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Responsible innovation:
the translational turn and the ethics of
clinical risk
A. Blasimme, MA, PhD INSERM UMR1027 - Université Paul Sabatier,
Faculté de Médicine, Toulouse, France; Fondazione Giannino Bassetti
V. Sanchini, Department of Health Science, University of Milan;
Department of Experimental Oncology, European Institute of Milan, Italy;
Fondazione Giannino Bassetti
Tuesday 8 July 2014 1
EBEN – BERLIN, 14TH
JUNE
ELIAS ZERHOUNI
“It is the responsibility of those of us
involved in today’s medical research
[…] to translate the remarkable
scientific innovations we are
witnessing into health gains for the
nation”.
NEJM 2005 353;15
Tuesday 8 July 2014 2
NIH Roadmap for Medical Research
Tuesday 8 July 2014 3
National Institute of Health, August 2006
Stagnation in drug development
Tuesday 8 July 2014 4
Tuesday 8 July 2014 5
“Regenerative medicine is the process of creating living,
functional tissues to repair or replace tissue or organ function lost
due to age, disease, damage, or congenital defects. This field
holds the promise of regenerating damaged tissues and organs in
the body by stimulating previously irreparable organs to heal
themselves”
Regenerative Medicine
Approved Advanced Therapy Medicinal Products in
EU
Tuesday 8 July 2014 6
Stamina scandal: public protests
Tuesday 8 July 2014 7
Stamina: the international echo
Tuesday 8 July 2014 8
Tuesday 8 July 2014 9
Tuesday 8 July 2014 10
“When I was commissioner of the Food
and Drug Administration (FDA) from 2005
to 2009, I saw first hand how regenerative
medicine offered a cure for kidney and
heart failure and other chronic conditions
like diabetes. Researchers used stem cells
to grow cells and tissues to replace failing
organs, eliminating the need for expensive
supportive treatments like dialysis and
organ transplants. But the beneficiaries
were laboratory animals. Breakthroughs
for humans were and still are a long way
off”.
WSJ, 15th
April 2012
Andrew von Eschenbach
Tuesday 8 July 2014 11
Tuesday 8 July 2014 12
Tuesday 8 July 2014 13
Tuesday 8 July 2014 14
Tuesday 8 July 2014 15
What is Responsible Innovation
“RI is a transparent and interactive
process by which societal actors
and innovators become mutually
responsive to each other with a
view on the (ethical)
acceptability, sustainability and
societal desirability of the
innovation process and its
marketable results”.
Von Schomberg 2013
Tuesday 8 July 2014 16
René Von Schomberg
What is Responsible Innovation
“Responsible Innovation is a
collective commitment of care for
the future through responsive
stewardship of science and
innovation in the present”.
Owen et al. 2013
Tuesday 8 July 2014 17
Richard Owen
The four dimensions of RI
1. Anticipation
2. Reflection
3. Inclusive deliberation
4. Responsiveness
Tuesday 8 July 2014 18
Thank you for your attention!
alessandro.blasimme@inserm.fr
virginia.sanchini@ieo.eu
Tuesday 8 July 2014 19

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Responsible innovation: the translational turn and the ethics of clinical risk

  • 1. Responsible innovation: the translational turn and the ethics of clinical risk A. Blasimme, MA, PhD INSERM UMR1027 - Université Paul Sabatier, Faculté de Médicine, Toulouse, France; Fondazione Giannino Bassetti V. Sanchini, Department of Health Science, University of Milan; Department of Experimental Oncology, European Institute of Milan, Italy; Fondazione Giannino Bassetti Tuesday 8 July 2014 1 EBEN – BERLIN, 14TH JUNE
  • 2. ELIAS ZERHOUNI “It is the responsibility of those of us involved in today’s medical research […] to translate the remarkable scientific innovations we are witnessing into health gains for the nation”. NEJM 2005 353;15 Tuesday 8 July 2014 2
  • 3. NIH Roadmap for Medical Research Tuesday 8 July 2014 3 National Institute of Health, August 2006
  • 4. Stagnation in drug development Tuesday 8 July 2014 4
  • 5. Tuesday 8 July 2014 5 “Regenerative medicine is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to age, disease, damage, or congenital defects. This field holds the promise of regenerating damaged tissues and organs in the body by stimulating previously irreparable organs to heal themselves” Regenerative Medicine
  • 6. Approved Advanced Therapy Medicinal Products in EU Tuesday 8 July 2014 6
  • 7. Stamina scandal: public protests Tuesday 8 July 2014 7
  • 8. Stamina: the international echo Tuesday 8 July 2014 8
  • 9. Tuesday 8 July 2014 9
  • 10. Tuesday 8 July 2014 10 “When I was commissioner of the Food and Drug Administration (FDA) from 2005 to 2009, I saw first hand how regenerative medicine offered a cure for kidney and heart failure and other chronic conditions like diabetes. Researchers used stem cells to grow cells and tissues to replace failing organs, eliminating the need for expensive supportive treatments like dialysis and organ transplants. But the beneficiaries were laboratory animals. Breakthroughs for humans were and still are a long way off”. WSJ, 15th April 2012 Andrew von Eschenbach
  • 11. Tuesday 8 July 2014 11
  • 12. Tuesday 8 July 2014 12
  • 13. Tuesday 8 July 2014 13
  • 14. Tuesday 8 July 2014 14
  • 15. Tuesday 8 July 2014 15
  • 16. What is Responsible Innovation “RI is a transparent and interactive process by which societal actors and innovators become mutually responsive to each other with a view on the (ethical) acceptability, sustainability and societal desirability of the innovation process and its marketable results”. Von Schomberg 2013 Tuesday 8 July 2014 16 René Von Schomberg
  • 17. What is Responsible Innovation “Responsible Innovation is a collective commitment of care for the future through responsive stewardship of science and innovation in the present”. Owen et al. 2013 Tuesday 8 July 2014 17 Richard Owen
  • 18. The four dimensions of RI 1. Anticipation 2. Reflection 3. Inclusive deliberation 4. Responsiveness Tuesday 8 July 2014 18
  • 19. Thank you for your attention! alessandro.blasimme@inserm.fr virginia.sanchini@ieo.eu Tuesday 8 July 2014 19