{"id":51109,"date":"2014-10-24T18:00:22","date_gmt":"2014-10-24T22:00:22","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=51109"},"modified":"2014-10-25T12:05:31","modified_gmt":"2014-10-25T16:05:31","slug":"european-medicines-agency-timeline","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/10\/24\/european-medicines-agency-timeline\/","title":{"rendered":"European Medicines Agency: a timeline&#8230;"},"content":{"rendered":"\n<p align=\"center\"><img loading=\"lazy\" decoding=\"async\" border=\"1\" width=\"240\" height=\"180\" src=\"http:\/\/1boringoldman.com\/images\/chess-park.jpg\" \/><\/p>\n<p align=\"justify\" class=\"small\">I was getting ready to write some things about a few new developments in the saga of the European Medicines Agency&#8217;s Data Transparency policy, and it occurred to me that the story has gone on so long and become so convoluted that I ought to do a rough timeline. I&#8217;d like to say it was for the reader who hasn&#8217;t followed the story closely, but the truth is that I&#8217;ve followed it closely and there are so many twists and turns that I needed to clarify the sequence of things for myself. It certainly has been a chess game &#8211; moves and counter moves, gambits and sacrifices, and it&#8217;s still not over. So here&#8217;s a rough intro starting with the opening moves through the announcement of their policy three weeks ago with some brief comments, a few posts, and the key links &#8211; just hitting the high points:  <\/p>\n<table cellspacing=\"0\" cellpadding=\"2\" border=\"0\" align=\"center\">\n<tr>\n<td align=\"center\" colspan=\"2\"> <img decoding=\"async\" border=\"0\" width=\"240\" src=\"http:\/\/1boringoldman.com\/images\/ema.gif\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"center\" colspan=\"2\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>JUL&middot;2012<\/strong><\/td>\n<td align=\"justify\">The European Medicines Agency announced that they would release their data on approved drugs. It was the first real breakthrough in Data Transparency that I knew about, and it was pretty exciting. Shortly thereafter, GSK finally posted the long overdue data from PAXIL Study 329 [from the NY settlement in 2004].<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/index.php\/2012\/09\/10\/any-news-is-good-news\/\">any news is good news&hellip;<\/a>             <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.reuters.com\/article\/2012\/07\/16\/europe-medicines-idUSL6E8IDBC920120716\">EU agency lifts lid on drug data secrets<\/a>                                  <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.pharmalot.com\/2012\/07\/ema-to-make-clinical-trial-data-available\/\">EMA To Make Clinical Trial Data Available<\/a>  <\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>FEB&middot;2013<\/strong><\/td>\n<td align=\"justify\">The centerpiece of this campaign was Tamiflu, a drug stockpiled in case of an epidemic\/pandemic. The Cochrane Collaboration questioned its efficacy and wanted to do a meta-analysis on all the trials. The campaign involved Ben Goldacre&#8217;s AllTrials, Fiona Godlee and the BMJ, Tom Jefferson and Peter Doshi of the Cochrane group, and many others. Roche finally began releasing the unpublished data.<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/index.php\/2013\/02\/26\/good-news-6\/\">good news&hellip;      <\/a>             <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.pharmalot.com\/2013\/02\/roche-peels-back-the-curtain-on-clinical-trial-data\/\">Roche Peels Back The Curtain On Clinical Trial Data<\/a> <\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>APR&middot;2013<\/strong><\/td>\n<td align=\"justify\">Two American companies filed suits contesting the EMA&#8217;s plan to release their data, InterMune and AbbVie. The EU court ordered the EMA to temporarily halt its releasing data. It was a decided setback.<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2013\/05\/01\/what-dont-they-understand-about-the-word-all\/\" target=\"_blank\">what don&rsquo;t they understand about the word &ldquo;All&rdquo;?&hellip; <\/a>             <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages\/news_and_events\/news\/2013\/04\/news_detail_001779.jsp&#038;mid=WC0b01ac058004d5c1\">European  Medicines Agency receives  interim decisions of the General Court of  the EU on access to clinical  and non-clinical information<\/a>               <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.pharmalive.com\/ema-ordered-not-to-release-trial-data-for-now\">EMA Ordered Not To Release Trial Data, For Now<\/a>              <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/archinte.jamanetwork.com\/article.aspx?articleid=1729531\">Transparency Interrupted: The Curtailment of the European Medicines Agency&rsquo;s Policy on Access to Documents<\/a>             <\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>JUN&middot;2013<\/strong><\/td>\n<td align=\"justify\">A leaked joint memo from the EFPIA [European Federation of Pharmaceutical Industries and Associations] and PhRMA [<span class=\"st\">Pharmaceutical Research and Manufacturers of America<\/span>] describes an extensive campaign to oppose the EMA&#8217;s Data Transparency efforts.