Regulatory guide · FDAUpdated October 14, 2026

21 CFR Part 50: informed consent requirements explained

Part 50 is the FDA’s rule on protection of human subjects. It says who must give consent, what the consent must contain, how it is documented and the narrow situations where consent can be handled differently. This guide walks the sections a trial team actually uses.

  • 50.20, 50.25, 50.27
  • Exceptions: 50.22, 50.23, 50.24
  • Not legal advice

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Consent form mapped to 21 CFR 50.25 (demo)
consent-v1.2-demo.pdf4/6 complete
  1. 1

    Research statement, purpose, duration, procedures

    50.25(a)(1)

    Complete
  2. 2

    Risks and discomforts

    50.25(a)(2)

    Complete
  3. 3

    Benefits and alternatives

    50.25(a)(3)-(4)

    Complete
  4. 4

    Confidentiality and FDA access to records

    50.25(a)(5)

    Draft
  5. 5

    Injury compensation, contacts, voluntariness

    50.25(a)(6)-(8)

    Complete
  6. 6

    Registry statement where applicable

    50.25(c)

    To do
Demo mapping. Section numbering is for orientation; check the current regulation text.

What to know

  • 21 CFR Part 50 is FDA’s regulation on protection of human subjects. Subpart B covers informed consent, Subpart D covers additional safeguards for children. Its companion for IRBs is 21 CFR Part 56.
  • 50.25 lists the basic elements of consent (a) and additional elements to include when appropriate (b), plus a registry statement for applicable clinical trials (c).
  • 50.27 covers documentation: a written form signed and dated by the subject or representative, with a copy given to them. A short form with a witness is allowed.
  • 50.23 and 50.24 are exceptions: life-threatening emergency use of a test article, and emergency research with a waiver and strict IRB conditions. 50.22 (added by a final rule effective January 2024) lets an IRB waive or alter consent for minimal-risk FDA-regulated studies.
  • Check the eCFR for current text, and your IRB for how it applies. This page is not legal advice.

Scope

Where Part 50 sits and when it applies

Part 50 applies to clinical investigations regulated by FDA, such as studies of drugs, biologics and devices under an IND or IDE, and others that support applications to FDA. Research funded by US federal agencies that follow the Common Rule has a parallel set of rules at 45 CFR 46. Many studies must comply with both, and the two lists of consent elements overlap but are not identical.

FDA proposed rules in September 2022 to harmonize Parts 50 and 56 with the 2018 Common Rule, including a "key information" section at the start of the consent form and further elements on biospecimens. As of the last check for this page, we did not find a final rule, so confirm the current status. IRBs often ask for a key information section regardless.

Subpart B, 50.20

The general requirements before any element is counted

Section 50.20 sets the ground rules. Consent must be obtained from the subject or the legally authorized representative before the person is involved in the study, unless an exception applies. The investigator must give the possible subject enough opportunity to consider whether to participate and minimize the possibility of coercion or undue influence. The information must be in language the subject or representative can understand. And consent may not include exculpatory language, in which the subject appears to waive legal rights or release the investigator, sponsor, institution or agents from liability for negligence.

In practice this is where readability, timing and process come in. A consent form written at a level the participant cannot follow, or a signature collected at the moment of the first procedure, can be a problem even if every element in 50.25 is present. See the informed consent readability checker.

50.25

Elements of informed consent

A summary of 21 CFR 50.25 as generally described. Use the eCFR text for the exact wording.

ReferenceElementIn plain terms
50.25(a)(1)Research statementThat the study involves research, its purposes, expected duration, procedures, and which procedures are experimental
50.25(a)(2)RisksReasonably foreseeable risks or discomforts
50.25(a)(3)BenefitsBenefits to the subject or others that may reasonably be expected
50.25(a)(4)AlternativesAppropriate alternative procedures or treatments that might benefit the subject
50.25(a)(5)ConfidentialityHow records are kept confidential, with a note that FDA may inspect them
50.25(a)(6)InjuryFor more than minimal risk, whether compensation and medical treatment are available if injury occurs
50.25(a)(7)ContactsWho to contact about the research, about rights and about research-related injury
50.25(a)(8)VoluntaryParticipation is voluntary; refusal or discontinuing involves no penalty or loss of benefits
50.25(b)Additional, when appropriateUnforeseeable risks (including to an embryo or fetus), termination by the investigator, additional costs, consequences of withdrawal, significant new findings, approximate number of subjects
50.25(c)Registry statementFor applicable clinical trials, a statement that a description will be available on ClinicalTrials.gov (check the exact required wording)

The 2022 proposal would add further elements. If your IRB template already includes them, that is consistent with where the rule is heading.

50.27

Documenting consent: long form, short form and the electronic question

Under 50.27, informed consent is documented by a written form approved by the IRB and signed and dated by the subject or the legally authorized representative at the time of consent. A copy must be given to the person signing.

The rule also allows a short form stating that the elements of consent have been presented orally. In that case there must be a witness to the oral presentation, the IRB must approve a written summary of what is said, the subject or representative signs the short form, the witness signs both the short form and a copy of the summary, and the person obtaining consent signs the summary. A copy of the summary and the short form goes to the subject. See impartial witness eConsent for how this is handled electronically.

