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Speaking of clinical trials... a friend just sent me this. Terrible.

Kathleen

---------- Forwarded
Date: Friday, January 15, 2016
Subject: 6 Hospitalized, One of Them Brain-Dead, After Drug Trial in France
(NYT 11/16/16)



Damien Meyer/Agence France-Presse — Getty Images
Six patients were sent to the Centre Hospitalier Universitaire de Rennes in
northwestern France.

6 Hospitalized, One of Them Brain-Dead, After Drug Trial in France

By SEWELL CHAN
<http://topics.nytimes.com/top/reference/timestopics/people/c/sewell_chan/index.html>
JAN. 15, 2016

*LONDON* — Six men were hospitalized — and one of them was pronounced
brain-dead — after a drug trial in northwestern France
<http://topics.nytimes.com/top/news/international/countriesandterritories/france/index.html?inline=nyt-geo>,
the country’s health minister said on Friday.

Marisol Touraine, the minister for social affairs, health and women’s
rights, said in a statement
<http://social-sante.gouv.fr/actualites/presse/communiques-de-presse/article/accident-grave-dans-le-cadre-d-un-essai-clinique-a-rennes>
that her office was informed on Thursday evening about a “serious accident”
that resulted in the hospitalization of the six men, at the Centre
Hospitalier Universitaire de Rennes <http://www.chu-rennes.fr/>, in eastern
Brittany.

Calling the incident “unprecedented” at an afternoon news conference in
Rennes, Ms. Touraine said: “I have no knowledge of a comparable event.”

The patients, all men, ranged in age from 28 to 49, she said. The head of
the hospital’s neurology department said that three men may have suffered
irreversible brain damage, based on magnetic resonance imaging
<http://health.nytimes.com/health/guides/test/mri/overview.html?inline=nyt-classifier>
scans, but cautioned that the scans were not conclusive.

“I was deeply moved by their suffering,” Ms. Touraine said after visiting
the patients and their families.
David Vincent/Associated Press
Six men have been hospitalized during Phase 1 of clinical trial by
Biotrial, a drug-evaluation company based in Rennes, France.

The drug was administered orally to healthy volunteers as part of a Phase 1
clinical trial by Biotrial, a drug-evaluation company based in Rennes, on
behalf of a Portuguese drug manufacturer, Bial <https://www.bial.com/en/>.
The drug is intended to help with mood, anxiety and motor problems linked
to neurodegenerative diseases by having an effect on the endocannabinoid
system, a set of brain receptors. Of 128 participants, 90 were given the
drug, and the rest a placebo.

In a statement, <http://www.biotrial.com/news/message-from-biotrial.html>
Biotrial acknowledged “serious adverse effects” in a trial, adding: “The
trial has been conducted in full compliance with the international
regulations, and Biotrial’s procedures were followed at every stage
throughout the trial, in particular the emergency procedures for the
transfer of subjects to the hospital. We are in close and regular contact
with the health authorities and ministry in France.”

A spokesman for Bial, based in Coronado, Portugal, said the company had no
immediate comment.

Biotrial submitted its application to conduct the trial, on April 30, Ms.
Touraine said. The French Agency for the Safety of Health Products, the
country’s drug regulator, authorized the trial on June 26, and it began on
July 9.

Ms. Touraine said the drug had previously been tested on animals, including
chimpanzees, and had been administered to 90 people under the trial. The
six men received the drug several times, starting on Jan. 7. The first
symptoms appeared in one man on Sunday; he was quickly hospitalized, and
the others followed. The trial was halted the next day.

Contrary to several reports in the French news media, the drug was not a
cannabis-based painkiller, Ms. Touraine said.

Along with the French drug regulation agency, the country’s General
Inspectorate of Social Affairs, the Rennes prosecutor’s office and the
health branch of the Paris prosecutor’s office have opened investigations.

Deaths or serious adverse reactions during Phase 1 clinical trials — which
focus primarily on a drug’s safety and side effects, rather than on its
effectiveness — are rare.

In March 2006, six previously healthy young men fell ill and spent weeks in
intensive care
<http://www.nytimes.com/2006/04/08/world/europe/08britain.html>, with
severe damage to their immune systems, at Northwick Park Hospital in London
after being injected with an immune-system stimulant, known as TGN1412,
during a Phase 1 trial.

Despite its potency, the drug, which was held up as a potential treatment
for multiple sclerosis
<http://health.nytimes.com/health/guides/disease/multiple-sclerosis/overview.html?inline=nyt-classifier>,
leukemia and rheumatoid arthritis
<http://health.nytimes.com/health/guides/disease/rheumatoid-arthritis/overview.html?inline=nyt-classifier>,
was tested under much the same standards
<http://www.nytimes.com/2006/08/03/world/europe/03britain.html> as those
governing ordinary pharmaceuticals
<http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/drugspharmaceuticals/index.html?inline=nyt-classifier>.
British regulators approved the trial in just 17 days, and the testing
company, based in Massachusetts, did not have an adequate response plan in
the event of a disastrous adverse reaction, British investigators concluded.

“Toxicity deaths in Phase 1 trials are rare,” said Daniel P. Carpenter
<http://www.gov.harvard.edu/people/faculty/daniel-carpenter>, a professor
of government at Harvard and an authority on the United States Food and
Drug Administration. Some deaths were reported in Phase 1 trials early in
the effort to treat AIDS
<http://health.nytimes.com/health/guides/disease/aids/overview.html?inline=nyt-classifier>,
he said, but “nothing like this in a long time.”

A meta-analysis of non-cancer
<http://health.nytimes.com/health/guides/disease/cancer/overview.html?inline=nyt-classifier>
Phase 1 drug trials, published
<http://www.bmj.com/content/bmj/350/bmj.h3271.full.pdf> last year in The
British Medical Journal, found serious adverse events in only 0.31 percent
of participants, and no life-threatening events or deaths.

*Aurelien Breeden contributed reporting from Paris, and Katie Thomas from
New York.*

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