[Code of Federal Regulations]
[Title 21, Volume 1]
[Revised as of April 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 21CFR50.3]

[Page 279-281]
                        TITLE 21--FOOD AND DRUGS
CHAPTER I--FOOD AND DRUG ADMINISTRATION,
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PART 50_PROTECTION OF HUMAN SUBJECTS--Table of Contents
                      Subpart A_General Provisions
Sec.  50.3  Definitions.

    As used in this part:
    (a) Act means the Federal Food, Drug, and Cosmetic Act, as amended
(secs. 201-902, 52 Stat. 1040 et seq. as amended (21 U.S.C. 321-392)).
    (b) Application for research or marketing permit includes:
    (1) A color additive petition, described in part 71.
    (2) A food additive petition, described in parts 171 and 571.
    (3) Data and information about a substance submitted as part of the
procedures for establishing that the substance is generally recognized
as safe for use that results or may reasonably be expected to result,
directly or indirectly, in its becoming a component or otherwise
affecting the characteristics of any food, described in Sec. Sec. 
170.30 and 570.30.
    (4) Data and information about a food additive submitted as part of
the procedures for food additives permitted to be used on an interim
basis pending additional study, described in Sec.  180.1.
    (5) Data and information about a substance submitted as part of the
procedures for establishing a tolerance for unavoidable contaminants in
food and food-packaging materials, described in section 406 of the act.
    (6) An investigational new drug application, described in part 312
of this chapter.
    (7) A new drug application, described in part 314.
    (8) Data and information about the bioavailability or bioequivalence
of drugs for human use submitted as part

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of the procedures for issuing, amending, or repealing a bioequivalence
requirement, described in part 320.
    (9) Data and information about an over-the-counter drug for human
use submitted as part of the procedures for classifying these drugs as
generally recognized as safe and effective and not misbranded, described
in part 330.
    (10) Data and information about a prescription drug for human use
submitted as part of the procedures for classifying these drugs as
generally recognized as safe and effective and not misbranded, described
in this chapter.
    (11) [Reserved]
    (12) An application for a biologics license, described in part 601
of this chapter.
    (13) Data and information about a biological product submitted as
part of the procedures for determining that licensed biological products
are safe and effective and not misbranded, described in part 601.
    (14) Data and information about an in vitro diagnostic product
submitted as part of the procedures for establishing, amending, or
repealing a standard for these products, described in part 809.
    (15) An Application for an Investigational Device Exemption,
described in part 812.
    (16) Data and information about a medical device submitted as part
of the procedures for classifying these devices, described in section
513.
    (17) Data and information about a medical device submitted as part
of the procedures for establishing, amending, or repealing a standard
for these devices, described in section 514.
    (18) An application for premarket approval of a medical device,
described in section 515.
    (19) A product development protocol for a medical device, described
in section 515.
    (20) Data and information about an electronic product submitted as
part of the procedures for establishing, amending, or repealing a
standard for these products, described in section 358 of the Public
Health Service Act.
    (21) Data and information about an electronic product submitted as
part of the procedures for obtaining a variance from any electronic
product performance standard, as described in Sec.  1010.4.
    (22) Data and information about an electronic product submitted as
part of the procedures for granting, amending, or extending an exemption
from a radiation safety performance standard, as described in Sec. 
1010.5.
    (23) Data and information about a clinical study of an infant
formula when submitted as part of an infant formula notification under
section 412(c) of the Federal Food, Drug, and Cosmetic Act.
    (24) Data and information submitted in a petition for a nutrient
content claim, described in Sec.  101.69 of this chapter, or for a
health claim, described in Sec.  101.70 of this chapter.
    (25) Data and information from investigations involving children
submitted in a new dietary ingredient notification, described in Sec. 
190.6 of this chapter.
    (c) Clinical investigation means any experiment that involves a test
article and one or more human subjects and that either is subject to
requirements for prior submission to the Food and Drug Administration
under section 505(i) or 520(g) of the act, or is not subject to
requirements for prior submission to the Food and Drug Administration
under these sections of the act, but the results of which are intended
to be submitted later to, or held for inspection by, the Food and Drug
Administration as part of an application for a research or marketing
permit. The term does not include experiments that are subject to the
provisions of part 58 of this chapter, regarding nonclinical laboratory
studies.
    (d) Investigator means an individual who actually conducts a
clinical investigation, i.e., under whose immediate direction the test
article is administered or dispensed to, or used involving, a subject,
or, in the event of an investigation conducted by a team of individuals,
is the responsible leader of that team.
    (e) Sponsor means a person who initiates a clinical investigation,
but who does not actually conduct the investigation, i.e., the test
article is administered or dispensed to or used involving, a subject
under the immediate direction of another individual. A person other than
an individual (e.g., corporation or agency) that uses one or more

