Adamo Joan E, Bienvenu Robert V, Fields F Owen, Ghosh Soma, Jones Christina M, Liebman Michael, Lowenthal Mark S, Steele Scott J
Clinical & Translational Science Institute, University of Rochester Medical Center, Rochester, NY, USA.
Department of Anthropology, University of Maryland, College Park, MD, USA.
J Clin Transl Sci. 2018 Oct;2(5):295-300. doi: 10.1017/cts.2018.330. Epub 2018 Dec 6.
Building on the recent advances in next-generation sequencing, the integration of genomics, proteomics, metabolomics, and other approaches hold tremendous promise for precision medicine. The approval and adoption of these rapidly advancing technologies and methods presents several regulatory science considerations that need to be addressed. To better understand and address these regulatory science issues, a Clinical and Translational Science Award Working Group convened the Regulatory Science to Advance Precision Medicine Forum. The Forum identified an initial set of regulatory science gaps. The final set of key findings and recommendations provided here address issues related to the lack of standardization of complex tests, preclinical issues, establishing clinical validity and utility, pharmacogenomics considerations, and knowledge gaps.
基于下一代测序技术的最新进展,基因组学、蛋白质组学、代谢组学及其他方法的整合为精准医学带来了巨大希望。这些快速发展的技术和方法的批准与采用带来了一些需要解决的监管科学考量。为了更好地理解和解决这些监管科学问题,一个临床与转化科学奖工作组召开了推进精准医学的监管科学论坛。该论坛确定了一系列初步的监管科学差距。此处提供的最终关键发现和建议涉及与复杂检测缺乏标准化、临床前问题、确立临床有效性和实用性、药物基因组学考量以及知识差距相关的问题。