While the U of M administers all U. The U of M gets a small payment if OneWorld Health sub-licenses to a developer, but gets no running royalties on products or services. Food and Drug Administration FDA approval, companies researching therapeutic options would want some form of exclusivity to protect those long-term, large investments. The development of therapeutics, in particular, would require substantial investments over long periods, and might benefit from patent incentives. Wide access to genetic testing and screening made it easier for states and hospitals to implement newborn screening programs; earlier detection of CF meant that patients could be started on nutritional supplementation sooner; and medical care providers could more aggressively intervene to prevent lung infections, a leading cause of death among CF patients. What laboratory result warrants immediate intervention?

Which nursing intervention would be appropriate? Cook-Deegan R, Heaney C. Nuffield Council on Bioethics: FDA approves Kalydeco to treat rare form of cystic fibrosis. The final therapeutic patent is exclusively controlled by Vertex with a royalty agreement to CFF , but if the CFTR DNA sequence, method, and mutation patents had been exclusively licensed, developing and using ivacaftor would have been contingent on clearing diagnostic rights, making the situation more complex. He did this to avoid a conflict of interest in making decisions, and to avoid being dragged into the many controversies over gene patenting and licensing and also, of course, to support the charity —in addition to supporting further CF research. This story has a successful ending, but it also shows how the complex patent landscape could have thwarted its development, because the final treatment necessarily involves several patented technologies.

Cystic Fibrosis Case Study by Teresa Vasquez on Prezi

Which statement indicates a correct understanding of the etiology of CF? Discussions with several other non-licensed companies are currently ongoing, suggesting that enforcement issues are always present with any patented technology. Had CF diagnostic testing not become as accessible as it was, these life expectancy improvements may have been less impressive or happened later.

After ten years of working with the CFTR licensing strategy, Ritchie thinks that there is very little, if anything, that he would change about it, and that this strategy would be suitable for other universities and institutions to use: It is also worth noting that the drug resulted from a partnership between a disease advocacy organization and a for-profit firm, and the three-month priority approval process at FDA was expedited by trials that involved patients, ages 6 to National Center for Biotechnology InformationU.


Cystic Fibrosis Patents: A Case Study of Successful Licensing

The licensing strategy developed by the U of M and the HSC had a three-pronged approach intended to satisfy the needs of key stakeholders. Which adjustment will be required if Debbie has loose, fatty stools? The drug developed from a long collaboration between CFF and Vertex, including funding from both institutions.

Only total US patients are estimated to have the requisite mutations.

Fibdosis actions should the nurse educator take to address this? There was pressure to select one of these companies for an exclusive agreement, in part because it would have been more lucrative initially.

Providing small, frequent meals 3. Hi there, would you like to get such a paper? The sub-license fees are paid by the CFF on an annual basis, which gives them an opportunity to make sure that sub-licensees are actively working on the research project; if work ceases then the CFF stops paying the sub-license fee for that company.

Update on carrier screening for cystic fibrosis. This story has a successful ending, but it also shows how the complex patent landscape could have thwarted its development, because the final treatment necessarily involves several patented technologies. Use of the drug is tied directly to subtyping through genetic testing.

hesi cystic fibrosis case study

The search for the genetic underpinning of CF began in the s with unsuccessful attempts to identify caes with known blood groups 16 Because the development of any therapeutic would require significant investment from a biotechnology or pharmaceutical company to bring a fibrosiis through proof of clinical mechanism, clinical testing, and U.

Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? Part of the variability in CF is due to a large number of genetic mutations that have variable effects on CFTR protein function. Ritchie argues that this clause helped maintain the long-term viability of the CFTR licensing structure by serving as a valuable tool during negotiations with companies.


HESI Case Studies–Pediatrics-Cystic Fibrosis (Debbie Baker)

The ethics of patenting DNA. Therefore, patenting made sense to the scientists, their nonprofit institutions, and disease advocacy groups. Hfsi is able to say her first and last names, and to state her age while holding up 3 fingers. It enabled continuing research, wide-spread CF diagnostic testing and newborn and carrier screening, and facilitated development of CF therapeutics.

Eight case studies covering ten clinical conditions were published in the April Supplement to Genetics in Medicine 1 — 8. Interaction with other genes and medical management of symptoms, like hesk measures to prevent infections, add to mutational variability to make the clinical course of CF unpredictable.

One vital aspect of this licensing strategy was the engagement of the CFF, a patient advocacy organization that reached a licensing agreement with the U of M that enabled it to offer sub-licenses to companies that wish to pursue CF therapeutic research, with the caveat that the CFF fully fund the initial stages of such ffibrosis.

Pediatric Cystic Fibrosis Case Study

This license is for research purposes only; the CFF license is not for diagnostic purposes. That is, mutations affect a large protein pore responsible for conducting negatively charged chloride atoms through the cell membrane.

hesi cystic fibrosis case study

Cxse paper summarizes what we learned from these interviews and offers suggestions for implementation of a similar licensing model for other gene patents. Which action should the primary nurse implement first?

hesi cystic fibrosis case study

It is a simple, painless, reliable test that measures the chloride in sweat.