title: Opinions and perceptions regarding the impact of new regulatory guidelines: A survey in Indian Clinical Trial Investigators.
abstract: BACKGROUND
  Clinical research in India experienced dramatic changes with series of stringent guidelines introduced by regulatory authorities. These guidelines posed significant challenges for the clinical trial industry.
  
  
  OBJECTIVE
  To assess the perceptions and opinion of Indian Investigators about the new regulatory guidelines.
  
  
  METHODS
  We developed a survey questionnaire on recent regulatory guidelines which was hosted on a web portal. Seventy-three investigators from India participated in the survey.
  
  
  RESULTS
  Central registration of Ethics Committees (ECs) was agreed by 90.1% participants, 76.8% participants agreed to compensation of subjects for study related Serious Adverse Events (SAE's). The compulsion to include government sites in clinical trials was not agreed by 49.3% participants while 21.2% agreed to it. Restriction on a number of trials per investigator was agreed by 49.3% of participants while 40.9% disagreed. Participants (50.7%) disagreed to the introduction of audio-video (AV) recording of informed consent, 36.6% agreed and 12.7% were neutral.
  
  
  CONCLUSIONS
  Participants observed that post central registration; ECs have improved systems with adequate member composition, functional Standard Operating Procedures, and timely approvals. Participants agreed that compensation of study related SAE's would assure subject protection and safety. The introduction of AV consenting was strongly debated sighting sociocultural issues in the implementation of the same.
  
  
  CONCLUSIONS
  Participants endorsed guidelines pertaining to the central registration of ECs, SAE related compensation. Restrictions on a number of trials per investigator and AV consenting were debated ardently. The response of the survey participants who are clinical trial investigators in India showed general acceptance, effectiveness and anticipated compliance to the new regulatory guidelines.
authors.affiliation: Chest Research Foundation, Marigold Premises, Pune, Maharashtra, India.
authors.forename: Rashmi
authors.initials: R
authors.lastname: Kadam
authors.affiliation: Chest Research Foundation, Marigold Premises, Pune, Maharashtra, India.
authors.forename: Sanghratna
authors.initials: S
authors.lastname: Borde
authors.affiliation: Chest Research Foundation, Marigold Premises, Pune, Maharashtra, India.
authors.forename: Sapna
authors.initials: S
authors.lastname: Madas
authors.affiliation: Interdisciplinary School of Health Sciences, University of Pune, Pune, Maharashtra, India.
authors.forename: Aarti
authors.initials: A
authors.lastname: Nagarkar
authors.affiliation: Chest Research Foundation, Marigold Premises, Pune, Maharashtra, India.
authors.forename: Sundeep
authors.initials: S
authors.lastname: Salvi
authors.affiliation: Chest Research Foundation, Marigold Premises, Pune, Maharashtra, India.
authors.forename: Sneha
authors.initials: S
authors.lastname: Limaye
keywords: Clinical research; Indian; guidelines; investigators; regulatory