3 results on '"Meijboom, Franck L. B."'
Search Results
2. Joining forces: the need to combine science and ethics to address problems of validity and translation in neuropsychiatry research using animal models
- Author
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Meijboom, Franck L B, Kostrzewa, Elzbieta, Leenaars, Cathalijn H C, Sustainable Animal Stewardship, LS Wijsgerige Ethiek, OFR - Ethics Institute, dASS BW-2, Sustainable Animal Stewardship, LS Wijsgerige Ethiek, OFR - Ethics Institute, and dASS BW-2
- Subjects
Value (ethics) ,validity ,Anorexia Nervosa ,Biomedical Research ,Computer science ,Process (engineering) ,translation ,Variation (game tree) ,Neuropsychiatry ,03 medical and health sciences ,0302 clinical medicine ,History and Philosophy of Science ,Animals ,Applied research ,030212 general & internal medicine ,lcsh:R723-726 ,Management science ,Health Policy ,Research ,Perspective (graphical) ,General Medicine ,ethics ,animal models ,Issues, ethics and legal aspects ,Disease Models, Animal ,neuropsychiatric disorders ,Systematic review ,Philosophy of medicine ,applied research ,lcsh:Medical philosophy. Medical ethics ,030217 neurology & neurosurgery - Abstract
Background Current policies regulating the use of animals for scientific purposes are based on balancing between potential gain of knowledge and suffering of animals used in experimentation. The balancing process is complicated, on the one hand by plurality of views on our duties towards animals, and on the other hand by more recent discussions on uncertainty in the probability of reaching the final aim of the research and problems of translational failure. Methods The study combines ethical analysis based on a literature review with neuropsychiatry-related preclinical research as a case study. Results Based on the analysis and the case study we show that neuropsychiatry-related preclinical research is an especially interesting case from an ethical perspective. The 3R principles (Replacement, Reduction and Refinement) are used to minimize the negative consequences for the animals used in research. However, neuropsychiatric research is characterized by specific challenges in assessing the probability of success of reaching the final aim, due to our limited mechanistic knowledge of human neuropsychiatric illness. Consequently, the translational value of the currently used animal models may be difficult to prove, which undermines the validity of these models and complicated the ethical assessment. Conclusions We conclude that a combined approach that deals with both science and the ethical dimensions is necessary to address the problems of validity and translation in neuropsychiatry-related preclinical research. We suggest this approach to comprise first, improved experimental methods, e.g. by using systematic reviews, second, a more patients-based approach that leads to models that reflect interindividual variation better, and third, more interdisciplinary cooperation.
- Published
- 2020
3. Improving Translation by Identifying Evidence for More Human-Relevant Preclinical Strategies.
- Author
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Ritskes-Hoitinga, Merel, Leenaars, Cathalijn, Beumer, Wouter, Coenen-de Roo, Tineke, Stafleu, Frans, and Meijboom, Franck L. B.
- Subjects
ANIMAL species ,LABORATORY animals ,TRANSLATIONS ,TREATMENT effectiveness ,ATTITUDE change (Psychology) ,GENETIC translation ,PHARMACY - Abstract
Simple Summary: To develop new medical treatments, animal studies are used. However, there are questions and concerns about the usefulness of preclinical animal research. These so-called translational success rates vary between 0 and 100% and no clear relationship has been established with possible predictive factors such as animal species or field of research. This paper presents the main results of a conference that was organised in November 2019 as part of a research project that focuses on ways to improve predictability of translation from preclinical research to clinical studies. Based on the conference results and the findings from the research project, we define four points of attention that are crucial in the search for improved translational success rates: (a) optimising the methods and design of studies; (b) incorporation of the complexity of the human patient in research; (c) start with the patient rather than existing animal models as the gold standard; and (d) more and better collaboration within the chain from funding to pharmacy. We conclude that this requires improved organization and use of procedures, as well as a change of attitude and culture in research. Preclinical animal studies are performed to analyse the safety and efficacy of new treatments, with the aim to protect humans. However, there are questions and concerns about the quality and usefulness of preclinical animal research. Translational success rates vary between 0 and 100%, and no clear relationship has been found with possible predictive factors such as animal species or field of research. Therefore, it is not yet possible to indicate what factors predict successful translation. Translational strategies were therefore discussed at an international conference held in the Netherlands in November 2019, aiming to develop practical guidelines for more robust animal-to-human translation. The conference was organised during the course of a research project funded by the Dutch Research Council (313-99-310), addressing possible solutions for the low translational values that had been published for a multitude of animal studies in human health care. This article provides an overview of the project and the conference discussions. Based on the conference results and the findings from the research project, we define four points of attention that are crucial in the search for improved translational success rates: (a) optimising the methods and design of studies; (b) incorporation of the complexity of the human patient in research; (c) start with the patient rather than existing animal models as the gold standard; and (d) more and better collaboration within the chain from funding to pharmacy. We conclude that this requires improved organization and use of procedures, as well as a change of attitude and culture in research, including a consideration of the translational value of animal-free innovations and human-relevant science. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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