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Friday, February 25, 2005
Conflict of interest in the FDA
So it looks like I was right. There were some previously undisclosed potential conflicts of interest relating to the FDA "endorsement" of the COX-2 inhibitors (Yahoo). Very problematic. If the government and academia doesn't get its act together, the public will have NO reason to trust research results.
Since the enactment of PDUFA, the FDA approval process has an inherent conflict of interest - pharmaceutical companies pay “user fees” to the FDA. A recent NEJM article indicates that such fees may come to approximately $300 million or 18 percent of the current total FDA budget (which would translate to a higher percentage of the drug evaluation budget).
Since studies are not very reliable predictors of the safety of a drug after it comes to market, a much better postmarketing surveillance system is urgently needed.
Since early 2004, I have been a full-time assistant professor at the UCLA School of Medicine. I work primarily in the General Internal Medicine Division at Harbor-UCLA Medical Center (a large county medical facility). Currently, I teach medical students, interns and residents in our program and am involved in a number of academic projects.
I have been in private practice with several multispecialty groups and have worked as a hospitalist both for a group and as a solo practitioner before assuming my current position at UCLA.
The views of this blog are my own and do not represent those of UCLA, Harbor-UCLA Medical Center or the Los Angeles County Department of Health Services.
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1 Comments:
Since the enactment of PDUFA, the FDA approval process has an inherent conflict of interest - pharmaceutical companies pay “user fees” to the FDA. A recent NEJM article indicates that such fees may come to approximately $300 million or 18 percent of the current total FDA budget (which would translate to a higher percentage of the drug evaluation budget).
Since studies are not very reliable predictors of the safety of a drug after it comes to market, a much better postmarketing surveillance system is urgently needed.
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