Clinical trials of germline gene editing: The exploitation problem

The birth of the world’s first genetically edited babies in 2018 provoked considerable ethical outrage. Nonetheless, many scientists and bioethicists now advocate the pursuit of clinical uses of human germline gene editing. Progress towards this goal will require research, including clinical trials...

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Bibliographic Details
Main Author: Malmqvist, Erik (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell 2021
In: Bioethics
Year: 2021, Volume: 35, Issue: 7, Pages: 688-695
IxTheo Classification:NCH Medical ethics
NCJ Ethics of science
Further subjects:B CRISPR
B germline gene editing
B Assisted Reproduction
B research ethics
B Exploitation
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Summary:The birth of the world’s first genetically edited babies in 2018 provoked considerable ethical outrage. Nonetheless, many scientists and bioethicists now advocate the pursuit of clinical uses of human germline gene editing. Progress towards this goal will require research, including clinical trials where genetically edited embryos are implanted into a woman’s uterus, gestated, and brought to term. This paper argues that such trials would likely conflict with the fundamental research ethical requirement of non-exploitation. This is because they would expose people who are in a vulnerable situation to risks and burdens that are substantial and not obviously offset by compensating benefits. I consider how the potential for exploitation in such trials might be mitigated, arguing that a feasible and justifiable approach is not easily found. If this analysis is correct, there is a significant ethical obstacle on the path towards clinical use of human germline gene editing.
ISSN:1467-8519
Contains:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12903