伦理审查Ethics Review

委员会简介

独立运作的研究伦理审查机制,为生命科学伦理敏感研究提供专业保障

为什么需要独立的伦理审查?

随着基因编辑、人体试验、辅助生殖及人工智能辅助临床决策等研究领域的迅速扩展,科研伦理问题已成为国际生命科学界最受关注的议题之一。涉及人类受试者、遗传物质操作、临床干预及弱势群体的研究,如果缺乏独立、专业的伦理审查,不仅可能对受试者权益造成不可逆损害,更可能从根本上动摇公众对生命科学研究的信任基础。卓健生命科学与健康发展联盟于2021年3月成立伦理审查委员会,正是出于对这一核心问题的清醒认知与主动担当。

联盟伦理审查委员会(简称"伦审会")是在联盟理事会授权下独立运作的专业审查机构,在行政上不隶属于启元生命科学研究院,亦不受秘书处日常管理约束,以确保审查意见的独立性与权威性。委员会依据《赫尔辛基宣言》、香港《人体生物医学研究操守守则》及国际医学科学组织委员会(CIOMS)相关伦理指南,结合亚太地区实际情况,制定并执行本委员会的审查规范。

伦审会的核心职能是对联盟资助课题中涉及伦理审查的研究项目出具独立审查意见,审查意见作为联盟是否继续支持该项目的重要参考依据之一。此外,伦审会亦接受非联盟资助、但希望获得独立第三方伦理审查意见的外部科研项目提交申请。

伦审会的设立是卓健生命科学与健康发展联盟区别于其他同类学术组织的核心特色之一,也是联盟承诺以严谨态度推动"负责任的科学"这一理念的具体体现。

伦理审查核心原则

委员会的全部审查工作以以下六项核心原则为基础

尊重人格与自主权

所有涉及人类受试者的研究须充分尊重受试者的人格尊严与自主决策权,知情同意程序必须真实、完整、可理解。

受益最大化

研究设计须在合理范围内将受试者及社会公众的潜在获益最大化,并以可量化方式论证研究的社会价值。

伤害最小化

研究方案须采取充分措施规避、减少对受试者身体、心理及社会层面的潜在伤害,风险须与预期获益相称。

公平公正

受试者招募标准须科学合理,不得对弱势群体施加不当利诱,研究成果的获益须向参与研究的群体公平传递。

隐私保护与数据安全

涉及个人生物信息、基因数据及健康记录的研究须遵守严格的数据保护规范,明确数据存储、使用与销毁的全生命周期管理方案。

透明与可问责

研究者须向伦审会如实披露研究设计的全部相关信息,包括潜在的利益冲突,委员会审查结论须可溯源、可解释。

委员会组成

七名委员,跨学科构成,确保审查视角的多元性与专业性

叶承恩 教授

主席
香港中文大学医学院
临床医学伦理学、医学人文

刘婉仪 副教授

副主席
香港大学公共卫生学院
公共卫生伦理、流行病学研究伦理

陈浩然 律师

法律专家
香港执业律师(生命科学法律专向)
医疗法律、知识产权、数据合规

郑淑文 教授

社会伦理学者
台湾政治大学哲学系
生命伦理学、科技与社会研究

吴文涛 研究员

委员
新加坡基因组研究院
基因编辑技术、合成生物学伦理

林思宇 副教授

委员
澳门大学健康科学学院
临床试验设计、受试者保护

梁皓明 主任医师

委员
广州医科大学附属第一医院
临床医学、医患关系伦理

独立性保障机制

  • 伦审会委员由联盟理事会任命,任期3年,不受联盟日常行政管理约束,审查意见独立出具
  • 委员须签署利益冲突声明,与申请项目存在任何直接或间接利益关联的委员须在该项目审查中主动回避
  • 委员会主席对审查结论有最终确认权,但不得单方面推翻经委员会多数表决通过的意见
  • 伦审会审查意见由委员会以整体名义出具,不代表任何个别委员、联盟秘书处或启元研究院的立场
  • 申请人如对审查意见有异议,可在收到意见书后14个工作日内提交书面申诉,委员会重新组织审议

