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Thread: Drug trial creates 'Elephant Man'

  1. #1
    Vice Chairwoman, Joint Chieftess of Staff nickel's Avatar
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    Drug trial creates 'Elephant Man'

    Wednesday, March 15, 2006 Posted: 1822 GMT (0222 HKT)
    LONDON, England -- Two men are in critical condition in a London hospital and four others are in serious condition after taking part in a clinical trial for a new drug.

    One victim, whose head and neck were reported to have increased to three times normal size, was described by a friend as resembling "the Elephant Man."

    The men were admitted late Monday to the intensive care unit from an independent medical research unit at Northwick Park Hospital after reacting badly to the drug, which is intended to treat chronic inflammatory conditions and leukemia.

    The volunteers suffered extreme reactions while participating in a drug trial run by clinical research company Parexel International, based in Boston, Massachusetts.

    "My 20-year-old came in here a healthy boy," the mother of one of the volunteers told CNN. "He doesn't smoke, not a big drinker, fit is a fiddle and they destroyed my son's life."

    His girlfriend added: "He's in a bad way. His immune system is all gone."

    The UK's Sun newspaper said one of the men had been taken to intensive care after his head and neck increased to three times normal size.

    It quoted a friend as saying the 21-year-old was a student and had taken part in the trial to make money after seeing an advertisement on the Internet.

    The girlfriend of another volunteer told the BBC her partner looked like the "Elephant Man" -- a freak show figure in Victorian Britain whose head ballooned outwards until his skull was wider than his waist.

    She said all his internal organs were failing.

    "Such an adverse drug reaction occurs extremely rarely and this is an unfortunate and unusual situation," Dr. Herman Scholtz, head of Parexel International Clinical Pharmacology, said in a statement.

    Scholtz said Parexel had acted within regulatory, medical and clinical research guidelines during the study.

    "We use standardized procedures for testing a drug in humans for the first time, based on a well-defined protocol, designed by the sponsor company and approved by ethics committees and regulatory authorities," he said.

    Parexel said the drug, TGN1412, was an antibody developed by TeGenero of Wuerzburg, Germany.

    "These events were completely unexpected and do not reflect the results we obtained from initial laboratory studies which enabled us to progress investigations into human volunteers," TeGenero's chief executive Dr. Benedikte Hatz said in a statement.

    The UK medicines watchdog -- the Medicines and Healthcare products Regulatory Agency (MHRA) -- immediately started an investigation.

    Professor Kent Woods, Chief Executive Officer at MHRA, told the UK Press Association: "Our immediate priority has been to ensure that no further patients are harmed.

    "We will now undertake an exhaustive investigation to determine the cause and ensure all appropriate actions are taken."

    Eight men had all volunteered to take part in the trial. Two were given a placebo and were unharmed.

    "Two patients remain critical and four patients are serious but showing some signs of improvement," Ganesh Suntharalingam, clinical director of intensive care at Northwick Park Hospital, said in a statement Wednesday.

    "The drug, which is untested and therefore unused by doctors, has caused an inflammatory response which affects some organs of the body," he said.

    "The critical care team has been doing everything possible to treat the patients successfully in this unique set of circumstances. We are also collaborating closely with colleagues in the UK and overseas to draw on the skills of other specialists."
    http://edition.cnn.com/2006/HEALTH/03/15/uk.clinical/

    how awful

    i wonder if these trials were conducted on animals first.

  2. #2
    Admiral Memo's Avatar
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    Haha, I've always been tempted to participate in these kinds of things while in college for easy money but fear of stuff like this happening has always kept me away.

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    Admiral Houdini's Avatar
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    Geez. That's terrible. Human trials are a necessary part of modern medicine, but stuff like that really makes me want to steer away from ever being in one.

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    Admiral Ladogaboy's Avatar
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    That is why I will stick to donating sperm samples....




    One sorority girl at a time.
    It is not enough to merely touch the face of god; you also must open your eyes so that you may see your palm.

  5. #5
    Fleet Admiral Jeffbx's Avatar
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    OK! Edwards, scratch that one off of the list.

