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.

Related Concept Videos

Bioavailability Study Design: Healthy Subjects Versus Patients01:15

Bioavailability Study Design: Healthy Subjects Versus Patients

Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Ethics in Research01:56

Ethics in Research

Today, scientists agree that good research is ethical in nature and is guided by a basic respect for human dignity and safety. However, this has not always been the case. Modern researchers must demonstrate that the research they perform is ethically sound.