Cover Image: September 2012 Scientific American Magazine See Inside

Studying Drugs in All the Wrong People [Preview]

How the costly race to enroll subjects in psychiatric research trials is harming patients and compromising treatment














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In Brief

Subject to Interpretation

  • Pharmaceutical companies offer financial incentives to researchers to fill drug studies quickly with large numbers of patients who may not be strictly suited to the trial.
  • These inappropriate study subjects skew the results or cause trials to fail, and promising drugs never reach the patients they could have helped.
  • The rising costs of these failed trials carry downstream to health care consumers and taxpayers.

 

One evening in the emergency room, I was asked to evaluate a patient requesting admission to the psychiatric unit. Gia was waiting for me, looking pale but fit. (All individuals identified only by their first name have been assigned pseudonyms, and their identifying details have been changed.) She had heard that the hospital was recruiting inpatients for a study of bipolar disorder and wanted to participate. She described herself as moody—upbeat for a few hours, then down, then happy again.

“How do you feel right now?” I asked.


This article was originally published with the title Studying Drugs in All the Wrong People.



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  1. 1. nskeptic 05:19 AM 8/23/12

    Excellent article. This is a growing problem as studies have shown steadily increasing placebo response rates over the past 20 years. I've written in more detail about this issue here: http://neuroskeptic.blogspot.co.uk/2012/01/antidepressants-bad-drugs-or-bad.html

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  2. 2. Cosmic Sister 04:40 PM 9/6/12

    Better than testing on lab animals.

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  3. 3. bucketofsquid in reply to Cosmic Sister 09:18 AM 9/13/12

    @Cosmic Sister - You are an idiot. If you don't want animal testing then volunteer to be a lab rat with entirely untested drugs and other treatments. Just pray that you don't get selected for a study of paralysis or head injury treatments.

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