LawSeq℠ : Facing the Legal Barriers to Genomic Research & Precision Medicine

LawSeq2020
December 2, 2020
All agenda times are Central time

Genetics and genomics are becoming crucial to clinical care. As the "precision medicine" revolution spreads, cancer treatment, rare disease diagnosis, and cardiac care increasingly use genomics. Unfortunately, law and policy lag behind science, and the law governing genomics remains unclear and contested.

This is the third event from the LawSeq℠ project, an NIH-funded project to shape the law of genomics and build a solid foundation for clinical integration. This event will be a highly interactive meeting of multidisciplinary experts to share their analysis of US federal and state genomics law and policy to recommend changes in order to support successful integration of genomics into clinical care.

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Agenda

10:00 a.m. Central                      

Welcome and Introductions 

                                                        

Susan M. Wolf, JD, Co-PI, LawSeqSM; McKnight Presidential Professor of Law, Medicine & Public Policy; Chair, Consortium on Law and Values in Health, Environment & the Life Sciences, University of Minnesota

Mark Barnes, JD, LLM, Partner, Ropes & Gray LLP

Gail H. Javitt, JD, MPH, Director, Hyman, Phelps & McNamara, PC

10:15 a.m. Central

Keynote: Legal & Policy Problems in Genomic Research & Clinical Care

 

Moderator: Susan M. Wolf, JD

Gail P. Jarvik, MD, PhD, Arno G. Motulsky Chair of Medical Genetics; Professor of Medicine and Genome Sciences; Head, Division of Medical Genetics, University of Washington Medical Center

Q/A

10:50 a.m. Central

Keynote: Overcoming Legal Obstacles and Improving the Law of Genomics

 

Moderator: Ellen Wright Clayton, MD, JD, Co-PI, LawSeqSM; Craig-Weaver Professor of Pediatrics, Professor of Law, Professor of Health Policy, and Co-founder of the Center for Biomedical Ethics and Society, Vanderbilt University

Mark Barnes, JD, LLM 

Q/A

11:25 a.m. Central

Break

11:30 a.m. Central

Panel #1 – What are the pressing legal and policy issues confronting genomic research and clinical care?

 

Moderator: Frances Lawrenz, PhD, Co-PI, LawSeqSM; Associate Vice President for Research, Wallace Professor of Teaching and Learning, Department of Educational Psychology, University of Minnesota

Jason L. Vassy, MD, MPH, SM, Assistant Professor of Medicine, Brigham and Women’s Hospital; Director, Genomes2Veterans

Ellen Wright Clayton, MD, JD

Alexandra E. Shields, PhD, Harvard Medical School; Massachusetts General Hospital; Director, Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities; Associate Member, Broad Institute

Rachel Rice Ackman, JD, Director of Research Integrity and Compliance, NYU Langone Health

Michael Hamilton, JD, Chief Privacy Officer, Invitae

Q/A

12:30 p.m. Central

Panel #2 – Issues in FDA regulation of genomic analysis and reporting in research and clinical care

 

Moderator: Gail H. Javitt, JD, MPH 

Elizabeth Mansfield, PhD, Vice President, Regulatory, Foundation Medicine, Inc.; formerly Director of the Personalized Medicine Staff, Center for Devices, FDA

Barbara Evans, JD, PhD, LLM, Professor of Law and Stephen C. O’Connell Chair, Law School; Professor of Engineering, Herbert Wertheim School of Engineering, University of Florida Levin College of Law; Director, Biotechnology & Law Program

Michelle Penny, PhD, Vice President, Head of Genomics, Goldfinch Bio

Priya M. Mannan, JD, LLM, Global Compliance Officer, Executive Director and Associate General Counsel, Novartis Institutes of BioMedical Research, Inc.

Alberto Gutierrez, PhD, Partner & Expert Consultant, NDA Partners LLC; formerly Director, Office of In Vitro Diagnostics and Radiological Health, FDA

Q/A

1:30 p.m. Central

Break

1:35 p.m. Central

Panel #3 – Genomic data governance: Legal and policy issues in data access and use, including by research participants, patients, and families

 

Moderator: Susan M. Wolf, JD

Erik Phelps, JD, Executive Vice President and General Counsel, Tempus; formerly General Counsel at Epic

Bradley Malin, PhD, Professor of Biomedical Informatics; Vice Chair for Research; Professor of Biostatistics, Professor of Computer Science; Affiliated Faculty of the Center for Biomedical Ethics & Society, Vanderbilt University

