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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
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A

Workshop Agenda

STEM CELL THERAPIES:
OPPORTUNITIES FOR ENSURING THE QUALITY AND
SAFETY OF UNREGULATED CLINICAL OFFERINGS

A WORKSHOP

November 18, 2013

National Academy of Sciences Building, Room 125
2101 Constitution Avenue, NW, Washington, DC

Workshop Objectives:

  • Discuss the current environment in which patients are receiving unregulated stem cell offerings.
  • Examine the stem cell treatments that are being offered.
  • Assess the potential benefits and risks to individual health.
  • Consider the evidence base needed to substantiate the clinical application of stem cell technologies.
  • Evaluate legal hurdles for establishing standards and criteria to govern stem cell trials and treatments.
  • Discuss potential solutions for assuring the quality of stem cell offerings.
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
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8:30 – 8:45 A.M.

Welcome, Introduction of Moderators, Meeting Goals, and Charge to Participants

Alta Charo, Workshop Chair

University of Wisconsin–Madison

8:45 – 10:20

STEM CELL THERAPIES: KNOWNS AND UNKNOWNS

 

Session Moderator:

Ralph J. Cicerone

National Academy of Sciences

8:45 – 9:10

Stem Cells as Regulated Therapeutics

John Wagner

University of Minnesota

9:10 – 9:25

Clinical Offerings That Use Stem Cells

Timothy Caulfield

University of Alberta

9:25 – 9:40

Patients Seeking Unproven or Unregulated Treatments: Why and How

Alan Petersen

Monash University

9:40 – 10:20

Moderated Panel Discussion

Panelists: John Wagner, Timothy Caulfield, Alan Petersen

10:20 – 10:35

BREAK

10:35 A.M. – 12:30 P.M.

QUALITY ASSURANCE—PART I

Session Moderator

Ellen Feigal

California Institute for Regenerative Medicine

10:35 – 10:50

Regulatory and Legal Frameworks for Offering Stem Cell Therapies in the United States

Margaret Foster Riley

University of Virginia School of Law

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×

10:50 – 11:05

Regulatory and Legal Frameworks for Offering Stem Cell Therapies in Italy

Paolo Bianco

Sapienza Universita di Roma

11:05 – 11:20

Regulatory and Legal Frameworks for Offering Stem Cell Therapies in Japan

Toshio Miyata

Health and Global Policy Institute

11:20 – 11:35

Regulatory and Legal Frameworks for Offering Stem Cell Therapies in Mexico

María de Jesús Medina Arellano

Universidad Autonoma de Nayarit

11:35 – 11:50

Regulatory and Legal Frameworks for Offering Stem Cell Therapies in China

Qi Zhou

Institute of Zoology

Chinese Academy of Sciences

11:50 A.M. – 12:30 P.M.

Moderated Panel Discussion

Panelists: Margaret Foster Riley, Paolo Bianco, Toshio Miyata, María de Jesús Medina Arellano, Qi Zhou

12:30 – 2:15 P.M.

LUNCH SEMINAR

12:30 – 12:50

BREAK

12:50 – 1:00

Introductory Comments

Irving Weissman

Stanford University School of Medicine

1:00 – 1:15

A Patient’s Story

Michael Phelan

1:15 – 1:45

Medical Tourism: Patients Seeking Stem Cell Treatments

I. Glenn Cohen

Harvard University Law School

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×

1:45 – 2:00

Discussion

2:00 – 2:15

BREAK

2:15 – 3:55

QUALITY ASSURANCE—PART II

 

Session Moderator

Amy Comstock Rick

Parkinson’s Action Network

2:15 – 2:30

Quality of Information: Advertising

David Vladeck

Georgetown University

2:30 – 2:45

Quality of Information: ISSCR Statements and Guidelines

George Daley

Harvard University

2:45 – 3:15

Quality of Professional Services: Medical and Society-Based Accreditation

 

Professional Society Efforts Calling for Evidence-Based Medicine and Appropriate Independent Oversight

Douglas Sipp

International Society for Cellular Therapy

 

Professional Society Efforts in Parallel with Government Regulation

Glenn L. Schattman

Society for Assisted Reproductive Technology

3:15 – 3:55

Moderated Panel Discussion

Panelists: David Vladeck, George Daley, Douglas Sipp, and Glenn L. Schattman

3:55 – 4:10

BREAK

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×

4:10 – 5:10

MOVING FORWARD

 

Session Moderator

Harvey V. Fineberg

Institute of Medicine

4:10 – 5:10

Moderated Panel Discussion

Panelists: Glenn L. Schattman, David Vladeck, María de Jesús Medina Arellano, Timothy Caulfield, Michael Phelan, Gil Van Bokkelen

5:10 – 5:25

FINAL REMARKS

5:10 – 5:25

Summary of Salient Points and Final Words

Alta Charo

University of Wisconsin–Madison

Harvey V. Fineberg

Institute of Medicine

Ralph J. Cicerone

National Academy of Sciences

5:25

ADJOURN

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 61
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 62
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 63
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 64
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 65
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research. Washington, DC: The National Academies Press. doi: 10.17226/18746.
×
Page 66
Next: Appendix B: Speaker Biographical Sketches »
Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research Get This Book
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 Stem Cell Therapies: Opportunities for Ensuring the Quality and Safety of Clinical Offerings: Summary of a Joint Workshop by the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research
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Stem cells offer tremendous promise for advancing health and medicine. Whether being used to replace damaged cells and organs or else by supporting the body's intrinsic repair mechanisms, stem cells hold the potential to treat such debilitating conditions as Parkinson's disease, diabetes, and spinal cord injury. Clinical trials of stem cell treatments are under way in countries around the world, but the evidence base to support the medical use of stem cells remains limited. Despite this paucity of clinical evidence, consumer demand for treatments using stem cells has risen, driven in part by a lack of available treatment options for debilitating diseases as well as direct-to-consumer advertising and public portrayals of stem cell-based treatments. Clinics that offer stem cell therapies for a wide range of diseases and conditions have been established throughout the world, both in newly industrialized countries such as China, India, and Mexico and in developed countries such as the United States and various European nations. Though these therapies are often promoted as being established and effective, they generally have not received stringent regulatory oversight and have not been tested with rigorous trials designed to determine their safety and likely benefits. In the absence of substantiated claims, the potential for harm to patients - as well as to the field of stem cell research in general - may outweigh the potential benefits.

To explore these issues, the Institute of Medicine, the National Academy of Sciences, and the International Society for Stem Cell Research held a workshop in November 2013. Stem Cell Therapies summarizes the workshop. Researchers, clinicians, patients, policy makers, and others from North America, Europe, and Asia met to examine the global pattern of treatments and products being offered, the range of patient experiences, and options to maximize the well-being of patients, either by protecting them from treatments that are dangerous or ineffective or by steering them toward treatments that are effective. This report discusses the current environment in which patients are receiving unregulated stem cell offerings, focusing on the treatments being offered and their risks and benefits. The report considers the evidence base for clinical application of stem cell technologies and ways to assure the quality of stem cell offerings.

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