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Centre for Cancer Biomarkers CCBIO
book release

First CCBIO book release

The ethics, economics and ELSA research groups of CCBIO are coordinatingÌýtheir research activities ever more. In April theyÌýpublished their firstÌýjoint book volume "Cancer Biomarkers: Ethics, Economics and Society".

The book cover of "Cancer Biomarkers: Ethics, Economics and Society"
Photo:
Lars A. Akslen

Main content

Shared Platform for Ethics, Economics and ELSA groups

A shared platform for CCBIO´s research in ethics, economics and ELSA topics has recently been established. A coreÌýelement in the transformation of cancer medicine into precision medicineÌýis that individuals rather than groups become the unit of analysis. ByÌýjoining forcesÌýtheyÌýwill be able to understand better the implications andÌýpreconditions of this transformation in terms of ethical considerations,Ìýmarket mechanisms, scientific development and the political economy ofÌýcancer research.

The promise of cancer biomarkers

Cancer care is undergoing a shift from a ‘one-size-fits all’ approach to more personalised medicine. One way of personalising cancer treatments is through biomarkers: molecules or biochemical changes found in theÌýpatient’s tissues and body fluids.

This book reflects upon the promise of cancer biomarkers and asksÌýquestions such as: How may the complexity of cancer biology impede theÌýrobustness of biomarkers in the clinic? How should one draw the lineÌýbetween the various sub-groups of patients for personalised treatment?ÌýHow can one evaluate the cost-effectiveness and fairness of personalisedÌýcancer treatments? By bringing together authors from the fields ofÌýscience and technology studies, medical ethics and philosophy, healthÌýeconomics and oncology, the book aims to give a critical yet accessibleÌýoverview of some of the key social, ethical and economic issues thatÌýsurround cancer biomarkers.

Stimulating our reflections

CCBIO Director Lars A. Akslen comments about the book:
"In this book, important topics surrounding the medical part of biomarker research are presented and discussed. Key questions are asked and reflected upon: What is a good (enough) biomarker ? How should we prioritize in modern cancer treatment? Can biomarkers make a real difference? How can biomarkers change and improve the cost structure when using very expensive drugs and when only a few patients respond to the treatment? How can we deal with big data profiles for individual patients Ìý- Ìýsuch as patterns of genetic alterations or functional protein signatures ?

Hopefully, these thoughtful chapters can stimulate our reflections on how we design and perform biomarker research. ÌýOn top of basic and clinical projects, we have realized that bringing in these additional topics have intensified our reflection on own activities. This goes to the core of the RRI-concept, i.e. to perform responsible research and innovation."

µþ°ù³Ü³¦±ðÌý´Ü±ð³Ù³Ù±ð°ù, Charles Nowiszewski Professor of Cancer Biology in theÌýDepartment of Surgery, Harvard Medical School, comments:Ìý
"The book should be required reading for oncologists, medical students,Ìýgraduate students and especially for those who make policy decisionsÌýregarding the use and reimbursement of cancer biomarkers."

Our congratulations to the editors Roger Strand and Anne Blanchard!

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