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EVIDENCE LEDGER

THE SOURCES.
THE RECEIPTS.

A transparent reference catalogue so readers can examine the law, literature and data quality behind this initiative. References are source leads; inclusion does not imply endorsement by the publisher.

  1. F01
    21 CFR §312.2 — Applicability of IND regulationsFederal regulation

    Core tests for IND applicability/exemptions; not a universal research exemption.

    https://www.ecfr.gov/current/title-21/section-312.2
  2. F02
    21 CFR §312.3 — Definitions of sponsor and sponsor-investigatorFederal regulation

    Expressly recognizes individual IND sponsors and sponsor-investigators.

    https://www.ecfr.gov/current/title-21/section-312.3
  3. F03
    21 CFR §312.40 — General IND requirementsFederal regulation

    General IND clock, authorization, and clinical hold boundaries.

    https://www.ecfr.gov/current/title-21/section-312.40
  4. F04
    21 CFR §312.32 — IND safety reportingFederal regulation

    Safety reporting obligations and evidence requirements.

    https://www.ecfr.gov/current/title-21/section-312.32
  5. F05
    21 CFR §312.50 — Sponsor responsibilitiesFederal regulation

    Sponsor selection, conduct, safety, and records.

    https://www.ecfr.gov/current/title-21/section-312.50
  6. F06
    21 CFR §312.52 — Transfer of sponsor obligationsFederal regulation

    Certain sponsor obligations may transfer by written agreement.

    https://www.ecfr.gov/current/title-21/section-312.52
  7. F07
    21 CFR §50.20 — Informed consent general requirementsFederal regulation

    Voluntary informed consent and exclusion of exculpatory negligence waivers.

    https://www.ecfr.gov/current/title-21/section-50.20
  8. F08
    21 CFR §50.25 — Elements of informed consentFederal regulation

    Disclosures about uncertainty, contacts, alternatives, injury/compensation.

    https://www.ecfr.gov/current/title-21/section-50.25
  9. F09
    21 CFR §56.110 — Expedited IRB reviewFederal regulation

    Existing expedited review for eligible categories; not a blanket exemption.

    https://www.ecfr.gov/current/title-21/section-56.110
  10. F10
    45 CFR Part 46 — Human Subjects Protection / Common RuleFederal regulation

    Application depends on institutional and federal involvement; distinct from FDA obligations.

    https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html
  11. F11
    21 USC §360bbb-0a — Right to TryFederal statute

    A narrow congressional statutory example, distinct from general adult self-research.

    https://www.law.cornell.edu/uscode/text/21/360bbb-0a
  12. F12
    21 USC §355 — Drug approval and investigational exceptionsFederal statute

    Drug approval framework underlying investigational pathways.

    https://www.law.cornell.edu/uscode/text/21/355
  13. F13
    21 CFR §809.10 — Certain IVD labeling rulesFederal regulation

    RUO language in an in vitro diagnostic context does not waive human drug study rules.

    https://www.ecfr.gov/current/title-21/section-809.10
  14. F14
    45 CFR §164.514 — HIPAA de-identification/re-identificationFederal regulation

    Codes and pseudonyms require actual regulatory analysis.

    https://www.ecfr.gov/current/title-45/section-164.514
  15. F15
    HHS — De-identification guidanceFederal guidance

    Expert Determination and Safe Harbor, quasi-identification, disclosure risks.

    https://www.hhs.gov/hipaa/for-professionals/special-topics/de-identification/index.html
  16. F16
    45 CFR §164.524 — HIPAA access rightsFederal regulation

    Defined access rights for covered records, not universal ownership of all models/data.

    https://www.ecfr.gov/current/title-45/section-164.524
  17. F17
    FTC Health Breach Notification Rule, 16 CFR Part 318Federal regulation

    Relevant to certain health apps and personal health record service providers.

    https://www.ftc.gov/legal-library/browse/rules/health-breach-notification-rule
  18. F18
    FDA — Decentralized Trial Elements (Final, September 2024)Federal guidance

    Remote research can be organized but does not waive IND/oversight obligations.

    https://www.fda.gov/regulatory-information/search-fda-guidance-documents/conducting-clinical-trials-decentralized-elements
  19. F19
    FDA — E6(R3) Good Clinical Practice (Final, September 2025)Federal guidance

    Quality-by-design and proportionality in modern clinical trials.

    https://www.fda.gov/regulatory-information/search-fda-guidance-documents/e6r3-good-clinical-practice-gcp
  20. F20
    FDA — Patient-Focused Drug Development (Final, October 2025)Federal guidance

    Participant experience as evidence and appropriate outcomes.

    https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-focused-drug-development-selecting-developing-or-modifying-fit-purpose-clinical-outcome
  21. F21
    FDA — Enhancing Trial Participation (Final, December 2025)Federal guidance

    Inclusion and representativeness in investigational design.

    https://www.fda.gov/regulatory-information/search-fda-guidance-documents/enhancing-diversity-clinical-trial-populations-eligibility-criteria-enrollment-practices-and-trial
  22. F22
    FDA — Expanded Access OverviewFederal guidance

    Patient access pathway distinct from trial enrollment and Right to Try.

