The Union Health Ministry has made audio-visual 
recording of the informed consent of each subject mandatory in a 
clinical trial. This is in addition to obtaining his/her written 
consent. 
This decision comes in the wake of the 
Supreme Court pulling up the Ministry for lack of transparency in 
clinical trials.In its October 21, 2013, order on a writ petition filed 
by an NGO, the Swasthya Adhikar Manch, Indore, the court said with 
respect to five global clinical trials, which was approved by the Drugs 
Controller-General of India (DCGI) office from January 1, 2013, to 
August 31, 2013, an appropriate provision should be made or 
administrative direction issued, ensuring that audio-visual recording of
 the informed consent process was done and the documentation preserved, 
adhering to confidentiality principles.
In his order,
 DCGI G.N. Singh said all 
sponsors/investigators/institutes/organisations and other stakeholders 
involved in clinical trials should adhere to this requirement with 
immediate effect. 
Reacting to this, the Indian 
Society for Clinical Research — an association of professionals involved
 in clinical trials — said lack of guidance and direction on operational
 and logistical issues of managing the audio-visual recording process 
like the kind of equipment to be used, and where and how information 
should be stored could leave room for ambiguity and inconsistencies in 
execution.
 More clarity was required on how 
confidentiality of patients should be protected and maintained in an 
‘audio-visual’ context and what processes needed to be followed in 
instances where, for religious and socio-cultural reasons, patients 
might not want to be videographed, the association said. 
Source: The Hindu