Ethical perspectives on pharmacogenomic profiling in the drug development process.

作者: Amalia M. Issa

DOI: 10.1038/NRD771

关键词: Drug responseEngineering ethicsDrug developmentResearch designProfiling (information science)PharmacogenomicsBiotechnologyMedicine

摘要: Pharmacogenomics, which is a field that encompasses the study of genetic polymorphisms underlie individual differences in drug response, rapidly advancing. The potential for widespread use pharmacogenomics development process merits an examination its fundamental impact on clinical-trial design and practice. This article provides critical analysis some issues pertain to process. In particular, four areas will be discussed: design; subject stratification; new social risks; economic concerns. Recommendations are offered addressing discussed anticipating regulatory needs pharmacogenomics-based trials.

参考文章(66)
Z. Bankowski, Council for International Organizations of Medical Sciences Health Systems Research. pp. 13- 14 ,(1991) , 10.1007/978-3-642-61250-3_3
R Palmour, C Benkelfat, G Turecki, P Lalonde, A Toulouse, A Labelle, K Brisebois, S Lal, G A Rouleau, D Bloom, M Alda, D Fortin, R Joober, T102C polymorphism in the 5HT2A gene and schizophrenia: relation to phenotype and drug response variability. Journal of Psychiatry & Neuroscience. ,vol. 24, pp. 141- 146 ,(1999)
P. M. L. A. van den Bemt, A. C. G. Egberts, A. W. Lenderink, J. M. Verzijl, K. A. Simons, W. S. C. J. M. van der Pol, H. G. M. Leufkens, Adverse drug events in hospitalized patients: A comparison of doctors, nurses and patients as sources of reports European Journal of Clinical Pharmacology. ,vol. 55, pp. 155- 158 ,(1999) , 10.1007/S002280050611
Deborah Blacker, Adam S. Crystal, Marsha A. Wilcox, Nan M. Laird, Rudolph E. Tanzi, An α-2-macroglobulin insertion-deletion polymorphism in alzheimer disease Nature Genetics. ,vol. 22, pp. 19- 21 ,(1999) , 10.1038/8732
Lon R Cardon, John I Bell, None, Association study designs for complex diseases Nature Reviews Genetics. ,vol. 2, pp. 91- 99 ,(2001) , 10.1038/35052543
Jeanette J. McCarthy, Rolf Hilfiker, The use of single-nucleotide polymorphism maps in pharmacogenomics Nature Biotechnology. ,vol. 18, pp. 505- 508 ,(2000) , 10.1038/75360
Jeffrey M. Drazen, Chandri N. Yandava, Louise Dubé, Natalie Szczerback, Richard Hippensteel, Antonino Pillari, Elliot Israel, Nicholas Schork, Eric S. Silverman, David A. Katz, Jeffrey Drajesk, Pharmacogenetic association between ALOX5 promoter genotype and the response to anti-asthma treatment Nature Genetics. ,vol. 22, pp. 168- 170 ,(1999) , 10.1038/9680
William N. Hurwitz, Harry M. Hansen, William G. Madow, Methods and applications Wiley. ,(1953)
David J Dow, Nicola Lindsey, Nigel J Cairns, Carol Brayne, Damian Robinson, Felicia A Huppert, Eugene S Paykel, John Xuereb, Gordon Wilcock, Joanne L Whittaker, David C Rubinsztein, None, α-2 macroglobulin polymorphism and Alzheimer disease risk in the UK Nature Genetics. ,vol. 22, pp. 16- 17 ,(1999) , 10.1038/8724