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Justifying the risks of Covid‐19 challenge trials

The analogy with organ donation

Bibliographic Data

ID21504216
AuthorsAthmeya Jayaram (0000-0001-6609-962X, Institute for Practical Ethics University of California San Diego La Jolla California USA, corresponding author), Jacob Sparks (0000-0002-6571-3314, Philosophy Department California Polytechnic State University San Luis Obispo California USA), Daniel Edward Callies (0000-0003-0881-2196, Health Ethics Center University of California, Los Angeles Los Angeles California USA)
Year2022
Volume36
Issue1
Pages100-106
Publication date2022-01-01
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.12889
PMID34180072
OpenAlexW3173335750
LanguageEN
Citations received3
References cited3

In the beginning of the COVID pandemic, researchers and bioethicists called for human challenge trials to hasten the development of a vaccine for COVID. However, the fact that we lacked a specific, highly effective treatment for COVID led many to argue that a COVID challenge trial would be unethical and we ought to pursue traditional phase III testing instead. These ethical objections to challenge trials may have slowed the progress of a COVID vaccine, so it is important to evaluate their merit. One common way of doing so is to make an analogy to other social practices that are relevantly similar and which we currently sanction. We submit that non‐directed live organ donation (NDLOD) is a promising analogy. After arguing that the risks to volunteers for each activity appear similar, we explore potential disanalogies that would undermine the comparison. We note that there are differences in both the kind and certainty of benefit secured by NDLOD compared to challenge trials. We conclude these differences are insufficient to make NDLOD permissible and challenge trials impermissible. Ultimately, if we think the risks associated with NDLOD are ethically permissible, then we should think the same of the risks associated with COVID challenge trials

2019-20 coronavirus outbreak · Analogy · Certainty · Clinical trial · Donation · Engineering ethics · Epistemology · Law and economics · Organ donation · Pandemic · Political science · Sociology · Ethics in Clinical Research · Ethics in medical practice · Law · Medicine · Philosophy · Psychology · Psychology of Moral and Emotional Judgment · Transplantation · Virology

  • Justifying the risks of Covid‐19 challenge trials

    Open Access•Athmeya Jayaram, Jacob Sparks et al.•Bioethics•2022

  • Assessing Risk Thresholds in Controlled Human Infection Models (CHIM)

    Open Access•Alexa Nord‐Bronzyk, Barnaby Young et al.•Bioethics•2026

  • The Challenge for Coronavirus Vaccine Testing

    Open Access•Bastian Steuwer•Journal of Ethics and Social…•2024

  • What risks should be permissible in controlled human infection model studies

    Open Access•Ariella Binik•Bioethics•2020

  • Justifying the risks of Covid‐19 challenge trials

    Open Access•Athmeya Jayaram, Jacob Sparks et al.•Bioethics•2022

  • Clinical Trial Portfolios

    Open Access•Alex John London, Jonathan Kimmelman•The Hastings Center Report•2019

Citations per year0.75
Citation span2022 - 2026 (5)
Highly citedNo

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Open DOIOpen Access
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