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Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Confession

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Specialist in fertility and IVF techniques

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Five-step process

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

The accident

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

The accident repeated

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Stem cells

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Established stem cell lines

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Regulations and guidelines

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Continuous iteration

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

No ban

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Recommendations may change with time

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Enabling structure

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Product acceptance and release criteria

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

IC-SCRT / NAC-SCRT

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Records, no hype, scientific evidence

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Data for over 1,200 patients

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

GLP, GMP and GCP certifications

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Regulatory environment

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

France

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Germany

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Italy

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

The UK

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

China

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

The USA

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

National Institutes of Health Guidelines on

Human Stem Cell Research

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Singapore

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

No specific legislation in Singapore

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Singapore chimeras

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

What have I done differently?

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Only one embryo

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Non-chimeric

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Treatment outcomes

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Assessment standards and scales

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Holistic, sensitive and workable score

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Some cases

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

26-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

26-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

2 June 2011 11 November 2011

26-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

19 June 2012 16 July 2012

26-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

16 July 2012 2 June 2011

25-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

25-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

25-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

25-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

After Before

46-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

46-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

8 November 2011 3 January 2012

46-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

7 March 2012 6 November 2012

46-year old male

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

6 November 2012 8 November 2011

45-year old female

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Day 10 Day 2

45-year old female

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Day 26 Day 19

45-year old female

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Day 26 Day 1

Ready-to-use form

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

International patent

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Easy clinical application

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Incurable and chronic conditions and illnesses

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Treatment protocol developed over the years

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

30% are doctors, 30% from 36 countries

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Towards commercialisation

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Virtual patent ban in the EU

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

How can innovation come from the third world?

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Two basic questions

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

When does a developing embryo become human?

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Questions only for hESC research and treatment

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

No problems with IVF

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Wastage of nearly 1.7 million embryos in the UK

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Termination of pregnancy

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Morning-after pill acceptable

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Safe and efficacious therapeutic effects

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

No matching, no testing

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

First line of treatment for many of mankind’s worst

afflictions

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Cogent, unblinkered policy framework

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

What lies ahead is still not firm and final

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Review, accept and adapt

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Thinking of the patient first

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

No more Savitas

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Death triumphed where life should have

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

It is time we acted

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London

Thank you!

Human Embryonic Stem Cell Treatment An Indian Perspective

Presentation by Dr Geeta Shroff 15 March 2013 • King’s College, London