<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2013\/07\/28\/a-closing-argument\/\" target=\"_blank\">a closing argument&hellip;      <\/a>              <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.guardian.co.uk\/business\/2013\/jul\/21\/big-pharma-secret-drugs-trials\">Big pharma mobilising patients in battle over drugs trials data<\/a>              <\/li>\n<li> <a href=\"http:\/\/social.eyeforpharma.com\/market-access\/exclusive-guardian-memo-leak-richard-bergstrom\" target=\"_blank\">Exclusive: The Devil is in the Details<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>SEP&middot;2013<\/strong><\/td>\n<td align=\"justify\">At a meeting in Brussels organized by the P<em>h<\/em>RMA\/EFPIA to <em>clear the air<\/em>, the air was hardly cleared. AbbVie&#8217;s lawyer, Neal Parker, made the case against Data Transparency to the horror of the regulators in attendance. It&#8217;s a bit of must watch <a target=\"_self\" href=\"https:\/\/www.youtube.com\/watch?v=54OY1auPQqU\">video<\/a> [@19:\/00].<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2013\/09\/06\/a-deal-breaker\/\" target=\"_blank\">a deal-breaker?&hellip;<\/a>             <\/li>\n<li> <a href=\"http:\/\/davidhealy.org\/wp-content\/uploads\/2013\/09\/AbbVie-v-EMA-2-bmj.f5390.full_.pdf\" target=\"_blank\">Industry and drug regulators disagree on which data should remain confidential<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>DEC&middot;2013<\/strong><\/td>\n<td align=\"justify\">The European Court lifted the hold on Data Release and asked the companies for justification for their claims. The EMA&#8217;s response is in the post.<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\"><a href=\"http:\/\/1boringoldman.com\/index.php\/2013\/12\/06\/another-patch-of-blue\/\" target=\"_blank\">another patch of blue&hellip;<\/a><\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>APR&middot;2014<\/strong><\/td>\n<td align=\"justify\">After negotiation with the EMA, AbbVie withdrew  its suit having extracted some concessions on redaction. The naive among us thought it was now something of a downhill run. The wary were on edge.<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/04\/03\/a-sunny-day\/\" target=\"_blank\">a sunny day&hellip;<\/a>            <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/uk.finance.yahoo.com\/news\/european-drug-trial-secrecy-case-154837303.html\">European drug trial secrecy case hit by delay  <\/a>                    <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.bloomberg.com\/news\/2014-04-03\/abbvie-drops-eu-court-bid-to-block-clinical-trial-data-release.html\">AbbVie Drops EU Court Bid to Block Clinical-Trial Data Release<\/a>                 <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.reuters.com\/article\/2014\/04\/03\/europe-medicine-secrets-idUSL5N0MV54S20140403\">UPDATE 1-AbbVie drops legal action in EU drug secrecy case<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>MAY&middot;2014<\/strong><\/td>\n<td align=\"justify\" colspan=\"2\">The sunny days didn&#8217;t last very long. The EMA released a draft of their policy that was dramatically restrictive. Redacted and abbreviated data would be released with a screen-only interface. There was a universal outcry and the European Ombudsman initiated an investigation.               <\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/05\/19\/the-u-turn\/\" target=\"_blank\">the U-Turn&hellip;      <\/a>             <\/li>\n<li> <a href=\"http:\/\/blogs.bmj.com\/bmj\/2014\/05\/22\/tom-jefferson-et-al-emas-data-sharing-policy-towards-peeping-tom-based-medicine\/\" target=\"_blank\">EMA&rsquo;s data sharing policy&mdash;towards peeping tom based medicine?<\/a>               <\/li>\n<li> <a href=\"http:\/\/www.ombudsman.europa.eu\/en\/resources\/otherdocument.faces\/en\/54347\/html.bookmark\" target=\"_blank\">EMA policy on publication of and access to clinical-trial data<\/a>                <\/li>\n<li> <a href=\"http:\/\/www.ombudsman.europa.eu\/en\/press\/release.faces\/en\/54348\/html.bookmark\" target=\"_blank\">Ombudsman concerned about change of policy at Medicines Agency as regards clinical trial data transparency<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>JUN&middot;2014<\/strong><\/td>\n<td align=\"justify\" valign=\"top\">And as we closed in on the date the policy was to be announced, another U-turn. They dropped the screen-only interface part and reassured us that their commitment to data transparency was unwavering. But the wariness had, by this time, spread throughout the land.            <\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"justify\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/06\/14\/out-of-the-shadows\/\" target=\"_blank\">out of the shadows&hellip;<\/a> <\/li>\n<li> <a href=\"http:\/\/www.ombudsman.europa.eu\/en\/resources\/otherdocument.faces\/en\/54540\/html.bookmark\" target=\"_blank\">European Ombudsman reaction to EMA&rsquo;s 12 June 2014 statement issued after its Management Board meeting<\/a> <\/li>\n<li> <a target=\"_blank\" 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\/\">EMA&rsquo;s double U-turn on its peeping tom policy for data release?