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Healthy Skepticism Library item: 11292

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

Powell JR, Gobburu JV.
Pharmacometrics at FDA: evolution and impact on decisions.
Clin Pharmacol Ther 2007 Jul; 82:(1):97-102
http://www.nature.com/clpt/journal/v82/n1/abs/6100234a.html;jsessionid=CB5CB77AC8F93A324BAD850866E7144B


Abstract:

Drug development and regulatory decisions are driven by information that is compiled primarily from clinical trials and other supportive experiments, but also through clinical experience in the post-market period. The wisdom of these decisions determines the efficiency of drug development, the decision to approve the drug, and the resultant drug product quality including guidance on how to use the product known as the label. Although the decisions are usually simple in nature (e.g., trial design and project progression at the company, product and labeling approval at the Food and Drug Administration (FDA)), the information informing the decision is complex and diverse.

Keywords:
Publication Types: Historical Article Review MeSH Terms: Biometry*/history Clinical Trials/history Clinical Trials/legislation & jurisprudence Clinical Trials/methods Clinical Trials/trends* Computer Simulation Decision Making* Dose-Response Relationship, Drug Drug Approval*/history Drug Labeling Government Regulation*/history Health Policy/history Health Policy/trends* History, 20th Century History, 21st Century Humans Models, Biological Pharmacokinetics Pharmacology, Clinical/history Pharmacology, Clinical/legislation & jurisprudence Pharmacology, Clinical/methods Pharmacology, Clinical/trends* Product Surveillance, Postmarketing Research Design United States United States Food and Drug Administration/history United States Food and Drug Administration/trends*

 

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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