Barbara E. Bierer, MD, Professor of Medicine; Faculty Co-director, Multi-Regional Clinical Trials (MRCT) Center of Brigham & Women’s Hospital, Harvard Medical School

Wendy K. Chung, MD, PhD, Chief, Division of Clinical Genetics, Department of Pediatrics, Columbia University; Precision Medicine Resource Leader, Irving Institute

Carrie Blout Zawatsky, MS, CGC, Senior Genetic Counselor & Project Manager, Brigham and Women’s Hospital; Director of Research Development, Genomes2People translational research group

Q/A

2:35 p.m. Central

Wrap-up

 

Susan M. Wolf, JD

Ellen Wright Clayton, MD, JD

Gail Javitt, JD, MPH

Mark Barnes, JD, LLM

2:45 p.m. Central

Adjourn

Speaker Biographies

Mark Barnes

Mark Barnes, JD, LLM, is a Partner at Ropes & Gray, LLP. He has extensive experience in legal issues related to research with humans and animals, stem cell and genetic research, research grants and contracts, research misconduct, international research, and data privacy. In 2012 with Dr. Barbara Bierer, Mark started, and continues to serve as faculty co-chair of, the Multi-Regional Clinical Trials Center of Harvard University and Brigham and Women’s Hospital, a project designed to improve the planning, conduct, and regulation of multi-national clinical trials, with a special emphasis on trials in the emerging economies. He is a member of the LawSeqSM Working Group. 

 

Barbara E. Bierer, MD, is the faculty director of the Multi-Regional Clinical Trials Center of Brigham and Women’s Hospital (BWH) and Harvard (MRCT Center), a Professor of Medicine at Harvard Medical School and Brigham and Women’s Hospital, and a hematologist/oncologist. She is the Director of the Regulatory Foundations, Law and Ethics Program of the Harvard Clinical and Translational Science Center. From 2003-2014, she served as Senior Vice President of Research at the BWH and was the institutional official for human subjects and animal research, for biosafety, and for research integrity. 

 

 

Wendy K. Chung, MD, PhD is an ABMG board-certified clinical and molecular geneticist at Columbia University with 20 years of experience in human genetic research of monogenic and complex traits. She has extensive experience in mapping and cloning genes in humans, describing the clinical characteristics and natural history of novel genetic conditions and characterizing the spectrum of disease, and developing tailored care and treatments for rare genetic diseases. Dr. Chung directs NIH-funded research programs in the human genetics of birth defects including congenital diaphragmatic hernia, congenital heart disease, and esophageal atresia, autism, neurodevelopmental disorders, pulmonary hypertension, cardiomyopathy, obesity, diabetes, and breast cancer. She leads the Precision Medicine Resource in the Irving Institute at Columbia University.

 

Ellen Wright Clayton, MD, JD is Craig-Weaver Professor of Pediatrics, Professor of Law, and Co-founder of the Center for Biomedical Ethics and Society at Vanderbilt University. She is the 2010 recipient of the Williams G. Bartholome Award for Ethical Excellence from the American Academy of Pediatrics, Section on Bioethics. Prof. Clayton is an elected member of the National Academy of Medicine (NAM), where she serves on the National Advisory Council, and a Fellow of the American Association for the Advancement of Science (AAAS). She has advised the National Institutes of Health and other federal and international bodies on topics ranging from children’s and women’s health to the ethical conduct of human subjects research. She is a Principal Investigator on the LawSeqSM grant project.

 

Barbara Evans, JD, PhD, LLM, is Professor of Law and Stephen C. O’Connell Chair at the University of Florida Levin College of Law and Professor of Engineering at the University of Florida Wertheim College of Engineering. Her current research interests include FDA regulation of machine-learning clinical and patient decision support software and gene sequencing and editing technologies, health data privacy and access, genomic civil rights, and citizen science and citizen-led bioethics standard-setting. She is a member of the LawSeqSM Working Group. 

 

 

Alberto Gutierrez, PhD, is Partner & Expert Consultant at NDA Partners LLC dealing with preclinical and clinical testing of in vitro diagnostic devices and radiological imaging devices, premarket notifications of devices, applications for approval, and post-marketing surveillance and compliance. Dr. Gutierrez oversaw the Personalized Medicine Staff at the Food and Drug Administration and developed and managed the policies surrounding companion diagnostic devices. Dr. Gutierrez was also a member of the Center for Devices and Radiological Health committee that oversaw policies on Digital Health.

