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Pay for Clinical Trial Enrollment Is Wrong: UK Docs
LONDON (Reuters Health) - Patients should be told if their general
practitioners (GPs) are being paid by pharmaceutical companies
to recruit them into clinical trials, British doctors said on
Friday.
British general practitioners can be paid thousands of pounds
for patients completing a drug company-sponsored trial, which
can amount to as much as 15,000 a year, Drs. Jammi Rao and Louis
Sant Cassia write in the British Medical Journal.
But doctors often do not disclose the payments to patients, a
practice that undermines the ideal of informed consent and increases
the potential for conflict of interest, say the two doctors,
both of whom chair regional research ethics committees.
"Financial advisors selling insurance or mortgages have to tell
you how much commission they earn. The rules should be the same
for doctors who ask patients to take part in clinical trials,"
Rao, director of public health at North Birmingham Primary Care
Trust in Birmingham, told Reuters Health.
Non-doctors on ethics committees are very surprised that there
is no requirement to divulge the amount of payment made to GPs
by pharmaceutical companies, he added.
According to Rao, paying recruiters leads to two kinds of bad
practice--first, patients may be subtly coerced into participating
in trials without knowing the full facts, and second, they interfere
with the decision as to which trials doctors take part in.
"The trials that are done all too often depend on the depth of
the sponsor's pockets, rather than the validity of the questions
addressed by the research trial and the questions addressed,"
he added.
[07/08/2002; Reuters Health]
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