Saturday, December 31, 2011

Government plans for new rule for clinical trials

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The central government’s plans to introduce a new rule under the existing Drugs and Cosmetics Act to compensate clinical trial victims has been challenged before the Lucknow bench of the Allahabad High Court. 

In a public interest petition (PIL), Lucknow based health activist Raahul Dutta has questioned several provisions in the Drugs and Cosmetics (3rd Amendment) Rules 2011 notified by the central government on November 18th. Dutta has stated that the current Drugs and Cosmetics Act 1940 do not have a provision for such rule making (to control clinical trials and compensate mishaps). 

In response to the petitioner’s plea to protect the life and health of clinical trial volunteers, the High Court on December 19th asked the central government to spell out the detailed procedure, the scheme and the methodology by which misuse and hazards associated with clinical trials are monitored and checked. 

The PIL had alleged that the current laws are inadequate to handle proper regulation of human clinical trials conducted by pharmaceutical companies in the country. 

The government was compelled to frame rules to monitor clinical trials and provide compensation for clinical trial victims after a Parliamentary Committee triggered probe (carried out by the Union Health Ministry) found dozens of cases where clinical trial deaths were not compensated. 

Based on the petition, the High Court has sought details of the action taken so far against persons who undertake clinical trials in hazardous and unsafe conditions from the central government within a month. 

Taking note of the petition, High Court judges Pradeep Kant and Devendra Kumar Upadhyaya, said that if the petitioner’s claim is correct, clinical trials should not be allowed in such manner. 

The court has also included Uttar Pradesh State Government as a party to the case. 

“We are informed that the clinical trials are continuously taking place but apparently there is no law to the safety of the subjects. The Central Government is therefore, advised to take immediate steps for safety of the subjects”, the Order stated. 

According to Dutta, the government is attempting to regulate clinical trials and related compensations under the Sections (12 and 33 of the Act) that deal with import, manufacture and sale of drugs and cosmetics. “None of these chapters confer the power to make rules for clinical trials. The substantive part of the 70 year old Act has not mentioned clinical trials wording even once”, he explained. 

On the merits of the draft rule notified by the government, Dutta said that it does not have a mechanism to define minimum compensation for clinical trial mishaps. 

“The government has washed its hands by shifting the burden of right of the (clinical trial) subjects to the sponsor agents (company or agency that runs the clinical trial). The Drugs Controller General of any other government agency has neither power nor obligation to grant any kind of compensation to the subjects”, he complained. 

The matter will come up for hearing before the HC in January.

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