Why is Big Pharma outsourcing its clinical drug trials to children in poverty stricken nations like India?

Maybe it’s because justice isn’t served when they die after being used as human guinea pigs. After all, if nearly 50 babies in America died during a drug trial, there would be a stir. The drug would be banned from approval…right?

Conducting trials overseas allows more clandestine test activity and a drug can make it to our market with a little tweaking, after poor children have “taken enough for the team,” that is. Since 1990, these lucrative but deadly overseas trials have increased 2,000 percent.

~Health Freedoms

Why Big Pharma now outsources its clinical trials overseas

In New Delhi, 49 babies died at the All India Institute of Medical Sciences (a public hospital renowned for providing low-cost treatment to the poor) while they were taking part in pharmaceutical clinical trials over a 30-month period. These babies had been given a variety of new drugs being studied to treat conditions like zinc deficiency, high blood pressure or a brain inflammation called chronic focal encephalitis. The head of the pediatrics department at the All India Institute claimed that “none of the deaths was due to the medication or interventions used in clinical trials.”

The blood-pressure drugs had never before been given to anyone under 18. Yet of the children enrolled in these studies, two-thirds of them were infants less than one year old.

As recently as 1990, only 271 drug trials were being conducted in foreign countries on drugs intended for North American use. But by 2008, that number had risen to 6,485—an increase of more than 2,000%.

Rahul Verma, of the Uday Foundation for Congenital Defects and Rare Blood Groups (which exposed the babies’ deaths after a request under India’s freedom of information laws) observed:

“If you are rich in this country, you go to a private doctor. You certainly don’t put your child up to be experimented on.”

The editor of an Indian medical journal said at the time that it was obvious that the trials were intended to extend life in Western countries “with no consequence or benefit for India, using Indian children as guinea pigs.”

India has become one of the leading destination for international pharmaceutical companies to outsource clinical trials, largely because of the low cost of doing business there. According to the Times of India, the cost to Big Pharma of conducting drug trials in India is only 20% to 60% of the cost in industrialized countries.

And an executive at a contract-research organization told the anthropologist Adriana Petryna, author of the book When Experiments Travel:

“In Russia, a doctor earns two hundred dollars a month, and he is going to make five thousand dollars per patient that he signs up for each drug study.”

Investigative journalists Donald Barlett and James Steele uncovered more on this growing practice of drug companies heading overseas to conduct clinical trials for their report in the January issue of Vanity Fair. They wrote:

“The only people who seem to care about the surge of clinical trials in foreign countries are the medical ethicists—not historically a powerhouse when it comes to battling the drug companies.

They quote a team of physician-researchers from Duke University, writing last year in the New England Journal of Medicine, who observed:

“This phenomenon raises important questions about the economics and ethics of clinical research and the translation of trial results to clinical practice:

• Who benefits from the globalization of clinical trials?
• What is the potential for exploitation of research subjects?
• Are trial results accurate and valid, and can they be extrapolated to other settings?”

The Duke team further noted:

“In some places, financial compensation for research participation may exceed participants’ annual wages, and participation in a clinical trial may provide the only access to care for those taking part in the trial.”

The Barlett-Steele report is unflinching in its take on what they call “the globalization of the pharmaceutical industry, and our failure to rein in a lethal profit machine.”

Aside from the India babies scandal, they also remind us that in 2007, residents of a homeless shelter in Grudziadz, Poland received as little as $2 to take part in a drug company’s flu-vaccine experiment, thinking they were just getting a regular flu shot. They were not. At least 20 of them died.

They add that most Big Pharma clinical trials done today are conducted overseas “on sick Russians, homeless Poles, and slum-dwelling Chinese – in places where regulation is virtually nonexistent, the FDA doesn’t reach, and ‘mistakes’ can end up in pauper’s graves.”

Research to test the efficacy and safety of the medications North Americans take has traditionally been done mostly by academic researchers in North American universities and teaching hospitals, a system that included certain minimum standards.

Barlett and Steele offer this list of reasons that moving clinical trials overseas is so appealing to drug companies:

• It’s cheaper to run drug trials in places where the local population survives on only a few dollars a day.
• It’s easier to recruit patients, who often believe they are being treated for a disease rather than, as may be the case, just getting a placebo as part of an experiment.
• It’s easier to find what the industry calls “drug-naïve” patients: people who are not being treated for any disease and are not currently taking any drugs, and indeed may never have taken any. (For some subjects overseas, participation in a clinical trial may even be their first significant exposure to a doctor.)
• Regulations in many foreign countries are also less stringent, if there are any regulations at all. In 2008, for example, the FDA visited only 45 of the 6,485 locations where Big Pharma’s foreign drug trials were being conducted.
• The risk of litigation is negligible, in some places nonexistent.
• Ethical concerns are merely a figure of speech.
• Government regulators (like the FDA) do so little monitoring that the companies can pretty much do and say what they want.

Read more about this disturbing trend.

Carolyn Thomas

Source:

http://ethicalnag.org/2011/07/10/clinical-trials-outsourced-oversea/