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Emerging Ethical Challenges in Manufacturing of Cell-Based Medicines
Lieke van Kempen1, Katherine Lieschke2,3, Nienke de Graeff1
1Department of Medical Ethics and Health Law, Leiden University Medical Center, Leiden, The Netherlands.
This chapter examines ethical challenges in cell-based medicine manufacturing, from informed consent to equitable access. It highlights the scientific community's responsibility to address these complex issues throughout the translational pathway.
Area of Science:
- Biomedical Ethics
- Translational Medicine
- Cell Therapy Manufacturing
Background:
- Recent advancements in cell-based medicine manufacturing present novel ethical considerations.
- Existing ethical issues require re-evaluation within the context of contemporary technologies.
- The translational pathway of cell-based medicines involves continuous ethical challenges.
Purpose of the Study:
- To explore new and revisit existing ethical issues in cell-based medicine manufacturing.
- To provide a streamlined overview of ethical challenges by examining them along the translational pathway.
- To underscore the scientific community's responsibility in addressing these ethical concerns.
Main Methods:
- Following the translational pathway of cell-based medicines.
- Examining five central ethical themes: informed consent, cell banking/distribution, governance, representation/equity, and access.
- Synthesizing ethical questions relevant to contemporary cell therapy manufacturing.
Main Results:
- Identified complexities in informed consent processes for cell-based therapies.
- Highlighted intricacies in cell banking and distribution logistics.
- Emphasized the critical role of governance, oversight, representation, diversity, and equity.
- Addressed the responsibility to ensure access to effective cell-based products.
Conclusions:
- Ethical considerations are integral throughout the cell therapy manufacturing translational pathway.
- The scientific community must proactively identify and address ethical challenges.
- A comprehensive understanding of these ethical issues is crucial for responsible innovation in cell-based medicines.
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