Before a clinical trial can start, it must be approved by an Institutional Review Board (IRB) or an Independent Ethics Committee (IEC) to ensure that appropriate steps are taken to protect the rights of participants. An IRB or IEC is a committee of doctors, data experts, community advocates, and others who help ensure that a trial is done in an ethical way and the rights of participants are protected. Even so, there are risks to participating in any clinical trial, which will be outlined in the informed consent process.
Each trial follows a carefully controlled plan (protocol) that explains what researchers will do during the trial.