Parexel Destroys Immune Systems, Not Liable 429
A reader writes: "The four TGN1412 test victims learned recently that they have no detectable t-cells, which makes it "likely" (read certain) they will suffer from numerous diseases and truncated lifespans. It has been determined that Parexel was negligent in its aftercare of the victims. The victims have already suffered severe injuries such as gangrene requiring the amputation of all toes and three fingers (without toes you cannot remain standing or walk, btw) and endured unimaginable agony. But it seems Parexel, despite having the moral responsibility for the outcome of its incompetence and the financial ability to pay proper restitution (estimated yearly revenue of $750 million) is ignoring the victims and using the legal system to avoid liability. The lessons are that $4000 is not worth risking your life over, that that is what you are doing if you are foolish enough to volunteer for medical testing whatever promises you receive not withstanding, and that if you are so foolish you will be left to die by the company responsible without legal recourse should things go wrong. In other words, only an ignorant would sign up for medical testing. I predict a decline in voluntary test subjects, and a rise in the use of prisoners and other 'disposable' human subjects."
India (Score:5, Insightful)
Not Funny- this is actually happening (Score:5, Informative)
Re:Not Funny- this is actually happening (Score:5, Insightful)
And, no, this post is not a troll. Deem me "cold-hearted" if you will, but I am most serious in admitting my joy that others will be exposed to the danger while I am able to reap the benefits.
Evil is harming others for personal gain (Score:5, Insightful)
You'll never make it into politics (Score:5, Insightful)
Re:Not Funny- this is actually happening (Score:4, Insightful)
In an ideal world, people would have drugs tested on all racial and gender type roughly equally, or at least according to the relative percentage of the population (which, of course, means Indian people perhaps should get more testing). This is rarely the case. Remember, when you test your drugs on people who are "expendable" you're really only hurting yourself in the long run unless you're just as expendable as they are.
(note: prisoners are alson not representitive of the general population. Do you want your antidepresents tested exlusively on criminals who have a much higher incidence of mental health problems and illegal drug use than the population as a whole? That would be rather silly, I think)
TW
Re:Not Funny- this is actually happening (Score:3, Informative)
Unless you test it on your twin / clone you can never be sure, even then they will have been exposed to things you haven't and vice versa.
Um, most Indians are caucasian (Score:2)
Re:Um, most Indians are caucasian (Score:3, Insightful)
A guy in a post above pointed out that each person reacts differently than others to the same drug. He's right. But groups of people statistically react the same. If i'm going to be taking medicine, I'd prefer to know it was det
Re:Not Funny- this is actually happening (Score:4, Funny)
*promptly picks up her ticket to hell on her way off the stage*
Re:India (Score:5, Insightful)
Re:India (Score:5, Insightful)
The drug companies don't get any bennefit from producing drugs that kill people. They don't do this on purpose.
TW
Re:India (Score:2)
I guess this is the issue. It is almost like a tennent refusing to pay damages for broken windows, walls, doors, or plumbing after moving out. Especialy when thier testing a new ball bat was the direct cause of the damaGE. The drug company(ies) should have somewhat of an obligation for those testing for them. Maybe it is the syste
Re:India (Score:5, Interesting)
Where is the profit? To understand any business, you have to recognize the source of profit. For drug companies, the profit is in treatments, not cures, not vaccines. So most of the research money goes into treatments for things that will produce a heavy profit, and keeps you on their treatments. What's the point in producing a $50 one-time shot that will fix your ills if they can instead get you on a $200-a-month pill regimen that comes with some side effects that you'll want to take another set of pills for? A strategy like this, combined with thousands of ads telling you to ask your doctor about who knows what, combined with essentially bribing doctors to prescribe their pill for every little thing, and you have yourself a lot of profit. Even if you have somebody working on a cure for AIDS or cancer in these companies, they're not as well funded as somebody working on the newest E.D. pill or or the latest made-up condition.
I know people who have worked in non-profit medical research, the kind of people who want an actual cure for things, but they just can't compete with the budgets of companies practically printing their own money. Public grants and donations just can't produce the kind of miracle drugs that we desperately need.
Re:India (Score:4, Interesting)
Check out No Free Lunch(http://www.nofreelunch.org/aboutus.htm [nofreelunch.org]). They are a group of doctors that all promise not to talk to drug reps and instead get their information by reading medical publications and research papers (Imagine that!).
Re: At least TRYING to find cures (Score:3, Funny)
What the hell? I don't think I could go through $75 worth of vitamins in a month if my life depended on it. A bottle of 100 multi vitamins costs what, $8?
