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Biosimilars: Expanding Access to Precision Medicine through Affordable Biologic Therapies
12 Nov 2024

Biosimilars: Expanding Access to Precision Medicine through Affordable Biologic Therapies

Biosimilars are biologic drugs highly similar to an existing, approved biologic medication, known as the “reference product.” Unlike conventional chemical drugs, which are small molecules made through chemical synthesis, biosimilars are large, complex proteins derived from living cells. Due to their biological origin, biosimilars are unique in structure and behavior, designed to match the reference biologic’s effectiveness, safety, and clinical outcome. Although they are not identical to the reference product, biosimilars undergo stringent regulatory evaluations to confirm that there are no clinically meaningful differences in terms of efficacy, safety, and potency. Uses of Biosimilars in Medicine Biosimilars are primarily used in treating chronic and life-threatening diseases, such as cancer, autoimmune disorders, and blood-related conditions. In oncology, biosimilars have proven invaluable, allowing patients greater access to essential therapies at reduced costs. For instance, biosimilars like trastuzumab (e.g., Kanjinti, Ogivri) are used to treat HER2-positive breast and gastric cancers. Mode of Formation and Role in Precision Medicine Biosimilars are created using advanced biotechnology. Genetic engineering is used to introduce DNA encoding a specific protein into host cells, such as bacteria, yeast, or mammalian cells, to produce the target protein, which is then harvested and purified. Throughout production, conditions are meticulously controlled to maintain quality, as slight variations in manufacturing can affect the protein’s structure and function. Biosimilars align with precision medicine by improving accessibility to biologic treatments that target specific biomarkers or disease subtypes. By reducing costs, biosimilars make it easier to deliver biomarker-driven therapies to a broader population, enabling precision medicine’s goal of providing the right treatment to the right patient at the right time. Thus, biosimilars are crucial in making precision therapies more accessible and affordable for diverse patient populations.

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Medical issues and perspectives


Key Resources and Organizations for Precision Medicine Guidelines
08 Nov 2024

Key Resources and Organizations for Precision Medicine Guidelines

Key Resources and Organizations for Precision Medicine Guidelines

 1. National Institutes of Health (NIH) – All of Us Research Program
   - The NIH’s All of Us program aims to gather health data from diverse populations to improve precision medicine approaches and accelerate research.
   - Website: [All of Us Research Program](https://allofus.nih.gov/)

 2. Pharmacogenomics Knowledgebase (PharmGKB)
   - PharmGKB provides a vast database of pharmacogenomic information, linking genetic variations to drug responses, aiding in treatment customization.
   - Website: [PharmGKB](https://www.pharmgkb.org/)

3. The Clinical Pharmacogenetics Implementation Consortium (CPIC)
   - CPIC offers guidelines for clinical implementation of pharmacogenetic information, aiding in drug selection and dosing adjustments based on genetics.
   - Website: [CPIC](https://cpicpgx.org/)

4. American Society of Clinical Oncology (ASCO) – Precision Medicine in Oncology
   - ASCO provides guidelines for integrating genomic testing in cancer care and supports the use of targeted therapies in oncology.
   - Website: [ASCO Precision Medicine Resources](https://www.asco.org/)

 5. U.S. Food and Drug Administration (FDA) – Precision Medicine Initiatives
   - The FDA provides resources and regulatory guidance on targeted therapies and companion diagnostics approved for precision medicine.
   - Website: [FDA Precision Medicine](https://www.fda.gov/science-research/science-and-research-special-topics/precision-medicine)

 6. European Medicines Agency (EMA)
   - EMA guidelines address personalized medicine and biomarker qualification for the implementation of precision medicine across Europe.
   - Website: [EMA Precision Medicine](https://www.ema.europa.eu/)

7. The Global Alliance for Genomics and Health (GA4GH)
   - GA4GH provides frameworks for secure data sharing in genomics, focusing on ethical and practical aspects of data use in precision medicine.
   - Website: [GA4GH](https://www.ga4gh.org/)

8. The American College of Medical Genetics and Genomics (ACMG)
   - ACMG offers standards for integrating genetic testing into clinical practice, including guidelines for molecular diagnostics.
   - Website: [ACMG](https://www.acmg.net/) 

9. National Comprehensive Cancer Network (NCCN)
   - The NCCN provides cancer treatment guidelines that incorporate molecular testing, companion diagnostics, and targeted therapies for precision oncology.
   - Website: [NCCN Guidelines](https://www.nccn.org/guidelines)

These organizations provide extensive guidelines and resources that support precision medicine in various fields, from oncology to pharmacogenomics and data sharing practices.

