利好!FDA对消费级遗传健康风险检测“减政放行”

2017-11-12 Flora 生物探索

11月6日,FDA官网发布一份声明,将对一批II类检测产品(中等风险)简化审批流程!这其中包括维生素D质谱测试系统、直接面向消费者(DTC)的遗传健康风险(GHR)基因检测,这些产品将豁免于上市前审查。

11月6日,FDA官网发布一份声明,将对一批II类检测产品(中等风险)简化审批流程!这其中包括维生素D质谱测试系统、直接面向消费者(DTC)的遗传健康风险(GHR)基因检测,这些产品将豁免于上市前审查。

随着基因测序技术的飞速发展,人们对于解析自身遗传秘密的需求有所提升,这直接促进了DTC基因检测市场的增长。这些测试能够促进消费者更积极地选择健康的生活方式,并对自身的健康风险有所认知。

1.FDA简化政策

今年4月,FDA批准了首个直接面向消费者(DTC)的遗传测试——23andMe自主研发的个人基因组服务遗传健康风险(Genetic Health Risk, GHR)测试,用于检测包括帕金森、迟发性阿尔兹海默症等在内的10种疾病风险,提供某些疾病的遗传易感性信息。这有助于人们对生活方式作出更好的选择,以及有助于人们与保健专家进行个人健康讨论。

时隔半年,FDA再次着手更大的放权,允许消费级GHR基因检测在特定条件下免于上市前审查。不过需要注意的是,对于最终确定的GHR检测产品,公司需要接受FDA的一次性审查,以确保达到上市标准,以减少假阴性和假阳性的风险。此外,指导治疗决策的基因检测服务未被列入豁免名单,例如针对BRCA1和BRCA2的癌症基因检测。

在征求意见稿中,FDA还对提供GHR服务的企业提出要求,需要在基因检测产品说明书或者标签中注明测试的局限性,包括遗传咨询师信息、检测原理、与其他方法相比的准确率、参考指南、与检测变异相关的疾病风险以及相关参考文献数据。

2.消费级基因检测

美国国立卫生研究院(NIH)将消费级基因检测定义为:可通过电视、平面广告、互联网等方式直接向消费者销售的基因检测,它绕开了医生或者保险公司,消费者可以直接获取个人的遗传信息。DTC基因检测的价格从几百美元到一千多美元不等。

虽然借助微量的唾液样本,消费者可以直接从测试提供者的网站检索到基因测序结果,了解相关遗传风险信息。但是FDA强调, 这些测试依然存在一定的风险,特别是当它们想消费者提供错误或者误导性的信息时,这可能会影响个人对医生诊断、建议的依从性。举个简单的例子,当测序结果提示没有患冠心病的风险,消费者很有可能会放弃饮食、药物控制,从而埋下祸端。

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    2017-11-21 chunjianf

    学习了.谢谢分享

    0

  2. 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    2017-11-15 chunjianf

    学习了.谢谢分享

    0

  3. 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  4. 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objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Nov 12 09:36:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260692, encodeId=f8642606924f, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), 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    2017-11-12 天涯183

    非常好的文章.学习了

    0

  5. 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    2017-11-12 清风拂面

    很好的文章.学习了

    0

  6. 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objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Nov 12 09:36:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260692, encodeId=f8642606924f, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260691, encodeId=c249260691a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:49 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 明月清辉

    谢谢分享.学习了

    0

  7. 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objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Nov 12 09:36:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260692, encodeId=f8642606924f, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260691, encodeId=c249260691a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:49 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 lyh994

    个人隐私和安全彻底真空了

    0

  8. 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    2017-11-12 明心见性

    不知是好是坏.有没有安全风险

    0

  9. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Nov 12 09:43:45 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260743, encodeId=0730260e4332, content=个人隐私和安全彻底真空了, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Sun Nov 12 09:39:42 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260742, encodeId=62bb260e422b, content=不知是好是坏.有没有安全风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Nov 12 09:36:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260692, encodeId=f8642606924f, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:52 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260691, encodeId=c249260691a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Sun Nov 12 07:22:49 CST 2017, time=2017-11-12, status=1, ipAttribution=)]
    2017-11-12 榄枷檬

    谢谢分享

    0

  10. 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    2017-11-12 榄枷檬

    学习学习

    0

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