 

 

Michael Hamilton, JD, has worked on healthcare privacy matters for more than 8 years. At Invitae, a genetic testing company, Michael works on a range of privacy and regulatory issues related to the use of genetic and health data. Prior to Invitae, Michael held senior healthcare privacy roles at McKesson Corporation and Salesforce. Michael has extensive experience working with business to identify ways that healthcare and genetic data can be used in compliance with privacy laws to further scientific understanding and advancement. 

 

 

Gail P. Jarvik, MD, PhD, is the Arno G. Motulsky Chair of Medical Genetics, Professor of Medicine and Genome Sciences, and Head, Division of Medical Genetics, University of Washington Medical Center. She is also an Adjunct Professor of Epidemiology at the UW Medical Center (UWMC) and an Affiliate Member of the Fred Hutchinson Cancer Research Center. She is a Pew Scholar in the Biomedical Sciences, and has been made a Lifetime National Associate of the National Academies. Her abilities as a scholar and a leader have been recognized by the National Institutes of Health, for which she chaired the Genomics, Computational Biology and Technology Study Section. In addition to that service, leading the Division of Medical Genetics and actively pursuing her own research, she continues to be a practicing clinician in Internal Medicine and Medical Genetics.

 

Gail H. Javitt, JD, MPH, is a Director of the Firm of Hyman, Phelps & McNamara, PC. She provides strategic FDA regulatory advice for leading medical device, diagnostics, pharmaceutical, biological products, and human cellular, and tissue-based products (HCT/Ps) throughout the product life cycle and has successfully resolved disputes at both the pre- and post-market stage. She also has significant experience advising clinical laboratories on FDA and CLIA requirements for laboratory developed tests. She is a member of the LawSeqSM Working Group.

 

 

Lawrenz

Frances Lawrenz, PhD is Associate Vice President for Research and Wallace Professor of Teaching and Learning at the University of Minnesota. Her research focuses on science and mathematics program evaluation, utilizing a variety of techniques and usually involving mixed methodologies. She has been recognized by the American Educational Research Association and the National Association for Research in Science Teaching. She is a Principal Investigator on the LawSeqSMproject.

 

 

 

Bradley Malin, PhD, is Professor of Biomedical Informatics & Vice Chair for Research, Professor of Biostatistics, Professor of Computer Science, and Affiliated Faculty of the Center for Biomedical Ethics & Society at Vanderbilt University Medical Center. He co-directs the Health Data Science Center and the Center for Genetic Privacy and Identity in Community Settings (GetPreCiSe). He chairs the Committee on Access, Privacy, and Security for the of the All of Us Research Program of the U.S. Precision Medicine Initiative and is an appointed member of the Technical Anonymisation Group of the European Medicines Agency. He is an elected member of the National Academy of Medicine and the American College of Medical Informatics. He is member of the LawSeqSM Working Group.

 

Priya M. Mannan, JD, LLM, is Associate General Counsel at Novartis Institutes of BioMedical Research where her work focuses on corporate governance; clinical, research and licensing contracts; and compliance and regulatory matters. She was a biochemist before becoming a lawyer with experience in heathcare and intellectual property law. She previously worked at Pfizer and Baxter’s.

 

 

 

Elizabeth Mansfield, PhD, is Vice President, Regulatory at Foundation Medicine, Inc. She was the Director of the Personalized Medicine Staff in the Office of In Vitro Diagnostic Devices in the Center for Devices, Federal Drug Administration, from 2006-2017, where she developed a program to address companion and novel diagnostic devices. She was previously a Senior Policy Analyst in the Office of In Vitro Diagnostic Devices (OIVD), managing policy and scientific issues. Dr. Mansfield formerly served as the Director of Regulatory Affairs at Affymetrix, Inc. from 2004-2006. She previously served in other positions, including Scientific Reviewer and Genetics Expert, while at the FDA. Dr. Mansfield received her PhD from Johns Hopkins University, and completed further postdoctoral training at the National Cancer Institute (NCI) and the National Institute for Arthritis, Musculoskeletal, and Skin Diseases (NIAMS).

