US food and drug administration (FDA) panel endorses islet cell treatment for type 1 diabetes: A pyrrhic victory?

Summary Allogeneic islet transplantation is a standard of care treatment for patients with labile type 1 diabetes in many countries around the world, including Japan, the United Kingdom, Australia, much of continental Europe, and parts of Canada. The United States is now endorsing islet cell treatme...

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Veröffentlicht in:Transplant international 2021-07, Vol.34 (7), p.1182-1186
Hauptverfasser: Piemonti, Lorenzo, Andres, Axel, Casey, John, Koning, Eelco, Engelse, Marten, Hilbrands, Robert, Johnson, Paul, Keymeulen, Bart, Kerr‐Conte, Julie, Korsgren, Olle, Lehmann, Roger, Lundgren, Torbjörn, Maffi, Paola, Pattou, Francois, Saudek, Frantisek, Shaw, James, Scholz, Hanne, White, Steve, Berney, Thierry
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container_end_page 1186
container_issue 7
container_start_page 1182
container_title Transplant international
container_volume 34
creator Piemonti, Lorenzo
Andres, Axel
Casey, John
Koning, Eelco
Engelse, Marten
Hilbrands, Robert
Johnson, Paul
Keymeulen, Bart
Kerr‐Conte, Julie
Korsgren, Olle
Lehmann, Roger
Lundgren, Torbjörn
Maffi, Paola
Pattou, Francois
Saudek, Frantisek
Shaw, James
Scholz, Hanne
White, Steve
Berney, Thierry
description Summary Allogeneic islet transplantation is a standard of care treatment for patients with labile type 1 diabetes in many countries around the world, including Japan, the United Kingdom, Australia, much of continental Europe, and parts of Canada. The United States is now endorsing islet cell treatment for type 1 diabetes, but the FDA has chosen to consider islets as a biologic that requires licensure, making the universal implementation of the procedure in the clinic very challenging and opening the manufacture of islet grafts to private companies. The commercialization of human tissues raises significant legal and ethical issues and ironically leads to a situation where treatments developed as a result of the scientific and economic efforts of academia over several decades become exploited exclusively by for‐profit entities.
doi_str_mv 10.1111/tri.13930
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The United States is now endorsing islet cell treatment for type 1 diabetes, but the FDA has chosen to consider islets as a biologic that requires licensure, making the universal implementation of the procedure in the clinic very challenging and opening the manufacture of islet grafts to private companies. The commercialization of human tissues raises significant legal and ethical issues and ironically leads to a situation where treatments developed as a result of the scientific and economic efforts of academia over several decades become exploited exclusively by for‐profit entities.</description><identifier>ISSN: 0934-0874</identifier><identifier>ISSN: 1432-2277</identifier><identifier>EISSN: 1432-2277</identifier><identifier>DOI: 10.1111/tri.13930</identifier><identifier>PMID: 34048106</identifier><language>eng</language><publisher>Groningen: Blackwell Publishing Ltd</publisher><subject>Commercialization ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; European medicines agency ; food and drug administration ; Human tissues ; Islet cells ; Life Sciences ; Pancreatic islet transplantation ; regulatory authorities ; Transplantation</subject><ispartof>Transplant international, 2021-07, Vol.34 (7), p.1182-1186</ispartof><rights>2021 Steunstichting ESOT. 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source Wiley Online Library - AutoHoldings Journals; EZB-FREE-00999 freely available EZB journals
subjects Commercialization
Diabetes
Diabetes mellitus
Diabetes mellitus (insulin dependent)
European medicines agency
food and drug administration
Human tissues
Islet cells
Life Sciences
Pancreatic islet transplantation
regulatory authorities
Transplantation
title US food and drug administration (FDA) panel endorses islet cell treatment for type 1 diabetes: A pyrrhic victory?
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