{"id":33084,"date":"2013-02-05T00:26:41","date_gmt":"2013-02-05T05:26:41","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=33084"},"modified":"2013-02-05T00:46:08","modified_gmt":"2013-02-05T05:46:08","slug":"on-the-right-track","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/02\/05\/on-the-right-track\/","title":{"rendered":"on the right track&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\"><a href=\"http:\/\/www.pharmalot.com\/2013\/02\/a-tough-push-for-clinical-trial-disclosure-in-europe\/\" target=\"_blank\">A Tough Push For Clinical Trial Disclosure In Europe<\/a><br \/>      <strong><font color=\"#004400\">Pharmalot<\/font><\/strong><br \/>                          By Ed Silverman<br \/>       February 4th, 2013<\/div>\n<p align=\"justify\"><sup><strong><img decoding=\"async\" width=\"87\" vspace=\"6\" hspace=\"4\" border=\"1\" align=\"right\" src=\"http:\/\/1boringoldman.com\/images\/willmott.jpg\" \/>As  the debate over clinical trial transparency heats up, the lead  legislator for the Environment, Public Health and Food Safety Committee  in the European Parliament wants to toughen proposed legislation that is  designed to bolster clinical trial practices and activities on the  continent. And one of her suggestions is already meeting with some  resistance from the pharmaceutical industry. Specifically, lead legislator <a target=\"_blank\" href=\"http:\/\/www.gleniswillmott.eu\/about\/drop-down-page\/\">Glenis Willmott<\/a>  wants full clinical studies &ndash; not summaries &ndash; to be submitted and,  therefore, available for disclosure. &ldquo;Your rappoteur is the opinion that  a sample summary of the results from the sponsor does not go far  enough, as it could be biased or misleading,&rdquo; she writes in a statement  released late last week. Rappoteur is the lead legislator on a bill;  Willmott is from the UK, by the way.<\/strong><\/sup><\/p>\n<p align=\"justify\"><sup><strong>In her view, company data can be protected in line with existing  measures, although drugmakers continue to raise concerns that trade  secrets could be compromised. In fact, the Association of British  Pharmaceutical Industry issued a <a target=\"_blank\" href=\"http:\/\/www.abpi.org.uk\/media-centre\/newsreleases\/2013\/Pages\/010213-a.aspx\">statement<\/a>  saying that, &ldquo;if the entire file with all studies is released other  companies can get approvals around the world. Anyone can get an approval  as long as they submit the necessary data.&rdquo; Nonetheless, Willmott is adamant and proposes to fine drugmakers that  do not submit all pertinent clinical trial information to a database  within one year. And she also believes that all data should be archived  indefinitely, instead of the five-year period proposed by the European  Commission. &ldquo;Should a sponsor come under investigation for misconduct,  the clinical trial master file would be vital,&rdquo; she writes [<a target=\"_blank\" href=\"http:\/\/www.europarl.europa.eu\/sides\/getDoc.do?pubRef=-\/\/EP\/\/NONSGML%2BCOMPARL%2BPE-504.236%2B01%2BDOC%2BPDF%2BV0\/\/EN\">here is her report<\/a>]&#8230;<\/strong><\/sup><\/p>\n<p align=\"justify\"><sup><strong>Transparency, though, has arguably been the most contentious of the  various issues addressed in the legislation. Last month, the Health  Committee at the UK&rsquo;s National Institute for Health and Clinical  Excellence has issued a report calling for drugmakers to place all  information in &ldquo;the public domain&rdquo; and create a voluntary code for  publicly releasing trial data for drugs once they have been reviewed and  made available for clinical use [<a target=\"_blank\" href=\"http:\/\/www.pharmalot.com\/2013\/01\/a-voluntary-industry-code-for-releasing-trial-data\/\">back story<\/a>]&#8230;<\/strong><\/sup><\/p>\n<div align=\"justify\"><sup><strong>&ldquo;The demands by Dr. Goldacre and the British Medical Journal to  release patient-level clinical trial data are irresponsible with  potentially harmful consequences for future medicine development. The  recommendations would jeopardize patient privacy and could serve as a  deterrent to individuals considering participation in trials.  It would  also encourage second-guessing of the regulatory approval process, which  would be disastrous for patients. The FDA has the most advanced and  rigorous review process for potential new medicines and it is  continuously improving its regulatory and scientific capabilities,&rdquo;  PhRMA says in its <a target=\"_blank\" href=\"http:\/\/phrma.org\/media\/releases\/phrma-statement-clinical-trials-bad-pharma\">statement<\/a>.