    https://www.fda.gov/drugs/investigational-new-drug-application-ind/ind-applications-clinical-treatment-expanded-access-overview
  23. F23
    Congressional Research Service — Expanded Access and Right to Try, R45414Congressional analysis

    Comparison of clinical trials, expanded access and Right to Try.

    https://www.congress.gov/crs_external_products/R/PDF/R45414/R45414.5.pdf
  24. F24
    HHS — Single IRB for Cooperative ResearchFederal guidance

    U.S. cooperative studies and state/local context; guidance is draft.

    https://www.hhs.gov/ohrp/regulations-and-policy/requests-for-comments/draft-guidance-use-single-institutional-review-board-for-cooperative-research/index.html
  25. F25
    ClinicalTrials.gov — Learn About StudiesFederal research registry

    Interventional versus observational studies and participant basics.

    https://clinicaltrials.gov/study-basics/learn-about-studies
  26. P01
    Methods used to conduct decentralised clinical trials — systematic review (2021), PMID 34961991Peer-reviewed synthesis

    Forty-five trials in quantitative analysis; insufficient evidence to determine recruitment/cost superiority.

    https://pubmed.ncbi.nlm.nih.gov/34961991/
  27. P02
    Participants as Partners in Decentralized Clinical Trials (2025), PMID 40633104Peer-reviewed perspective

    Participant engagement and value design.

    https://pubmed.ncbi.nlm.nih.gov/40633104/
  28. P03
    Trial characteristics and challenges of DCT — scoping review, PMID 41271425Peer-reviewed synthesis

    Fifty-three papers, multiple retention and biased recruitment challenges.

    https://pubmed.ncbi.nlm.nih.gov/41271425/
  29. P04
    Decentralized clinical trials and equity of access (2024), PMID 38358756Peer-reviewed perspective

    Arguments for geographic access in oncology research.

    https://pubmed.ncbi.nlm.nih.gov/38358756/
  30. P05
    Ethical Challenges in DCTs — scoping review (2026), PMID 41806287Peer-reviewed synthesis

    Thirty-two included papers; consent, equity, privacy, safety, validity and oversight concerns.

    https://pubmed.ncbi.nlm.nih.gov/41806287/
  31. P06
    Platform trials: design and methods systematic review (2025), PMID 40349734Peer-reviewed synthesis

    189 platform trials; transparency of protocols/statistical simulation remains uneven.

    https://pubmed.ncbi.nlm.nih.gov/40349734/
  32. P07
    N-of-1 medical studies evidence/reporting standards (2023), PMID 37463877Peer-reviewed synthesis

    Only four of 115 reviewed articles met all analyzed evidence standards; reporting issues.

    https://pubmed.ncbi.nlm.nih.gov/37463877/
  33. P08
    N-of-1 trial methodology and statistics (2025), PMID 41355573Peer-reviewed review

    Methods, reporting, analysis and implementation obstacles.

    https://pubmed.ncbi.nlm.nih.gov/41355573/
  34. P09
    N-of-1 trials in medical literature (2011), PMID 21478771Peer-reviewed synthesis

    Reporting limitations and individual-treatment effect analysis.

    https://pubmed.ncbi.nlm.nih.gov/21478771/
  35. P10
    Individualized therapy trials: care and research ethics (2021), PMID 34642487Peer-reviewed perspective

    Care-research distinction, equipoise, reporting, funding, informed consent.

    https://pubmed.ncbi.nlm.nih.gov/34642487/
  36. P11
    DCT-in-a-box framework (2023), PMID 38028335Peer-reviewed framework

    Research participation distribution framework, not proof of lower costs.

    https://pubmed.ncbi.nlm.nih.gov/38028335/
  37. P12
    Trial recruitment systems framework (2026), PMID 41694058Peer-reviewed synthesis

    Literature-informed approach to geographic, technology and institutional barriers.

    https://pubmed.ncbi.nlm.nih.gov/41694058/
  38. P13
    Characteristics of explicitly decentralized trials (2026), PMID 42934714Peer-reviewed synthesis

    Twenty-eight unique trials; definitional and reporting heterogeneity.

    https://pubmed.ncbi.nlm.nih.gov/42934714/
  39. P14
    DCT trends and global challenges (2026), PMID 41544140Peer-reviewed analysis

    Digital equity, regulatory variability, methodological validation and implementation barriers.

    https://pubmed.ncbi.nlm.nih.gov/41544140/
  40. L01
    Abigail Alliance v. von Eschenbach, 495 F.3d 695 (D.C. Cir. 2007) (en banc)Judicial precedent

    Rejected an asserted fundamental due process right in specific investigational access circumstances, without blocking congressional legislation.

    https://law.justia.com/cases/federal/appellate-courts/caDC/04-5350/04-5350b-2011-03-24.html
  41. L02
    Wyeth v. Levine, 555 U.S. 555 (2009)Judicial precedent

    Context for express/implied federal preemption; fact-specific.

    https://supreme.justia.com/cases/federal/us/555/555/
  42. L03
    Cruzan v. Director, Missouri Dept. of Health, 497 U.S. 261 (1990)Judicial precedent

    Refusal of treatment jurisprudence is not an automatic research-access entitlement.

    https://supreme.justia.com/cases/federal/us/497/261/