by a pesticide company in which human subjects were intentionally dosed
with a pesticide to evaluate its toxicity. The disagreement within the
committee was vehement. After nearly 18 months of discussion, two
members filed a minority report and resigned from the committee to
protest the position taken by the committee majority.
In December 2001, EPA asked the advice of the NAS on the many
difficult scientific and ethical issues raised in this debate, and also
announced the Agency's interim approach to third-party intentional
dosing human toxicity studies. The Agency's announcement is in the
docket for this proposed rulemaking. The announcement promised that
when it received the NAS report, ``EPA will engage in an open and
participatory process involving federal partners, interested parties
and the public during its policy development and/or rule making
regarding future acceptance, consideration or regulatory reliance on
such human studies.'' In addition, the press release also stated that
while the Academy was considering these issues, EPA ``will not consider
or rely on any such human studies in its regulatory decision-making.''
In early 2002, various parties from the pesticide industry
petitioned the U. S. Court of Appeals for the D. C. Circuit for review
of EPA's December 2001 press release. These parties argued that the
interim approach announced in the Agency's December 2001 Press Release
constituted a ``rule'' promulgated in violation of the procedural
requirements of the Administrative Procedure Act and the Federal Food,
Drug, and Cosmetic Act. On June 3, 2003, the Court found for the
petitioners and vacated EPA's interim approach, stating:
For the reasons enumerated previously, we vacate the directive
articulated in EPA's December 14, 2001 Press Release for a failure
to engage in the requisite notice and comment rulemaking. The
consequence is that the agency's previous practice of considering
third-party human studies on a case-by-case basis, applying
statutory requirements, the Common Rule, and high ethical standards
as a guide, is reinstated and remains in effect unless and until it
is replaced by a lawfully promulgated regulation. See CropLife
America v. Environmental Protection Agency, 329 F.3d 876, 884 - 85
(D.C. Cir. 2003) (referred to as the CropLife America case).
At EPA's request, the NAS convened a committee to provide the
requested advice. The committee met publicly in December 2002, and
again in January and March 2003. The membership, meeting schedule, and
other information about the work of this committee can be found on the
NAS website at: https://www4.nas.edu/webcr.nsf/ 5c50571a75df494485256a
95007a 091e/ 9303f725c15902f685256c44005d8931 ?OpenDocument. The
committee issued its final report, ``Intentional Human Dosing Studies
for EPA Regulatory Purposes: Scientific and Ethical Issues,'' in
February 2004. Their report is available at: https://www.nap.edu/books/
0309091721/html/.
On May 7, 2003, EPA issued an advance notice of proposed rulemaking
(ANPR) on Human Testing announcing its intention to undertake notice-
and-comment rulemaking on the subject of its consideration of or
reliance on research involving human participants (68 FR 24410) (FRL-
7302-8). The ANPR invited public comment on a broad range of issues,
and EPA received over 600 submissions in response. Approximately 15
were from pesticide companies, pesticide users, and associated trade
associations and groups. These comments mostly favored the Agency's use
of data from scientifically sound, ethically appropriate studies
conducted with human participants. Several of these groups urged EPA to
apply the Common Rule to human research conducted by third parties for
submission to EPA. About 60 submissions came from religious groups,
farm-workers' and children's advocacy groups, and environmental and
public health advocacy organizations. Most of these groups generally
opposed on ethical grounds EPA's consideration of results from human
testing, especially those involving intentional dosing of test
participants with pesticides. Some of these commenters suggested,
however, that, under certain strict conditions, EPA might appropriately
consider data from human studies that complied with the Common Rule.
Over 500 private citizens submitted identical comments opposing the use
of data from human studies with pesticides in EPA's regulatory
decision-making. A sizeable number of other private citizens expressed
dismay in their comments at what they misunderstood to be an EPA
proposal to test pesticides on human subjects.
C. EPA's Announcement of its Plan and Process
After consideration of the Court of Appeals' decision in the
CropLife America case, the public comments on the ANPR, and the NAS
report, EPA set out to address the issues involving the conduct and
reliance on human research. On February 8, 2005, EPA published and
invited public comment on a Federal Register Notice announcing EPA's
plan to establish a comprehensive framework for deciding whether to
consider or rely on certain types of research with human participants
(70 FR 6661) (FRL-7695-4). Among other actions called for in this plan
were issuing proposed and final rules and supplemental guidance, and
expanding the functions and staff of EPA's Human Subjects Research
Review Office (HSRRO) and relocating those functions to the Office of
the Administrator.
