Evidence map›Paper›PMID 20393305›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2010

Impact of gene patents and licensing practices on access to genetic testing for inherited susceptibility to cancer: comparing breast and ovarian cancers with colon cancers.

Robert Cook-Deegan, Christopher DeRienzo, Julia Carbone, Subhashini Chandrasekharan, Christopher Heaney, Christopher Conover

Abstract readComparative Study
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Gene patents: a broken incentives system.Journal of religion and health · 2013
    Review
  7. Article
  8. Gene patents and personalized cancer care: impact of the Myriad case on clinical oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Article
  9. Review
  10. Review
  11. Article
  12. Cystic Fibrosis Patents: A Case Study of Successful Licensing.LES nouvelles. Licensing Executives Society (U.S.A.) · 2013
    Article
  13. Article
  14. Article
  15. Cancer treatment according to BRCA1 and BRCA2 mutations.Nature reviews. Clinical oncology · 2012
    Review
  16. Testing women with endometrial cancer to detect Lynch syndrome.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2011
    Article
  17. Article
  18. Article
  19. Article
  20. Impact of gene patents and licensing practices on access to genetic testing for hearing loss.Genetics in medicine : official journal of the American College of Medical Genetics · 2010
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Robert Cook-DeeganCenter for Public Genomics, Center for Genome Ethics, Law and Policy, Institute for Genome Sciences and Policy, Duke University, Durham, NC 27708, USA. gelp@duke.edu
Christopher DeRienzo
Julia Carbone
Subhashini Chandrasekharan
Christopher Heaney
Christopher Conover

Funding

The Management and Organization Core will be administered by the Center for GenomP50HG003391 · NHGRI · DUKE UNIVERSITY · PI BESKOW, LAURA M. · 2004 to 2014
$9.9M
NHGRI NIH HHS P50 HG003391
6 · The paper itself

Abstract

Genetic testing for inherited susceptibility to breast and ovarian cancer can be compared with similar testing for colorectal cancer as a "natural experiment." Inherited susceptibility accounts for a similar fraction of both cancers and genetic testing results guide decisions about options for prophylactic surgery in both sets of conditions. One major difference is that in the United States, Myriad Genetics is the sole provider of genetic testing, because it has sole control of relevant patents for BRCA1 and BRCA2 genes, whereas genetic testing for familial colorectal cancer is available from multiple laboratories. Colorectal cancer-associated genes are also patented, but they have been nonexclusively licensed. Prices for BRCA1 and 2 testing do not reflect an obvious price premium attributable to exclusive patent rights compared with colorectal cancer testing, and indeed, Myriad's per unit costs are somewhat lower for BRCA1/2 testing than testing for colorectal cancer susceptibility. Myriad has not enforced patents against basic research and negotiated a Memorandum of Understanding with the National Cancer Institute in 1999 for institutional BRCA testing in clinical research. The main impact of patenting and licensing in BRCA compared with colorectal cancer is the business model of genetic testing, with a sole provider for BRCA and multiple laboratories for colorectal cancer genetic testing. Myriad's sole-provider model has not worked in jurisdictions outside the United States, largely because of differences in breadth of patent protection, responses of government health services, and difficulty in patent enforcement.

Indexed as

BRCA1 ProteinBRCA2 ProteinBreast NeoplasmsColonic NeoplasmsCost-Benefit AnalysisFemaleGenesGenetic Predisposition to DiseaseGenetic TestingHealth Services AccessibilityHumansLicensure, MedicalMaleOvarian NeoplasmsPatents as TopicBRCA1 ProteinBRCA2 Protein

Identifiers

PMID20393305
PMCPMC3047448

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.