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Center for Medical Ethics and Health Policy



MOTIFS: Identification, Management of Incidental Findings in Pragmatic Clinical Trials


Project Description


Considerable efforts are being invested into expanding the use of pragmatic clinical trials (PCTs). While PCTs promise to generate actionable evidence more rapidly and at lower cost than traditional explanatory trials, they also present ethical challenges. This project takes a deep dive into one particular such challenge, namely, the identification and management of incidental findings in PCTs.

Through key stakeholder interviews, patient focus groups, and a national survey, this project will develop an empirically informed, ethically sound approach for managing incidental findings in PCTs.

Supported by: NIH Collaboratory


Project Personnel


Principal Investigators:

Jeremy Sugarman, M.D., MPH, MA, Johns Hopkins University Berman Institute of Bioethics
Kevin Weinfurt, Ph.D., Department of Population Health Sciences

Baylor Investigators:

Stephanie Morain, MPH, Ph.D.

Johns Hopkins Investigators:

Juli Bollinger, MS
Gail Geller, ScD, MHS
Debra Mathews, Ph.D., MA




Management of Incidental Findings in Pragmatic Clinical Trials. Monday, Nov. 18, 2019. PRIM&R Advancing Ethical Research Conference. Boston, Mass.

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