Page 73 - Ethical Guidelines for Conducting Research Studies Involving Human Subjects
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In seeking to satisfy itself and on the technical aspects of a proposal
                                 for  gene  therapy  or  related  technology,  and  to  ensure  that  all
                                 requirements have been met, the BMRC may need to consult with
                                 the  clinical  trials,  drug  trials  and  bio  safety  committees  of  the
                                 institution. (NHMRC, Australia)

                                 13.8.2  Supervision of gene therapy

                                 Expert supervisory body

                                 Continuing  supervision  of  gene  therapy  is  necessary.  No  existing
                                 body is constituted for this task. Therefore it is recommended that a
                                 new, expert supervisory body be established. An example of such a
                                 body is the British Human Fertilization and Embryo Authority.

                                 The supervisory body should be of sufficient standing to command
                                 the  confidence of  existing  Research  Ethics  Committees  and of  the
                                 public,  the  professions  and  Parliament.  It  should  have  a
                                 responsibility for:

                                 i.      advising on the content of proposals including the details of
                                         protocols  for  therapeutic  research  in  somatic  cell  gene
                                         modification;

                                 ii.     advising on the design and conduct of the research;


                                 iii.    advising  on  the  facilities  and  service  arrangements
                                         necessary for the proper conduct of the research;

                                 iv.     advising  on  the  arrangements  necessary  for  the  long  term
                                         surveillance and follow-up of treated patients;

                                 v.      receiving proposals from clinicians who wish to   conduct
                                         gene  therapy  in  individual  patients  and  making  an
                                         assessment of:

                                         a.     the clinical status of the patient;

                                         b.     the scientific quality of the proposal, with particular
                                                regard  to  the  technical  competence  and  scientific
                                                requirements  for  achieving  therapy  effectively  and
                                                safely;

                                         c.     whether  the  clinical  course  of  the  particular
                                                disorder is known sufficiently well
                                                ■ for sound information, counseling and   advice     to
                                                be given to the patient (or those    acting on behalf of
                                                the patient)
                                                ■   for the outcomes of therapy to be assessable;

                                             d.    the potential benefits and risks for the patient
                                                of what is proposed;



                   BMRC ETHICAL GUIDELINE ON HUMAN SUBJECTS                                   Page 69
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