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Healthy Skepticism Library item: 10780

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Gutteridge WE.
TDR collaboration with the pharmaceutical industry.
Trans R Soc Trop Med Hyg 2006 Dec; 100:
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75GP-4K1X5RN-5&_user=10&_coverDate=12%2F31%2F2006&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=e89d9ac46e58e582c525fe7b8fbcbda7


Abstract:

TDR’s research programme was initiated in 1976 at the same time that the pharmaceutical industry began to withdraw from the discovery and development of new drugs for tropical diseases. TDR collaborated with the industry right from the start, its prime objective initially being to ensure that candidate drugs already in the development pipeline, such as praziquantel, mefloquine, ivermectin, halofantrine and atovaquone/proguanil, were not shelved. It became clear during the 1980s that once candidate drugs in these existing pipelines had been processed, that would be it. TDR therefore developed a number of other ways for collaboration, including testing compounds already in development in companies for other therapeutic areas. One candidate identified in this way was an oral formulation of miltefosine, in development in Asta Medica for an antitumour indication. A joint Asta Medica (later Zentaris)/TDR development project was agreed, and despite its fair share of traumas during the development process, miltefosine is now registered for the treatment of visceral leishmaniasis in India, Germany and Colombia. This example of a successful TDR/pharmaceutical industry collaboration lives on in the various Public Private Partnerships such as the new Medicines for Malaria Venture that TDR helped to spawn.

Keywords:
Tropical diseases; Drugs; TDR; Pharmaceutical industry Publication Types: Review MeSH Terms: Antiprotozoal Agents*/chemical synthesis Antiprotozoal Agents*/supply & distribution Antiprotozoal Agents*/therapeutic use Drug Evaluation Drug Industry* Female Humans Interprofessional Relations* Leishmaniasis/drug therapy Male Phosphorylcholine/analogs & derivatives* Phosphorylcholine/chemical synthesis Phosphorylcholine/supply & distribution Phosphorylcholine/therapeutic use Public Sector Tropical Medicine* Substances: Antiprotozoal Agents Phosphorylcholine miltefosine

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909