ORIGINAL RESEARCH
Ethical assessment of genome editing applications in oncological patients
Pirogov Russian National Research Medical University, Moscow, Russia
Correspondence should be addressed: Victoria O. Abramova
ul. Ostrovityanova, 1, Moscow, 117997, Russia; ur.xednay@ool.ayirotciv
Financing: research by Abramova VO is prepared with financial support from the Russian Science Foundation (project No. 19–18–00422 ‘Socio-humanistic outlines of genomic medicine’)
Author contribution: Abramova VO — analysis of sources, preparing the manuscript draft; Abramova AV — analysis of sources, trial concept, text editing.
Further development of genetic engineering improved the chances to defeat deadly disorders due to discovery of innovative methods of treatment of various diseases, including oncological ones. In doing so, the methods have to go through clinical trials; they are not safe today. In fact, a paradox emerges: the trials are necessary, but they can’t be approved in accordance with regulatory requirements, as the risk for the subjects is higher than the benefit. For oncological patients, clinical trials, however, are the last chance for salvation. This requires an additional ethical discussion regarding approval of ethical expertise by the corresponding authorities in these exceptional cases. In this regard, the author of the article provides an ethical assessment of human genome editing applications from the point of view of risk and benefit for a subject and community of subjects, taking into account such ethical principles as ‘human priority’, ‘precautionary principle’ and ‘principle of responsibility to future generations’.
Keywords: genome editing, bioethics, morality, ethical principles, treatment of cancer patients, the precautionary principle, the principle of responsibility to future generations