The University of Minnesota is poised to "radically redistribute" the power to investigate scientific misconduct and oversee safety in studies that use human subjects.
The proposed shake-up comes 11 years to the month after a Twin Cities man died by suicide while participating in a U study of antipsychotic drugs — a case that became an ethics touchstone for the Department of Psychiatry — and two months after the department chairman stepped down.
An expert panel appointed by President Eric Kaler recommended Monday that the U overhaul its Institutional Review Board (IRB) process, which oversees the safety of research using human subjects. The U would raise the stature of review-board service by paying faculty who participate, but also hold them accountable for attendance and the quality of research reviews.
The U also would create a new panel specifically to evaluate studies that recruit vulnerable patients whose capacity to consent to research might be limited or fluctuating.
The recommendations weren't specific to the case involving Dan Markingson's suicide, but they reflect concerns that arose after the 2004 death of the young man, whose family believed he lacked the wherewithal to consent to research and pleaded with U psychiatrists to withdraw him from their study.
"You could call it Markingson's legacy in terms of taking the death seriously — regardless of causality — and saying we are going to do everything humanly possible to try and prevent similar … concerns from happening again," said Dr. Steven Miles, a U bioethicist who served on the panel.
The panel also recommended more frequent monitoring of studies after they commence and stripping the IRB of the responsibility to investigate research misconduct — because it presents a conflict for IRB members to scrutinize studies they approved in the first place.
The recommendations were issued Monday for public review. University officials now must decide whether the state can afford them. Hiring additional staff members, paying IRB members and increasing ethics training would cost some $2 million. The panel also recommended spending $5 million on an electronic IRB system for filing and reviewing research proposals.