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Guest Editorial
(4 pages)
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Special
Challenges in Applying Genomics to Population Health
Gilbert
S. Omenn
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Abstract: With
the remarkable and well-publicized progress in completing
"working draft" of the sequence of all the genes on all the
human chromosomes - as well as the genomic sequences of E. coli,
yeast, the fruit fly Drosophila, the roundworm C. elegans, numerous
pathogenic microbes, the plant Arabidopsis, and (coming soon) the
mouse - attention is turning to the most useful and most appropriate
applications of knowledge of these genomes. In clinical medicine, we
see already emerging more specific diagnoses of clinical conditions,
improvements in therapeutic margin by distinguishing patients more or
less likely to benefit from or suffer adverse effects from particular
pharmaceuticals, and new approaches to drug discovery and drug
development.1 We also recognize numerous ethical, legal, and policy
challenges, ranging from questions about what criteria should be
applied to declare asymptomatic persons more or less susceptible than
"normal" to develop a particular serious disease--to who
owns the rights to genes identified in blood samples or tissues of
specific individual patients.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Feature
(7 pages)
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Bionegotiation:
Points to Consider in Negotiating Global Research & Development Agreements
Raymond
S. Fersko
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Abstract: Given that biotechnology is a
field that has grown through collaborative efforts, it is rare that
one company possesses all the patents, technical information and
know-how necessary to develop a product; and, even if it does,
biotechnology and life science companies often may need another
company's regulatory expertise and/or manufacturing and/or
distribution capability to bring a product from the lab bench to the
market. There are recurrent issues in all negotiations and certain
rules that seem applicable and common to all transactions, yet
certain distinctions are unique depending upon the parties involved.
This article illustrates these common issues highlights some of the
practical legal issues to consider when negotiating (R&D)
agreements in domestic, international and governmental contexts.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Feature
(5 pages)
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Protecting
Human Research Subjects
Philip
W. Fiscus
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Abstract: In
early November, little more than a year after 18-year-old Jesse
Gelsinger died in a gene-transfer trial at the University of
Pennsylvania, his family reached an unspecified settlement with the
research team and institutions involved in the experiment. Although
the settlement with the university brought closure to the lawsuit,
Gelsinger's death raised lingering concerns about the risks of
clinical trials involving human subjects. Government investigations
and hearings in the wake of the tragedy have led to greater scrutiny
of how organizations conduct clinical trials and efforts to
strengthen protections of human subjects. This well-intended scrutiny
comes at a time when clinical trials are growing dramatically in
number and complexity. This article outlines some of the emerging
issues concerning human subject research as well as possible
procedures for handling the associated risks.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Feature
(10 pages)
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Clinical
Trials Face Heightened Scrutiny as Science and Commerce Appear to Merge
Alvin
J. Lorman
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Abstract: Clinical trials involving human
subjects face increased scrutiny and regulation by the federal
government that may lead to costly changes to the process. Prompted
by a highly publicized death in a gene therapy trial, federal
regulators are examining almost all aspects of clinical trial
conduct, from how patients are recruited and how they give informed
consent, to the relationship between the researchers and the company
sponsoring the research. In addition to heightened regulation, the
government has announced that it will seek the power to impose civil
money penalties on researchers who do not observe applicable patient
protection regulations. In an effort to include more senior citizens
in clinical trials, the government for the first time will cover
certain costs of Medicare beneficiaries who participate in clinical
trials. The risk of increased government involvement includes
criminal prosecution of physicians for failing to follow the rules,
as an innovative case in California demonstrates.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Feature
(5 pages)
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Marketing
Your Intellectual Property: Preparing for Due Diligence
Kenneth
H. Sonnenfeld
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Abstract: Parties involved in negotiating
the transfer of intellectual property (IP) rights face a variety of
risks having the potential for reducing the value of the deal, or
derailing it entirely. Through a process of due diligence, parties
disclose information to one another so that they can identify and
minimize those risks. At the heart of the intellectual property due
diligence analysis is an investigation of three major issues: 1)
ownership - are the intellectual property rights owned by the
appropriate party?; 2) use - can the technology covered by the
intellectual property rights be used, or is it dominated by patents
belonging to others?; and 3) transfer - does the party offering the
intellectual property rights have the lawful rights to do so?. By
identifying as many facts concerning these issues as possible during
due diligence, both parties increase their level of security and the
probability of a successful closing on a valuable deal.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Feature
(7 pages)
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Global
Trademark Protection for Biotech and Life Science Companies: What It
Takes to Get through the Trademark Thicket
Bruce
D. Sunstein
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Abstract: For trademark protection of it
goods and services, the biotechnology company must consider the scope
of the business encompassed by products or services to be branded
with the trademark. For a domestic business, there must be considered
issued and pending United States (US) federal trademark registrations
as well as trademark uses that have not be the subject of such
registrations. Increasingly, foreign trademark considerations enter
the picture, however, and need to be considered at the same time.
