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	<title>Comments on: White House Opposes Clinical Trials Database</title>
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	<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 22:27:54 +0000</pubDate>
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		<title>By: peer review articles</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-20329</link>
		<dc:creator>peer review articles</dc:creator>
		<pubDate>Mon, 24 Sep 2007 03:06:40 +0000</pubDate>
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		<description>&lt;strong&gt;peer review articles...&lt;/strong&gt;

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		<content:encoded><![CDATA[<p><strong>peer review articles&#8230;</strong></p>
<p>&#8230;</p>
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		<title>By: James</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19677</link>
		<dc:creator>James</dc:creator>
		<pubDate>Mon, 17 Sep 2007 16:34:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19677</guid>
		<description>In examining the concerns of the WH:

1.  the FDA and NIH wouldnâ€™t be able to validate the accuracy of the trial results posted.

Why not?  They can verify who submits AE reports.  NIH has a login process for companies submitting grants.  You can track IP addresses.  FDA investigators can obtain documentation.  If you know who is posting the data, and there is ever a questions about the accuracy, you can go back to the source.

2. results data is too technical.

So what?  Don't insult my intelligence by keeping information away from me.  There are plenty of smart people who can understand data, and people who can explain data to those who can't interpret the primary source.  If those interpreters oversimplify, manipulate or lie about the data, other smart people will point it out.  It happens all the time--notably when Nissen applied a meta-analysis that may have been inappropriate.
   
3. and lay summaries may have too much bias.

Again I say, so what?  If you release the primary data, there are enough people who will catch such biases and expose them.

The last thing I need is the government protecting me from myself, whether it benefits the drug companies (such as in this case), or harms them (such as the Provenge debate).

And for the drug companies to take this stand certainly undermines the image they want to cultivate of having patients' best interests at heart.</description>
		<content:encoded><![CDATA[<p>In examining the concerns of the WH:</p>
<p>1.  the FDA and NIH wouldnâ€™t be able to validate the accuracy of the trial results posted.</p>
<p>Why not?  They can verify who submits AE reports.  NIH has a login process for companies submitting grants.  You can track IP addresses.  FDA investigators can obtain documentation.  If you know who is posting the data, and there is ever a questions about the accuracy, you can go back to the source.</p>
<p>2. results data is too technical.</p>
<p>So what?  Don&#8217;t insult my intelligence by keeping information away from me.  There are plenty of smart people who can understand data, and people who can explain data to those who can&#8217;t interpret the primary source.  If those interpreters oversimplify, manipulate or lie about the data, other smart people will point it out.  It happens all the time&#8211;notably when Nissen applied a meta-analysis that may have been inappropriate.</p>
<p>3. and lay summaries may have too much bias.</p>
<p>Again I say, so what?  If you release the primary data, there are enough people who will catch such biases and expose them.</p>
<p>The last thing I need is the government protecting me from myself, whether it benefits the drug companies (such as in this case), or harms them (such as the Provenge debate).</p>
<p>And for the drug companies to take this stand certainly undermines the image they want to cultivate of having patients&#8217; best interests at heart.</p>
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		<title>By: Reality</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19673</link>
		<dc:creator>Reality</dc:creator>
		<pubDate>Mon, 17 Sep 2007 16:07:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19673</guid>
		<description>I guess I'm a little confused. PhRMA began hosting clinicalstudyresults.org in 2004, in which companies reported results on any study not published (or submitted within the year of study end), with companies backfilling results to studies completed as of October 2002. 

Granted, this is different than the FDA hosting one, but I think it's quite misleading of consumersunion.org to say that the pharmaceutical industry isn't/doesn't want to disclose results.

Moreover, from the article, it seems that the administration isn't opposed to an FDA database, but rather, are opposed to the 2 areas mentioned in the bill: the FDA can't confirm the accuracy, and that the lay summaries may be biased.</description>
		<content:encoded><![CDATA[<p>I guess I&#8217;m a little confused. PhRMA began hosting clinicalstudyresults.org in 2004, in which companies reported results on any study not published (or submitted within the year of study end), with companies backfilling results to studies completed as of October 2002. </p>
<p>Granted, this is different than the FDA hosting one, but I think it&#8217;s quite misleading of consumersunion.org to say that the pharmaceutical industry isn&#8217;t/doesn&#8217;t want to disclose results.</p>
<p>Moreover, from the article, it seems that the administration isn&#8217;t opposed to an FDA database, but rather, are opposed to the 2 areas mentioned in the bill: the FDA can&#8217;t confirm the accuracy, and that the lay summaries may be biased.</p>
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		<title>By: Melody</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19663</link>
		<dc:creator>Melody</dc:creator>
		<pubDate>Mon, 17 Sep 2007 14:14:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19663</guid>
		<description>Altex, you state:

Experts in various specialties spar over results, typically with multiple interpretations of the same study. We canâ€™t and shouldnâ€™t expect the average high school or college graduate to understand these results.

So, if the experts can take diametrically opposed views after "studying" the data--applying their own metrics and interpretation--how can the "average" high school graduate miss the mark? He will obviously be no more right or wrong than some leading expert.</description>
		<content:encoded><![CDATA[<p>Altex, you state:</p>
<p>Experts in various specialties spar over results, typically with multiple interpretations of the same study. We canâ€™t and shouldnâ€™t expect the average high school or college graduate to understand these results.</p>
<p>So, if the experts can take diametrically opposed views after &#8220;studying&#8221; the data&#8211;applying their own metrics and interpretation&#8211;how can the &#8220;average&#8221; high school graduate miss the mark? He will obviously be no more right or wrong than some leading expert.</p>
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		<title>By: Jack</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19655</link>
		<dc:creator>Jack</dc:creator>
		<pubDate>Mon, 17 Sep 2007 12:57:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19655</guid>
		<description>I can understand the desire to implement mandatory disclosure rules. I don't necessarily oppose this requirement. However, in addition to some of the challenges already mentioned that mandatory disclosure brings:

1. The proposals I've heard about require publication of results within one year.  However, it can take longer than one year to publish, especially if the investigators submit the results to a couple journals that reject the article after a long review.  If the law then requires industry to disclose these results on a website, then many journals will no longer consider the data for publication since it was already published. 

