Ph. Cox, CRITERIA FOR THE USE OF MONOCLONAL-ANTIBODIES, LEGISLATION AND ETHICAL CONSIDERATIONS, Nuclear medicine communications, 14(8), 1993, pp. 653-657
The criteria governing the in vivo use of monoclonal antibodies in hum
ans are based upon a number of legal requirements with respect to radi
ation hygiene, pharmaceutical legislation, radiopharmaceutical legisla
tion and regulations with respect to products arising from biotechnolo
gy. This in itself has led to a complicated situation which has undoub
tedly restricted the development of valuable diagnostic and potential
therapeutic agents. From the ethical point of view there are also impo
rtant considerations, firstly with respect to the methods of producing
antibodies, which has resulted in the discontinuation of the raising
of antibodies in murine ascites, and secondly in consideration of the
ethics of administering labelled antibodies to healthy volunteers and
to patients who may not necessarily benefit personally from the proced
ure. These factors must be evaluated in the light of the EEC document
'Good clinical practice for trials in medicinal products in the Europe
an Community from the CPMP working party on Efficacy of Medicinal Prod
ucts'.