Large Language Model-Assisted Review of Clinical Trial Informed Consent for Data Reuse: Retrieval-Augmented Generation Approach
Background: Regulatory frameworks such as the Belmont Report, the Common Rule, and the Declaration of Helsinki require informed consent to ensure participants understand a study's purpose and can make voluntary decisions about their involvement. Regulations, including the General Data Protection Regulation (Regulation [EU] 2016/679), further emphasize that consent must be freely given and revocable without disadvantage. Although informed consent forms (ICFs) are intended to be clear and accessible, they have bec…
A retrieval-augmented GPT-4.1 workflow extracted data reuse information from clinical trial consent forms across languages, reaching 92.1% accuracy on a holdout set after iterative prompt optimization.
The source notes that LLM hallucinations limit reliability in high-stakes settings, and the best reported accuracy was 92.1%, so a meaningful share of outputs were still not correct.
Evidence
- Peer-reviewedJMIR Medical Informatics2026-10-15
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Truvace Impact Record TRV-2026-1539, v1: “Large Language Model-Assisted Review of Clinical Trial Informed Consent for Data Reuse: Retrieval-Augmented Generation Approach.” Truvace, 2026-10-16. /record/TRV-2026-1539 (accessed at citation time). sha256 1daa9b2c9fa2b0b3…
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