The US Food and Drug Administration
frequently uncovers evidence of corruption and improper conduct in drug trials,
but those improprieties are almost never mentioned in the medical journals that
subsequently publish the findings of those same studies, according to research
in JAMA
Internal Medicine.
The study was conducted by Charles
Seife of the Arthur L. Carter Institute of Journalism at New York University,
who has also written an article for Slate about his study of
documents between 1998 and 2013 "describing FDA inspections of clinical
trial sites in which significant evidence of objectionable conditions or
practices was found."
"Fifty-seven published clinical
trials were identified for which an FDA inspection of a trial site had found
significant evidence of 1 or more of the following problems," wrote Seife.
"Falsification or submission of false information, 22 trials (39%);
problems with adverse events reporting, 14 trials (25%); protocol violations,
42 trials (74%); inadequate or inaccurate recordkeeping, 35 trials (61%);
failure to protect the safety of patients and/or issues with oversight or
informed consent, 30 trials (53%); and violations not otherwise categorized, 20
trials (35%)."
Nevertheless, Seife found, "Only
3 of the 78 publications (4%) that resulted from trials in which the FDA found
significant violations mentioned the objectionable conditions or practices
found during the inspection. No corrections, retractions, expressions of
concern, or other comments acknowledging the key issues identified by the
inspection were subsequently published."
Seife blamed the FDA. "When the
FDA finds scientific fraud or misconduct, the agency doesn’t notify the public,
the medical establishment, or even the scientific community that the results of
a medical experiment are not to be trusted," wrote Seife in Slate. "On the
contrary. For more than a decade, the FDA has shown a pattern of burying the
details of misconduct. As a result, nobody ever finds out which data is bogus,
which experiments are tainted, and which drugs might be on the market under
false pretenses."
JAMA Internal Medicine also has an audio
interview with Seife.
Seife, Charles. "Research
Misconduct Identified by the US Food and Drug AdministrationOut of Sight, Out
of Mind, Out of the Peer-Reviewed Literature." JAMA Intern Med. Published
online February 09, 2015. doi:10.1001/jamainternmed.2014.7774. (Abstract and
full text)
Are Your
Medications Safe? (Slate, February 9, 2015)
--Rob Wipond,
News Editor
This
entry was posted in Bias, Corruption & Accountability, Featured News, In the News, Research.
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Thank You Mr Wipond and MIA.
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