{"id":47307,"date":"2014-06-14T06:00:34","date_gmt":"2014-06-14T10:00:34","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=47307"},"modified":"2014-06-14T05:48:32","modified_gmt":"2014-06-14T09:48:32","slug":"out-of-the-shadows","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/06\/14\/out-of-the-shadows\/","title":{"rendered":"out of the shadows&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\" class=\"big\"><a target=\"_blank\" href=\"http:\/\/www.ombudsman.europa.eu\/en\/resources\/otherdocument.faces\/en\/54540\/html.bookmark\">European Ombudsman reaction to EMA&#8217;s 12 June 2014 statement issued after its Management Board meeting  <\/a><\/div>\n<div align=\"center\" class=\"small\">13 Jun, 2014 <\/div>\n<p align=\"justify\">The European Ombudsman, Emily O&#8217;Reilly, notes the statement EMA published after its management board meeting on 12 June. As EMA now intends to finalise a revised wording for its proactive clinical trial data policy, the Ombudsman cannot yet comment in detail on what may emerge. However, the Ombudsman notes that she shares the grave concerns expressed by members of the scientific community about EMA&rsquo;s draft disclosure policy. In her view, it was defective on three fronts:<\/p>\n<div align=\"justify\">It allowed data only to be seen on-screen using an interface, thereby preventing researchers from downloading the data. According to EMA&#8217;s 12 June statement this point seems to be subject to change by &quot;giving the possibility to download, save and print trial data for academic and non-commercial research purposes&quot;. If implemented, the Ombudsman would welcome this change.<\/div>\n<ul>\n<li>\n<div align=\"justify\">It imposed broad legal conditions on the access to and use of such data.<\/div>\n<\/li>\n<li>\n<div align=\"justify\">It only allowed limited access to clinical trial data by redacting significant information.<\/div>\n<\/li>\n<\/ul>\n<div align=\"justify\">The Ombudsman welcomes the fact that the Management Board of EMA seems to have responded to the concerns of the scientific community concerning on-screen access. The Ombudsman is unaware whether the Management Board has suggested any changes relating to the other two concerns. The change to the draft policy requested by the Management Board will now require EMA to make changes to the draft Terms of Use. The Ombudsman will carefully examine the Terms of Use when they are modified to reflect the outcome of the Management Board meeting. The Ombudsman will also, in that context, examine how EMA intends to redact the documents. The Ombudsman also notes EMA&rsquo;s assertion that its new policy is without prejudice to the right to request public access to documents.<\/div>\n<p>       <\/p>\n<div align=\"justify\">In 2012, subsequent to a request to release clinical study reports relating to two medicines [Humira and Esbriet], EMA decided to release these clinical study reports with only limited redactions. It recently agreed, as part of a compromise deal with a pharmaceutical company, to make more extensive redactions to the Humira documents. The Ombudsman is currently carrying out an inquiry to determine the legality of those additional redactions. The Ombudsman remains puzzled as to why EMA abandoned its original draft disclosure policy from 2012 and substituted it with a different draft policy, more in line with the pharmaceutical industry&rsquo;s wishes.<\/div>\n<\/blockquote>\n<blockquote>\n<div align=\"center\" class=\"big\"><a href=\"http:\/\/blogs.bmj.com\/bmj\/2014\/06\/13\/tom-jefferson-and-peter-doshi-emas-double-u-turn-on-its-peeping-tom-policy-for-data-release\/\" target=\"_blank\">EMA&rsquo;s double U-turn on its peeping tom policy for data release?<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#0033ff\">British Medical Journal Blogs<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">by Tom Jefferson and Peter Doshi<\/div>\n<div align=\"center\" class=\"small\">13 Jun, 2014 <\/div>\n<p align=\"justify\">Yesterday&rsquo;s <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages%2Fnews_and_events%2Fnews%2F2014%2F06%2Fnews_detail_002124.jsp&#038;mid=WC0b01ac058004d5c1\">announcement<\/a>  that the EMA Management Board may have adopted a less obstructive  policy to releasing clinical trial data comes hard on the heels of  widespread coverage [see <a target=\"_blank\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3561\">here<\/a>, <a target=\"_blank\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3432\">here<\/a>, <a target=\"_blank\" href=\"http:\/\/news.sciencemag.org\/europe\/2014\/05\/researchers-slam-transparency-u-turn-e.u.-medicines-agency\">here<\/a>, and <a target=\"_blank\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3852\">here<\/a>] and protests [by the <a target=\"_blank\" href=\"http:\/\/www.ombudsman.europa.eu\/en\/press\/release.faces\/en\/54348\/html.bookmark\">EU Ombudsman<\/a>, <a target=\"_blank\" href=\"http:\/\/blogs.plos.org\/speakingofmedicine\/2014\/05\/20\/ema-poised-make-major-u-turn-transparency-initiative\/\">us<\/a>, <a target=\"_blank\" href=\"http:\/\/blogs.bmj.com\/bmj\/2014\/05\/22\/tom-jefferson-et-al-emas-data-sharing-policy-towards-peeping-tom-based-medicine\/\">us again<\/a>, <a target=\"_blank\" href=\"http:\/\/blogs.plos.org\/speakingofmedicine\/2014\/05\/30\/emas-new-data-release-policy-promoting-transparency-expanding-pharma-control-data\/\">Trudo Lemmens<\/a>, the <a target=\"_blank\" href=\"http:\/\/english.prescrire.org\/Docu\/DOCSEUROPE\/20140520_EMATransparencyPolicy.pdf\">ISDB\/AIM\/ Nordic Cochrane Centre\/ Medicines in Europe Forum<\/a>, <a target=\"_blank\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3432\/rr\/699175\">German IQWiG<\/a>, and <a target=\"_blank\" href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3768\">AllTrials<\/a>]. All this, plus a Twitter <a target=\"_blank\" href=\"https:\/\/twitter.com\/hashtag\/screenonly?src=hash\">#screenonly <\/a>campaign,  reveals enormous discontent with the agency&rsquo;s last minute announcement  of &ldquo;view on screen only&rdquo; access to clinical study reports [CSRs], new  &ldquo;redaction principles,&rdquo; and new legal &ldquo;terms of use.