Ducksters: Unethical Clinical Trials In Africa

Thursday, July 4, 2019

Unethical Clinical Trials In Africa

The continent displays an incredible amount of genetic diversity. For example South Africa maintains a register of clinical trials in that country.

Pdf The Protection Of Participants In Clinical Research In Africa Does Domestic Human Rights Law Have A Role To Play

Trial of nevirapine to prevent HIV mother-to-child transmission 5 14 Uganda and Zimbabwe 2004-06.

Unethical clinical trials in africa. According to a report titled Why African Americans May Not Be Participating in Clinical Trials. To recognize the pressing health needs on the continent the mandate of the African Vaccine Regulatory Forum AVAREF was extended beyond clinical trials for vaccines to ALL medical products subject to clinical trials and not only vaccines in line with its 2018-2020 strategic planTo facilitate the review and monitoring of clinical trials in the continent AVAREF established technical. The AZT trials in African and other developing countriesThe AIDS Clinical Trial Group ACTG in 1994 reported the findings of their study 076 in which the use of Zidovudine AZT during pregnancy in labour and to the newborn reduced the mother to child transmission MTCT of HIV by two-thirds.

Preventive and therapeutic candidates and medical devices for diseases endemic to Africa have undergone clinical trial testing resulting in medicines that have saved millions of lives. Africas virtual absence from the clinical trials map is a big problem. While many countries have set ethical standards for clinical trials this is not a guarantee they will be respected by those who perform the trials.

And a clear well-documented protocol is required. Tags Black people avoid clinical studies CDC targets. For example some commentators have denounced as unethical clinical trials to test drugs that might reduce perinatal transmission of HIV that were conducted in Africa Asia and the Caribbean and sponsored by parties from resource-rich countries.

There are some online databases about African clinical trials. 5 Unethical Medical Experiments. If this diversity is not well represented in clinical trials the trial findings cannot be generalised to large populations.

For decades medical trials have been conducted on patients in Africa - often without their informed consent Getty Images Last Wednesday a French. In January1997 the guideline became effective and implemented for clinical trials involving human subjects 4. Trial of Trovan to treat meningitis in children 4 13 Uganda 1997-2001.

However the most compelling point to prove unethical practice in South Africa was the fact the sponsor was not running the clinical trial to uncover a new treatment that didnt already exist. Serious adverse events of deaths during the clinical trials during the said period were 2644 out of which 80 deaths were found to be attributable to the clinical trials the ministry had said. 17 Unfortunately the underrepresentation of Africans in oncology clinical trials results in disparity in access to high-quality health care and reduces the generalizability of research findings especially because postmarketing clinical trials are few in Africa.

According to the ICH-GCP guidelines all clinical trials should be conducted in compliance with ethical standards clear scientific proof and benefit overweigh risk. The trials were testing new methods for preventing the spread of HIV infection from pregnant women to their babies before or after giving birth in. Trial of antiretroviral treatment ART structured treatment interruption 7 15 Cameroon Ghana and Nigeria 2004-06.

The parents of four Nigerian children who died of meningitis have become the first winners of a 15-year legal battle against Pfizer over a fiercely controversial drug trial. There is also a pan African clinical trials registry. The same goes for the outcomes of the COVID-19 studies.

Thus there is underrepresentation of Africans in oncology clinical trials which is similar to the underrepresentation of populations of African ancestry in high-income countries such as the United States. In 1997 Public Citizens Health Research Group brought widespread international attention to unethical clinical trials. 3 With this finding use of oral AZT during pregnancy and intravenous AZT during labour and oral AZT to the.

Clinical trials can be ethically done and many countries and institutions in Africa now have ethics review boards that can monitor and enforce the protocols for research on human subjects. Trial of pre-exposure prophylaxis. Leading medical professionals agree that normal asthma treatments work well so there was no serious need for new large scale studies to be set up to uncover new treatments.

Unethical Drug Trials Exposed In South Africa And Other Developing Countries Sonia Shah