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Ms Alison Hall, Head of Humanities, PHG Foundation<br />

Harm, Discretion or Duty: The Changing Nature of the Return of Individualized Results in<br />

Genomics Research<br />

The advent of genomic sequencing has generated a rich debate about the potential for generating, interpreting,<br />

validating and reporting incidental and secondary findings. The view that it is desirable to ‘actively look’ for well<br />

characterised clinically actionable secondary findings is gaining traction, provided that this can be justified in the<br />

participant’s or patient’s best interests. There is less clarity about how these developments might impact on<br />

researchers undertaking genetics and genomics research and how these might change the nature of the duties and<br />

responsibilities that researchers owe to research participants and the liabilities that might result. This presentation<br />

assesses these developments and the extent to which adopting personalised approaches within genomic research<br />

might change the nature of the relationship between the researcher and research participant. It also explores some<br />

wider consequences for research design, management and funding.<br />

Dr Janice Tsang, Specialist in Medical Oncology, Clinical Assistant Professor Department of Medicine, The<br />

University of Hong KongFounding Convenor, Hong Kong Breast Oncology Group<br />

Precision Medicine for Cancer Care - Prime Time versus Provocation Threat"?<br />

Cancer is an aging disease and a public health issue. With the emerging aging population, cancer has become an<br />

complex health threat with various unmet needs of patients living with the disease. Over the past 2 decades, there<br />

have been great breakthroughs in the changing landscape of the management of cancer - from the advent of<br />

targeted therapy to personalized treatment to the current second wave of personalized medicine with “Precision<br />

Medicine” which involves the increasing visibility of molecular genomic profiling and the potential added value of<br />

next generation sequencing which is now moving towards to the clinic at a fast tempo.<br />

While cancer patients and family members are having high expectation on the holistic cancer care and their<br />

mindfulness with “Precision Medicine” and the easy access to new information of research and development, this<br />

presentation is going to give a bird’s eye view of the current status of Precision Medicine in oncology with updates<br />

of the potential clinical application, yet the attempt to comment whether this is the prime time for all cancer<br />

patients, or this is just the end of another beginning and the emerging potential ethical challenge with some of the<br />

controversies coming from the harvest of translational research.<br />

PRECISION MEDICINE: LEGAL AND ETHICAL CHALLENGES 8

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