title: Clinical Trials, Data Protection and Patient Empowerment in the Era of the New EU Regulations.
abstract: Cancer clinical trials and, in general, cancer clinical research by definition need a multi-modality approach. It is not enough to discover and register new drugs. To get cancer under control requires us to perform complex clinical studies that integrate drugs, companion diagnostics, new or improved surgical procedures and new radiotherapy approaches as well as, most importantly, to integrate all available information. This includes biological material and, of increasing importance, large amounts of data using big data technologies. To personalise treatment, genetic data are more and more frequently used. Therefore, the general approach is holistic. Legislators, on the other hand, work in a silo mentality; the needs of clinical research are poorly understood, and legislation focuses on either health care or the commercialisation of a product, and not on clinical research. In the last 2 years the EU has drafted several major regulations touching on clinical trials, in vitro diagnostics, medical devices and data protection, all of which will impact clinical research, although the silo mentality makes the overall framework inconsistent and potentially highly damaging to the EU's capacity to make rapid progress in the field of personalised medicine.
authors.affiliation: EORTC, Brussels, Belgium.
authors.forename: Anastassia
authors.initials: A
authors.lastname: Negrouk
authors.forename: Denis
authors.initials: D
authors.lastname: Horgan
authors.forename: Alessandra
authors.initials: A
authors.lastname: Gorini
authors.forename: Ilaria
authors.initials: I
authors.lastname: Cutica
authors.forename: Lada
authors.initials: L
authors.lastname: Leyens
authors.forename: Sebastian
authors.initials: S
authors.lastname: Schee genannt Halfmann
authors.forename: Gabriella
authors.initials: G
authors.lastname: Pravettoni
mesh_terms: D035843:Biomedical Research / Q000639:trends*; D002986:Clinical Trials as Topic / Q000331:legislation & jurisprudence* / Q000592:standards; D016494:Computer Security; D003219:Confidentiality / Q000331:legislation & jurisprudence*; D066264:Datasets as Topic; D005062:European Union; D006801:Humans; D009369:Neoplasms / Q000175:diagnosis / Q000235:genetics / Q000628:therapy; D010358:Patient Participation; D057285:Precision Medicine / Q000639:trends*