slumdog trials: on a war footing…

Posted on Sunday 3 February 2013


Overseas Clinical Trials: Compare and Contrast


Association of Clinical Research Organizations
Globalization White Paper

This report analyzes the current state of global clinical research and the role that biopharmaceutical companies and their clinical research organization (CRO) partners play in ensuring that the dual goals of trial safety and quality are met.

With the changing landscape for CROs, the report has several key findings:
  • Global trials speed drug development – The report concludes that globalized trials can reduce development time by half while lowering costs and maintaining quality and safety.
  • Research quality standards must be met worldwide – The report found that trials in emerging countries, such as China and India, are subject to the same standards as those conducted in the U.S. and Western Europe.
  • Clinical research improves local economies – Clinical research offers huge advantages for host countries, including an influx of advanced equipment, trained personnel and high-paying jobs.
  • Emerging market equals growth market – CRO activity in Central European countries, South Korea and Taiwan is very robust, medical infrastructures are advanced and capabilities are just about on par with Western Europe.

Indian supreme court’s anger over unregulated clinical trials
Chemical World
by Rajesh Parishwad
25 January 2013

The fledgling clinical trials industry in India has been hit by recent revelations of a lack of regulation. Now, the country’s supreme court has criticised the body that oversees clinical trials for its inaction in the face of these unethical practices.

‘Uncontrolled clinical trials are causing havoc to human life,’ the supreme court stated in response to a petition filed by the human rights group Swasthya Adhikar Manch (SAM). ‘There are so many legal and ethical issues involved with clinical trials and the government has not done anything so far.’ SAM’s petition alleged that multinational companies are exploiting loopholes and gaps in the law to run their trials. Poorly run and unethical trials have resulted in health problems and even the death of some trial participants, who are often signed up without their knowledge.

The supreme court directed the government to manage the ‘menace’ of poorly regulated trials on a war-footing. The court asked the health secretary to take over supervising clinical trials across the country, revoking the power of the Central Drug Standard Control Organisation (CDSCO) under the Drugs Controller General of India (DCGI), the sole agency that monitors and regulates clinical trials…

A couple of years ago, I read some about the Clinical Research Organizations, a multibillion dollar industry that I hadn’t known existed:
I decided that ACRO [Association of Clinical Research Organizations] pretty much existed to lobby for Globalization of Clinical Trials. At the time, I was looking at Seroquel, so I plotted time to completion of all the Seroquel Schizophrenia Trials from clinicaltrials.gov:
Cheaper and faster – What’s not to like? Can graft, corruption, and exploitation be far behind? Apparently not. The Ugly American Multinational Corporation strikes again!…

P.S.: Remember:

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