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Healthy Skepticism Library item: 6950

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

Bellin E.
Clinical investigators and the pharmaceutical industry.
N Engl J Med 2000 Aug 17; 343:(7):511
http://content.nejm.org/cgi/content/full/343/7/510


Abstract:

I suggest three remedies to the problems identified by Dr. Bodenheimer. First, require all trials undertaken by pharmaceutical companies to be registered with the FDA, with end points specified in advance. Failure to register studies in advance would make their results inadmissible as evidence in FDA studies of efficacy. Second, make the pharmaceutical companies fill out a trial-completion report on all drugs they have studied. Third, require the pharmaceutical companies to make the data from their trials available on a Web site for others to analyze. Appropriate means of protecting the subjects’ confidentiality would be expected. Making the raw data available will allow others to analyze in depth the results of studies that the companies have chosen to ignore. (full text)

Keywords:
*letter to the editor/United States/relationship with pharmaceutical industry/conflict-of-interest/bias/SPONSORSHIP: RESEARCH Clinical Trials/standards* Conflict of Interest/economics Drug Industry/standards* Research Support* United States United States Food and Drug Administration

 

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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