<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\"><strong><font color=\"#200020\">Glenis Willmott<\/font><\/strong> has clearly done her homework. Having spent more hours than I&#8217;d like to admit poring over the various kinds of summaries posted and turned in by the pharmaceutical industry, they are essentially of no use in vetting a clinical trial. They are as vulnerable to distortion and deceit as the published articles. She knows what she&#8217;s talking about [and even better, she seems to know that she knows what she&#8217;s talking about]. The comments of PhRMA are the usual kinds of things they say. But whether there&#8217;s truth in what they say or not, the behavior of the pharmaceutical industry in the recent past strips them of any wiggle room. Raw data from clinical trials is a non-negotiable target. It&#8217;s hard to even find an industry funded study that makes it into print factually unblemished. From her report:    <\/div>\n<ul><sup><strong><\/p>\n<div align=\"justify\"><strong>One of the major problems at the moment is the lack of transparency of clinical trial results. This has reduced public trust in trials and their findings. Independent academics often find it difficult to get the data they need to verify the results of trials and carry out systematic reviews, and a lot of data is withheld. It is also known that when trials are unsuccessful the results are often never published or made available at all. Trials can be carried out repeatedly before it becomes public knowledge that they are ineffective or even dangerous. The Commission is proposing some big steps forward in terms of transparency, by proposing that a publicly accessible, EU database on clinical trials is set up, holding information on all trials, successful or not. However, your Rapporteur is of the opinion that a simple summary of the results from the sponsor does not go far enough, as it could be biased and misleading.<\/strong><\/div>\n<div align=\"justify\"><strong><br \/>   Your Rapporteur is therefore recommending requiring sponsors to publish a full clinical study report on the EU database. The clinical study report is already a generally accepted international guideline and a comprehensive account of how the trial was carried out, and what the findings were. Many sponsors already prepare these reports, which are submitted to the regulatory bodies when applying for marketing authorisation. It includes a simplified summary, <font color=\"#990000\">but also the much fuller results which can be analysed and checked by independent researchers.<\/font> Clearly patients decide to take part in a trial to help advance medicine for themselves and other patients in their situation, not to help a particular company. Sharing more knowledge about trial results will not only increase trust in medicines, but accelerate the development of live-saving treatments. It will not compromise data protection, as all personal patient data will be anonymised.<\/strong> <\/div>\n<p> <\/strong><\/sup><\/ul>\n<div align=\"justify\">The only thing the pharmaceutical industry will lose is the right to make false claims. So it will change the industry and will likely change the practice of medicine. And that&#8217;s the whole point. We can add <strong><font color=\"#200020\">Glenis Willmott<\/font><\/strong> to the list of people who are on the right track &#8211; leading the effort to put integrity back into the domain of pharmaceutical clinical trials in medicine. <\/div>\n","protected":false},"excerpt":{"rendered":"<p>A Tough Push For Clinical Trial Disclosure In Europe Pharmalot By Ed Silverman February 4th, 2013 As the debate over clinical trial transparency heats up, the lead legislator for the Environment, Public Health and Food Safety Committee in the European Parliament wants to toughen proposed legislation that is designed to bolster clinical trial practices and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-33084","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=33084"}],"version-history":[{"count":16,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33084\/revisions"}],"predecessor-version":[{"id":33100,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33084\/revisions\/33100"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=33084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=33084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=33084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}