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Human Germline CRISPR-Cas Modification: Toward a Regulatory Framework
Authors:Niklaus H Evitt  Shamik Mascharak  Russ B Altman
Institution:Stanford University
Abstract:CRISPR germline editing therapies (CGETs) hold unprecedented potential to eradicate hereditary disorders. However, the prospect of altering the human germline has sparked a debate over the safety, efficacy, and morality of CGETs, triggering a funding moratorium by the NIH. There is an urgent need for practical paths for the evaluation of these capabilities. We propose a model regulatory framework for CGET research, clinical development, and distribution. Our model takes advantage of existing legal and regulatory institutions but adds elevated scrutiny at each stage of CGET development to accommodate the unique technical and ethical challenges posed by germline editing.
Keywords:clinical ethics  CRISPR-Cas  gene editing  gene therapy  genetic disease  germline modification
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