The February 8, 2005, Federal Register Notice also described the
Agency's case-by-case process for evaluating human studies, which the
D.C. Circuit required to remain in effect until superseded by
rulemaking. (EPA's application of this process with respect to third
party intentional dosing human toxicity studies for pesticides was
suspended by the EPA 2006 Appropriations Act discussed in Unit XI.) As
the Notice explained:
As mandated by the D.C. Circuit in the CropLife America case,
EPA has resumed consideration of third-party human studies on a
case-by-case basis, applying statutory requirements, the Common
Rule, and high ethical standards as a guide. In its consideration
and review of human studies submitted to the Agency, EPA will
continue to generally accept scientifically valid studies unless
there is clear evidence that the conduct of those studies was
fundamentally unethical (e.g., the studies were intended to
seriously harm participants or failed to obtain informed consent),
or was significantly deficient relative to the ethical standards
prevailing at the time the study was conducted.
In response to the February 8, 2005, Federal Register Notice, EPA
received approximately 150 comments opposing pesticide research with
human subjects. In addition, other comments urged adoption of new
standards and specific safeguards for vulnerable populations; argued
that intentional dosing of humans to determine toxic effects is
inherently unethical; encouraged EPA to reinstate its previous
moratorium on such tests; suggested that intentional human dosing
studies are superior to animal studies in indicating the actual
[[Page 53844]]
toxic effects of a compound in humans, and that human testing is
acceptable if subjects are adequately informed and provided with
medical monitoring; expressed concern that the small number of subjects
in many human studies may not yield statistically significant results
relevant to various subpopulations; urged that third-party researchers
be required to submit protocols for review; stated that human subjects
testing should not be conducted just to provide a no-observed-effect-
level (NOEL) for a single endpoint and that the studies should be
conducted so as to maximize the amount of data collected; asserted that
the Common Rule should be the minimum standard for studies submitted to
EPA and that researchers should also comply with the Nuremberg Code,
Belmont Report, and Declaration of Helsinki; and argued that dosing
humans with pesticides to determine a NOEL or no-observed-adverse-
effect-level (NOAEL) is always unethical.
EPA has reviewed each of the comments submitted in response to the
May 7, 2003, ANPR and the February 8, 2005, Proposed Plan and
Description of Review Process. These comments have provided useful
input as the Agency has developed this proposal. EPA also expects to
receive many useful and informative comments in response to this
proposal. When a final rule is published, EPA will respond to the
comments received in response to all three of these documents.
D. Legal Authority
The proposed rule described in this document is authorized under
provisions of the following statutes that EPA administers. Section
25(a) of the Federal Insecticide, Fungicide, and Rodenticide Act
(FIFRA) authorizes the Administrator to ``prescribe regulations to
carry out the purposes of [FIFRA].'' Section 408(e)(1)(C) of the
Federal Food, Drug, and Cosmetic Act (FFDCA) authorizes the
Administrator to issue a regulation establishing ``general procedures
and requirements to implement [Section 408].'' In addition, the
proposed amendments to EPA's codification of the Common Rule regarding
first- and second-party research are authorized pursuant to 5 U.S.C.
301 and 42 U.S.C. 300v-1(b).
On August 2, 2005, the President signed into law the Department of
the Interior, Environment, and Related Agencies Appropriations Act,
2006, Public Law No. 109-54 (Appropriations Act), which provides
appropriated funds for the Environmental Protection Agency and other
federal departments and agencies. Unit XI. of this preamble discusses
how this proposal meets the requirements of section 201 of the
Appropriations Act, which addresses EPA activities regarding
intentional dosing human toxicity studies for pesticides as follows:
None of the funds made available by this Act may be used by the
Administrator of EPA to accept, consider or rely on third-party
intentional dosing human toxicity studies for pesticides, or to
conduct intentional dosing human toxicity studies for pesticides
until the Administrator issues a final rulemaking on this subject.
