Addressing Risks Derived From the Commodification of Substances of Human Origin: A European Proposal Applicable Worldwide.


Journal

Transplantation
ISSN: 1534-6080
Titre abrégé: Transplantation
Pays: United States
ID NLM: 0132144

Informations de publication

Date de publication:
01 04 2023
Historique:
medline: 4 4 2023
pubmed: 2 2 2023
entrez: 1 2 2023
Statut: ppublish

Résumé

In view of the public consultation recently launched by the World Health Organization on Regulatory Convergence of Cell and Gene Therapy Products and the Proposal for a Regulation on substances of human origin (SoHO) repealing the European Union Directives on Blood and on Tissues and Cells, an opportunity arises to define an ethical and transparent framework of collaboration between industry and authorities responsible for SoHO-derived products, comprising medicines, medical devices, transfusion, and transplantation. The commodification of SoHO-derived medicinal products and medical devices entails important risks to the sustainability of healthcare systems and threatens the equitable access of patients to innovative therapies. It may also jeopardize the principle of altruistic donation of SoHO that is required for the treatment and survival of thousands of patients every year. This article puts forward several proposals aimed at reconciling the ethical principles of voluntary and unpaid SoHO donation and the noncommercialization of the human body with obtaining a profit that allows business activities, while ensuring high quality, safety, and efficacy standards of tissues and cells for clinical use.

Identifiants

pubmed: 36721301
doi: 10.1097/TP.0000000000004527
pii: 00007890-202304000-00018
pmc: PMC10065823
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

867-877

Informations de copyright

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

N.C. is member of the Governing Council of the Agencia Española de Medicamentos y Productos Sanitarios (Spanish Medicine and Medical Device Agency), pro bono appointment (as expert of recognized prestige in the field of Health Sciences, not representing any institution). The other authors declare no conflicts of interest.

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Auteurs

Natividad Cuende (N)

Coordinación Autonómica de Trasplantes de Andalucía, Servicio Andaluz de Salud, Sevilla, Spain.

Anna Vilarrodona (A)

Banc de Sang i Teixits, Vall d'Hebron Institute of Research (VHIR), Barcelona, Spain.

Elena Vuelta (E)

Establecimiento de Tejidos Humanos, Fundación Clínica San Francisco, León, Spain.

Rosario Marazuela (R)

Organización Nacional de Trasplantes, Madrid, Spain.

Concha Herrera (C)

UGC de Hematología y Unidad de Terapia Celular, Hospital Universitario Reina Sofía, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Universidad de Córdoba, Córdoba, Spain.

Sergi Querol (S)

Banc de Sang i Teixits, Vall d'Hebron Institute of Research (VHIR), Barcelona, Spain.

Jacinto Sánchez-Ibáñez (J)

Unidad de Criobiología-Establecimiento de Tejidos, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain.

Mar Carmona (M)

Organización Nacional de Trasplantes, Madrid, Spain.

Antonio Gayá (A)

Banco de Tejidos, Fundación Banco de Sangre y Tejidos de las Illas Balears, Instituto de Investigaciones Sanitarias Illes Balears (IdISBa), Palma de Mallorca, Spain.

Jaume Tort (J)

Organització Catalana de Trasplantaments, Barcelona, Spain.

Dolores Hernández (D)

Organización Nacional de Trasplantes, Madrid, Spain.

Beatriz Domínguez-Gil (B)

Organización Nacional de Trasplantes, Madrid, Spain.

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