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of its own employees to conduct a clinical investigation it has
initiated is considered to be a sponsor (not a sponsor-investigator),
and the employees are considered to be investigators.
    (f) Sponsor-investigator means an individual who both initiates and
actually conducts, alone or with others, a clinical investigation, i.e.,
under whose immediate direction the test article is administered or
dispensed to, or used involving, a subject. The term does not include
any person other than an individual, e.g., corporation or agency.
    (g) Human subject means an individual who is or becomes a
participant in research, either as a recipient of the test article or as
a control. A subject may be either a healthy human or a patient.
    (h) Institution means any public or private entity or agency
(including Federal, State, and other agencies). The word facility as
used in section 520(g) of the act is deemed to be synonymous with the
term institution for purposes of this part.
    (i) Institutional review board (IRB) means any board, committee, or
other group formally designated by an institution to review biomedical
research involving humans as subjects, to approve the initiation of and
conduct periodic review of such research. The term has the same meaning
as the phrase institutional review committee as used in section 520(g)
of the act.
    (j) Test article means any drug (including a biological product for
human use), medical device for human use, human food additive, color
additive, electronic product, or any other article subject to regulation
under the act or under sections 351 and 354-360F of the Public Health
Service Act (42 U.S.C. 262 and 263b-263n).
    (k) Minimal risk means that the probability and magnitude of harm or
discomfort anticipated in the research are not greater in and of
themselves than those ordinarily encountered in daily life or during the
performance of routine physical or psychological examinations or tests.
    (l) Legally authorized representative means an individual or
judicial or other body authorized under applicable law to consent on
behalf of a prospective subject to the subject's particpation in the
procedure(s) involved in the research.
    (m) Family member means any one of the following legally competent
persons: Spouse; parents; children (including adopted children);
brothers, sisters, and spouses of brothers and sisters; and any
individual related by blood or affinity whose close association with the
subject is the equivalent of a family relationship.
    (n) Assent means a child's affirmative agreement to participate in a
clinical investigation. Mere failure to object may not, absent
affirmative agreement, be construed as assent.
    (o) Children means persons who have not attained the legal age for
consent to treatments or procedures involved in clinical investigations,
under the applicable law of the jurisdiction in which the clinical
investigation will be conducted.
    (p) Parent means a child's biological or adoptive parent.
    (q) Ward means a child who is placed in the legal custody of the
State or other agency, institution, or entity, consistent with
applicable Federal, State, or local law.
    (r) Permission means the agreement of parent(s) or guardian to the
participation of their child or ward in a clinical investigation.
Permission must be obtained in compliance with subpart B of this part
and must include the elements of informed consent described in Sec. 
50.25.
    (s) Guardian means an individual who is authorized under applicable
State or local law to consent on behalf of a child to general medical
care when general medical care includes participation in research. For
purposes of subpart D of this part, a guardian also means an individual
who is authorized to consent on behalf of a child to participate in
research.

[45 FR 36390, May 30, 1980, as amended at 46 FR 8950, Jan. 27, 1981; 54
FR 9038, Mar. 3, 1989; 56 FR 28028, June 18, 1991; 61 FR 51528, Oct. 2,
1996; 62 FR 39440, July 23, 1997; 64 FR 399, Jan. 5, 1999; 64 FR 56448,
Oct. 20, 1999; 66 FR 20597, Apr. 24, 2001]

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http://a257.g.akamaitech.net/7/257/2422/26mar20071500/edocket.access.
gpo.gov/cfr_2007/aprqtr/21cfr50.3.htm



-001-
 
 
Q:  What is a clinical "investigation"? 

The dictionary definition of 'investigate' is: To search or inquire into; examine in detail.  'Investigation' is: 1) the act of investigating, careful inquiry or research; 2) an inquiry by authority, as by a legislative committee, into certain facts; 3) A systematic examination of some scientific question.

The use of the word 'investigation' in this area of Title 21 is defined as "any experiment that involves a test article and one or more human subjects".   In other words, any experiment that involves a drug and a human being.

An experiment is not an investigation.  Investigating means setting out to find specific facts that already exist.  Experimentation means: conducting tests to yield or illustrate a principle.  Clearly they're not even close to the same thing.

We've all seen enough cop shows on TV to know that detectives don't go out doing experiments to catch the bad guys, they do investigations.

The purposeful misuse of the word 'investigation' is something that should make you wonder why they feel the need to try to obscure their intent.  Anyone skimming through Title 21 who didn't know the word had been completely redefined wouldn't have any idea that experiments were being done whenever they ran across the word 'investigation'. 

Is it too hard for the FDA to just say what they mean?  Don't they mean experimental drug research?  Isn't that what they're doing?  Yes it is what they're doing. 

