Bioethics of clinical innovation and unproven methods

Conference organised by the Nordic Committee on Bioethics in collaboration with Centre for Legal Studies in Welfare and Market at the University of Copenhagen, 9 April 2019.

How are clinical innovations and unproven methods developed and introduced in western Nordic health-care systems? What is the legal and regulatory environment concerning unproven methods in medicine? What ethical principles should guide work on emerging treatments and experimentation in hospitals? In the upcoming NCBio-conference, these three questions will each be addressed in separate sessions.

Clinical innovation involves development of new techniques, methods, treatments and diagnostics for detecting, alleviating and curing diseases. By nature novel clinical methods and treatments are unproven when first developed. Through the centuries, medicine has advanced by trials and errors of physicians and researchers experimenting with treatments and methods. The failure of certain methods are inseperable from success of others, because a priori it is hard to know what works and what not. The scientific method is the preferred approach to develop cures and treatments, but many current medical practices were not developed by strict scientific testing or trials. Healthcare professionals may try unproven methods, for instance as a last resort in attempt to safe a life. Such unproven methods for clinics and health care, occur at the intersect of basic research and standard health-care and raise number of bioethical issues. Those include the following issues: Do patients have sufficient and equal access to the experimental methods? Are patients protected from harm when unproven methods are tested? Who should make decisions about when to experiment with a treatment? How can society and the health care system best simultaneously promote clinical innovation and protect patients?

Venue: Alf Ross auditorium (room 9A-3-01), Faculty of Law, University of Copenhagen, Karen Blixens Plads 16, 2300 Copenhagen S.

The conference is open to all interested, including medical doctors, health committees in parliments, senior civil servants and hospital administrators.

 

Programme:

09:00-09:10 Welcome / NCBio Chair Isabelle S. B. Ljøsne

Session 1 - How are clinical innovations/unproven methods developed and introduced? 

09:10-09:50 "Ethics and Policy Surrounding Patient Access to Experimental Therapy", Professor Jonathan Kimmelman, Director of Biomedical Ethics Unit, McGill

09:50-10:15 “Experimental oncolytic immunotherapy for individualized treatment of cancer patients incurable with routine approaches ”, Professor Akseli Hemminki, University of Helsinki

Coffee  

10:30-10:55"Developing a cancer vaccine, and challenges in performing clinical trials of experimental therapies", Professor Steinar Aamdal, University of Oslo

10:55-11:20 “We can do better - a patient perspective”, Anne Sofie Boldsen Salicath, MD, patient group representative. 

11:20-11:40 Panel discussion

11:40-12:30 Lunch

Session 2 -  What is the legal and regulatory environment concerning clinical innovations in medicine?
Session chair: Susanna Mortensen 

12:30-12:55 "The room for clinical innovation under Swedish law ", Senior Lecturer Lena Wahlberg, Lund University

12:55-13:20 “The regulatory challenges in regards to clinical innovation”, Professor Mette Hartlev, University of Copenhagen

13:20-13:45 "Regulating Risk in Surgical Innovation? A UK perspective", Dr. Jonathan Ives, University of Bristol

Coffee

Session 3 -  What ethical principles should guide work on emerging treatments and experimentation in hospitals? 
Session chair: Kirsten Kyvik 

14:15-14:55 "Novel medical treatments, innovation, hope and headlines", Catherine Joynson, Nuffield Council on Bioethics

14:55 – 15:20 "Harms and benefits in clinical innovation", Dr. Gardar Arnason,  University of Tübingen

15:20 – 15:45 "Ethical principles in unproven methods – is there a need for regulations?", Professor Ingemar Engström, Örebro University/NCBio

15:45 – 16:20 Panel discussion

16:20 – 16:30 Closing remarks

16:30 - 18:00 Reception


Please note that the conference is free of charge, but participants pay their own travel and accommodation costs.

When

09.04.2019
from 09:00 to 17:00
Registration deadline: 08.04.2019 - 12:00
Marianne Aastebøl Minge - Chief Operating Officer
Contact person Marianne Aastebøl Minge
Chief Operating Officer
Work +47 936 02 527
Anna Herou - Senior Adviser
Contact person Anna Herou
Senior Adviser
Work +47 480 63 139