Precision Medicine
Currently, there are 60 laboratories providing clinical genetic testing services for diagnostic and preventive purposes across North America. The technological advances have stimulated scientific and medical fields to look for opportunities to bring the knowledge into clinical setting. To accelerate the pace, President Obama announced a $215 million investment in the President’s 2016 Budget to support Precision Medicine Initiative (PMI) and advance toward a new era of individualized treatment (Source: White House Press Office)
“I want the country that eliminated polio and mapped the human genome to lead a new era of medicine — one that delivers the right treatment at the right time...Tonight, I’m launching a new Precision Medicine Initiative to bring us closer to curing diseases like cancer and diabetes — and to give all of us access to the personalized information we need to keep ourselves and our families healthier.” — President Barack Obama, State of the Union Address, January 20, 2015
So, what is the concept of Precision Medicine? “We define precision medicine as treatments targeted to the needs of individual patients on the basis of genetic, biomarker, phenotypic, or psychosocial characteristics that distinguish a given patient from other patients with similar clinical presentations.” (Source: NIH) As stated on the NIH website, “Precision medicine is an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person.” (Source: NIH) The initiative was developed under the leadership of Dr. Francis Collins, Director of the NIH, who first proposed the idea in 2004 and has advocated for this program for 11 years.
“Now there is a perfect coming together of opportunities with electronic health records being a part of medical care. Genome sequencing costs have plummeted (down to a few thousand dollars for a complete genome), and now patients want to take part in initiatives of this sort.” (Source: Medscape)
As expected, the importance of Precision Medicine has been acknowledged and highlighted by Dr. Selby, the Executive Director of PCORI in multiple occasions:
“This is an exciting time for "precision" or "personalized" medicine, with recent proposals from the White House and Congress to advance this important approach to creating more tailored treatments for various conditions. We're pleased to see these efforts because the comparative clinical effectiveness research (CER) that PCORI was created to fund is a natural complement to them. Precision medicine focuses on developing new treatments that leverage genetic information and other factors that affect how well therapies work for different people…..Tailoring treatment choices requires information on factors such as patients' genetic make-up, but also their age, other illnesses, capacity for adhering to complex treatment regimens and, perhaps most important, their preferences for different strategies and outcomes.” (Source: The PCORI Digest)