Re:India (Score:3, Insightful)
Totally understood, but they should pay to support these test subjects. You can look at it either way.
1) Think of it as a tort. When they do hurt or kill test subjects, on purpose or not, they should make them whole again financially.
2) Think of the value added to the company. The test subjects have given their lives to provide a huge value to the company--a strong negative result is just as useful
Basically it says (Score:2)
Re:India (Score:2)
As for life without big pharma, well like anything, other entities would move in to meet the demand. Entities run by those who don't mind 1/3 the salary (I'm going by numbers 25 years old here, but I imagine the difference between non-profit and for-profit medical research salaries have only widened)
Not the US! (Score:3, Insightful)
Re:India (Score:3, Informative)
How do I know these things? I am a stage IVa cancer patient participating is a Phase I study. Hope is more powerful than fear.
Uh, no. Phase I testing is when drugs are tested on 100% healthy subjects for the sole purpose of determining what side-effects and health problems a
Cannot use prisoners (Score:5, Informative)
Re:Cannot use prisoners (Score:2)
Law is subject to change... (Score:2, Insightful)
Re:Cannot use prisoners (Score:3, Funny)
Re:Cannot use prisoners (Score:2)
Re:Cannot use prisoners (Score:4, Funny)
GWB
Re:Cannot use prisoners (Score:3, Insightful)
Unless, of course, that person happens to be innocent...
Coming from someone who works in the medical... (Score:5, Insightful)
Re:Coming from someone who works in the medical... (Score:2, Insightful)
As it hinted at in the summary, its much cheaper to go through litigation and the law, then to payout damages to the people wh
Re: "no connection" (Score:4, Interesting)
Re: "no connection" (Score:2)
Re:Coming from someone who works in the medical... (Score:3, Interesting)
This is kind of a silly attitude. The very fact that a human test is necessary indicates the possibility, however slighty, that a dangerous response is possible. From what I can tell from reading online, there was plenty of animal testing done, including exposing other primates to the substance, but it responded uniquely to human biology. (One possibility, apparantly, is that because the production of the drug involved human proteins, the safe dosage was much lower in humans. I have no idea if that actu
cancer and lupus were OBVIOUS risks (Score:3, Insightful)
This was
It's horrible, but (Score:5, Insightful)
What part of "testing" didn't the subjects understand before they volunteered?
I'm not trying to troll, honest. But injecting something brand new into your body before anyone knows exactly what it does is fantastically dangerous. That's probably why you have to sign the waver that's longer than your arm, I'd imagine.
Still, IMHO the company should help these poor people out even though they don't legally have to. I'm sure the reason why they're not isn't greed so much as a fear of litigation. If they pay them any money, that looks like an admission of guilt.
Whole situation with liability and lawsuits in this country these days pretty much sucks. It hurts more people than it helps.
Re:It's horrible, but (Score:2)
I don't know how many thousands of these types of tests have been conducted in the UK over the decades, but this is the only one I've ever heard of that has gone spectacularly wrong. Just the fact that this was front page news should tell you this is unusual. Researchers don't just synthesise some random chemical then find someone to jab it into... at the very least there are lab mice involv
Re:It's horrible, but (Score:2)
I wouldn't say that clinical trials are fantastically dangerous. In fact I would say they are fantastically important.
I'd actually say they're both.
Personally, I'd liken being a drug tester to being an astronaut. A lot of benefit, a lot of risk. And the risks are pretty up front for both occupations.
Re:It's horrible, but (Score:4, Insightful)
Signing a contract that says,
"the company will not be held liable by the employee for blah, blah, etc..."
cannot be a defense for negligent behavior.
Contracts are about fair exchange of services, not making one party take all the risk and the other party to have none. While some contracts are not considered fair one party cannot completely assume the burden of all risks or responsibilities for both parties. Considering the violent reaction to this new drug a disclaimer saying, "we cannot be held responsible" will not hold water in court.
The shame will be that the company will not pay, for what I consider, criminial behavior.
Contracting Risk (Score:3, Insightful)
Also true (Score:2)
Reminds me of those signs you see on the backs of trucks that say "Not Responsible for Objects Coming Off the Road". They are not necessarily true. They are (occasionally) liable. [typepad.com] They just make the claim that they are not to bluff people who get their windshields banged up.
BTW, I really do hope that these poor people do get the help they need.
Re:It's horrible, but (Score:3, Insightful)
on the contrary, I would imagine these people knew exactly what they were doing when they went for the trials. I think "fantastically dangerous" is a little short sighted considering the volume of human trials that happen around the globe. Many of these trials are for simple drugs, or variants/redosages of existing drugs. I digress.
