{"id":33736,"date":"2013-02-28T21:25:53","date_gmt":"2013-03-01T02:25:53","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=33736"},"modified":"2013-02-28T22:23:25","modified_gmt":"2013-03-01T03:23:25","slug":"living-history","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/02\/28\/living-history\/","title":{"rendered":"living history&#8230;"},"content":{"rendered":"\n<div align=\"justify\"><em>The ABPI&rsquo;s first response was to reject the claims contained in Bad Pharma saying they were historical &#8211; a response widely seen as inadequate &#8211; but the industry organisation is now making moves to ensure pharma companies comply with existing pledges to publish data.<\/em><\/div>\n<div align=\"right\"><em><a target=\"_blank\" href=\"http:\/\/pharmagossip.blogspot.com\/2013\/02\/ben-goldacre-versus-stephen-whitehead.html\">Ben Goldacre versus Stephen Whitehead Debate<\/a><\/em>       <\/div>\n<p>      <\/p>\n<div align=\"justify\">There is little more infuriating to me than this particular argument &#8211; that PHARMA should be off the hook because the examples are &quot;historical&quot; &#8211; out of date. Is there a statute of limitations on corruption in medicine? I don&#8217;t think so. If a murderer stood before a judge and said, &quot;I don&#8217;t do that anymore, so let me go,&quot; the courtroom would break out in laughter. So it&#8217;s insulting to suggest that Ben Goldacre is off base in using examples that are &quot;historical.&quot; It takes a long time to get to the bottom of these cases. It was a decade before we could see the actual data from Paxil Study 329. It was eight years from Allen Jones&#8217; discovery of the TMAP scam before he could get it in a courtroom. And Carl Elliot has been chasing the case of Dan Markinson&#8217;s suicide in the CAFE Study for nine years:<\/div>\n<blockquote>\n<div align=\"center\"><a target=\"_blank\" href=\"http:\/\/www.startribune.com\/local\/193447511.html?source=error&#038;refer=y#close=1\">Drug study recruiting at U of M questioned<\/a><br \/>      <strong><font color=\"#200020\">Star Tribune: Minneapolis, MN<\/font><\/strong><br \/>      by JEREMY OLSON <br \/>      February 28, 2013<\/div>\n<div align=\"justify\"><sup><strong>    <\/p>\n<p>A University of Minnesota ethics professor is  asking for an investigation into drug study recruiting at the school and  raising questions about whether mentally ill patients have been  rubber-stamped into research. The professor, Carl Elliott, says he has obtained  consent documents for two separate schizophrenic patients that appear  to be exact copies &mdash; not just in the subjects&rsquo; apparent replies, but in  the positions of the lettering on the pages.<\/p>\n<p>Elliott said it is improbable that separate  patients would provide identical responses to the questionnaire, which  includes open-ended questions about the risks and requirements of  clinical research. And that, he said, raises questions about whether the  university was really examining patients to determine their ability to  consent to research. In comments following the publication of this  story, the university&rsquo;s general counsel, Mark Rotenberg, challenged the  authenticity of the documents and disagreed that study recruiters failed  to obtain proper and independent consent from mentally ill patients.<\/p>\n<p>&ldquo;I am challenging these allegations directly,&rdquo; he  said. &ldquo;We have no reason to believe the consent forms were prepared  inappropriately.&rdquo; Elliott&rsquo;s allegation revives concerns about  patient recruiting tactics that surfaced after the May 2004 suicide of  Dan Markingson, who was participating in a drug trial known as CAFE,  which compared the effectiveness of antipsychotic drugs.<\/p>\n<div>The university was dismissed from a lawsuit by  Markingson&rsquo;s family and cleared of blame in the suicide by an arm of the  U.S. Food and Drug Administration. But Elliott, a professor of  bioethics, and others have maintained that the university&rsquo;s recruitment  of Markingson was coercive and a breach of research ethics. &ldquo;Judging from this admittedly circumstantial  evidence,&rdquo; Elliott wrote on his blog, &ldquo;it appears as if someone in the  Department of Psychiatry may have been using a generic, photocopied form  with predetermined answers as documentation that mentally ill research  subjects were competent to consent to research studies.&rdquo; One of the evaluation forms Elliott posted was  from Markingson&rsquo;s lawsuit case file. The other came from another family.  Elliott said he has heard from more families since his blog post about  identical letters in their medical files&#8230;<\/div>\n<p><\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">If you need visible proof, here&#8217;s Carl&#8217;s <a target=\"_blank\" href=\"http:\/\/loathingbioethics.blogspot.com\/2013\/02\/has-department-of-psychiatry-been.html\">blog post<\/a>, and here are the forms in question, one from <a target=\"_blank\" href=\"http:\/\/www.scribd.com\/doc\/123357156\/Markingson-evaluation-to-consent-initials-added\">Dan&#8217;s Chart<\/a> and one from <a target=\"_blank\" href=\"http:\/\/www.scribd.com\/doc\/125317144\/Evaluation-to-Consent-Form-for-Anonymous-CAFE-Study-Subject\">another patient&#8217;s Chart<\/a>. It has taken Carl nine years with dogged persistence to get this far. These cases are only &quot;historical&quot; because the misconduct has been so deliberately defended and access has been so systematically obstructed that it&#8217;s a wonder that we know as much as we do. Don&#8217;t tell us that the Zebra has changed its stripes and expect anything but laughter. Goldacre&#8217;s campaign is for data transparency up front on every trial &#8211; period. The time to say &quot;trust me&quot; is long past&#8230;<\/div>\n<div align=\"right\"><sub><strong>Hat tip to Jack Friday: <a target=\"_blank\" href=\"http:\/\/pharmagossip.blogspot.com\/2013\/02\/drug-study-recruiting-at-u-of-m.html\">Pharmagossip<\/a><\/strong>:&nbsp;&nbsp;<img decoding=\"async\" height=\"40\" border=\"0\" align=\"middle\" src=\"http:\/\/1boringoldman.com\/images\/hat-tip.gif\" \/><\/sub><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The ABPI&rsquo;s first response was to reject the claims contained in Bad Pharma saying they were historical &#8211; a response widely seen as inadequate &#8211; but the industry organisation is now making moves to ensure pharma companies comply with existing pledges to publish data. Ben Goldacre versus Stephen Whitehead Debate There is little more infuriating [&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_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-33736","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33736","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=33736"}],"version-history":[{"count":5,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33736\/revisions"}],"predecessor-version":[{"id":33741,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/33736\/revisions\/33741"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=33736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=33736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=33736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}