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Ethics & accountability · Balancing user vs business interest

Running a contract clinical study, you notice a pattern of mild adverse events that isn't yet a reportable signal, but flagging it now could delay the sponsor's timeline and the milestone payment. Your ops lead wants to wait until the data is "clearer." What do you do?

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Participant safety sets the clock here, not the milestone, so "wait until it's clearer" is the wrong default when the ambiguity is about people's health.

The full answer: structure, worked example, likely follow-up.

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