The Administrator shall allow for a period of not less than 90 days
for public comment on the Agency's proposed rule before issuing a
final rule. Such rule shall not permit the use of pregnant women,
infants or children as subjects; shall be consistent with the
principles proposed in the 2004 report of the National Academy of
Sciences on intentional human dosing and the principles of the
Nuremberg Code with respect to human experimentation; and shall
establish an independent Human Subjects Review Board. The final rule
shall be issued no later than 180 days after enactment of this Act.
IV. Extending the Common Rule to Future Third-Party Human Research
This unit concerns rulemaking to extend the requirements of EPA's
Common Rule, 40 CFR part 26, to certain types of human research
conducted or supported after the effective date of the rule by
regulated third parties.
Summary of the EPA Proposal
EPA proposes to extend the requirements of EPA's Common Rule (40
CFR 26.101 through 26.124) to third-party research, conducted after the
effective date of the rule, which involves intentional exposure of
human subjects, if the researcher intended to submit the resulting
information to EPA, or to hold the information for later inspection by
EPA, under FIFRA or the FFDCA.
A. Background
The Common Rule applies to ``all research involving human subjects
conducted, supported or otherwise subject to regulation by any federal
department or agency which takes appropriate administrative action to
make [the Common Rule] applicable to such research.'' See 40 CFR
26.101(a). The Common Rule defines ``research'' as:
a systematic investigation, including research development,
testing and evaluation, designed to develop or contribute to
generalizable knowledge. Activities which meet this definition
constitute research for purposes of this policy, whether or not they
are conducted or supported under a program which is considered
research for other purposes. For example, some demonstration and
service programs may include research activities.
See 40 CFR 26.102(d).
EPA has promulgated the Common Rule, making it applicable to human
research that the Agency conducts or supports. The requirements of
EPA's codification of the Common Rule currently do not, however, apply
to third-party human research intended for submission to or considered
by EPA, except when the research is conducted under an applicable
assurance of Common Rule compliance approved by OHRP and that has been
voluntarily extended to cover third-party research.
Currently no federal agency has taken administrative action to
extend the requirements of the Common Rule to third-party human
research. In 1980 and 1981, however, the Food and Drug Administration
(FDA) promulgated separate regulations that required parties conducting
covered human research to comply with provisions regarding
Institutional Review Board (IRB) review and informed consent. See
Protection of Human Subjects; Informed Consent, 46 FR 8942 (January 27,
1981) and Protection of Human Subjects; Standards for Institutional
Review Boards for Clinical Investigations, 46 FR 8958 (January 27,
1981). These regulations have since been amended several times to make
them substantively equivalent to the Common Rule.
The FDA rules apply to certain testing by third parties,
specifically to:
all clinical investigations regulated by the Food and Drug
Administration under sections 505(i) and 520(g) of the Federal Food,
Drug, and Cosmetic Act, as well as clinical investigations that
support applications for research or marketing permits for products
regulated by the Food and Drug Administration, including foods,
including dietary supplements, that bear a nutrient content claim or
a health claim, infant formulas, food and color additives, drugs for
human use, medical devices for human use, biological products for
human use, and electronic products.
See 21 CFR 50.1.
The FDA regulation defines ``clinical investigation'' to mean:
. . . any experiment that involves a test article and one or
more human subjects and that either is subject to requirements for
prior submission to the Food and Drug Administration under section
505(i) or 520(g) of the act, or is not subject to requirements for
prior submission to the Food and Drug Administration under these
sections of the act, but the results of which are intended to be
submitted later to, or held for inspection by, the Food and Drug
Administration as part of an application for a research or marketing
permit. The term does not include experiments that are subject to
the provisions of Part 58 of this chapter, regarding nonclinical
laboratory studies.
See 21 CFR 50.3(c).
[[Page 53845]]
FDA regulations further define ``nonclinical laboratory study'' as a
laboratory-based experiment not involving humans. See 21 CFR 58.3(d).
The NAS committee did not directly address extending the
requirements of the Common Rule to third-party human research; however,
the committee did discuss the Common Rule at length, using it as the
starting point for its analyses of ethical issues arising from
consideration of the results of intentional human dosing studies for
EPA regulatory purposes. See, e.g., NAS Report, chapter 2 and chapters
4-6. The NAS also recommended a number of steps to EPA to strengthen
protections for human subjects involved in intentional dosing studies.