审查范围

委员会重点审查涉及以下伦理敏感领域的研究项目

人体实验与受试者研究

所有以人类个体为直接研究对象的干预性研究,包括但不限于药物或器械的人体安全性与有效性测试、行为干预研究、侵入性生物标本采集研究,以及以患者群体为对象的回顾性临床研究(涉及个人可识别信息时)。委员会审查的核心关注点包括知情同意程序的充分性、受试者的安全保障措施、利益分配安排及研究结束后的随访计划。

观察性研究、问卷调查及公开数据分析亦需根据具体情况评估是否需要完整伦理审查或简易审查。

基因编辑与遗传操作研究

涉及人类基因组编辑(含体细胞与生殖细胞层面)、遗传物质转移、基因诊断及遗传咨询的研究项目,均须提交伦理审查。委员会将重点评估基因编辑的技术安全性证据、脱靶风险的评估方案、遗传信息的保密与使用限制,以及是否存在对后代遗传影响的充分论证。对于涉及人类胚胎或生殖细胞的研究,委员会将依据国际最高审慎标准进行审议。

非人灵长类动物的基因编辑研究如具有明确人类应用意向,亦须纳入审查范围。

临床试验研究

所有以评估新型药物、生物制品、医疗器械或治疗方案为目的、在人体中开展的系统性试验研究,无论处于哪个试验阶段,均须在开始招募受试者前完成伦理审查。委员会的审查内容涵盖试验设计的科学合理性、受试者纳入与排除标准、风险监控与不良事件报告机制、试验暂停与终止标准,以及安慰剂对照组设计的伦理正当性。

研究者发起的临床研究(IIT)与企业申办的临床试验均须提交,后者亦须同时满足当地监管要求。

人工智能辅助医疗与数据研究

利用人工智能、机器学习或大数据分析方法处理个人健康数据、医学影像或基因组数据的研究项目,以及将AI辅助决策工具应用于临床诊断或治疗推荐的研究,须就数据来源合法性、算法公平性与偏见风险、患者知情同意及数据跨境传输等方面接受伦理审查。数字健康与移动医疗领域的研究亦须关注数字弱势群体的权益保护问题。

仅使用完全匿名化公开数据集且不涉及个人识别的纯算法开发研究可申请豁免审查。

审查流程

标准审查周期为30个工作日,全程规范透明

1
提交申请
申请人操作

申请人填写《伦理审查申请书》,并按要求准备全套申请材料(详见申请指南),发送至伦理审查专用邮箱 ethics@zalshd.com。伦理审查委员会受理人员于3个工作日内回复收件确认函,并告知材料完整性初步判断。

输出:收件确认函(含受理编号)
2
形式审查
收件后5个工作日内

伦理审查委员会受理人员对申请材料进行形式完整性审核,重点核查必备材料是否齐全、申请人资质是否符合要求、研究类别是否在审查范围内,以及研究设计描述是否达到可供专家评审的信息深度。形式审查不通过者,受理人员将书面告知缺项并给予一次补充机会,补充期限为10个工作日。

输出:形式审查通过通知书 / 补充材料通知
3
委员会审议
形式审查通过后20个工作日内

伦理审查委员会受理人员将材料分发给不少于3名委员(按研究领域专长匹配),委员进行独立审阅并在内部审议会议上进行集体讨论。委员会采取多数表决制确定审查意见类别。如委员认为申请材料存在重大信息不足,可要求申请人补充说明或出席答辩,此情况下审查周期相应顺延,但总周期不超过60个工作日。

输出:内部审议记录(不对外公开)
4
出具审查意见
审议完成后3个工作日内

委员会以整体名义出具正式《伦理审查意见书》,意见类别分为四种:(1)批准——研究可按既定方案开展;(2)有条件批准——须按委员会要求修改方案后方可开展;(3)暂缓审议——须申请人补充重要信息后重新提交;(4)不批准——研究存在无法接受的伦理风险,委员会建议终止。意见书由委员会主席署名,加盖联盟公章,作为正式书面文件发送至申请人。

输出:《伦理审查意见书》(加盖联盟公章)

