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Putting CROs on the Radar

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Copied as fair use from IEC Exchange.

Contributed by Dr Amar Jesani.

Vijay

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Putting Contract Research Organisations on the Radar

An exploratory study on the outsourcing of clinical trials by pharmaceutical

companies to ontract research organization

It is a trend for pharmaceutical companies to contract third parties to conduct

their clinical trials in order to test their drugs. This trend is referred to as

outsourcing, and the companies that carry out the work are called contract

research organisations (CROs). In addition, clinical trials are increasingly

conducted in non-traditional trial regions, which are mainly low- and middle

income countries. This trend is called offshoring. It is widely agreed that the

offshoring of clinical trials to these regions should be scrutinised from an

ethical perspective because of the vulnerability of the trial population. What

happens when offshoring is combined with outsourcing? Do additional ethical

risks arise when clinical trials are contracted out? Virtually all pharma

ceutical companies publicly declare that they test their drugs in accordance

with the highest ethical guidelines, such as the Declaration of Helsinki. But

how do pharmaceutical companies safeguard their commitments when they outsource

clinical trial activities to CROs in poor regions? These are the central

questions that are addressed in this report.

The report is based on research conducted in India, Argentina, Brazil and Peru,

and combined with interviews with pharmaceutical companies and clinical trial

experts. The research experiences demonstrate that the pharmaceutical sector is

generally not transparent, which hinders the definitive answering of the

research questions. Nevertheless, the secondary and interview data collected in

India, Argentina, Brazil and Peru provides some valuable insights into the way

the CRO sector is developing in these countries. Furthermore, the report

demonstrates that pharmaceutical companies have elaborate systems in place to

manage their supply chain responsibility, although their functioning can not be

independently verified. In addition, experts, authorities and clinical trial

practitioners in the selected non-traditional trial regions still expressed

grave concerns about the implementation of clinical trials in these countries.

Download whole publication:

visit http://somo.nl/publications-en/Publication_3615 and download.

Putting Contract Research Organisations on the Radar (Size 1.1 MB)

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