Market Report Biobank Ethics Committee for Approval of Biobanks
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Review of Scientific Self-Experimentation: Ethics History, Regulation, Scenarios, and Views Among Ethics Committees and Prominent Scientists
Rejuvenation Research Page 1 of 41 © Mary Ann Liebert, Inc. DOI: 10.1089/rej.2018.2059 1 Review of Scientific Self-experimentation: ethics history, regulation, scenarios, and views among ethics committees and prominent scientists. Brian Hanley, Butterfly Sciences, POBox 2363, Davis, CA 95616, USA. [email protected] William Bains, Rufus Scientific Ltd. 37 The Moor, Melbourn, Royston, Hertsfordshire, SG8 nt scientists. (DOI: 10.1089/rej.2018.2059) 10.1089/rej.2018.2059) scientists. nt (DOI: 6ED, UK. [email protected] nal published version may fromdiffer this proof. George Church, Department of Genetics, Harvard Medical School, Boston, MA 02115, USA. Word count: 5,969 Address for correspondence and reprints: [email protected] Keywords: ethics, research history, human research, medical ethics; self-experimentation, n-of-1 Abbreviated title: Review of Scientific Self-experimentation Rejuvenation Research lation, scenarios, and views among ethics committees and promine Downloaded by UNIVERSITY OF FLORIDA from www.liebertpub.com at 06/25/18. For personal use only. Review of Scientific Self-experimentation: regu ethics history, This paper has been peer-reviewed and accepted publication,for but has yet to copyediting undergo correction. and proof The fi Page 2 of 41 2 Abstract We examine self-experimentation ethics history and practice, related law, use scenarios in universities and industry, and attitudes. We show through analysis of the historical development of medical ethics and regulation, from Hippocrates through Good Clinical Practice that there are no ethical barriers to self-experimentation. When the self- experimenter is a true investigator, there is no other party to be protected from unethical behavior. -
A DNA Database in the NHS: Your Freedom up for Sale?
A DNA database in the NHS: Your freedom up for sale? May 2013 In April 2013, the Caldicott Committee, including Government Chief Scientist Sir Mark Walport, proposed new rules for data-sharing which would allow the Government to build a DNA database of the whole population of England in the NHS by stealth.1 The plan is to make NHS medical records and people’s genetic information available to commercial companies and to use public-private partnerships to build a system where all private information about every citizen is also accessible to the police, social workers, security services and Government. The Wellcome Trust, which was involved in the Human Genome Project and was led by Walport for ten years, has produced a plan which involves including a variant file, containing the whole genome of every person minus the reference genome, as an attachment to every medical record in the NHS in England.2 This data would be made available to ‘researchers’ (including commercial companies) for data-mining in the cloud and personalised risk assessments would be returned to individuals. The aim is to transform the NHS in line with proposals developed more than a decade ago by former GlaxoSmithKline Chairman Sir Richard Sykes. This is expected to massively expand the market for medicines, medical tests and other products, such as supplements and cholesterol-lowering margarines, by allowing products to be marketed to individuals based on personal risk assessments, created using statistical analysis of genetic data, medical records and other health information. The proposal to build a DNA database in the NHS was endorsed by the Human Genomics Strategy Group in 20123,4 and the Government (led by Prime Minister David Cameron) has quietly adopted this recommendation without telling members of the public. -
Mycode®: Engineering the Perfect Biobank
Linking the Research Community • Spring 2015 A message from MyCode®: Engineering the David H. Ledbetter, PhD Perfect Biobank Geisinger’s biobank and the MyCode® Community Health This issue of Research Initiative began in 2004 with a phone call from Glenn D. Connections is devoted to the Steele Jr., MD, PhD, Geisinger’s former president and CEO, to MyCode® Community Health David H. Ledbetter, PhD, then at Emory University’s School Initiative, a project with the of Medicine. Speaking genetically, not meteorologically, Steele potential to change significantly described Geisinger’s Pennsylvania footprint and resources to health and healthcare. MyCode Ledbetter as being, “as close to Iceland as you’ll ever find in the will uncover new connections United States.”* between genes and disease, inform and improve the health Ledbetter, now Geisinger’s Chief Scientific Officer, found many of Geisinger’s patients and re- similarities between Iceland and Geisinger’s central Pennsylvania envision how we approach our own well-being and that of location. Like Iceland, Geisinger’s regional population was stable, our families. often with three generations in the area. In addition, Geisinger‘s healthcare was centralized with a robust electronic health record This project is possible because of Geisinger’s specific (EHR) in place since 1996. combination of assets: an established biobank; an extensive and robust electronic health record (EHR); and According to Ledbetter, the qualities listed above, along with international expertise in bioethics, medical genetics, Geisinger’s tradition of innovation, creates, “a healthcare genetic counseling and genomics. Our partnership with laboratory and an ideal model to learn when and how genetic Regeneron, an innovative biotechnology company with information can improve health.” Ledbetter described Geisinger’s extensive resources for whole exome sequencing, is key service area as, “the ideal place in the United States to do to positioning this project to make groundbreaking longitudinal, large scale, genomic medicine research.” discoveries. -
