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Re: Editorial: patient choice in clinical trials

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K.F. Etzold,

Your point came up in the Kentucky hearing, raised by the judge, and it's a
reasonable one.  The patients' attorney's response was that [if a patient
waived his right to sue and then turned around and tried to sue anyway]  he
couldn't see a court ruling in the patient's favor under those circumstances
and said, "that can't be the reason for the withholding."[meaning that was
an unacceptable reason]

Paula Wittekind


----- Original Message ----- From: "K. F. Etzold" <etzold@xxxxxxxxxxxxx> To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx> Sent: Thursday, July 21, 2005 11:54 PM Subject: Re: Editorial: patient choice in clinical trials


Linda J Herman wrote:

Many PWP feel strongly that we must never allow another pharmaceutical to
treat human subjects in this unethical manner again. We will continue to
do whatever we can to convince Amgen to reinstate treatment for the
current trial patients and to further develop GDNF for other patients or
allow another company to do so.  There is substantial evidence that GDNF
works -- and it might be available alot  sooner than other  treatment
methods that are still in pre-clinical stages today.



There is another side to this:  A drug company has to be very careful of
how it makes experimental
Drugs  available. Let us say they would agree to make GDNF available to
PD patients because
they felt it was the right thing to do. Let us also assume that the
company would require a waiver
from the patients. Sounds good so far. But now, after several months
severe side effects show up
and some of the patients decide to sue the company, just as they are
suing now, but in the opposite
direction.  It is likely that the patients would win the suit despite
the waivers.
This would be an unacceptable risk for the company, which is probably
why they are taking such a hard line. Especially since there appears to
be reason to be cautious
based on  the test evidence (which may not be complete). But the courts
would certainly look at that
and conclude that the company was reckless, and that the patients
deserve monetary compensation.
It would also reflect badly on the public image of the company.

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