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Healthy Skepticism Library item: 13517

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

Lenzer J.
Company’s decision to lengthen lipid lowering trial causes controversy
BMJ 2008 Apr 12; 336:(7648):797
http://www.bmj.com/cgi/content/extract/336/7648/797-a?etoc


Abstract:

The decision to extend enrolment of participants in a lipid lowering trial that was set to come to an end in 2011 because the target for enrolments had already been exceeded is causing controversy.

The delay follows an earlier row about the delayed reporting of the results of another study of the same drug, ezetimibe, which is manufactured jointly by Merck and Schering-Plough and sold singly as Ezetrol in the United Kingdom and as Zetia in the United States, or in combination with simvastatin as Inegy in the UK and Vytorin in the US (BMJ 2008;336:180-1; doi: 10.1136/bmj.39468.610775.DB).

Merck and Schering-Plough published a news release on 28 March stating that they will extend enrolment in IMPROVE-IT (improved reduction of outcomes: vytorin efficacy international trial) to determine whether ezetimibe added to simvastatin “will translate into clinical benefit” compared with simvastatin alone, according to the trial’s chairman, Eugene Braunwald.

 

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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