审查时限说明:标准审查周期为收到完整材料后30个工作日内完成全程并出具意见书。因申请人补充材料、申请人答辩或委员会内部重大分歧需扩大审议规模等情况导致的延期,委员会将提前书面告知申请人,并说明预计完成时间。

申请指南

提交完整、规范的申请材料是高效完成审查的基础

必备申请材料清单

  1. 填写完整的《伦理审查申请书》(使用联盟提供的标准模板)
  2. 研究方案全文(含研究背景、目的、设计、方法、时间表及预期风险分析)
  3. 知情同意书草稿(涉及人类受试者时必须提供,须包含中文版本)
  4. 受试者招募计划与纳排标准说明
  5. 研究者资质证明(主要研究者简历及所在机构证明文件)
  6. 数据管理与隐私保护方案说明
  7. 风险评估与应急处置预案
  8. 研究经费来源及利益冲突声明
  9. 其他伦理委员会已出具的相关意见书(如有,为参考材料)

申请注意事项

  • 所有材料须以电子版形式提交,格式为PDF,文件命名须按"受理编号-材料名称"格式整理(受理前以"申请人姓名-材料名称"命名)
  • 申请书及知情同意书须使用简体中文或繁体中文提供,如研究方案为英文,须另附中文摘要(不少于500字)
  • 委员会不接受不完整材料的"边审边补",形式审查阶段发现缺项将暂停计时,待材料补齐后重新启动
  • 委员会不对研究的科学价值做出评判(该职能属学术评审范畴),仅就伦理合规性出具意见
  • 研究方案发生重大变更时,须重新提交审查,委员会将在原审查基础上进行变更审查
  • 审查意见书具有时效性,批准意见通常适用于研究开展期间;研究持续超过2年的须提交年度审查报告
  • 申请咨询及材料提交统一发送至:ethics@zalshd.com

常见问题

申请伦理审查前,请先阅读以下常见问题解答

联盟伦理审查委员会的审查意见具有法律效力吗?
联盟伦审会出具的审查意见是非政府性质的独立专业意见,不等同于国家或地区监管机构(如卫生部、药监局)的法定审批。研究者在开展需要政府监管审批的研究时,仍须同时依法向相关主管机关申报。联盟伦理审查意见可作为研究者向所在机构或期刊提交的第三方伦理审查参考文件。
非联盟会员或非联盟资助的研究可以申请伦理审查吗?
可以。委员会接受来自联盟以外的外部科研项目的伦理审查申请,申请人无须是联盟会员。外部申请与联盟内部课题适用相同的审查标准和流程,不设差异化待遇。外部申请可能涉及一定的审查服务费用,具体请通过邮件咨询了解。
审查意见为"有条件批准"时,需要做什么?
"有条件批准"意味着委员会原则上认可研究的伦理合理性,但对某些具体安排提出了修改要求。申请人须按委员会意见书中列出的修改事项逐条回应,修改后的方案或知情同意书须重新提交委员会审核(简易审查,通常10个工作日内完成),确认满足条件后委员会出具最终批准函。研究不得在收到最终批准函前启动受试者招募。
我的研究是纯数据库分析,不直接接触受试者,也需要伦理审查吗?
这取决于数据的性质。如果使用的是完全匿名化、无法识别个体身份的公开数据集,通常可申请豁免审查;如果数据库包含可识别个人身份的信息(姓名、身份证号、面部图像、基因序列等),或数据的原始收集知情同意未涵盖您的研究用途,则须提交完整审查或简易审查。建议有疑问时先发邮件描述研究情况咨询,伦理审查委员会受理人员将告知是否需要提交审查。
审查意见书发出后,研究方案是否可以修改?
可以,但须区分修改幅度。对于不影响受试者风险、知情同意内容或研究核心方案的微小调整(如样本量小幅增减、研究时间调整等),可书面告知委员会并提交变更说明,由秘书处记录备案。对于涉及研究目的、受试者纳排标准、干预措施或风险状况的重大变更,须重新提交审查,委员会出具新的审查意见后方可按修改后方案执行。

需要进一步咨询?

