Simeon-Dubach Daniel, Zeisberger Steffen M, Hoerstrup Simon P
Medservice, Biobanking Consulting & Services, Walchwil, Switzerland.
Wyss Translational Center Zurich, Regenerative Medicine Technologies Platform, University of Zurich and ETH Zurich, Zurich, Switzerland.
Transfus Med Hemother. 2016 Sep;43(5):353-357. doi: 10.1159/000448254. Epub 2016 Sep 17.
It is estimated that not less than USD 28 billion are spent each year in the USA alone on irreproducible pre-clinical research, which is not only a fundamental loss of investment and resources but also a strong inhibitor of efficiency for upstream processes regarding the translation towards clinical applications and therapies. The issues and cost of irreproducibility has mainly been published on pre-clinical research. In contrast to pre-clinical research, test material is often being transferred into humans in clinical research. To protect treated human subjects and guarantee a defined quality standard in the field of clinical research, the manufacturing and processing infrastructures have to strictly follow and adhere to certain (inter-)national quality standards. It is assumed and suggested by the authors that by an implementation of certain quality standards within the area of pre-clinical research, billions of USD might be saved and the translation phase of promising pre-clinical results towards clinical applications may substantially be improved. In this review, we discuss how an implementation of a quality assurance (QA) management system might positively improve sample quality and sustainability within pre-clinically focused biobank infrastructures. Biobanks are frequently positioned at the very beginning of the biomedical research value chain, and, since almost every research material has been stored in a biobank during the investigated life cycle, biobanking seems to be of substantial importance from this perspective. The role model of a QA-regulated biobank structure can be found in biobanks within the context of clinical research organizations such as in regenerative medicine clusters.
据估计,仅在美国,每年就有不少于280亿美元花在不可重复的临床前研究上,这不仅是投资和资源的根本性损失,也是临床应用和治疗转化上游流程效率的强大阻碍。不可重复性的问题和成本主要发表在临床前研究方面。与临床前研究不同,临床研究中测试材料通常会应用于人体。为了保护接受治疗的人类受试者并确保临床研究领域的特定质量标准,制造和加工基础设施必须严格遵循并遵守某些(跨)国际质量标准。作者认为并建议,通过在临床前研究领域实施某些质量标准,可能会节省数十亿美元,并可大幅改善有前景的临床前研究成果向临床应用的转化阶段。在本综述中,我们讨论了质量保证(QA)管理系统的实施如何能积极改善以临床前为重点的生物样本库基础设施中的样本质量和可持续性。生物样本库通常处于生物医学研究价值链的最前端,而且,由于在研究生命周期内几乎每种研究材料都存储在生物样本库中,从这个角度来看,生物样本库似乎至关重要。质量保证规范的生物样本库结构的榜样模式可在临床研究组织背景下的生物样本库中找到,例如在再生医学集群中。