A clinical investigator is developing the assent procedure for the enrollment of children into a new pediatric clinical trial. The ages of the children are described in the IRB/IEC submission. A description of which of the following must also be included in the submission?
Children are a vulnerable population requiring additional protections.
45 CFR 46.408(a): Requires ''adequate provisions for soliciting the assent of the children, when in the judgment of the IRB, the children are capable of providing assent.''
45 CFR 46.402: Defines ''assent'' as a child's affirmative agreement to participate.
IRBs must consider the age, maturity, and psychological state of the children when determining assent capability.
Economic status (B) is irrelevant to assent. Physiological status (C) pertains to eligibility, not assent. Provider notification (D) may be local practice but not required by regulation.
Correct answer: A (Psychological status).
45 CFR 46.402--408.
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