So why the word games? 

It's easy enough to deduce.  The idea of doing experimental drug research on human beings, especially children, is repulsive to most people.  Remember what we're talking about here.  The question at hand is when scientific research can be conducted on live adults and children without their consent.  The obvious answer is that it can't, at least not ethically.  It's always wrong to use people as guinea pigs, it hardly needs explaining. 

So what Title 21 amounts to is an end run around simple, basic well known ethical standards.  It's an end run around human dignity and self ownership.  It's an attempt to use regulations as a disguise to legitimize what cannot be legitimized. 

There is no reason or need for drug developers to defy the human rights of our population in the aim of developing profit making drugs.  There is also no need to test military weaponized drugs, or even life saving drugs on our population without our consent.  These are the issues that cannot be rationalized away.  But it in the now standardized style of doing business in America, the corporate strategies of getting around laws and ethics are being engaged full force.  Using legal terminology and tricks, understanding that words like "investigation" will not arouse public sentiment in the way "experimentation on human subjects without their consent" would, they are simply bullying their way to their goals and as usual, people are getting hurt every step of the way.


21CFR50.3  DEFINITIONS

It's not optional to skip this section of any legal document.  This is where normal English words we're all familiar with are given different meanings that you would not be able to guess at.  The words are redefined specifically to get away with something.  Why else would anyone attempt to establish a legal definition, or claim the special use of a word that means something besides it's dictionary definition?

Most of this page of title 21 defines words in their usual terms, and this is an example of the non-extraordinary concept of establishing legal definitions. When you're in a court of law you need to ensure everyone knows what you're specifically referring to.  It saves a lot of time and repetition to clarify that when you say "dogs" that for the purpose of this document you will always mean "all dogs except cocker spaniels".

The first part of this page goes on about the usual expected FDA sorts of interests and activities.  Highlighted in red are words you should read the definitions of, these are near the bottom of the document.

Clinical investigation     Investigator     Sponsor   

Sponsor-Investigator     Human Subject    

Institution     IRB     Test article     Minimal risk    

Assent     Children     Ward

Here's a handy short cut:  Definitions translated-
The Main Ultra Creepy Concept:
Clinical investigation   =   Doing experimental drug research on human beings

Investigator  =  Someone who guides or shows the way during human drug research experiments

Sponsor    =  The corporation who wants their drugs tested, fast, easy and on the cheap

Sponsor-Investigator  =  The corporation who guides the experimental drug testing.  This would be your major honking conflict of interest right here.  They shouldn't be allowed on the premises.

Human Subject  =  The human guinea pig.  Think of the word 'subject' along the lines of how a Queen thinks of her peasants.  She can lord it over the unwashed masses, just like our government is doing to us.

Institution  =  Any government or corporate business, but not you or me.

IRB  =  Whoever the involved parties want to pretend is there to watch out for our interests when in fact they are there to provide cover and work directly in the interests of the corporation.

Test article   = Drug

Minimal risk  =  I have no idea what this means.  It could mean anything.  That's the whole point.

Assent  =  To express agreement.  Interesting choice of words.  Does it mean a wave of the hand?  A nod?  A shrug?

Children  =  Everyone knows what this word means.  What is interesting to note is that most of what follows is about human experimentation on children.  What is the FDA doing that it would be involved in this sort of thing?

Ward   =  A ward of the court or the state is a sad child.  They either have no parents or they are in foster care.  To put it bluntly, they're the favored targets for human experimentation because they have no one to advocate for them or protect them.  Much of the so called child protection services of government are run by corrupt people who are happy to sell children for medical experimentation.  Many of them are also pedophiles.  These poor kids don't stand a chance.  Nobody misses them when they die.

To sum things up, it looks like the FDA is squeezing in this horrendous and patently illegal practice of conducting drug experimentation on children so that corporations may benefit.  It will allow them to do what has always been illegal and despicable under the protection of the law.  The FDA is acting as the governmental support arm of private drug companies, assisting them in pulling off unethical types of research that are not justifiable due to any apparent need in the population.  It is merely to make it super easy to push more new drugs out on the population and bring in the mega dollars.  These tests are merely to determine how really bad reactions are to the drugs.  I wonder how many deaths out of a hundred people would cause them to not market a drug.  My guess is it doesn't matter how many deaths there are.  This simply allows them to adjust marketing and legal strategies in the wake of any public outcry.  They aren't worried about lawsuits, title 21 protects all involved from being stopped or punished.  The only persons left without any legal protections are you and I and all of our children. 
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PROTECTION OF HUMAN SUBJECTS--Table of Contents
Subpart A  General Provisions
Sec.  50.3  Definitions.


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