Faqs on Applying and Accessing UK Biobank Data
FAQs on applying and accessing UK Biobank data This document contains answers to FAQs from researchers. Please read our UK Biobank Access Policy and Procedures before registering via the UK Biobank Access Management System (AMS). For assistance you can send us a Message via AMS after you have signed up. For queries pre-registration you can email [email protected]. Registration What do I do if I am affiliated with more than one institute? You can add all your current affiliations to a single registration in AMS, listing your personal institute email address for each of them. Who can register for access to the UK Biobank Resource? The Resource is available to all bona fide researchers for all types of health-related research which is in the public interest. What is the cost of Registration? There is no cost to register. I am trying to register but the system will not let me progress. What should I do? If the mandatory fields have been completed please contact the Access Management Team for assistance. Can I register on behalf of someone else? No. The email address used to register must be your personal institute email address. I have submitted my Registration. What happens next? We aim to review all registrations within 10 working days, but this may be longer if additional information is required. My account is locked, what do I do? Follow the process for “What happens if I forget my password?” below. What happens if I forget my password? Click the ‘Forgot your password?’ link on the AMS Log in Page. -
Bioethics and Large-Scale Biobanking: Individualistic Ethics and Collective Projects*
Genomics, Society and Policy 2005, Vol.1, No.2, pp.50–66. Bioethics and large-scale biobanking: individualistic ethics and collective projects* GARRATH WILLIAMS Abstract Like most bioethical discussion, examination of human biobanks has been largely framed in terms of research subjects’ rights, principally informed consent, with some gestures toward public benefits. However, informed consent is for the competent, rights-bearing individual: focussing on the individual, it thus neglects social, economic and even political matters; focussing on the competent rights-bearer, it does not serve situations where consent is plainly inappropriate (eg, the young child) or where coercion can obviously be justified (the criminal). Using the British experience of large-scale biobanking, I argue that the focus on consenting individuals distorts our ways of thinking about biobanks and has serious practical ramifications. This becomes clear if we contrast the case of adult biobanks intended for medical research with two other forms of biobanking. Thus child cohort studies – vital for sound scientific investigation of the interplay of genetics and environment in health – have been very badly funded next to adult studies. On the other hand, forensic databases have attracted massive investment, but little debate – partly owing to a sense that here, at least, is a case where consent is not relevant. Contrasting these central types of biobanking, I will suggest that there are powerful factors at work in limiting ‘ethics’ to individual rights. Projects of this size should direct our attention to more overtly political questions concerning priority setting and organisation of medical research. Introduction In this paper I wish to cast a critical eye at the way in which we – meaning both bioethicists and practitioners – frame ethical and bioethical discussion. -
Genetic Data Aren't So Special: Causes and Implications of Re
Genetic Data Aren’t So Special: Causes and Implications of Re-identification T.J. Kasperbauer & Peter H. Schwartz Indiana University Center for Bioethics Indiana University School of Medicine This is the pre-peer-reviewed version of the article published here: https://doi.org/10.1002/hast.1183 Full citation: Kasperbauer, T.J. & Schwartz, P.H. (2020). Genetic data aren’t so special: Causes and implications of re-identification. Hastings Center Report, 50, 30-39. Abstract: Genetic information is widely thought to pose unique risks of re-identifying individuals. Genetic data reveals a great deal about who we are, and, the standard view holds, should consequently be treated differently from other types of data. Contrary to this view, we argue that the dangers of re-identification for genetic and non-genetic data—including health, financial, and consumer information—are more similar than has been recognized. Before we impose different requirements on sharing genetic information, proponents of the standard view must show that they are in fact necessary. We further argue that the similarities between genetic and non-genetic information have important implications for communicating risks during consent for healthcare and research. While patients and research participants need to be more aware of pervasive data sharing practices, consent forms are the wrong place to provide this education. Instead, health systems should engage with patients throughout patient care to educate about data sharing practices. Introduction Genetic data and biological samples containing genetic material are widely thought to differ from other sorts of health data due to the impossibility of truly “de-identifying” genetic information. -