如您对审查范围、申请材料或审查流程有任何疑问,请通过以下方式联系伦理审查委员会受理人员,我们将在3个工作日内回复。

ethics@zalshd.com

Committee Overview

An independently operated research ethics review mechanism protects ethically sensitive life science research.

Why is independent ethics review necessary?

As gene editing, human subject research, assisted reproduction, and AI-assisted clinical decision-making expand rapidly, research ethics has become a central concern in global life sciences. Studies involving human participants, genetic material, clinical intervention, or vulnerable populations require independent and professional review to protect participant rights and preserve public trust in science.

The ZALSH Ethics Review Committee is an independent professional review body authorized by the Council. It is not administratively subordinate to Qiyuan Life Sciences Institute and is not controlled by the Secretariat's daily operations, ensuring independent and authoritative opinions.

The committee follows the Declaration of Helsinki, Hong Kong guidance on human biomedical research conduct, CIOMS ethical guidelines, and regional practice across Asia-Pacific. Its core duty is to issue independent review opinions for alliance-funded projects involving ethical review and for external research projects seeking third-party ethics review.

The committee reflects the alliance's commitment to responsible science and is a key institutional feature distinguishing ZALSH from comparable academic organizations.

Core Principles

All review work is grounded in six ethical principles.

Respect for Persons and Autonomy

Research involving human participants must fully respect dignity and autonomous decision-making. Informed consent must be truthful, complete, and understandable.

Maximize Benefit

Study design should maximize potential benefit to participants and the public within reasonable limits and demonstrate social value with measurable evidence.

Minimize Harm

Protocols must take adequate steps to reduce physical, psychological, and social risks, with risk proportionate to expected benefit.

Fairness and Justice

Recruitment criteria must be scientifically justified, avoid undue inducement to vulnerable groups, and ensure fair transmission of research benefits.

Privacy and Data Security

Research using biological information, genetic data, or health records must define strict data storage, use, sharing, and destruction controls.

Transparency and Accountability

Researchers must disclose all relevant study information and potential conflicts of interest. Committee conclusions must be traceable and explainable.

Committee Composition

Seven interdisciplinary members ensure professional and diverse review perspectives.

Prof. Ye Chengen

Chair
Faculty of Medicine, The Chinese University of Hong Kong
Clinical medical ethics and medical humanities

Assoc. Prof. Liu Wanyi

Vice Chair
School of Public Health, The University of Hong Kong
Public health ethics and epidemiological research ethics

Lawyer Chen Haoran

Legal Expert
Hong Kong practicing lawyer, life sciences law focus
Medical law, intellectual property, and data compliance

Prof. Zheng Shuwen

Social Ethics Scholar
Department of Philosophy, National Chengchi University
Bioethics, science and technology studies

Researcher Wu Wentao

Member
Genome Institute of Singapore
Gene editing and synthetic biology ethics

Assoc. Prof. Lin Siyu

Member
Faculty of Health Sciences, University of Macau
Clinical trial design and participant protection

Chief Physician Liang Haoming

Member
The First Affiliated Hospital of Guangzhou Medical University
Clinical medicine and physician-patient ethics

Independence Safeguards

  • Committee members are appointed by the Council for a three-year term and are not bound by daily alliance administrative management.
  • Members sign conflict-of-interest declarations and must recuse themselves from projects with direct or indirect interests.
  • The committee issues opinions in its collective name and not on behalf of any individual member, Secretariat unit, or Qiyuan Institute position.
  • Applicants may submit a written appeal within 14 working days after receiving an opinion.

Review Scope

The committee focuses on research projects involving ethically sensitive fields.

Human Experiments and Participant Research

Interventional studies directly involving humans, including drugs, devices, behavioral interventions, invasive specimen collection, and retrospective clinical research involving identifiable information. Review focuses on consent, safety, benefit sharing, and follow-up plans.

Observational studies, surveys, and public data analysis may still require assessment depending on specific circumstances.

Gene Editing and Genetic Manipulation

Projects involving human genome editing, genetic material transfer, genetic diagnosis, or genetic counseling must be submitted. Review focuses on safety evidence, off-target risk, genetic information confidentiality, and possible intergenerational impact.

