Abstract
- The dominant business model of the pharmaceutical sector is based on the massive promotion of drugs that often do not represent any significant therapeutic advance.
- Clinical research is therefore run like a promotional campaign. The data obtained from clinical research are primarily used to boost and support sales rather than to improve prescribing behaviour.
- Three common and widely used corporate strategies are used to this end: ghostwriters are employed to inflate the number of publications showing the drug in a positive light; results that would harm sales are not published (publication bias); and negative data are suppressed, sometimes going as far as to intimidate troublesome independent academics and whistle-blowers. The objective of these strategies is to enable the new drug to gain market share from its competitors.
- If medicine is to progress, research must be more independent and freed from the commercial imperatives of the pharmaceutical industry.
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©Prescrire 1 July 2012
"Corporate influence over clinical research: considering the alternatives " Prescrire Int 2012; 21 (129): 191-195. (Pdf, free).