Informed Consent and Refusal
CHAPTER 3 Informed Consent and Refusal Evolution of the doctrine of informed consent Elements of informed consent and refusal The nature of informed consent Exceptions to the consent requirement Mrs. Stack is a 67- year- old woman admitted with rectal bleeding, chronic renal in- sufficiency, diabetes, and blindness. On admission, she was alert and capacitated. Two weeks later, she suffered a cardiopulmonary arrest, was resuscitated and intu- bated, and was transferred to the medical intensive care unit (MICU) in an unrespon- sive and unstable state. Consent for emergency dialysis was obtained from her son, who is also her health care agent. Dialysis was repeated two days later. During the past several years, Mrs. Stack has consistently stated to her family and her primary care doctor that she would never want to be on chronic dialysis and she has refused it numerous times when it was recommended. The physician, who has known and treated Mrs. Stack for many years, also treated her daughter who had been on chronic dialysis for some time and had died after suffering a heart attack. According to the physician and the patient’s family, Mrs. Stack’s refusal of dialysis has been based on her conviction that her daughter died as a result of the dialysis treatments. Mrs. Stack’s mental status has cleared considerably and, despite the ventilator, she is able to communicate nonverbally. Although she appears to understand the benefits of dialysis and the consequences of refusing it, including deterioration and eventual death, she has consistently and vehemently refused further treatments. Her capacity to make this decision is not now in question. -
Sample Data Sharing Consent Form
PREAMBLE: NINDS has the expectation that investigators will use broad consent language that allows for the storing, sharing, and use of human subjects data and specimens for future research, even if such future research may be unrelated to the original study or disorder for which the data and/or specimens were collected. NINDS expects investigators to consider including such language (or similar language as mandated by your IRB) in your consent forms in order to ensure that samples and data are available for storing, sharing and use in future, unspecified research. This language should be included in the draft consent submitted with your application and submitted to NINDS in preparation for your start-up meeting if your application is funded (EXHIBIT 1). If genetic sample collection is a component of the study, then consent language is expected to include the sharing of large-scale genomic data and associated phenotypic data in the NIH Database of Genotypes and Phenotypes (dbGaP: http://www.ncbi.nlm.nih.gov/gap). If another database is chosen, this would require pre-approval by NINDS program staff. A final, IRB-approved consent that includes this or similar language (or an explanation for why it was not included) should be submitted to NINDS program staff prior to study activation. If you have questions or need assistance developing your consent language, please feel free to contact NINDS Clinical Research Liaison (any consents) and/or Ran Zhang (consents with genetic/genomic data language). *Please note that all studies that generate large-scale human genomic data , regardless of cost, should refer to the the NIH Genomic Data Sharing (GDS) Policy for additional requirements. -
The Views of Participants in DNA Biobanks
The Views of Participants in DNA Biobanks Kelly E. Ormond,I Maureen E. Smith,II & Wendy A. WolfIII Abstract Biobanks are generally created with the long-term goal of establishing genotype-phenotype correlations. These resources collect and link DNA with health information for use in future genetic research studies. The biobanking process can vary with regard to specific characteristics in study design. Biobanks may extract DNA by using DNA from leftover samples or obtaining new DNA samples specifically for the biobank. Biobanks also vary in whether they use an opt- in or opt-out informed consent process. Some biobanks collect health information at a single point in time, while others “re-access” such information at designated points in the future to categorize subjects accurately into affected/unaffected status. These study design differences can influence the perception of participants and affect their willingness to participate. This paper will address the following three key issues: (1) why people decide to participate in DNA biobanks, (2) what enrollees understand about their participation in DNA biobanks, and (3) how participants feel about the possibility that biobanks will re-contact them, either to obtain new information for future studies or to share potential study results. Finally, we will suggest how information related to these three key issues ought to inform future study design for biobanks. I. INTRODUCTION.................................................................................................................81 II. WHY DO PEOPLE DECIDE TO PARTICIPATE IN DNA BIOBANKS?...........................82 III. WHAT DO ENROLLEES UNDERSTAND ABOUT THEIR PARTICIPATION IN A DNA BIOBANK? ..............................................................................................................................83 IV. HOW DO PARTICIPANTS FEEL ABOUT BIOBANK RE-CONTACT, AND HOW SHOULD THIS INFORMATION INFORM STUDY DESIGN?..............................................84 V. -