    Now we have a few more to try - who's next?

    http://www.drugtrial.co.uk/default.ihtml?step=4&pid=4

  6. #6
    I think it's funny how they completely blame the company. I mean it's partly their fault since there should have been something that would give a warning that that could happen.
    But the people volunteered knowing that the unexpected could occur.


  7. #7
    Secretary of Defense DarkFury's Avatar
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    Quote Originally Posted by Ladogaboy
    That is why I will stick to donating sperm samples....




    One sorority girl at a time.
    Heh... good one!

    Dayuuum d00d... where ya been!!!!


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  8. #8
    Vice Chairwoman, Joint Chieftess of Staff nickel's Avatar
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    Quote Originally Posted by DarkFury
    Heh... good one!

    Dayuuum d00d... where ya been!!!!
    i think he already answered that question.

  9. #9
    Admiral guiseppewv's Avatar
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    Drug trial ignored guideline on safety

    DRUG trials that left six healthy volunteers fighting for their lives did not conform to best medical practice, The Times has been told.
    Senior doctors expressed concern that all six were given the same dose of the experimental drug TGN1412 at the same time. According to the standard medical text, trials of this sort should avoid giving all the doses simultaneously. The Textbook of Pharmaceutical Medicine specifically gives warning that such practices can be “very difficult to manage” and “put subjects at unnecessary risk”.



    Last night the Medical and Healthcare Products Regulatory Agency was urgently investigating what went wrong in the the trials, as families kept up a vigil at the patients bedsides. It is trying to determine whether it was a fault in production, contamination or more likely an intrinsic problem with the drug itself.

    “They haven’t got a cure,” said Myfanwy Marshall, whose boyfriend fell ill 90 minutes after taking the drug. “This is a drug they have never tested on humans before so they don’t know what they are dealing with. It’s completely messed up their vital organs.”

    There was confusion last night about whether the drug had been tested successfully on animals before the tests on human volunteers.

    “They [the drugs company] said there was an oversensitivity in monkeys,” Ms Marshall said. She went on to say that in the tests a “dog and some animals had died . . . so they reduced the amount to humans”.

    Thomas Hanke, chief scientific officer of TeGenero, last night refused at a press conference to say whether animals had died during earlier tests. “There has been no issue on the safety of the drug on animals. This is not relevant,” he said. He said the drug had been tested on mammals but not dogs or rats.

    He said that the company had apologised to relatives of the six ill volunteers. “We are devastated at these shocking developments which we were not anticipating. The investigation must proceed as quickly as possible (into) the testing of a new medicine which showed no signs of any safety problems in previous testing.”

    Lawyers have been instructed on behalf of at least one of the victims. All six remained in care at Northwick Park Hospital, northwest London. Two were said to be in critical condition and the other four were serious, but showing signs of improvement. Relatives met doctors and staff from the two companies involved — the German biotech company, TeGenero, and Parexel, the contract company that was conducting the trial.

    The trial protocol had been agreed with the MHPRA and was carried out “according to strict ethical and regulatory requirements”, according to Parexel.

    The MHPRA yesterday refused to give precise details, citing commercial confidentiality, and questions to Parexel went unanswered. But TeGenero confirmed that all six volunteers had been given scaled doses of the drug according to their body weight. The tragedy, experts said, should result in a review into the way future trial are carried out.

    Professor Sheila Bird, from the Medical Research Council’s Biostatistics Unit at Cambridge, said: “It is very unusual to have a tragedy in one volunteer in a trial like this, far less to have all six involved. ”

    That could have been avoided, she said, if at the start only one of the volunteers had been given the drug.

    All were healthy young men who had volunteered for the first human trials of a new arthritus drug, developed in Germany.

    Professor Bird, citing the recommendations made in The Textbook of Pharmaceutical Medicine, a standard work on the subject. suggested that the trial would have been better to test two or three volunteers on day one, before other volunteers were given their dose.

    However, Chris Springall of Covance Clinical Research, a company based in Yorkshire that carries out drug trials, said that the practice by which the whole group was given a dose at the same time was normal in the industry. But it was not considered risky because side-effects were so extremely rare.

    “I've been in this business 20 years and I've never known anything of this nature before,” he said.

    http://www.timesonline.co.uk/article...088290,00.html

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