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Precision medicine at the crossroads.

Maynard V Olson1,2

  • 1Department of Medicine, University of Washington, Seattle, Washington, 98195, USA. mvo@u.washington.edu.

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Summary
This summary is machine-generated.

Creating a robust precision medicine data resource requires overcoming significant obstacles. A proposed solution involves dynamic consent, where research subjects interact with researchers via trusted mediators, facilitating data sharing for personalized therapies.

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Area of Science:

  • Biomedical research
  • Genomics
  • Personalized medicine

Background:

  • Precision medicine aims to tailor therapies to individual patients based on molecular data.
  • A 2011 report recommended creating an "information commons" for biomedical research data.
  • Significant bioethical, institutional, economic, legal, and cultural barriers hinder data resource creation.

Purpose of the Study:

  • To review the rationale and obstacles for creating a precision medicine information commons.
  • To propose a path forward for establishing such a data resource.
  • To advocate for the creation of this commons as a central policy objective.

Main Methods:

  • Review of existing literature and reports on precision medicine data sharing.
  • Analysis of bioethical, institutional, economic, legal, and cultural obstacles.
  • Proposal of a dynamic consent model involving trusted mediators.

Main Results:

  • The creation of a robust pre-competitive data resource is essential for advancing precision medicine.
  • Existing obstacles can be addressed through innovative data governance models.
  • Dynamic consent offers a viable solution for managing sensitive human data.

Conclusions:

  • The proposed dynamic consent model, facilitated by trusted mediators, offers a superior approach to handling individual human data (phenotypes, genotypes, environmental exposures).
  • Overcoming obstacles to create an "information commons" should be a primary policy goal for realizing precision medicine.
  • Implementing this system will accelerate the development and application of targeted therapies.