CROs exposed in India…

Posted on Sunday 21 April 2013

 
This has been a rotten story. When I first encountered the Clinical Research Industry, I thought it sounded shady, primarily because of its big push for "Globalization." It smelled like exploitation:
And that seems to have been the case, particularly in India. Well, the Indian Supreme Court clamped down on the Health Ministry, to their credit:
And they’ve succeeded in doing something about it:

Clinical trials of drugs in India plummet
The New India Express
By PTI
21st April 2013

Clinical trials of drugs in India have seen a drastic fall this year after toughened norms were introduced following Supreme Court directives. Not only have the number of trial approvals in the country reduced, there has also been a significant reduction in the number of sponsoring pharma firms applying for such approvals.

Official Health Ministry data shows that until January 31 this year, only six trials had been approved. Even these pertained to older applications where the Drug Controller General of India had asked the applying firms to make some amendments. Sources say until April, only around 12 approvals have been granted by the DCGI for trials of drugs in India. Pending applications for trials as of today are just 70. This is in sharp contrast to the past when the number of Global Clinical Trials[ GCTs] approved for conduct in India was in hundreds. Though in 2008 the DCGI had granted just 65 approvals for trials, the number in 2009 rose sharply to 391. The trend continued with a whopping 500 GCTs being allowed in 2010 and 325 in 2011 followed by 262 approvals in 2012.

Admitting that there has been a drastic fall in fresh applications for conduct of global clinical trials of drugs in the country, DCGI GN Singh told PTI, "The safety and well being of Indian subjects participating in clinical trials is the foremost in our minds. "This is why the Government has tightened the norms putting the onus of safety of participants on firms conducting the trials. It is for the first time that such norms have been put in place." As many as 2,262 people died in these trials during the past five years, leading to a public outcry and Supreme Court intervention for stricter norms for holding drug trials. The apex court had rapped the Health Ministry for allowing Indians to be used as "guinea pigs" in the conduct of drug trials.

hat tip to Pharmagossip…
So as to the question, "Were they exploiting trial participants?" The answer is obviously "Yes." Otherwise the CROs wouldn’t have pulled out when some reasonable safeguards were introduced. The ACRO web site continues to lobby for "globalization"…
  1.  
    Bernard Carroll
    April 22, 2013 | 2:33 AM
     

    Patients as commodities…

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