FOREIGN CLINICAL TRIALS ARE BECOMING A GROWING CHALLENGE FOR
THE FDA TO MONITOR & REGULATE
1st Concrete Evidence Collected By Independent Sources
Analyzes The Explosion In Overseas Clinical Trial Activities & Potential
For Abuses
Important investigation published in the latest exciting
issue of Biomedical Market Newsletter(R)
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COSTA MESA CA USA -- MEDICAL INDUSTRY E-MAIL NEWS
SERVICE(TM) -- OCT. 27, 2001 -- An important 15,000 word study that presents
the first concrete independent evidence on overseas clinical trials activities,
has been published in the Oct. 26, 2001 issue of Biomedical Market
Newsletter(R).
"Globalization of Clinical Trials; A Growing Challenge
In Protecting Human Subjects," details and analyzes the incredible growth
in the phenomenon of US medical product manufacturers conducting required
clinical trials overseas.
The controversial report, which is sure to raise criticism
within the medical industry as well as in Congress, was conducted by the DHHS
Office of the Inspector General (OIG), and released in recent days.
The fascinating new 18-page study, published within the
68-page BMN issue, determined that the number of foreign clinical investigators
increased 16-fold over the past decade. The countries that have
experienced the largest growth in recent years are Russia and Eastern
Europe.
In particular, the total of number of countries where these
clinical trials have been or are being conducted, has increased from 28 in
1990, to 79 in 1999. That astonishing growth rate is expected to continue
in coming years, fueled in part by the impressive ability of foreign trial
sites to recruit patients. On average, any Russian clinical trial site
recruits twice as many subjects as any site in Western Europe, for example.
The landmark article raises a number of potentially
difficult and expensive policy issues that the FDA will have to face, such as
the documented problems and potential for abuses to continue. Especially
troubling is the FDA's lack of resources to face this new challenge, as well as
its limited regulatory authority in foreign countries -- a situation that often
requires the involvement of diplomats and even Parliaments.
Furthermore, legitimate concerns were raised about the
validity of data that is collected. Perhaps even more troubling is that
the OIG determined that not all foreign clinical trial investigators have
signed an "attestation" that they will uphold human subject
protection. The OIG also claims that in general, the FDA has little or no
information about the clinical trial sites, investigators, Institutional Review
Boards (IRBs) and human subjects.
Clinical trials are generally considered to be hugely less
expensive for US medical companies to conduct outside the US than
domestically. But the reverse is true for the FDA, where just the airfare
alone to some countries exceeds the total cost of an equivalent domestic
inspection, which is approx. $2,500.
"The startling evidence and conclusions present a
troubling picture that have government officials concerned," notes Dave
Anast, Publisher/Editor/CEO Biomedical Market Newsletter. "If
steps are not taken soon to improve the serious situation, it may quickly grow
out of control," he stresses. "Also exacerbating the problem
are restrictions on foreign travel that were placed on all FDA officials
following the Sept. 11 tragedy," he says.
ALSO FEATURED:
Important new information is presented in a 7-page article,
"Reimportation of Pharmaceuticals Into The US Is Becoming A Significant
Problem; Practice Encourages Entrance Of Counterfeit Bulk Drugs." In
particular, FDA and other government officials are finding that reimported
US-made drugs may not have been stored under proper conditions, or may not be
the real product.
Surprisingly, very few, if any, Internet sites investigated
by the FDA require a prescription from a US practitioner. The potential
for abuse has quickly become huge, with an estimated 300-400 Internet sites
currently selling prescription drugs, and more sites coming on-line
daily. Approx. half the websites are based in the US, officials estimate.
OTHER ARTICLES INCLUDED IN THIS IMPORTANT ISSUE, PRINTED IN
4-COLOR:
-- Agreements Signed By US & UK To Collaborate On
Healthcare Quality & Bioterrorism
-- American Public Health Assn Executive Director Wants
Vaccines Made Available To The Public Now
-- Anthrax Plans Released
-- Anthrax Questions & Answers
-- CDC Investigation Of Anthrax Released
-- DHHS Releases $50 mln To Fund 94 New Research Grants,
Contracts & Projects, To Help Reduce Medical Errors & Improve Patient
Safety
-- DHHS Sec. Tommy Thompson Testifies on Bioterrorism
-- FDA Acts To Approve Other Drugs To Treat Anthrax Exposure
-- FDA Acts To Improve Ability To Monitor Marketed
Pharmaceuticals
-- FDA Announces Reuse Policy Changes; Changes In
Enforcement Of FDA's Requirements On Reprocessing Single-Use Devices
-- FDA CDRH Organization Structure, w/Phone Numbers
-- FDA CDRH Strategic Plan Released
-- FDA Says It Does Not Intend To Enforce Premarket
Requirements For Reprocessing Catheters
-- French Drug Firm Pleads Guilty To Felony For Defrauding
The FDA
-- Hong Kong & Asian Medical Industry Websites
-- Life Expectancy Hits New High of 76.9 Years
-- Medical Device Labeling Regulations Released By The FDA
-- New Global Health Issues Website Launched
-- Only 4 Weeks Before Sept. 11 & 2 Months prior To
Anthrax Cases, DHHS Released Plans To Address Bioterrorism Threat
-- Organ & Tissue Donation Groups Receive $10 mln DHHS
Award To Increase The Number Of Donors
-- Orthopedic Market
-- Orthopedic Market: Hip Fracture Patients
-- President Bush Speaks To The American Society Of
Anesthesiologists
-- Push Pack Emergency Supplies Were Used In NYC Disaster,
As Part Of 1st-Ever Use Of National Pharmaceutical Stockpile
-- Sentinel System Launched To Monitor US Blood Supply On A
Daily Basis
-- Systems To Screen Plasma For HIV & Hepatitis C
Approved By FDA; Antigen Testing Cuts The Window Period For Detection
-- Taking Cipro To Protect Against Anthrax May Not Be Such A
Great Idea; Epilepsy Foundation Warns It May Cause Seizures In Some People
-- Terrorism Concerns Hit Medical Conferences: How Bad is
The Damage?; New Market Research Study Is Launched To Find Out
ABOUT BIOMEDICAL MARKET NEWSLETTER(R)
Biomedical Market Newsletter(R), founded 1991 by David G.
Anast, is the leading new business development, market research, competitive
intelligence and FDA/regulatory monthly newsletter. Each issue is approx.
60-120 pages and packed with valuable original content and difficult-to-find
data, statistics and information. BMN Inc, which publishes over 50
medical trade publications, is independently owned and operated.
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