The main motivation for people to so clinical trials is not primarily for the betterment of
Human testing is not the first step (Score:2)
As for saying they don't legally have to... If you sign a waiver for me that says I can help you kill yourself, I'm still up for manslaughter or murder at the end of the day, regardless of what t
Re:Human testing is not the first step (Score:3, Funny)
You should wonder. What with various "animal rights" organizations that imply (if not state outright) that animals are equal to humans, animal testing is being reduced.
Hmm, here's an idea... St
Re:It's horrible, but (Score:2)
Re:It's horrible, but (Score:2)
Re:It's horrible, but (Score:3, Insightful)
Re:It's horrible, but (Score:3)
Re:It's horrible, but (Score:2)
These people were promised that there would be NO serious side effects.
Well, if that's the case then I'd say take them to court. And win, big. And be sure to make a lot of media noise too, to let the world know what kind of a company they are.
And even if this isn't the case, still make as much media noise as you can. Maybe they could shame/scare the company into covering their health care. Better that than a media circus. Their risk analysis people will conclude (if the victims are noisy enough)
Decline my... (Score:4, Insightful)
Yeah, cause all test subjects are litterate and educated people who aren't starving in their regular lives.
Re:Decline my... (Score:5, Funny)
No toes... (Score:5, Interesting)
And, when I was in Korea, the bunker I worked in had a blast door malfunction. About a two-ton steel blast door dropped unexpectedly and chopped off a commander's feet... partially. Got the toes of one foot and about half of the other foot. After he recovered, he turned down the 100% disability retirement and returned to his commander's post.
Of course, whenever he went up or down stairs, a lieutenant would unobtrusively position himself on the downhill side of the stairs just in case, but the guy stayed in the Air Force and continued commanding. Big huge brass balls, he must have had.
Re:No toes... (Score:2)
Sensationalist Headlines Suck (Score:5, Insightful)
I know this is not a serious news site (Score:5, Insightful)
People volunteer for medical testing all the time. Most of the time, nothing (serious) goes wrong. Yes, this time, something fucked up big time; a regrettable tragedy, and certainly cause to examine the rules and regulations surrounding testing on humans. But the reason it was such big news is that it's such a rare occurence. If it happened all the time, it wouldn't have been headline news.
I refuse to believe that this was the best submission on the subject. The submittor is entitled to his opinions, of course, but the place for those opinions is down here with the rest of us, not on the front page.
Still, got to keep those ad impressions coming somehow, I guess.
Re:I know this is not a serious news site (Score:2, Insightful)
Re:I know this is not a serious news site (Score:3, Insightful)
Re:I know this is not a serious news site (Score:2)
Hmm... (Score:2)
Re:Hmm... (Score:2)
Now imagine this going on for about a letter sized page and take 2 things into account: First, who wants to look like an idiot who doesn't know the first thing, and second, you need those 3k bucks for your mortgage and if you ask too much, the line with other poor folks who would sign this thing without asking is lo
Re:Hmm... (Score:2)
It may be the 'right thing to do' for
Re:Hmm... (Score:2)
Again, for the record, the average "test specimen" is not living in Beverly Hills and wearing Gucci Shoes. We're talking about people who need money. Direly. More often than not, their choices are limited (provided they want to stay on this side of the law).
Re:Hmm... (Score:2)
Goes Hand in Hand With... (Score:2, Insightful)
1. You are worthless
2. Businesses are of incalculable value
3. Stockholders in said businesses want more and more money so the businesses can't afford to take personal responsibility for the things they do to people
4. The majority of all politicians in the United States government is unabashedly comprised of stockholders and they make the laws
5. The businesses don't want to lose money even if they are morally
Re:Goes Hand in Hand With... (Score:5, Insightful)
If you have a 401k or a pension plan you are a stockholder.
4. The majority of all politicians in the United States government is unabashedly comprised of stockholders and they make the laws
Most Americans are "unabashedly" stockholders.
You are morally responsible for eating too much fast food, not the people who sold it to you. Take responsibility for your own actions. Stop being a douche.
Re:Goes Hand in Hand With... (Score:3, Insightful)
Counterpoint:
Which is to say, this argument you're putting forth is the one the truly wealthy use to draw our attent
Ronald McDonald made me do it (Score:2)
Re:Ronald McDonald made me do it (Score:2)
Re:Ronald McDonald made me do it (Score:2)
Corn syrup, fat and salt are not addictive.
