A PI wants to conduct an international research study in a country that has no local IRB or ethics review process. Under U.S. federal regulations, the research must:
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A
Be reviewed only by the U.S. institution's IRB, applying U.S. standards
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B
Comply with local laws and customs, with the U.S. IRB verifying that protections are 'at least equivalent'
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C
Be exempt from review since no local process exists
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D
Obtain approval from the U.S. Department of State before proceeding