 

Michelle Penny, PhD is a geneticist with 18 years’ experience developing and implementing integrated genetic and genomic biomarker strategies to advance programs in pharmaceutical research and development. Prior to joining Goldfinch Bio to lead their genomics efforts in January of 2020, she held roles at Biogen, Eli Lilly, and Pfizer, where she has worked on drug development teams across multiple disease areas across all phases of clinical development. She has built and led cross-functional teams with a track record in delivering genomic data to test specific hypotheses to support drug registration as well as exploratory data for hypothesis generation. A passionate advocate for patient-focused and genetically guided drug development, she is co-chair of the National Academy of Sciences Roundtable on Genomics and Precision Health and a past co-chair of the Industry Pharmacogenomics Working Group. Michelle received her PhD from the University of Birmingham (UK).

Erik Phelps, JD, is Executive Vice President and General Counsel at Tempus. He is responsible for a broad range of legal areas including general corporate matters and strategy. He previously served as General Counsel at Epic, a software company that provides electronic health records for medical groups, hospitals, and healthcare organizations. He has also served as a partner at Michael Best & Friedrich LLP in Madison, WI, where he focused on software licensing and technology-related work, including work with early-stage companies.

 

 

Rachel Rice Ackman, JD, is Director of Research Integrity and Compliance at NYU Langone Health. She was formerly Research Compliance Officer in the Office of General Counsel at Dana-Farber Cancer Institute (DFCI), where she was responsible for creating and implementing DFCI’s first formal Research Compliance program, including oversight of animal and human subjects research, research administration and finance, contract negotiation, conflicts of interest, interactions with industry, lab safety, export controls, data use and security, controlled substances, and federally-funded invention reporting. Additionally, she previously worked at Massachusetts General Hospital and Partners Healthcare (MGH) in research compliance.  

 

Alexandra E. Shields, PhD, is Associate Professor of Medicine at Harvard Medical School (HMS) and Senior Scientist at Massachusetts General Hospital (MGH); Director of the Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities; Associate Member of the Broad Institute of MIT and Harvard; and Director of the Consortium on Psychosocial Stress, Spirituality, and Health. She is also a Presidential Scholar at the Dana Farber Cancer Institute. Her work focuses on the intersection of genomics research and genomic medicine with the interests of minority and low-income communities. Dr. Shields has expertise in qualitative research (interviews, case studies), survey research, health services research, and policy development and dissemination.

 

Jason L. Vassy, MD, MPH, SM, is an Assistant Professor of Medicine at Harvard Medical School, a practicing primary care physician at the VA Boston Healthcare System, and Director of the Genomes2Veterans research program. His research examines the clinical integration of genomics into routine medicine. Current project include a randomized trial of polygenic risk scoring for common diseases in primary care, two clinical trials of pharmacogenetic testing, and a pilot project returning unanticipated genetic results to participants in the Million Veteran Program.

 

 

Susan M. Wolf, JD, is McKnight Presidential Professor of Law, Medicine & Public Policy; Faegre Baker Daniels Professor of Law; and Professor of Medicine at the University of Minnesota. Prof. Wolf is Chair of the University’s Consortium on Law and Values in Health, Environment & the Life Sciences. She is an elected member of the National Academy of Medicine (NAM) and a Fellow of the American Association for the Advancement of Science (AAAS). Prof. Wolf's research has been supported by the National Institutes of Health (NIH) and National Science Foundation (NSF) as well as private foundations including the Robert Wood Johnson Foundation and The Greenwall Foundation. She is currently a Principal Investigator on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health on "LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application" (R01HG008605).

Carrie Blout Zawatsky, MS, CGC, is Senior Genetic Counselor and Project Manager at Brigham and Women’s Hospital (BWH) and is the Director of Research Development for the Genomes2People translational research group. She is Adjunct Assistant Professor in the School of Health and Rehabilitation Sciences in the Master of Science in Genetic Counseling program at Massachusetts General Hospital (MGH) Institute of Health Professions.

Planning Committee

Mark Barnes

 Mark Barnes, JD, LLM, is a Partner at Ropes & Gray, LLP. He has extensive experience in legal issues related to research with humans and animals, stem cell and genetic research, research grants and contracts, research misconduct, international research, and data privacy. In 2012 with Dr. Barbara Bierer, Mark started, and continues to serve as faculty co-chair of, the Multi-Regional Clinical Trials Center of Harvard University and Brigham and Women’s Hospital, a project designed to improve the planning, conduct, and regulation of multi-national clinical trials, with a special emphasis on trials in the emerging economies. He is currently a Working Group member on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health, LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application (R01HG008605). 