They make processed food the way they do because a) sugar and fat taste good and b) sugar and fat are cheaper than actual spices and flavoring.
It has more to do with "value meal" (how can we make cheap cheeseburgers for a buck and still have people think they're edible?) than some sort of "get them addicted to cheeseburgers, they will come in for a fix every day, and then we can make a fortune on the coke and fries!"
Re:Ronald McDonald made me do it (Score:2)
Re:Ronald McDonald made me do it (Score:4, Insightful)
Re:Ronald McDonald made me do it (Score:2)
So yes, you can compare the actions of fast food companies with the likes of tobacco companies. To the same degree?
Re:Ronald McDonald made me do it (Score:2)
Seriously, people should take responsibility for their own actions instead of trying to blame other people. In this drug case, the drug company should take responsibility and help these people out. These people were trying to help them test their products, and the drug company
Cheesburger Bill (Score:2)
Nicotine is fundamentally different from corn syrup, salt, MSG, and the like. These make food taste better but are not addi
Re:Goes Hand in Hand With... (Score:2, Informative)
Say what you want about US politics, but I haven't found a shred of evidence that the US has turned this bill into law. Your link only says that it passed through the House. I haven't found anything that says that the Senate approved it anywhere. Most likely, they didn't even take it up.
That said, there are far more consumer-hostile business-friendly laws in the US than this proposed one. The part of the recent Medicare law that prevents the US government from negotiating drug prices with the pharmaceutica
Victim bashing (Score:5, Insightful)
This was obviously something the submitter put in, and it's pretty disgusting that it would make the front page. If this were a comment I have a feeling it would have been modded down to oblivion. How many times is it necessary to call these people ignornat and foolish?
animal testing.. (Score:5, Insightful)
Meanwhile - this is exactly how drugs get developed *all the time*. You can't pick and choose. If you saw some of the benefits that drugs in this class are have for (literally) millions and millions of people around the world, perhaps you might say it's worth it. Potential treatments for cancer, alzheimer's disease, the list is endless.
After all, these people are volunteers - we couldn't possibly develop new drugs without someone stepping forward to try them. Compare this count (four people, seriously injured) to, say famous cases where too little testing was done: DDT, thalidomide spring to mind.
Before you wail on 'evil drug' companies treating people as 'disposable', give me one half sensible alternative to regulated drug trials.....
Re: (Score:2)
Computer Simulations (Score:2)
Re:animal testing.. (Score:3, Informative)
IAAD and I can tell you that the proper analogy to a living cell is a soup of molecules, reacting in numerous unpredictable ways. Let's put this in perspective: (a) protein folding has been proven to be (t
Re:animal testing.. (Score:2)
What do you mean "you believe there's some evidence?" Either evidence exists, or evidence does not exist. Put up or shut up.
Re:animal testing.. (Score:2)
Similarly, they allegedly gave the doses approximately 2 minutes apart, and the first negative symptoms were displayed shortly after the last patient was injected. With 8 people in the test, that's 16 minutes. If they'd stuck to the implied 2 hour delay, they would have bee
Response to the summary... (Score:4, Insightful)
It would be incompetence if they had released the drug to market, or at least attempted to. The whole point of clinical testing is to look for problems like this that couldn't be predicted, and did not turn up in animal testing.
Because every company does what this one does, right?
Only an ignorant...what? Huh?
Prisoners can't be used, and I'd say a subject that can be bought for $4,000 is disposable enough for a pharmaceutical. Unless you're saying that they are evil enough to abduct indigents for testing. Of course, the duress of being kidnapped would impact test results making any studies virtually useless, and couldn't very well be used with the FDA.
I predict "a reader" needs to tighten his TFH.
Not all Medical Testing is this dangerous (Score:2, Interesting)
You can too walk and stand without toes (Score:4, Informative)
Re:You can too walk and stand without toes (Score:2)
Clinical trials (Score:5, Informative)
I think the parent was a bit harsh in saying "only an ignorant would sign up for medical testing" - you should not sign up for clinical trials if you are ignorant. This compound had not previously been tested on humans, so yes there were large risks - but many trials are involving already "human tested" compounds and are merely changing the dose (such a influenza vaccine trials trying diluted doses to see if they are effective). As with everything you have to use your discretion - personally I will participate in trials only if I calculate the risk is minimal to zero, but I still will (admittedly I have the medical and scientific knowledge to make that assessment). I have recently taken part in a flu vaccine trial testing diluted doses - not for the money - but because trials like this are necessary to further our knowledge and ultimately benefit us all.