See NAS Report, chapters 4 and 5. While it seems evident the NAS
committee would support extending the requirements of the Common Rule
beyond first and second parties, the committee did not declare a
position on the scope of third-party human research which should be
covered by such an extension.
The NAS committee's most direct statements appear in connection
with their Recommendation 6-1:
EPA should require that all human research conducted for
regulatory purposes be approved in advance by an appropriately
constituted IRB or an acceptable foreign equivalent.
(Italics in the original.) In explaining this recommendation, the NAS
suggested ``EPA may wish to use FDA's implementation of its equivalent
of the Common Rule (21 CFR Part 50) as a guide for its adoption of such
a requirement.'' NAS Report, p. 133.
EPA interprets the NAS phrase ``research conducted for regulatory
purposes'' in this context to mean research intended to be submitted to
EPA for consideration in connection with any regulatory actions that
may be performed by EPA. (The NAS did not limit this or other
recommendations to human research received under specific EPA statutory
authorities.) The Agency interprets the NAS recommendation for prior
IRB approval of all such research to be equivalent to a recommendation
that the Common Rule should be extended to it. The NAS recommendations
do not specifically address application of the Common Rule requirements
for informed consent, but they do characterize non-consensual research
as fundamentally unethical. With these interpretations, adoption and
implementation of the NAS recommendations would put EPA in a position
very similar to that of FDA.
B. Proposal
EPA proposes to extend the requirements of EPA's Common Rule (40
CFR 26.101 through 26.124) to third-party research conducted after the
effective date of the rule, which involves intentional exposure of
human subjects, if the researcher intended to submit the resulting
information to EPA, or to hold the information for later inspection by
EPA, under FIFRA or the FFDCA.
Extension of the Common Rule is supported by a significant number
of public comments which favored applying equivalent ethical standards
to both EPA and third-party research. EPA agrees, and for this reason
is proposing no changes to the substantive content of the Common Rule.
EPA has also given a great deal of thought to the scope of the
proposed extension of the Common Rule. In the May 7, 2003, ANPR the
Agency identified many factors that could possibly be used to define
the range of future third-party research to which the requirements of
the Common Rule might be extended. Among these factors are the nature
or purpose of the substance tested, the design of the research, and the
affiliation or purpose of the investigators.
EPA proposes to extend its codification of the Common Rule to
third-party research intended for submission to EPA under the pesticide
laws, and involving intentional dosing for any purpose. The figure
below illustrates how these factors are related. The entire circle
represents the universe of third-party human studies conducted for
pesticides after the effective date of the rule. Segment A represents
toxicity studies i.e., studies involving intentional dosing to identify
or measure a toxic effect which are intended to be submitted to EPA
under the pesticide laws, FIFRA or FFDCA. Segment B represents all
other human studies intended for submission to EPA under the pesticide
laws which involve intentional dosing, but for purposes other than
identifying or measuring toxic effects. Examples in this category would
include studies of Absorption, Distribution, Metabolism, and Excretion
(ADME), insect repellent efficacy studies, and some non-occupational
exposure studies. Segment C represents other studies intended for
submission to EPA under the pesticide laws which do not involve
intentional dosing. Examples in this category would include most
occupational exposure studies, and studies involving use of registered
pesticides for approved uses according to label directions.
Segments A, B, and C taken together represent all human studies
intended for submission to EPA under the pesticide laws. Segment D
represents all other pesticide studies, defined only by their not being
intended for submission to EPA. Examples in this category would include
studies conducted for publication, or to meet regulatory requirements
in countries other than the U.S., or by state governments for their own
use.
Segments A and B taken together represent all intentional dosing
human studies intended for submission to EPA under the pesticide laws.
This is the scope of extension of EPA's Common Rule proposed in Sec.
26.102(j) of the regulatory text.