2. It will complicate collaborations between industry and academia, since academics will not face this requirement, but are instead encouraged to pursue the most high profile publications possible.

3. Although many in the media do there job with a mind towards fairness and balance, dramatic negative results sell best.  So, IMO, the media does fixate on negative safety data and can ignore positive efficacy data.</description>
		<content:encoded><![CDATA[<p>I can understand the desire to implement mandatory disclosure rules. I don&#8217;t necessarily oppose this requirement. However, in addition to some of the challenges already mentioned that mandatory disclosure brings:</p>
<p>1. The proposals I&#8217;ve heard about require publication of results within one year.  However, it can take longer than one year to publish, especially if the investigators submit the results to a couple journals that reject the article after a long review.  If the law then requires industry to disclose these results on a website, then many journals will no longer consider the data for publication since it was already published. </p>
<p>2. It will complicate collaborations between industry and academia, since academics will not face this requirement, but are instead encouraged to pursue the most high profile publications possible.</p>
<p>3. Although many in the media do there job with a mind towards fairness and balance, dramatic negative results sell best.  So, IMO, the media does fixate on negative safety data and can ignore positive efficacy data.</p>
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		<title>By: Lisa</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19653</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Mon, 17 Sep 2007 12:41:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19653</guid>
		<description>Lori.
Excellent points!  With Antipsychotics being prescribed at an alarming rate to infants,toddlers and teens,you would think that FDA and Congress would compel the Industry to disclose the clinical trial data they already have completed,but keep it sealed away from public scrutiny.

Atlex,
"Folks including the news media,do not have the capability to understand trial results"

Please speak for yourself!!
And as far as the Media is concerned,many of the Reporters are highly INTELLIGENT.The Industry understands this.</description>
		<content:encoded><![CDATA[<p>Lori.<br />
Excellent points!  With Antipsychotics being prescribed at an alarming rate to infants,toddlers and teens,you would think that FDA and Congress would compel the Industry to disclose the clinical trial data they already have completed,but keep it sealed away from public scrutiny.</p>
<p>Atlex,<br />
&#8220;Folks including the news media,do not have the capability to understand trial results&#8221;</p>
<p>Please speak for yourself!!<br />
And as far as the Media is concerned,many of the Reporters are highly INTELLIGENT.The Industry understands this.</p>
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		<title>By: Atlex</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19650</link>
		<dc:creator>Atlex</dc:creator>
		<pubDate>Mon, 17 Sep 2007 11:38:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19650</guid>
		<description>I'm not arguing against transparency, but let's face it, 99% of folks, including the news media, do not have the capability to understand trial results.  Experts in various specialties spar over results, typically with multiple interpretations of the same study.  We can't and shouldn't expect the average high school or college graduate to understand these results.  I have little doubt that transparency, while overall a good thing, will end up cuasing significant harm as the new media whips itself into a frenzy over meaningless or near meaningless study results.</description>
		<content:encoded><![CDATA[<p>I&#8217;m not arguing against transparency, but let&#8217;s face it, 99% of folks, including the news media, do not have the capability to understand trial results.  Experts in various specialties spar over results, typically with multiple interpretations of the same study.  We can&#8217;t and shouldn&#8217;t expect the average high school or college graduate to understand these results.  I have little doubt that transparency, while overall a good thing, will end up cuasing significant harm as the new media whips itself into a frenzy over meaningless or near meaningless study results.</p>
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		<title>By: Laurie</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19625</link>
		<dc:creator>Laurie</dc:creator>
		<pubDate>Mon, 17 Sep 2007 02:33:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19625</guid>
		<description>Hank, I think we're all on the same page, just expressing it differently.</description>
		<content:encoded><![CDATA[<p>Hank, I think we&#8217;re all on the same page, just expressing it differently.</p>
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		<title>By: Lori</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19607</link>
		<dc:creator>Lori</dc:creator>
		<pubDate>Sun, 16 Sep 2007 21:58:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19607</guid>
		<description>If you notice the language of these proposals, it is typically for disclosure of all trials not currently completed or those started after a certain date.  What I think would be of immense interest is to require pharmaceutical companies to fully disclose all EXISTING clinical trials and their results, i.e. those trials conducted prior to knowing that the results might have to be disclosed.  Lots of completed studies never see the light of day, in part because the results are not favorable.</description>
		<content:encoded><![CDATA[<p>If you notice the language of these proposals, it is typically for disclosure of all trials not currently completed or those started after a certain date.  What I think would be of immense interest is to require pharmaceutical companies to fully disclose all EXISTING clinical trials and their results, i.e. those trials conducted prior to knowing that the results might have to be disclosed.  Lots of completed studies never see the light of day, in part because the results are not favorable.</p>
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		<title>By: Hank</title>
		<link>http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19588</link>
		<dc:creator>Hank</dc:creator>
		<pubDate>Sun, 16 Sep 2007 17:25:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2007/09/white-house-opposes-clinical-trials-database/#comment-19588</guid>
		<description>Lori and I on same page.</description>
		<content:encoded><![CDATA[<p>Lori and I on same page.</p>
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