Don't let hysteria blind you to the real mistake (Score:2, Insightful)
The mistake made here was clear: do NOT inject a new drug into several people AT THE SAME TIME. In the interest of saving time and money, they gave the drug to several people at once. How ha
Ads - Trying to tell me something? (Score:2)
Can you say "Chemical Weapon"? (Score:5, Insightful)
I didn't RTFA but if this is something that can be put into drinking water, we're all in trouble. I hope I don't get super negative Karma for posting this.
Editorials on the front page? (Score:2)
Still plenty of ads for drug trials on the radio (Score:2)
Lessons in decision making: (Score:4, Interesting)
It showed nothing of the sort. It showed that a bad outcome occured, not that a bad decision was made.
If you owed a bookie $3k, and had a few of his 'associates' had come by to remind you that your payment was due at the end of the week, and you had to compare not risking the trial, vs. making $4k, even with death as a potential outcome may be a good decision.
...
Let's take the old look at the lottery -- typically playing the lottery is a bad decision, but it can be a good decision even if the payout doesn't hit the record amounts where it exceeds (cost * risk). Now, one of your loved ones (or yourself), needed a very expensive medical treatment, or you only had 2 months to live. The success rate of the procedure was 5% and cost $150k. You have $5k in savings. and can't get a loan -- it makes perfect sense to sink everything you have in the lottery. The odds of a bad outcome (losing everything in the lottery, or still not living after the procedure) are almost assured, but the potential for gain outweighs it.
So -- when you make a decision, you have to look every possible outcome from all aspects, not just monetary, and the odds of each outcome occuring. Sometimes, you won't know exact outcomes (stock market), or the exact chance of each outcome (stock market, medical testing), and might not even know what all of the possible outcomes are (medical testing), and determine if the risk of benefits vs. the cost are acceptable to you. Bad outcomes happen. Bad decisions only occur when ignore information that is important in the decision, or you don't recognize that you don't have all of the information that is necessary to make the decision. (you can still make a good decision on incomplete information, but it's an increased risk).
Disgusting submission, even for Slashdot (Score:5, Insightful)
This is such ignorant, offensive crap, that I'd support banning the submitter from the site. There is no place here for such rampant stupidity, insensitivity, and complete lack of basic reasoning skills. Furthermore, Hemos needs to be kicked in the balls for permitting such a thing. If such nonsense was posted as a comment here, that would be terrible enough, but that this is being put forth as if it were fact (or anything other than delusional ranting for that matter) is insane and beyond irresponsible.
Ouch (Score:2)
Indeed, although the innovative drug being tested, TGN1412, was a potent immune system stimulant that overrode the body's normal regulatory mechanisms, it was tested according to much the same standards that govern far more ordinary pharmaceuticals.
So sometimes the drug does exactly the opposite of what it's supposed to do. That's gotta sting.
Re:Makes me shake my head in despair... (Score:2)
Please mod my parent post into obscurity, then this one! Tom.
Re:Animals Don't Wear Underpants (Score:2)
Re:Animals Don't Wear Underpants (Score:5, Informative)
Drugs often have different effects in humans than in test animals. There are a number of disease we can sucessfully treat in lab rats that we can't in humans because the biology is different. Sucessful tests in animal studies is merely an inidcator that a drug may work in humans, it's no guarantee. Likewise, some drug that may work well in treating a human disease may never make it to clinical trials, because the animals it was tested on had a bad reaction to it due to their different biology.
The big screwup in this trial was giving it to a number of patients, for the first time, only minutes apart. This is NEVER supposed to be done with a new drug. (There are clinical trials going on one floor above me right now. Everyone in the place shudders when they heard these idiots did that). You always test which you think is a very small dose (like these poeple did, thinking it was 500x less than what they thought would be a safe dose from the animal models), then you wait for a few days to make sure there are no major reactions to it. Injecting numerous people within minutes is crazy. If they'd merely wated an hour before trying to inject the 2nd person, they would have stopped, and there would only be one person with a toasted immune system right now.
There will always be occasional bad results in drug trials. This one was greatly exacerbated by the incompetence of those performing it.
Re:Animals Don't Wear Underpants (Score:5, Interesting)
Re:Animals Don't Wear Underpants (Score:5, Informative)
Re:The Price of Informed Consent (Score:2)
Oh wait. Wasn't there a vocal group here not so long ago decrying animal testing?
So how many hours of CPU time do you devote to protein folding and simulation? How much would be needed to be able to simulate these drugs and all their complex interactions with the human body and with each other?
There is no simple solution for drug testing that will please everybody.
We can't test everything on animals because it's cruel and also not