ReviewGlobal gene mining and the pharmaceutical industry
Section snippets
Genetic testing
Genetic testing is increasingly used as a tool for optimizing individual treatment with the most efficient medicinal product or for selection of optimal individual dosing. Pharmacogenomic approaches to drug discovery and delivery have been recognized by EMEA and FDA and recommendations are discussed to harmonize terminology and use of samples and data (EMEA, 2002, FDA, 2003). Pharmacogenomics cannot improve the efficacy of a given drug, but it helps in selecting patients who are likely to
Ethical analysis
Ethical issues in pharmacogenomics are not only based on the general concern that the ability to diagnose a genetic disorder before any treatment is available and does more harm than good to the patient, e.g., in relation to employment, insurance, educational, and loaning opportunities.
In medicine, the following ethical principles apply (Beauchamp and Childress, 1994):
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Respect for the autonomy of persons: respecting the self-determination of individuals and protecting those with diminished
Coding of samples
Commercial interests are evident in building up bio-banks for future testing in drug development. A precise protocol for coding of data and samples as either identifiable (and accessible for follow-up) or anonymized is discussed within the area of pharmacogenomics and recommended by EMEA (2002):
- Identified samples
are those labeled with personal identifiers such as Name or Social Security Number.
- Single-coded samples
are samples to which a single specific code is attributed for protecting individuals. The key connecting the code to the
Recommendations/conclusions
Pharmacogenetics has many prospects and bio-banks with useful samples collected from patients have been established worldwide. Common guidelines for protocols including sampling and storage of data and samples (Information, Consent, Data-protection) will be developed to assure harmonization. These guidelines may serve the data protection within genetic testing as well as other medical testing. Assuring transparency in sampling and communication of results in pharmacogenetic studies may prevent
References (11)
- Beauchamp, T.L., Childress, J.F., 1994. Principles of biomedical ethics 4th edn. Oxford University Press, New York and...
- EMEA, 2002. Committee for proprietary medicinal products: position paper on terminology in pharmacogenetics. The...
- FDA, 2003. Guidance for industry: pharmacogenomic data submissions, draft guideline[Docket No 2003-0497, 68 Federal...
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