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The Role of Biobanks in Advancing Precision Medicine
15 Oct 2024

The Role of Biobanks in Advancing Precision Medicine

Biobanks are structured repositories that collect, store, and manage biological samples (like blood, tissue, or DNA) along with associated data (such as medical history, demographics, or lifestyle). They play a crucial role in advancing precision medicine, which aims to deliver more personalized and effective healthcare based on individual genetic, environmental, and lifestyle factors. Below are the key contributions of biobanks toward the progress of precision medicine

      1. Large-Scale Data for Genetic Research

- Genomic Studies: Biobanks provide high-quality biological samples that researchers use to identify disease-causing mutations and genetic markers.

  - Example: The UK Biobank, with its DNA samples from over 500,000 participants, supports studies on gene-disease associations.

- GWAS (Genome-Wide Association Studies): These studies, powered by biobank data, help uncover complex interactions between genetics and diseases such as cancer, diabetes, and neurodegenerative disorders.

 

2. Linking Genetics with Clinical Outcomes

- Phenotype-Genotype Correlation: Biobanks store not only DNA but also information on patients’ clinical outcomes, aiding in the study of how genes influence disease progression and treatment responses.

- Predictive Models: With longitudinal data from biobanks, researchers can build models to predict disease risks and suggest preventive strategies tailored to individuals.

 

3. Development of Targeted Therapies

- Drug Development and Biomarker Discovery: Biobanks allow pharmaceutical companies to identify new biomarkers, facilitating the development of targeted drugs and therapies for specific patient groups.

  - Example: Biomarkers derived from biobank research have led to personalized cancer immunotherapies.

- Pharmacogenomics: Research from biobank data enables understanding how genetic variations influence an individual’s response to specific drugs, reducing adverse drug reactions.

4. Enabling Population-Based Studies

- Ethnic and Population Diversity: Biobanks with diverse samples enable precision medicine research that benefits various ethnic groups and improves health equity.

  - Example: The All of Us Research Program in the U.S. emphasizes the inclusion of underrepresented communities.

- Epidemiological Insights: Biobanks help researchers identify environmental, lifestyle, and behavioral factors that contribute to disease development, leading to personalized prevention strategies.

 

5. Facilitating AI and Machine Learning Models

- Advanced Analytics: Machine learning algorithms applied to biobank data accelerate the discovery of patterns in large datasets.

- Precision Diagnostics: AI-powered insights help in refining diagnostic tools, such as predictive models for early disease detection based on genetic data.

 

6. Supporting Clinical Trials and Personalized Treatment

- Pre-screening for Clinical Trials: Biobank data help identify patients with specific genetic or molecular profiles, improving trial recruitment and success rates.

- Adaptive Trials: Biobank-driven studies support adaptive clinical trials, where treatments are tailored and adjusted based on patient responses during the trial phase.

 

7. Challenges and Ethical Considerations

- Data Privacy and Security: Storing sensitive health data requires robust security frameworks to ensure privacy.

- Informed Consent: Biobanks must maintain transparent policies around how samples and data are used.

- Equity in Access: Ensuring that advances in precision medicine benefit all populations is an ongoing challenge.

 

Biobanks are indispensable to the progress of precision medicine by providing the raw materials—biological samples and data—needed for cutting-edge research. They bridge the gap between laboratory discoveries and clinical applications, enabling the development of personalized therapies and interventions that improve patient outcomes. As biobanks grow in scale and diversity, their role in transforming healthcare becomes even more critical.

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