Electronic signatures on consent have their own rule set, 21 CFR Part 11, which covers audit trails, signature manifestations and the link between signature and record. FDA also publishes guidance on electronic informed consent. Part 11 is about the system and records; Part 50 is about the consent process. See the Part 11 compliance checklist.

Legally authorized representatives and children

Consent may be given by a legally authorized representative where the subject cannot consent, as defined by applicable law. Subpart D (50.50 to 50.56) adds protections for children, with categories of permitted research by level of risk and prospect of direct benefit, parental permission and assent requirements. See legally authorized representative consent and the pediatric assent template.

Exceptions

50.22, 50.23 and 50.24: when consent works differently

These are narrow. They exist for specific circumstances, not convenience, and each carries documentation duties.

SectionApplies toHeadline conditions (summary)
50.22Minimal-risk clinical investigationsIRB may waive or alter consent if criteria are met, such as the study involving no more than minimal risk and not being practicable without the waiver, with safeguards (final rule effective January 2024)
50.23Life-threatening use of a test article outside researchWritten certification by the investigator and an independent physician that the person has a life-threatening condition, consent cannot be obtained and there is no time and no accepted alternative; reporting to the IRB follows. Separate provisions deal with military operations and waivers
50.24Planned emergency researchStrict IRB findings and safeguards, such as a life-threatening condition with unproven treatments, consent not feasible, prospect of direct benefit, community consultation, public disclosure and an independent data monitoring committee

Do not rely on this summary to use an exception. Each has specific findings, documentation and notification duties. The IRB and regulatory affairs decide.

Capture and Part 50

Where electronic consent fits

Capture’s eConsent module supports the documentation side of consent: the participant reads the IRB-approved text, signs on screen after an email one-time-passcode check and acknowledges a legal-binding statement. An authorized staff member countersigns with password re-authentication. The signed document is hashed to its exact content and exports as a PDF with timestamps and the audit trail. Capture does not decide what your consent must say, and it does not replace the consent conversation.

  • Optional witness and legally authorized representative signatures.
  • A document is fully executed only after countersignature.
  • Consent templates to adapt for IRB review: basic, pediatric assent, long-term follow-up and more.
  • Part 11-aligned controls; hosted in the EU (Frankfurt) or the USA (N. Virginia).
Capture eConsent
Electronic signature

Meaning of signature

I have reviewed this adverse event and confirm the assessment of seriousness, severity and causality.

Signer

Dr. A. Ozola, PI

Password

••••••••••

Verified on the serverAutofill blockedSingle-use token
Sign

Try the signing flow as a participant

Pick a template from the library, send yourself the link and see the signed PDF and audit trail in the free sandbox.

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Practical check

Part 50 consent check before IRB submission

All 50.25(a) elements present

Tick them off against the regulation, not a memory of it.

50.25(b) elements considered

Include those that apply to your design.

Registry statement

Included if the trial is an applicable clinical trial.

No exculpatory language

Check liability wording against 50.20.

Plain language

Test readability; offer time to consider.

Documentation path

Long form, short form or electronic, and who obtains and countersigns.

Copy to the participant

Signed copy provided in the version signed.

Representatives and children

LAR and assent processes defined where relevant.

Re-consent plan

How new information (50.25(b)(5)) will be communicated and documented.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

What is 21 CFR Part 50?

It is FDA’s regulation on protection of human subjects in clinical investigations it regulates. Subpart B covers informed consent, Subpart D covers additional protections for children. IRB rules are in the companion Part 56.

What are the elements of informed consent under 50.25?

The basic elements in 50.25(a) are a research statement, risks, benefits, alternatives, confidentiality (including FDA inspection), injury compensation for more than minimal risk, contacts and the voluntary nature of participation. 50.25(b) lists additional elements to include when appropriate, and 50.25(c) adds a registry statement for applicable clinical trials.

How must informed consent be documented?

Under 50.27, with a written form approved by the IRB, signed and dated by the subject or representative, with a copy given to them. A short form plus witness and written summary is a permitted alternative.

When can consent be waived?

Only in narrow circumstances: 50.22 for minimal-risk investigations (IRB waiver or alteration), 50.23 for certain life-threatening emergency uses of a test article and 50.24 for planned emergency research. Each has conditions and documentation duties.

Is electronic consent allowed under Part 50?

Part 50 does not require paper, but consent must meet the same content and documentation requirements. Electronic signatures and records also have to meet Part 11, and FDA has issued guidance on electronic informed consent. Your IRB approves the process.

Is the Part 50 harmonization rule final?

FDA proposed to harmonize Part 50 with the 2018 Common Rule in September 2022. We did not find a final rule at the last check, so confirm the status in the Federal Register.

Does Part 50 differ from the Common Rule?

Yes. Both require informed consent, and their elements overlap, but the lists are not identical (for example FDA’s inspection statement and registry statement, and the Common Rule’s key information requirement). A study subject to both must satisfy both.

Does Capture make my consent form compliant?

No tool does that on its own. Capture records signed electronic consent with an audit trail and Part 11-aligned controls. The content must be approved by your IRB and meet Part 50 and any other rule that applies.

Capture consent with a full audit trail

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