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Developing a policy for paediatric biobanks: principles for good practice
Kristien Hens1, Carla E Van El, Pascal Borry
1Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands. k.hens@maastrichtuniversity.nl
Insights
Including minors in biobank research offers significant health benefits, but requires specific ethical protections due to their vulnerability. This study outlines principles for the ethical inclusion of children in biobanking and research.
Area of Science:
- Bioethics
- Pediatric Research
- Biotechnology
Background:
- Minors are a vulnerable population requiring special protections in research.
- Biobanking children's biological samples presents unique ethical challenges compared to adult biobanks.
- Children's capacity to understand and consent to research varies with age.
Purpose of the Study:
- To establish principles for the ethical inclusion of minors in biobank research.
- To address specific ethical considerations unique to pediatric biobanking.
- To guide policymakers, biobankers, and researchers on best practices for handling children's tissue samples.
Main Methods:
- Review of ethical principles relevant to pediatric biobanking.
- Analysis of issues concerning benefits, subsidiarity, consent, proportionality, and return of results.
- Development of best practice guidelines for policy makers and researchers.
Main Results:
- Identified key ethical issues in pediatric biobank research.
- Proposed principles for good practice focusing on consent and sample handling.
- Highlighted the need for age-appropriate consent and protective measures.
Conclusions:
- Ethical frameworks are crucial for incorporating minors into biobank research.
- Adherence to principles of benefit, subsidiarity, consent, proportionality, and return of results is essential.
- Implementation of these principles requires consideration of jurisdictional differences.
Abstract:
The participation of minors in biobank research can offer great benefits for science and health care. However, as minors are a vulnerable population they are also in need of adequate protective measures when they are enrolled in research. Research using biobanked biological samples from children poses additional ethical issues to those raised by research using adult biobanks. For example, small children have only limited capacity, if any, to understand the meaning and implications of the research and to give a documented agreement to it. Older minors are gradually acquiring this capacity. We describe principles for good practice related to the inclusion of minors in biobank research, focusing on issues related to benefits and subsidiarity, consent, proportionality and return of results. Some of these issues are currently heavily debated, and we conclude by providing principles for good practice for policy makers of biobanks, researchers and anyone involved in dealing with stored tissue samples from children. Actual implementation of the principles will vary according to different jurisdictions.
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