1. [Participant-funded clinical trials on rare diseases].
- Author
-
Dal-Ré R, Palau F, Guillén-Navarro E, and Ayuso C
- Subjects
- Clinical Trials as Topic ethics, Clinical Trials as Topic organization & administration, Crowdsourcing economics, Crowdsourcing ethics, Health Services Accessibility economics, Health Services Accessibility ethics, Humans, Orphan Drug Production ethics, Rare Diseases economics, Research Support as Topic ethics, Spain, United States, Clinical Trials as Topic economics, Orphan Drug Production economics, Patient Selection ethics, Rare Diseases drug therapy, Research Support as Topic methods
- Abstract
The development of medicines for certain rare diseases can be frustrated by lack of funding. In certain cases the patients themselves, or their relatives, occasionally fund the clinical trial in which they will be treated with the investigational medicine. There are 3models of self-funded research: 2of them, "pay to try" and "pay to participate", have already been put into practice. The third, the "plutocratic" proposal, which has been recently put forward is still a theoretical model. In this work the scientific, social and ethical benefits and risks of the 2clinical research models, "pay to participate" and the "plutocratic" proposal, are reviewed. Patient-funded clinical trials are frequently performed through crowdfunding. The most controversial aspects of this funding modality are also addressed in this article from several perspectives. Finally, a future scenario that would allow the launching of self-funded clinical trials in Spain by the "plutocratic" proposal is proposed., (Copyright © 2020 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF