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Appendix 2 of the ISSCR Guidelines for the Clinical Translation of Stem Cells

International, national and local regulations, guidelines and resources

A2.1 Codes of Conduct for Research Involving Human Subjects

A2.2 Existing International Regulations and Regulatory Bodies and Professional Organizations Governing Cell-Based Therapies

A2.3 Existing International Regulations and Guidelines Governing Procurement of Tissues or Organs for Cell Therapies and Research Involving Human Subjects

A2.4 Existing International Regulations Governing Good Manufacturing Practice


A2.1. Codes of Conduct for Research Involving Human Subjects

Belmont Report (National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, 1979).
Ethical Principles and Guidelines for the Protection of Human Subjects of Research
http://ohsr.od.nih.gov/guidelines/belmont.html

Convention on Human Rights and Biomedicine (Oviedo Convention) (Council of Europe, 1997)
http://conventions.coe.int/Treaty/en/Treaties/Html/164.htm

European Commission Clinical Trials Directive: 2001/20/EC (2001)
http://ec.europa.eu/enterprise/pharmaceuticals/eudralex/vol-1/dir_2001_20/dir_2001_20_en.pdf

European Forum for Good Clinical Practice
http://www.efgcp.be/

International Ethical Guidelines for Biomedical Research Involving Human Subjects (Council for International Organizations of Medical Sciences, 2002)
http://www.cioms.ch/frame_guidelines_nov_2002.htm

Nuremburg Code (1947)
http://ohsr.od.nih.gov/guidelines/nuremberg.html

U. S. Federal Policy for the Protection of Human Subjects, also known as the Common Rule (U.S. Department of Health and Human Services, 2005).
Code of Federal Regulations, Title 45: Public Welfare Part 46: Protection of Human Subjects
http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.htm

World Medical Association Declaration of Helsinki (1964 and updates)
Ethical Principles for Medical Research Involving Human Subjects
http://www.wma.net/e/policy/b3.htm

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A2.2. Existing International Regulations and Regulatory Bodies and Professional Organizations Governing Cell-Based Therapies

Regulatory Bodies

European Medicines Agency (EMEA)
http://www.emea.europa.eu/

Therapeutic Goods Administration, Australia
http://www.tga.gov.au/
http://www.tga.gov.au/bt/index.htm

U.S. Food and Drug Administration (FDA), Center for Biologics and Research
http://www.fda.gov/cber/tiss.htm

FDA listing of international organizations and government agencies
http://www.fda.gov/oia/agencies.htm

Regulations

Australia
Therapeutic Goods (Manufacturing Principles) Determination No 1 of 2007
http://www.tga.gov.au/legis/mp0701.htm

European Union:

Directive 2004/23/EC of the European Parliament and of the Council of 31 March 2004, also known as the ‘Tissues and Cells Directive’, setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution of human tissues and cells.
http://eurlex.europa.eu/smartapi/cgi/sga_doc?smartapi!celexapi!prod!CELEXnumdoc&lg=en&numdoc=32004L0023&model=guichett

Directive 2006/17/EC implementing Directive 2004/23/EC of the European Parliament and of the Council as regards certain technical requirements for the donation, procurement and testing of human tissues and cells

Directive 2006/86/EC implementing Directive 2004/23/EC of the European Parliament and of the Council as regards traceability requirements, notification of serious adverse reactions and events and certain technical requirements for the coding, processing, preservation, storage and distribution of human tissues and cells
http://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2006:038:0040:01:EN:HTML

Regulation (EC) 1394/2007 of the European Parliament and the Council of the European Union on advanced therapy medicinal products and amending Directive 2001/83/EC
and Regulation (EC) No 726/2004.
http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2007:324:0121:0137:EN:PDF

List of EU legal documents related to treatments based on tissues and cells.
http://ec.europa.eu/health/ph_threats/human_substance/legal_tissues_cells_en.htm

United Kingdom
Human Tissue Act 2004.
http://www.opsi.gov.uk/acts/acts2004/ukpga_20040030_en_1

Professional Organizations

AABB. Formerly known as the American Association of Blood Banks, AABB includes an Accreditation Program that accredits facilities by activity, in all aspects of blood banking, transfusion medicine, hematopoietic, cellular and gene therapies, and transplantation.
www.aabb.org

Alliance for Harmonisation of Cellular Therapy Accreditation (AHCTA). The AHCTA is committed to the harmonization of their respective standards with the objective of creating a single set of quality, safety and professional requirements for cellular therapy including hematopoietic stem cell (HSC) transplantation. AHCTA represents the American Association of Blood Banks (AABB), American Society for Blood & Marrow Transplantation (ASBMT), European Federation for Immunogenetics (EFI), European Group for Blood & Marrow Transplantation (EBMT), Foundation for the Accreditation of Cellular Therapy (FACT), International Society for Cellular Therapy (ISCT) (Europe), Joint Accreditation Committee ISCT-EBMT (JACIE), International NETCORD Foundation, and the World Marrow Donor Association (WMDA).
www.ahcta.org

The Foundation for the Accreditation of Cellular Therapy (FACT) is a non-profit corporation co-founded by the International Society for Cellular Therapy (ISCT) and the American Society of Blood and Marrow Transplantation (ASBMT) for the purposes of voluntary inspection and accreditation in the field of cellular therapy. In 2000, FACT partnered with the NetCord Foundation to develop standards for cord blood collection through release, theNetCord-FACT International Standards for Cord Blood Collection, Processing, Testing, Banking, Selection and Release. In 2006, FACT and JACIE partnered to establish international standards in the field of cellular therapy, the FACT-JACIE International Standards for Cellular Therapy Product Collection, Processing and Administration.
http://www.factwebsite.org/

The Joint Accreditation Committee- ISCT and EBMT (JACIE) is a non-profit body established by the International Society for Cellular Therapies (ISCT) and the European Group for Blood and Marrow Transplantation (EBMT) to provide assessment and accreditation in the field of haematopoietic stem cell (HSC) transplantation.
http://www.jacie.org/

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 Appendix 2.3: Existing International Regulations and Guidelines Governing Procurement of Tissues or Organs for Cell Therapies and Ethical Conduct of Research Involving Humans

 (See also Appendix 2.2)
Guidelines for Clinical Trials in Human Subjects, Israel (Ministry of Health, Pharmaceutical Administration, 2006)
http://www.health.gov.il/Download/pages/GuidelinesforClinicalTrials.doc (English)
http://www.health.gov.il/Download/pages/klini-2006.pdf (Hebrew, specifically Sections 2.3.3. and 2.3.3.6.3)

Guidelines for Clinical Trials Involving Cellular and Tissue-based Products, Israel (Ministry of Health, Pharmaceutical Administration, 2006)
http://www.health.gov.il/Download/pages/klini-c1.doc (Hebrew)

Guidelines for the Conduct of Human Embryonic Stem Cell Research, ISSCR (ISSCR Task Force on the Conduct of Human Embryonic Stem Cell Research, 2006)
http://www.isscr.org/guidelines/index.htm

Guidelines for Human Embryonic Stem Cell Research, National Academies (USA) (Committee on Guidelines for Human Embryonic Stem Cell Research, National Research Council and Institute of Medicine of the National Academies, 2005 and amendments 2007, 2008)
http://www.nap.edu/catalog.php?record_id=11278

Guidelines for Stem Cell Research and Therapy, India (Department of Biotechnology and Indian Council of Medical Research, 2007)
http://dbtindia.nic.in/oldwebsite/policy/Stem_Cell_research.pdf

Guidelines for the Use of Human Embryonic Stem Cells for Clinical Application, Japan (Ministry of Health, Labour and Welfare, 2006)
http://www.mhlw.go.jp/bunya/kenkou/iryousaisei01/pdf/01.pdf

National Institutes of Health (USA): Bioethics Resources on the Web
http://bioethics.od.nih.gov/humantissue.html and
http://bioethics.od.nih.gov/IRB.html

National Statement on Ethical Conduct in Human Research, Australia (National Health and Medical Research Council, 2007)
http://www.nhmrc.gov.au/publications/synopses/e72syn.htm

Medical Research Council (MRC) Policy on UK Clinical Trials Regulations
http://www.mrc.ac.uk/Ourresearch/Ethicsresearchguidance/Clinicalresearchgovernance/UKclinicaltrialsregulations/index.htm

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A2.4 Existing International Regulations Governing Good Manufacturing Practice

Australia
Australian Code of Good Manufacturing Practice- Human Blood and Tissues
http://www.tga.gov.au/manuf/gmpbltic.htm

Australian Code of Good Manufacturing Practice for Medicinal Products
http://www.tga.gov.au/docs/html/gmpcodau.htm
Code for GMP specific to cellular therapies under development.

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Posted December 3, 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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