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Healthy Skepticism Library item: 1149

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: news

FDA Reports More Than Half of Post-Approval Prescription Drug Studies Not Begun
California Healthline 2003 May 23


Full text:

The FDA yesterday said that more than half of post-marketing studies of drugs — which companies “routinely promise” as a condition of sales approval — have not begun, AP/Long Island Newsday reports. Treatment developers have not begun approximately 60% of 1,339 promised drug product research studies or 30% of 223 promised biological therapy studies, according to the FDA, which yesterday also released a Web site providing information on the status of follow-up studies. AP/Newsday reports that in some instances the FDA did not set a deadline for completion of the follow-up studies, which can be helpful for tracking drug side effects and proving medication efficacy. Among studies with deadlines, 2% of drug studies and 8% of biological studies are classified as delayed. For drugs approved through the FDA’s fast-track system, half of the post-marketing studies have been completed, 28% have not begun and 1.6% are officially delayed, AP/Newsday reports. “It shows there’s room for improvement” by drug companies and the FDA, Dr. John Jenkins, director of the FDA’s Office of New Drugs, said. Dr. Sidney Wolfe, director of the Health Research Group at Public Citizen, expressed disappointment in the findings and called for the FDA to seek congressional authority to impose fines on pharmaceutical companies that stall follow-up studies, AP/Newsday reports. Alan Goldhammer, vice president of the Pharmaceutical Research and Manufacturers of America, said the percentage of delayed studies “is very small” (AP/Long Island Newsday, 5/22).

 

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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