Entire Transcript in Adobe Acrobat Format - National Reference ...
Entire Transcript in Adobe Acrobat Format - National Reference ... Entire Transcript in Adobe Acrobat Format - National Reference ...
45 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 then looking at a new -- not actually genetic test but a new kind of test to make predictions about who would have recurrence or who would die from their disease. They took 104 samples completely anonymous -- I mean, to the researcher anonymous but obviously to the pathologist who drew them out and wanted to correlate clinical information with the tissue sample. So that is a paradogmatic case, I would think, of that box. There was no interest in identifying ethnic groups or racial groups or other groups. Okay. So the question is these women did not consent to this research when they came in for their biopsy. They may have signed a general consent that their samples because it is a teaching hospital would be used for education and research purposes. So what kind of risk do they face and what kind of protections do we want to put into place was the question. In the boxes you can see the recommendations that we are suggesting, that the IRB -- I mean, it should be said that under current proposal, under current Common Rule guidelines no IRB review for this necessary and no consent necessary. At least that is our interpretation of the guidelines. MR. CAPRON: Could you explain one aspect of
46 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the research? The researcher here is the geneticist, is that right? DR. EMANUEL: This actually turns out not to be a genetics study, which is I think relevant. Not all of the studies that should be -- I mean, we have not emphasized that but this does not only apply to the genetics. MR. CAPRON: Right. But where genetics -- our task starting off with was to look at this from a genetics point of view. Let's try genetics for a second. DR. GREIDER: We have debated that a lot. MR. CAPRON: Who is doing the study? I mean, it is not the person who holds the samples. DR. EMANUEL: That is the pathologist. No, it is a researcher, a separate researcher. MR. CAPRON: A researcher. He or she is looking at the tissue sample for some reason? DR. EMANUEL: Right. MR. CAPRON: Right. And what he or she has done has gone to the colleague in pathology and said, "Can you send me 100 samples of women who came in and had biopsies taken and who had X, Y, Z disease," is that correct?
- Page 1 and 2: NATIONAL BIOETHICS ADVISORY COMMISS
- Page 3 and 4: I N D E X Welcome 1 Report from the
- Page 5 and 6: 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 7 and 8: 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 9 and 10: 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 11 and 12: 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 13 and 14: 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 15 and 16: 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 17 and 18: 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 19 and 20: 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 21 and 22: 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 23 and 24: 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 25 and 26: 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 27 and 28: 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 29 and 30: 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 31 and 32: 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 33 and 34: 30 1 distinct." 2 3 4 5 6 7 8 9 10
- Page 35 and 36: 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 37 and 38: 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 39 and 40: 36 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 41 and 42: 38 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 43 and 44: 40 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 45 and 46: 42 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 47: 44 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 51 and 52: 48 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 53 and 54: 50 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 55 and 56: 52 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 57 and 58: 54 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 59 and 60: 56 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 61 and 62: 58 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 63 and 64: 60 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 65 and 66: 62 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 67 and 68: 64 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 69 and 70: 66 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 71 and 72: 68 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 73 and 74: 70 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 75 and 76: 72 1 us. 2 3 4 5 6 7 8 9 10 11 12 1
- Page 77 and 78: 74 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 79 and 80: 76 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 81 and 82: 78 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 83 and 84: 80 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 85 and 86: 82 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 87 and 88: 84 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 89 and 90: 86 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 91 and 92: 88 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 93 and 94: 90 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 95 and 96: 92 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 97 and 98: 94 1 2 3 4 5 6 7 8 9 10 11 12 13 14
45<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
10<br />
11<br />
12<br />
13<br />
14<br />
15<br />
16<br />
17<br />
18<br />
19<br />
20<br />
21<br />
22<br />
23<br />
24<br />
then look<strong>in</strong>g at a new -- not actually genetic test but a<br />
new k<strong>in</strong>d of test to make predictions about who would have<br />
recurrence or who would die from their disease.<br />
They took 104 samples completely anonymous -- I<br />
mean, to the researcher anonymous but obviously to the<br />
pathologist who drew them out and wanted to correlate<br />
cl<strong>in</strong>ical <strong>in</strong>formation with the tissue sample. So that is a<br />
paradogmatic case, I would th<strong>in</strong>k, of that box. There was<br />
no <strong>in</strong>terest <strong>in</strong> identify<strong>in</strong>g ethnic groups or racial groups<br />
or other groups.<br />
Okay. So the question is these women did not<br />
consent to this research when they came <strong>in</strong> for their<br />
biopsy. They may have signed a general consent that their<br />
samples because it is a teach<strong>in</strong>g hospital would be used for<br />
education and research purposes. So what k<strong>in</strong>d of risk do<br />
they face and what k<strong>in</strong>d of protections do we want to put<br />
<strong>in</strong>to place was the question.<br />
In the boxes you can see the recommendations<br />
that we are suggest<strong>in</strong>g, that the IRB -- I mean, it should<br />
be said that under current proposal, under current Common<br />
Rule guidel<strong>in</strong>es no IRB review for this necessary and no<br />
consent necessary. At least that is our <strong>in</strong>terpretation of<br />
the guidel<strong>in</strong>es.<br />
MR. CAPRON: Could you expla<strong>in</strong> one aspect of