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This scope for extending EPA's Common Rule was selected as a
priority in order to address public concern. Intentional dosing human
studies with pesticides have generated the greatest level of public
concern, and although the Agency's previous Federal Register Notices in
May 2003 and February 2005, have broadly addressed human studies under
all EPA statutes, stakeholder comments have overwhelmingly focused on
human research with pesticides. The Agency intends, however, to
continue to explore the feasibility of extending EPA's Common Rule to
third-party studies used to inform decisions under statutory
authorities other than FIFRA or the FFDCA, and is open to the
possibility of applying EPA's Common Rule to a different range of
pesticide research.
Three key elements define the range of research which would fall
within the scope of this proposed rule. First is when the research is
conducted. The proposed rule would apply EPA's Common Rule to covered
research initiated after the effective date of the final rule. Such a
provision would allow researchers to come into compliance with the new
requirements in an orderly manner.
The second element is research involving intentional dosing or
exposure of a human subject. Proposed Sec. 26.102(k) of the regulatory
text defines ``research involving intentional exposure of a human
subject'' as ``a study of an environmental substance in which the
exposure to the substance experienced by a human subject participating
in the study would not have occurred but for the human subject's
participation in the study.'' Human studies that do not involve
intentional exposure are limited by the terms of this proposed
definition to those where the exposure of the subjects would have
occurred even if the subjects had not been participating in research.
For example, under this definition a study would not be considered to
involve intentional exposure if it monitored agricultural workers (such
as professional fruit thinners or harvesters or other workers) who
perform their usual work in areas that have been treated with
pesticides at rates and using methods registered and approved by EPA.
While they are participating in the research these workers' urine and
blood may be collected for analysis to evaluate biological responses,
or they may wear patches attached to their clothing that are collected
at the end of the shift for analysis to measure exposure.
Studies which do not involve intentional exposure such as passive
observation or ambient monitoring studies do not alter the level of
exposure of a subject to an environmental substance, and in fact any
exposure is not a consequence of the subject's participation in the
research, but results from the subject's pursuit of normal work or life
activities. Thus extending EPA's Common Rule only to third-party
research involving intentional exposure focuses on the cases where
heightened oversight is potentially most important.
Although pesticide studies which do not involve intentional
exposure would not be covered by this proposed extension of EPA's
Common Rule, FIFRA section 12(a)(2)(P) would apply
[[Page 53847]]
because a pesticide is involved. This provision of FIFRA makes it
unlawful for any person ``to use any pesticide in tests on human beings
unless such human beings (i) are fully informed of the nature and
purposes of the test and of any physical or mental health consequences
which are reasonably foreseeable therefrom, and (ii) freely volunteer
to participate in the test.'' This essential protection of the
integrity and safety of the subjects does not depend on application of
the Common Rule to the research.
The third element in the proposed extension of EPA's Common Rule is
the intent of the investigator to submit the research to EPA under the
pesticide laws. The proposed rule would apply only to research that was
intended, when it was initiated, to be submitted to EPA, or to be held
for EPA's later inspection, under FIFRA or FFDCA. The intent to submit
under the pesticide laws both defines the scope of the extension to
pesticides and their ingredients, and meets the requirement of the
Common Rule that covered research be ``otherwise subject to
regulation.'' Research not intended for submission to EPA may not meet
this standard.
The proposal at Sec. 26.101(k) of the regulatory text also
specifies the following approach to determining the intention of
research sponsors or investigators to submit the results of the
research to EPA:
For purposes of determining a person's intent under paragraph
(j) of this section, EPA may consider any available information
relevant to determining the intent of a person who conducts or
supports research with human subjects after the effective date of
the rule. EPA shall rebuttably presume such intent existed if:
(1) The person or the person's agent has submitted or made
available for inspection the results of such research to EPA; or
(2) The person is a member of a class of people who, or whose
products or activities, are regulated by EPA under its statutory
authorities and, at the time the research was initiated, the results
of the research would be relevant to EPA's exercise of that
statutory authority with respect to that class of people, products
or activities.
This would provide a straightforward basis for both researchers and the
Agency to determine before research is initiated whether the
requirements of EPA's Common Rule apply to it.
EPA considered extending its codification of the Common Rule to all
human research which the Agency obtains and uses in its decision-
making, without regard to the intent of the investigators or sponsors
to submit it to the Agency. This approach would extend Common Rule
protections to the subjects of a wider