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生物人工器官早期临床试验的伦理问题。

Ethics of Early Clinical Trials of Bio-Artificial Organs.

机构信息

Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands.

出版信息

Transpl Int. 2022 Jul 6;35:10621. doi: 10.3389/ti.2022.10621. eCollection 2022.

DOI:10.3389/ti.2022.10621
PMID:35874305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9297460/
Abstract

Regenerative medicine is the new frontier in the field of organ transplantation. Research groups around the world are using regenerative medicine technologies to develop bio-artificial organs for transplantation into human patients. While most of this research is still at the preclinical stage, bio-artificial organ technologies are gearing up for first-in-human clinical trials in the not-too-distant future. What are the ethical conditions under which early-phase clinical research of bio-artificial organs can be conducted safely and responsibly? What lessons can be learned from prior experiences with early-phase clinical trials in adjacent fields of research? This is a Meeting Report of an online international workshop organised in the context of the Horizon 2020-funded VANGUARD project, which is developing a bio-artificial pancreas for the treatment of patients with type 1 diabetes.

摘要

再生医学是器官移植领域的新前沿。世界各地的研究小组正在利用再生医学技术开发生物人工器官,以便移植到人类患者体内。虽然这项研究大多仍处于临床前阶段,但生物人工器官技术正准备在不远的将来进行首次人体临床试验。在什么伦理条件下,可以安全、负责任地进行生物人工器官的早期临床研究?在相邻研究领域的早期临床试验中,可以吸取哪些经验教训?这是在 Horizon 2020 资助的 VANGUARD 项目的背景下组织的一次在线国际研讨会的会议报告,该项目正在开发用于治疗 1 型糖尿病患者的生物人工胰腺。

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Ethics of Early Clinical Trials of Bio-Artificial Organs.生物人工器官早期临床试验的伦理问题。
Transpl Int. 2022 Jul 6;35:10621. doi: 10.3389/ti.2022.10621. eCollection 2022.
2
Early-Phase Clinical Trials of Bio-Artificial Organ Technology: A Systematic Review of Ethical Issues.生物人工器官技术的早期临床研究:伦理问题的系统评价。
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Engineering organs.工程器官。
Curr Opin Biotechnol. 2009 Oct;20(5):575-92. doi: 10.1016/j.copbio.2009.10.003. Epub 2009 Nov 5.
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Artificial organs versus regenerative medicine: is it true?人工器官与再生医学:这是真的吗?
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[Artificial organs].[人工器官]
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From wooden limbs to biomaterial organs: the ethics of organ replacement and artificial organs.从木制肢体到生物材料器官:器官置换与人工器官的伦理问题
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9
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Will regenerative medicine replace transplantation?再生医学是否会取代移植?
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引用本文的文献

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J Transl Med. 2025 Jun 11;23(1):649. doi: 10.1186/s12967-025-06550-y.
2
The Relevance of Advanced Therapy Medicinal Products in the Field of Transplantation and the Need for Academic Research Access: Overcoming Bottlenecks and Claiming a New Time.先进治疗药品在移植领域的相关性及学术研究获取的必要性:克服瓶颈,开创崭新时代
Transpl Int. 2023 Sep 27;36:11633. doi: 10.3389/ti.2023.11633. eCollection 2023.
3
Clinical Translation of Bio-Artificial Pancreas Therapies: Ethical, Legal and Psychosocial Interdisciplinary Considerations and Key Recommendations.生物人工胰腺治疗的临床转化:伦理、法律和心理社会多学科的考虑因素和关键建议。
Transpl Int. 2023 Sep 18;36:11705. doi: 10.3389/ti.2023.11705. eCollection 2023.

本文引用的文献

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Investigational therapies targeting CD3 for prevention and treatment of type 1 diabetes.针对 CD3 的研究性治疗用于 1 型糖尿病的预防和治疗。
Expert Opin Investig Drugs. 2021 Dec;30(12):1209-1219. doi: 10.1080/13543784.2022.2022119. Epub 2022 Jan 10.
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Innovation and Tribulation in the History of Randomized Controlled Trials in Surgery.手术随机对照试验历史中的创新与磨难。
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Moving somatic gene editing to the clinic: routes to market access and reimbursement in Europe.将体细胞基因编辑推向临床:在欧洲获得市场准入和报销的途径。
Eur J Hum Genet. 2021 Oct;29(10):1477-1484. doi: 10.1038/s41431-021-00877-y. Epub 2021 Apr 14.
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Regenerative medicine, organ bioengineering and transplantation.再生医学、器官生物工程和移植。
Br J Surg. 2020 Jun;107(7):793-800. doi: 10.1002/bjs.11686.
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Diabetes Technology Use in Adults with Type 1 and Type 2 Diabetes.糖尿病患者的 1 型和 2 型糖尿病的技术使用情况。
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Process of risk assessment by research ethics committees: foundations, shortcomings and open questions.研究伦理委员会的风险评估过程:基础、缺陷与开放性问题
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Economics of Beta-Cell Replacement Therapy.β细胞替代治疗的经济学。
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An Anti-CD3 Antibody, Teplizumab, in Relatives at Risk for Type 1 Diabetes.抗 CD3 抗体,特利珠单抗,用于 1 型糖尿病风险亲属。
N Engl J Med. 2019 Aug 15;381(7):603-613. doi: 10.1056/NEJMoa1902226. Epub 2019 Jun 9.
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Ethics in musculoskeletal regenerative medicine; guidance in choosing the appropriate comparator in clinical trials.肌肉骨骼再生医学中的伦理学;临床试验中选择适当对照的指导。
Osteoarthritis Cartilage. 2019 Jan;27(1):34-40. doi: 10.1016/j.joca.2018.08.022. Epub 2018 Sep 20.