Ethics and Regulatory Work Group

There are many ethical and regulatory complexities and challenges related to the conduct of clinical trials, including those of multisite, embedded, and pragmatic nature. The Ethics and Regulatory Work Group aims to identify areas of ethical and regulatory uncertainty and work with the selected pragmatic trial teams to address these complexities in the VA and DoD health care systems. Another goal of the Ethics and Regulatory Work Group is to develop processes and agreements to address regulatory requirements within these health care systems, and to identify and disseminate processes and best practices for ethical conduct of pragmatic clinical trials. To support dissemination of lessons learned from the Pain Management Collaboratory, the members of the Work Group are developing a first-of-its-kind, comprehensive toolkit of items relevant to the ethical conduct of pragmatic clinical trials consistent with good clinical practice and standards for the protection of human subjects research participants.

Chair or Co-Chairs:

Fred Wright

Joseph Ali

Project Manager:

Amy Burns

Work Group Goals

Work Group Co-Chairs – Qualifications and Experience

Fred Wright, MD, is the VA Connecticut Associate Chief of Staff for Research and Development and a Professor in the Departments of Internal Medicine and Cellular and Molecular Physiology at the Yale School of Medicine. He has over 35 years of experience and is recognized as a national leader in VA in developing and enacting policies and regulations related to the ethical conduct of research, including human subjects protections.

Joseph Ali, JD, is Assistant Professor, Johns Hopkins Berman Institute of Bioethics and Johns Hopkins Bloomberg School of Public Health, Department of International Health. Over the past decade, he has been intimately involved with efforts to advance the design and development of large U.S. patient-centered comparative effectiveness and pragmatic clinical trial (PCT) networks. In addition to serving as co-chair of the Ethics and Regulatory Work Group for the NIH/VA/DOD Pain Management Collaboratory, he serves as a member of the Ethics and Regulatory Core for the NIH HEAL Initiative on Pragmatic and Implementation Studies for the Management of Pain to Reduce Opioid Prescribing (PRISM), and served as co-lead of the National Patient-Centered Clinical Research Network (PCORnet) Ethics & Regulatory Task Force. His research in this areas has contributed to the anticipatory identification of ethics and regulatory challenges, the ethical assessment of net risk in PCTs, understanding how structural injustice can transfer from health systems to embedded health research, and addressing signals of mental and behavioral health risk detected during PCTs.