Summary De-Identification Protocol V2 1. Introduction 1.1 This Note Sets
Summary de-identification protocol V2 1. Introduction 1.1 This note sets out the UK Biobank policy for the de-identification of participant data (Participants and Participant Data) prior to its release to researchers. At the outset, two clear distinctions should be made: 1.1.1 This note does not specifically address the simple fact of an individual being identified as a Participant in UK Biobank, as many Participants choose (quite reasonably) to volunteer this information about themselves. However, UK Biobank does not itself release the identity or confirm the identity of any Participant. 1.1.2 This note does specifically address the release of Participant Data by UK Biobank to researchers where the manner in which the Participant Data is released could inadvertently identify a Participant (bearing in mind other information about the Participant which may already be in the public domain). 1.2 To illustrate: the fact that Mr Jones is a participant in UK Biobank is significant but not, of itself, an overtly significant item of information. Nevertheless, releasing information about the state of Mr Jones health to researchers in such a way that a) Mr Jones is (or can be) identified and then b) cross-referenced directly to the UK Biobank phenotypical or genotypical information which UK Biobank holds on him, would be highly problematic. The purpose of this note is to set out the steps that UK Biobank takes to, as far as UK Biobank possibly can, ensure that this does not happen. 1.3 This note also sets out certain details about the nature of the Participant Data which UK Biobank holds on Participants, UK Biobank's legal obligations, considerations around health-record linkage, practical considerations about identification and finally the actual de-identification protocols. -
Bc Children's Hospital Biobank
BC CHILDREN’S HOSPITAL BIOBANK Title Ethics Policy number POL 2 Effective Date 1 Dec 2014 Approved by Suzanne Vercauteren 1.0 BACKGROUND Biospecimens have been the basis of pathological inquiry for a very long time. However, with the advancement of molecular biology and genetic insights, scientists have greatly increased their use and demand for properly prepared and clinically annotated biospecimens that yield valuable insights into the mechanisms and pathways of human disease. Research on human biospecimens has not been always formally regulated or extensively harmonized by governing agencies. Existing guidelines for the protection of human subjects in clinical research continue to provide oversight for the use of biospecimens in basic and translational research in general. Biobanking of pediatric biospecimens and data for research purposes brings its own ethical dilemmas. Current ethical concerns in pediatric biobanking include consent of children participants and their parents; re-contacting children at age of consent; use of personal information by researchers and breach of security safeguards to name a few. Existing guidelines and best practices have been applied to dealing with issues related to collection, study, storage, transfer and disposal of biospecimens and associated patient/participant (pediatric and adult) data. As biospecimens are becoming a valuable and irreplaceable resource and society’s interest in the advancement of medical knowledge is increasing, this policy is intended to foster a consistent and coherent ethical framework that should govern biospecimen use in the BC Children’s Hospital BioBank (BCCHB). 2.0 PURPOSE The BC Children’s Hospital BioBank (BCCHB) is committed to high ethical standards and practices in the collection and storage of biospecimens for research purposes. -
Ethics for Researchers
Ethics for researchers Facilitating Research Excellence in FP7 Research and Innovation EUROPEAN COMMISSION Directorate-General for Research and Innovation Directorate B – European Research Area Unit B.6 – Ethics and gender Contact: Isidoros Karatzas European Commission B-1049 Brussels E-mail: [email protected] [email protected] EUROPEAN COMMISSION Ethics for researchers Facilitating Research Excellence in FP7 Directorate-General for Research and Innovation 2013 Science in society /Capacities FP7 EUROPE DIRECT is a service to help you find answers to your questions about the European Union Freephone number (*): 00 800 6 7 8 9 10 11 (*) Certain mobile telephone operators do not allow access to 00 800 numbers or these calls may be billed LEGAL NOTICE Neither the European Commission nor any person acting on behalf of the Commission is responsible for the use which might be made of the following information. The views expressed in this publication are the sole responsibility of the author and do not necessarily reflect the views of the European Commission. More information on the European Union is available on the Internet (http://europa.eu). Cataloguing data can be found at the end of this publication. Luxembourg: Publications Office of the European Union, 2013 ISBN 978-92-79-28854-8 doi 10.2777/7491 © European Union, 2013 Reproduction is authorised provided the source is acknowledged. Cover Image © Sergey Nivens, #49108932, 2013. Source: Fotolia.com. Table of Contents Introduction .....................................................................................................................