Moreover, the widespread use of web sites means that Internet domain
name registrations must also be taken into account. If the product is
a drug, a further layer of regulation is added by the Food and Drug
Administration (FDA) and foreign counterpart agencies. When all of
these points of reference are considered, one may finally settle on a
trademark, which can be made the subject of US (and typically within
six months thereafter) foreign trademark filings; at the same time as
the US filing, one should also register pertinent domain names. A
coordinated strategy is necessary in order to maximize trademark
protection. This article provides an overview of the key issues that
biotechnology and life science companies must address branding
strategies and seeking global trademark protection.
©2001
by The Journal of BioLaw & Business. All Rights Reserved.
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Biocolumn
Genome Issues
(3 pages)
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Mapping
of Human Genome Raises Serious Issues For Individual vs. Corporate Rights
Jamie
Court
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Abstract: Unrestricted
corporate control of genetic technologies opens a pandora's box for
the balance of power between individuals and corporations. This
column provides an overview of the issues raised by commercialization
of the human genome from a citizen advocate's perspective.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Biocolumn
Medicare
(3 pages)
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New
Criteria for Medicare Coverage Decisions Will Impact Medical Technology
David
Szabo and Maria Buckley
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Abstract: Medicare is changing its rules
for the coverage of new medical technology. At one time, new medical
technology, whether in the form of an innovative medical procedure,
new technology, or a new drug or biological, could readily find a
place in the market once is was approved for sale by the United
States (US) Food and Drug Administration (FDA). Increasingly,
however, the successful diffusion of medical technology is influenced
by policies and procedures of third party payers, most especially
Medicare. Providers and suppliers of new medical technology have been
waiting for the past eleven years for the Health Care Financing
Administration (HCFA) to finalize new coverage Medicare criteria. The
authors review HCFA's recent proposal for Medicare coverage criteria
and raise key issues attendant to the implementation and use of the
coverage criteria. These coverage criteria should hold special
interest for the biotechnology and life sciences community as their
products begin to emerge from the pipeline.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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Biocolumn
Screening
(8 pages)
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An
Analysis of the Proposal for Population Based Screening for
Hereditary Hemochromatosis in Massachusetts
Joan
M. LeGraw
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Abstract: The Massachusetts Senate is
considering a bill which would require a screening test for iron
overload diseases when such a test is medically necessary. The
legislation is also authorized to establish, promote, and administer
a statewide early detection program for the detection of hereditary
hemochromatosis. Despite the challenges to a successful screening
program which have been documented in the medical literature and the
potential for genetic discrimination, the public health benefits
justify this legislation as long as the necessary modifications and
precautions are established.
©2001
by The Journal of BioLaw & Business. All Rights Reserved.
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Biocolumn
Advertising
(7 pages)
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Pharmaceutical
Advertising as a Consumer Empowerment Device
Paul
H. Rubin
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Abstract: Pharmaceutical companies have
greatly increased their level of "direct-to-consumer" (DTC)
advertising in recent years. For 1998, estimates are that over $1.1
billion was spent on this form of advertising, increased from $850
million in 1997 and $600 million in 1996. In 1998, 84 separate drugs
were advertised to consumers. The impetus was a decision in August of
1997 by the Food and Drug Administration to reduce the restrictions
on DTC advertising on television. As a result, such ads have become
very common on TV, and 32 products were advertised on TV in 1998.
Pharmaceutical companies advertise because they think that
advertising will make money for them. But how will this make money?
It will make money by providing consumers with the information they
need to make proper decisions about medication. That is, DTC
advertising is profitable exactly because it empowers consumers and
enables them to purchase useful drugs. The goals of advertising
companies and consumers are both for consumers to have information
about the most beneficial drug for particular conditions, and so
advertising is beneficial both to manufacturers and to consumers.
This article describes emerging trends in DTC within the context of
the life sciences sector.
©2001 by The
Journal of BioLaw & Business. All Rights Reserved.
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