&rdquo; In <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/docs\/en_GB\/document_library\/Other\/2014\/05\/WC500167426.pdf\">two<\/a> <a target=\"_blank\" href=\"http:\/\/www.alltrials.net\/wp-content\/uploads\/2014\/06\/2014-05-06-Letter-to-Dr-Sile-Lane-AllTrials-Campaign-EMA-draft-policy-on-CT-data.pdf\">responses<\/a>,  EMA executive director Guido Rasi defended the agency&rsquo;s draft policy,  explaining that the EMA&rsquo;s latest draft policy represented &ldquo;absolutely no  change in direction.&rdquo;<\/p>\n<p align=\"justify\">Yesterday&rsquo;s <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages%2Fnews_and_events%2Fnews%2F2014%2F06%2Fnews_detail_002124.jsp&#038;mid=WC0b01ac058004d5c1\">press release<\/a>  from the EMA announces &ldquo;more user-friendly amendments proposed by EMA  executive director Guido Rasi, that will not only allow the Agency to  proactively publish clinical trial data that are submitted as part of  marketing authorisation applications, but also give the possibility to  download, save, and print the trial data for academic and non-commercial  research purposes.&rdquo; This appears, on the face of it, to be another major change by the  agency, effectively doing away with the peeping tom policy proposal to  look, but not touch the material. However, we urge those who are about to rush to the nearest  off-licence and&nbsp;purchase some champagne, to bide their time, and wait  until we see the fine print of the policy.<\/p>\n<p align=\"justify\">Firstly, even if the &ldquo;view on screen only&rdquo; policy has been removed,  serious concerns remain about the EMA&rsquo;s redaction and terms of use  policies. Secondly, we&rsquo;ve had surprises sprung on us before. Things looked good  before the EMA&rsquo;s sudden &ldquo;u-turn&rdquo; in the middle of May. Last week, <a target=\"_blank\" href=\"http:\/\/www.alltrials.net\/wp-content\/uploads\/2014\/06\/2014-05-06-Letter-to-Dr-Sile-Lane-AllTrials-Campaign-EMA-draft-policy-on-CT-data.pdf\">Rasi told AllTrials<\/a>  that &ldquo;the issue of the usefulness of on-screen access to data was  discussed with academics during the whole consultation process and we do  not accept that this is a superficial or useless gesture.&rdquo; Yet&nbsp;the  peeping tom clause came as a surprise to those attending the EMA&rsquo;s 16  May meeting with academics. Furthermore, many of the researchers who had  formally contributed to earlier EMA committee work in 2013 do not  appear to have been invited to this final meeting, for reasons as yet  unexplained. [A letter, co-signed by Peter Doshi, was sent to Rasi  requesting an explanation].<\/p>\n<div align=\"justify\">On this basis, we feel that Ronald Reagan&rsquo;s old maxim &ldquo;trust but verify&rdquo; is more appropriate than celebrations.<\/div>\n<\/blockquote>\n<div align=\"justify\">see also <a href=\"http:\/\/blogs.wsj.com\/pharmalot\/2014\/06\/13\/is-the-ema-making-too-many-compromises-on-transparency\/\" target=\"_blank\">Is the EMA Making Too Many Compromises on Transparency?<\/a>&nbsp; [Pharmalot], <a href=\"http:\/\/www.alltrials.net\/news\/ema-has-reversed-its-on-screen-restrictions-following-researcher-and-citizen-protest\/\" target=\"_blank\">EMA has reversed its on-screen restrictions following researcher and citizen protest<\/a> [AllTrials], <a target=\"_blank\" href=\"http:\/\/www.gleniswillmott.eu\/reaction-to-european-medicine-agencys-transparency-policy\/\">Reaction to European Medicine Agency&rsquo;s transparency policy<\/a> [Glenis Willmott MEP, rapporteur for the Clinical Trials Regulation]. The most important part of this story is how many people are looking, following this story. That&#8217;s the whole point of Data Transparency &#8211; getting things out of the shadows&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>European Ombudsman reaction to EMA&#8217;s 12 June 2014 statement issued after its Management Board meeting 13 Jun, 2014 The European Ombudsman, Emily O&#8217;Reilly, notes the statement EMA published after its management board meeting on 12 June. As EMA now intends to finalise a revised wording for its proactive clinical trial data policy, the Ombudsman cannot [&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-47307","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/47307","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=47307"}],"version-history":[{"count":15,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/47307\/revisions"}],"predecessor-version":[{"id":47322,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/47307\/revisions\/47322"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=47307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=47307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=47307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}