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Healthy Skepticism Library item: 16494

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: Electronic Source

Blumsohn A
NMT Medical - the MIST trial starts to unwind
Scientific Misconduct Blog 2009 Aug 31
http://scientific-misconduct.blogspot.com/2009/08/nmt-medical-mist-trial-starts-to-unwind.html


Full text:

I have posted previously (here and here) about this ethical and scientific scandal. The saga involves a medical device, and the conduct and conclusions of the Migraine Intervention with STARflex Technology (MIST) I trial. Peter Wilmshurst and another “author” of this study alleged scientific misconduct, hiding of data from authors and legal bullying by the sponsor, NMT Medical. They refused to sign the manuscript, made their views public, and were sued.

Now the remaining authors have been forced to submit an extensive manuscript “correction” which addresses a few of the many problems raised. Amongst other things there is an admission that “side effects” of the device were misrepresented. Devices embolized inside the heart and to the left pulmonary artery. A device that embolised into the pulmonary artery was reported to be in “an unsatisfactory position” and was not mentioned at all in the paper (or apparently to the Ethics Committee). The stated “authors” declare that they “regret” the “errors”.

The Journal (Circulation) did not question the changing authorship on the four versions of the paper that they received. The Editor in Chief of Circulation (Dr Loscalzo) earlier wrote to say that “We now consider the matter closed”. The UK regulator, the Medicines and Healthcare Regulatory Authority (MHRA) previously stated that it had “reviewed the “available evidence” and has found nothing to suggest that there is a problem”. Since the ejected authors and presumably the regulators had no relevant evidence at all, the MHRA response and their definition of “a problem” appears predictably odd to say the least.

The text of the statement of “correction” is here.

I don’t think that this is going to be last word on this sorry matter.

 

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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