Non-human primate gene editing studies with clear human application intent are also within scope.

Clinical Trials

All systematic human studies evaluating new drugs, biologics, medical devices, or treatment plans must complete ethics review before participant recruitment. Review covers study design, inclusion and exclusion criteria, risk monitoring, adverse event reporting, and placebo control justification.

Both investigator-initiated trials and sponsor-led clinical trials must submit relevant materials.

AI-Assisted Healthcare and Data Research

Studies using AI, machine learning, or big data to process personal health data, medical images, or genomic data must address data legality, algorithm fairness, consent, and cross-border data transfer. Digital health studies must also protect digitally vulnerable groups.

Pure algorithm development using fully anonymized public datasets may apply for exemption.

Review Process

The standard review period is 30 working days and follows a transparent workflow.

1
Submit Application
Applicant action

Applicants complete the ethics review application form and submit all required materials to ethics@zalshd.com. Ethics Review Committee intake staff reply within 3 working days with receipt confirmation and an initial completeness check.

Output: receipt confirmation with acceptance number
2
Formal Review
Within 5 working days after receipt

The secretariat checks whether required materials are complete, applicant qualifications meet requirements, the study falls within scope, and the research design provides sufficient information for expert review.

Output: formal review approval or supplement notice
3
Committee Deliberation
Within 20 working days after formal approval

Materials are assigned to at least three committee members matched by expertise. Members conduct independent review and deliberate collectively. If major information is missing, applicants may be asked to supplement or attend a defense.

Output: internal deliberation record
4
Issue Opinion
Within 3 working days after deliberation

The committee issues a formal ethics review opinion in one of four categories: approved, conditionally approved, deferred pending additional information, or not approved. The written opinion is signed by the chair and sent to the applicant.

Output: official ethics review opinion

Timeline note: The standard review cycle is completed within 30 working days after complete materials are received. Delays caused by supplements, applicant defense, or expanded deliberation will be communicated in writing.

Application Guide

Complete and standardized materials are essential for efficient review.

Required Materials

  1. Completed ethics review application form using the alliance template
  2. Full research protocol with background, aims, design, methods, timeline, and risk analysis
  3. Draft informed consent form when human participants are involved
  4. Participant recruitment plan and inclusion/exclusion criteria
  5. Researcher qualification documents and institutional proof
  6. Data management and privacy protection plan
  7. Risk assessment and emergency response plan
  8. Funding source and conflict-of-interest declaration
  9. Relevant opinions from other ethics committees, if any

Notes for Applicants

  • Submit all materials electronically as PDF files using the required file naming format.
  • Application and consent forms should be provided in Chinese; if the research protocol is in English, include a Chinese abstract of at least 500 characters.
  • Incomplete materials are not accepted for rolling review. Missing items pause the clock until supplements are complete.
  • The committee assesses ethical compliance rather than scientific value, which belongs to academic review.
  • Major protocol changes require a new review submission.
  • All inquiries and submissions should be sent to ethics@zalshd.com.

FAQ

Please review the common questions before applying for ethics review.

Does the committee opinion have legal force?
The opinion is an independent professional opinion from a non-government body and is not equivalent to statutory approval from a national or regional regulator. Researchers must still apply to competent authorities where required.
Can non-members or non-funded projects apply?
Yes. External research projects may apply for ethics review under the same standards and process. External applications may involve a review service fee; details can be requested by email.
What should I do after a conditional approval?
Conditional approval means the committee generally recognizes the ethical acceptability of the study but requires specific revisions. Applicants must respond to each requested change and resubmit revised materials before recruitment begins.
Does a database-only study need review?
It depends on the data. Fully anonymized public datasets may qualify for exemption. Datasets containing identifiable personal, facial, or genetic information usually require full or expedited review.
Can the protocol be changed after an opinion is issued?
Minor changes may be filed in writing, but changes affecting research aims, participant criteria, interventions, consent, or risk level require a new review opinion before implementation.

Need Further Consultation?

For questions about review scope, application materials, or the review process, contact the Ethics Review Committee intake staff. We will reply within 3 working days.

ethics@zalshd.com