Gene Therapy Researchers' Assessments Of Risks And Perceptions Of Risk Acceptability In Clinical Trials  Claire T. Deakin, Ian E. Alexander, Cliff A.

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Gene Therapy Researchers' Assessments Of Risks And Perceptions Of Risk Acceptability In Clinical Trials  Claire T. Deakin, Ian E. Alexander, Cliff A. Hooker, Ian H. Kerridge  Molecular Therapy  Volume 21, Issue 4, Pages 806-815 (April 2013) DOI: 10.1038/mt.2012.230 Copyright © 2013 The American Society of Gene & Cell Therapy Terms and Conditions

Figure 1 Percentage of respondents who agreed it would be appropriate to recruit subjects to a phase I clinical trial for each of the hypothetical clinical scenarios based on data generated in each of the preclinical models. The radii of the circle behind each of the percentage values represents the relative proportions of respondents who agreed it would be appropriate to recruit subjects to a phase I trial. AEs, adverse events. Molecular Therapy 2013 21, 806-815DOI: (10.1038/mt.2012.230) Copyright © 2013 The American Society of Gene & Cell Therapy Terms and Conditions

Figure 2 Consistent patterns of odds ratios when separate GEE models were fitted for each of the preclinical models and clinical scenarios. (a) Odds ratios representing the likelihood of disagreeing with the initiation of a clinical trial when the hypothetical clinical scenario was changed from the scenario involving an untreatable disease and death in infancy, which invoked the greatest support. Separate GEE models were fitted for each of the types of preclinical model. (b) Odds ratios representing the likelihood of agreeing with the initiation of a clinical trial when the type of preclinical model was changed from a cell culture-based model when a mouse model could be generated in 2 years. Similarly, separate GEE models were fitted for each of the clinical scenarios. AEs, adverse events; BMT, bone marrow transplant; freq., frequency; GEE, generalized estimating equations. Molecular Therapy 2013 21, 806-815DOI: (10.1038/mt.2012.230) Copyright © 2013 The American Society of Gene & Cell Therapy Terms and Conditions

Figure 3 Heat-map representing the proportions of respondents in each demographic group who supported initiation of a clinical trial, for each of the clinical scenarios and types of preclinical models. Dark green represents 100% agreement with initiating a trial, while dark red represents 100% disagreement (0% agreement). The columns are separated by white spaces according to the demographic groups of interest, with the total cohort represented in the left-hand-most column. Each of the eight groups of seven rows separated by a white space represents one of the eight types of preclinical evidence, ordered according to decreasing strength from top to bottom. These eight rows contain groups of seven rows, which represent each of the seven different clinical scenarios. The seven clinical scenarios are ordered according to decreasing disease severity from top to bottom: (i) no available treatment, death in infancy; (ii) no available treatment, death in childhood or adolescence; (iii) no available treatment, death in early adulthood; (iv) no available treatment, life expectancy reduced by 20 years; (v) disease curable by bone marrow transplantation, with risks and side-effects; (vi) disease can be controlled by blood transfusions; (vii) disease can be controlled by diet. AEs, adverse events. Molecular Therapy 2013 21, 806-815DOI: (10.1038/mt.2012.230) Copyright © 2013 The American Society of Gene & Cell Therapy Terms and Conditions