Healthy Skepticism Library item: 1779
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Publication type: Journal Article
Buchkowsky SS, Jewesson PJ.
Industry sponsorship and authorship of clinical trials over 20 years.
Ann Pharmacother 2004 Apr; 38:(4):579-85
http://www.theannals.com/cgi/content/full/38/4/579
Abstract:
BACKGROUND: The pharmaceutical industry has become a major source of funding for biomedical research. Our general observation is that pharmaceutical industry employees are appearing with increasing frequency as coauthors of clinical trial publications. OBJECTIVE: To characterize clinical trial funding, reporting, and sources; investigate author-industry affiliation; and describe clinical outcome trends over time. METHODS: We reviewed 500 randomly selected clinical trials published in 5 influential medical journals over a 20-year period (1981-2000). RESULTS: Of the 500 clinical trials reviewed, 181 (36%) involved pharmaceutical industry as an independent (n = 104) or joint (n = 77) sponsor and 180 (36%) involved a peer-review funding source; the balance (139; 28%) lacked any declared sponsorship. The percentage of industry-sponsored clinical trials increased to 62% during 1997-2000. The percentage of nonprofit sponsored clinical trials remained constant over time, while the percentage of those without funding declaration declined. Reported author affiliation with industry increased to 66% of clinical trials sponsored only by industry. An increase in the percentage of clinical trials with reported author-industry affiliation was observed for all journals. Regardless of funding source, the majority of clinical trials reported clinical outcomes that favored the study drug. CONCLUSIONS: Pharmaceutical industry-sponsored and mixed-funding clinical trials are common, and the relative incidence of published trials with these declared funding sources in the 5 journals reviewed has increased. Industry employees are appearing as coauthors of clinical trial publications with increasing frequency.
Keywords:
Authorship*
Biomedical Research/trends
Clinical Trials/economics
Clinical Trials/trends*
Conflict of Interest/economics
Drug Industry/economics
Drug Industry/trends
Humans
Peer Review, Research
Periodicals/economics
Periodicals/trends
Publication Bias/trends
Research Support/economics
Research Support/trends
Treatment Outcome