Ellen Wright Clayton, MD, JD, is Craig-Weaver Professor of Pediatrics, Professor of Law, and Co-founder of the Center for Biomedical Ethics and Society, Vanderbilt University. She is the 2010 recipient of the William G. Bartholome Award for Ethical Excellence from the American Academy of Pediatrics’ Section on Bioethics. Prof. Clayton is an elected member of the National Academy of Medicine (NAM), where she serves on the National Advisory Council, and a Fellow of the American Association for the Advancement of Science (AAAS). She has advised the National Institutes of Health and other federal and international bodies on topics ranging from children's and women's health to the ethical conduct of human subjects research. She is currently a Principal Investigator on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health, LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application (R01HG008605). 

Gail Javitt, JD, MPH, is a member of the Firm of Hyman, Phelps & McNamara, PC. Ms. Javitt provides strategic FDA regulatory advice for leading medical device, diagnostics, pharmaceutical, biological products, human cellular, and tissue-based products (HCT/Ps), and dietary supplement companies through the product life cycle and has successfully resolved disputes at both the pre-and post-market stage. She has significant experience advising clinical laboratories on FDA and CLIA requirements for laboratory developed tests. She is currently a Working Group member on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health, LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application (R01HG008605). 

 

Lawrenz

Frances Lawrenz, PhD, is Associate Vice President for Research and Wallace Professor of Teaching and Learning at the University of Minnesota. Her research focuses on science and mathematics program evaluation, utilizing a variety of techniques and usually involving mixed methodologies. She has been recognized by the American Educational Research Association, having been awarded the 2016 Research on Evaluation SIG Distinguished Scholar Award for outstanding contributions to advance research in the field of evaluation, and by the National Association for Research in Science Teaching, with the Distinguished Contributions to Science Education through Research Award for outstanding contributions to science education. She is currently a Principal Investigator on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health, LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application (R01HG008605).

David Peloquin, JD, is an Associate at Ropes & Gray, LLP. He focuses his practice on advising academic medical centers, life sciences companies, and information technology companies on issues related to human subjects and animal research, data privacy, and Medicare/Medicaid and other third-party payor reimbursement issues. He frequently writes and speaks on topics related to each of these areas. In addition to his advisory practice, David regularly works with members of the firm’s private equity group in conducting regulatory diligence of private equity investments in the clinical research space. He also collaborates with members of the firm’s litigation practice on government investigations involving the clinical research enterprise.

 

Susan M. Wolf, JD, is McKnight Presidential Professor of Law, Medicine & Public Policy; Faegre Baker Daniels Professor of Law; and Professor of Medicine at the University of Minnesota. Prof. Wolf is Chair of the University’s Consortium on Law and Values in Health, Environment & the Life Sciences. She is an elected member of the National Academy of Medicine (NAM), a Fellow of the American Association for the Advancement of Science (AAAS), a Fellow of The Hastings Center, and a member of the American Law Institute (ALI). Prof. Wolf's research has been supported by the National Institutes of Health (NIH) and National Science Foundation (NSF) as well as private foundations including the Robert Wood Johnson Foundation and The Greenwall Foundation. She is currently a Principal Investigator on a project funded by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI) of the National Institutes of Health, LawSeqSM: Building a Sound Legal Foundation for Translating Genomics into Clinical Application (R01HG008605). 

Resources

Background articles that may be useful for this conference include:

LawSeqSM Genomics Law Database 

Presented in collaboration with Ropes & Gray, LLP, Hyman, Phelps & McNamara, PC, Vanderbilt University Medical Center, and the Consortium on Law and Values in Health, Environment & the Life Sciences at the University of Minnesota. It is an outgrowth of the NIH-funded LawSeqSM project, which is dedicated to building a sound legal foundation for translating genomics into clinical application. Supported in part by the National Human Genome Research Institute (NHGRI) and National Cancer Institute (NCI), National Institutes of Health grant R01HG008605. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Continuing Education Credit
Ropes & Gray is an accredited CLE provider in CA, IL and NY. This program offers 4.25 CA General credits, 4.25 IL General credits and 5.0 transitional NY Professional Practice credits. Download the Ropes & Gray Attorney Affirmation Form - CLE Credit for Webinars/Teleconferences form, complete and return to [email protected]

The Minnesota State Board of Continuing Legal Education approved 3.75 standard Continuing Legal Education (CLE) credits; Event Code is 294367.  

Audience
This interactive meeting will provide education to attorneys, researchers, healthcare providers and administrators, policy makers, faculty, students and interested community members.