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Kinderen als Grote Proefkonijnen Pharma

Dinsdag, 19 Augustus, 2008

98 het percent van de Proeven van de Drug op Kinderen heeft geen Controles van de Veiligheid

Door David Gutierrez | Minder dan 2 percent van drugproeven die op kinderen worden geleid hebben onafhankelijke veiligheids adviserende raad, een overzicht dat in het dagboek wordt gepubliceerd Handelingen Paediatrica heeft gevonden.

Onderzoekers van de Universitaire herzien rapporten van Nottingham over 739 internationale drugproeven die tussen 1996 en 2002 waren gepubliceerd. Zij vonden dat hoewel 74 percent van studies hun veiligheids controleprocedures beschreef, minder dan 2 percenten een onafhankelijke commissie van het veiligheidsoverzicht omvatten.

Dergelijke commissies zijn samengesteld uit onafhankelijke gezondheidsdeskundigen die de studiegegevens kunnen herzien aangezien het uit komt en waarschuwt als de drug schijnt om studiedeelnemers op risico te plaatsen.

„Het is onschatbaar om een onafhankelijke monitor te hebben die om het even welke ongunstige drugreacties of verschillen in ziekte en sterftecijfers tussen groepen kan vlug vragen die aan de klinische proeven deelnemen,“ bovengenoemde hoofdonderzoeker Helen Sammons. De „ouders moeten ook van de risico's van ongunstige drugreacties bewust worden gemaakt wanneer een kind om het even welke geneeskunde neemt zodat zij besluiten op basis van goede informatie kunnen nemen die die risico's tegen de mogelijke voordelen in evenwicht brengen de drug hun kind kan verstrekken.“

Het universitaire overzicht van Nottingham stelt ook voor dat de onafhankelijke commissies tot strengere veiligheidsnorm leiden. Van de 13 studies met onafhankelijke overzichtscommissies, werden zes gestopt vroeg wegens hoogst giftige druggevolgen.

Geen van de studies zonder onafhankelijke commissies werd vroeg tegengehouden.

Hoewel de onderzoekers slechts studies bekeken die op kinderen worden uitgevoerd, zeiden zij de statistieken voor volwassen proeven waarschijnlijk gelijkaardig zijn.

„Er is algemene overeenstemming door pediatrische gezondheidsberoeps, regelgevende instanties en de farmaceutische industrie, evenals politici en ouders, dat drug proeven zijn essentieel om drugtherapie te verbeteren,“ bovengenoemde Sammons. „Wij verzoeken alle pediatrische drugproeven om onafhankelijke veiligheids controlerende commissies te omvatten om ervoor te zorgen dat dit essentiële werk op een bepaalde manier wordt uitgevoerd dat risico's minimaliseert en voordelen voor de kinderen maximaliseert die.“ deelnemen

De ongunstige gevolgen voor de gezondheid werden gemeld in de meerderheid van drugproeven, hoewel niet allemaal om op de drugs werden verondersteld worden betrekking gehad. Een totaal van 70 percent van de herzien gemelde ongunstige gevolgen van drugproeven, en 20 percenten gemelde ernstige ongunstige gevolgen. Bijna 37 percent van drugproeven meldde bijwerkingen die aan de drugs worden toegeschreven; 11 percent of trials reported moderate, severe or life-threatening side effects.

Adverse effects reported included bleeding, high blood pressure, seizures, psychosis, acute renal failure and suicide.

Deaths were reported in 11 percent of drug trials, particularly in those involving premature babies. A total of 56 percent of studies involving newborns involved deaths. Deaths were also reported in trials for drugs meant to treat infectious diseases and problems with the nervous system, respiratory system and kidneys.

Most cases of death were not thought to be caused by the drugs.

According to Sammons, the practice of conducting clinical drug trials on children is fairly new. In the past, drug companies only conducted safety tests on adults and doctors were left to guess at what drugs would work for children, and in what doses.

Five years ago, the United States began providing longer exclusive drug licenses to pharmaceutical companies that carry out drug trials on children as well as adults. In reaction to this incentive, the number of trials including children has increased. A similar incentive system is about to go into effect in the European Union.

It is important to conduct these trials, Sammons said, to decide if the benefits of drugs outweigh the risks.

“We need to test drugs on children, as the only other options are to use unlicensed drugs or prescribe drugs that have been licensed for adults,” Sammons said. “But we feel that the small number of studies that reported having safety monitoring committees was unacceptable.”



Have Your Say: Children as Big Pharma Guinea Pigs
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2 Responses to “Children as Big Pharma Guinea Pigs”

  1. Nora
    Posted: Aug 19th, 2008 at 7:59 pm

    This study confirms what a lot of people have suspected - that there is not enough monitoring of Big Pharma activity!
    thanks for the post!

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  2. Ivor Hughes
    Posted: Aug 19th, 2008 at 10:10 pm

    A most timely article that deserves to be widely read.

    “We need to test drugs on children, as the only other options are to use unlicensed drugs or prescribe drugs that have been licensed for adults,” Sammons said. “But we feel that the small number of studies that reported having safety monitoring committees was unacceptable.”

    Personally what I find unacceptable are Dr Sammons conclusions. In the first place these synthetic drugs have unpredictable side effects most of which are horrific and many of them documented as causing more disease complications than are solved.

    We already have a number of alternative treatments that work,some of which are very ancient .. in other words the clinical trials were completed aeon’s ago .. we already know what is safe and what is not. Herbs elicit every known pharmacological response .. and I suspect many of which we have no knowledge.

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