All studies, especially if the trial involves medication, are closely monitored and recorded. Many patients participating in clinical trials find they have a more active role in their healthcare and they may also gain access to new treatments before they are more widely available with additional intensive monitoring.
Staging the unconventional. Alter food system to avoid climate risks. Copyright -. All rights reserved. Without written authorization from CDIC, such content shall not be republished or used in any form. China Edition. License for publishing multimedia online Registration Number: About China Daily. For participants in clinical trials, it will therefore be important to help them to bridge the gap between the end of the trial and the time the drug becomes available in their country.
But does research in LMIC address local health needs in reality? More precisely, the index investigated research activities on 47 diseases that were regarded as most relevant to LMIC according to the WHO. Neglected tropical diseases, as the report shows, remain neglected. Conducting clinical trials in LMIC is not intrinsically immoral. Indeed, trials sometimes represent the only medical treatment that patients in deprived settings can hope to receive, and can also provide other advantages at the personal, community and national levels.
Nonetheless, taking advantage of people's deprivation to impose on them the risk of health research can be exploitive if it is not carefully planned and regulated. At the moment, there is such a variety of legislation that the conduct of trials differs widely, often depending on why a company decided to use a developing country in the first place.
Trials that address locally relevant diseases and that will deliver affordable drugs and care for the local population are certainly to be lauded. Ones that do not provide immediate or obvious benefits locally are less laudable and must be assessed on a case-by-case basis.
National Center for Biotechnology Information , U. EMBO Rep. Published online Apr 7. In developing countries, participation in clinical trials is sometimes the only way to access medical treatment.
What should be done to avoid exploitation of disadvantaged populations? Katrin Weigmann. Author information Copyright and License information Disclaimer. Oldenburg, Germany. E-mail: ed. This article has been cited by other articles in PMC. From the perspective of those conducting the trials, a major benefit of LMIC is that it is easy to enroll patients who are willing to participate, particularly if they are poor As the standards for safety and efficacy developed over the decades, so did research ethics principles.
Research began to leave the USA, first to Scandinavia and the UK, then to Eastern Europe and Latin America, and now to China and India Yet, the FDA has an incentive to err on the side of caution: lives lost owing to drug delays usually results in fewer negative headlines than lives lost to dangerous drugs approved too soon.
Open in a separate window. Figure 1. Distribution of study locations of all trials registered with ClinicalTrials. References Petryna A. This trial is the first in a series of evaluations of this novel vaccine strategy in both HIV-negative individuals for prevention and in people living with HIV for cure. At present, prevention of HIV largely focuses on behavioural and biomedical interventions such as voluntary medical male circumcision, condom use, and anti-retroviral drugs used prior to exposure.
Nevertheless, the pace of decline in new HIV infections failed to reach the Fast-Track Target agreed upon by the United Nations General Assembly in fewer than , new infections per year in Skip to main content.
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