<\/a><\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/blogs.wsj.com\/pharmalot\/2014\/06\/13\/is-the-ema-making-too-many-compromises-on-transparency\/\">Is the EMA Making Too Many Compromises on Transparency?<\/a><\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.alltrials.net\/news\/ema-has-reversed-its-on-screen-restrictions-following-researcher-and-citizen-protest\/\">EMA has reversed its on-screen restrictions following researcher and citizen protest<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>JUL&middot;2014<\/strong><\/td>\n<td align=\"justify\" valign=\"top\">Then, at the 11th hour of announcing their definitive policy, they postponed the release until their October 2nd Board Meeting to get the &quot;wording&quot; right. The Defcon Level rose to <em>wariness<\/em><font><em>&sup2;<\/em>&#8230;<\/font><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"justify\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/07\/09\/a-long-hot-summer\/\" target=\"_blank\">a long hot summer&hellip;<\/a> <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages\/news_and_events\/news\/2014\/07\/news_detail_002138.jsp&#038;mid=WC0b01ac058004d5c1\">Management Board delays formal adoption of EMA publication of clinical trial data policy to October 2014<\/a> <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/blogs.wsj.com\/pharmalot\/2014\/07\/09\/pardon-the-delay-ema-postpones-trial-data-disclosure-policy-again\/\">Pardon the Delay: EMA Postpones Trial Data Disclosure Policy, Again<\/a><\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>SEP&middot;2014<\/strong><\/td>\n<td align=\"justify\" valign=\"top\">And while we waited, the other shoe dropped. The new EU President, Jean-Claude Juncker, moved the EMA from the directorate general for health and consumers [DG SANCO] to the directorate general for the internal market,  industry, and entrepreneurship [DG ENTR] &#8211; reversing the decision of his predecessor. The Defcon Level rose above <em>wariness<\/em><font><em><font>&sup3;<\/font><\/em><\/font><font> [<\/font><font>a major setback]<\/font>&#8230;<\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"justify\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/09\/17\/abuzz-over-there\/\" target=\"_blank\">abuzz over there&hellip;<\/a> <\/li>\n<li> <a href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g5671\" target=\"_blank\">The European Commission and pharmaceutical policy: A victory for profits over public health?<\/a> <\/li>\n<li> <a href=\"http:\/\/english.prescrire.org\/en\/79\/207\/46302\/3754\/3303\/SubReportDetails.aspx\" target=\"_blank\">Prescrire and the British Medical Journal send a letter to Jean-Claude Juncker, President of the European Commission<\/a><\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.epha.org\/a\/6157\">letter from the European Public Health Alliance<\/a>&nbsp;<\/li>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"left\" valign=\"top\" rowspan=\"3\"><strong>OCT&middot;2014<\/strong><\/td>\n<td align=\"left\" valign=\"top\">When the EMA policy was finally released, it was an certainly better than what had preceeded it [which was nothing], but it was nowhere close to where they started in July 2012. Even more disappointing, it didn&#8217;t fully clarify several points eg what does a CSR actually contain? the access to the IPD was postponed, etc. I suppose it could&#8217;ve been worse, but it had promised to be so much more&#8230;      <\/td>\n<\/tr>\n<tr class=\"small\">\n<td align=\"justify\">\n<li> <a href=\"http:\/\/1boringoldman.com\/index.php\/2014\/10\/03\/beyond-the-blind\/\" target=\"_blank\">beyond the blind&hellip;<\/a> <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages\/news_and_events\/news\/2014\/10\/news_detail_002181.jsp&#038;mid=WC0b01ac058004d5c1\">Publication of clinical reports<\/a> <\/li>\n<li> <a href=\"http:\/\/blogs.wsj.com\/pharmalot\/2014\/10\/03\/ema-remains-under-fire-for-its-policy-on-disclosing-clinical-trial-data\/\" target=\"_blank\">EMA Remains Under Fire for its Policy on Disclosing Clinical Trial Data <\/a> <\/li>\n<li> <a target=\"_blank\" href=\"http:\/\/blogs.bmj.com\/bmj\/2014\/10\/07\/tom-jefferson-emas-release-of-regulatory-data-trust-but-verify\/\">EMA&rsquo;s release of regulatory data &mdash; trust but verify<\/a><\/li>\n<\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>I was getting ready to write some things about a few new developments in the saga of the European Medicines Agency&#8217;s Data Transparency policy, and it occurred to me that the story has gone on so long and become so convoluted that I ought to do a rough timeline. I&#8217;d like to say it was [&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":[5],"tags":[],"class_list":["post-51109","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/51109","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=51109"}],"version-history":[{"count":65,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/51109\/revisions"}],"predecessor-version":[{"id":51209,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/51109\/revisions\/51209"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=51109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=51109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=51109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}