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leftchick Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-03-07 04:46 PM
Response to Reply #3
7. here you go

Testing in the Third World

JayaJan Pharmaceutical Research in India was one of the companies with which Merck had a contract to test Gardasil. Like most of the industry, Merck increasingly outsources its clinical trials to Contract Research Organizations (CROs) in areas of the world where trial subjects are plentiful, operating costs are low, and regulations lax.

Some $285 million worth of clinical trials are outsourced to CROs in India, according to These CROs are a booming $15 billion industry whose revenues are rising at 15 percent a year.

"CROs are known for their speed and efficiency; they can complete a clinical trial in two-thirds the time a drug company can, shaving months off the process and offering $120 million to $150 million in increased revenue per drug." Sam Bidwell an executive with Quintiles a U.S.-based CRO told Nature. "Of the top 30 best-selling drugs, we've touched every one."

Critics point out that CROs can come with built-in problems. Conflicts of interest can arise when CROs are paid royalties only after a drug is approved rather than being paid a set fee that is independent of how safe or effective the drug turns out to be. Problems can also arise because CROs know that favorable findings mean that research into a test drug will continue, and they may also believe that results that please the hiring corporation can lead to future contracts. "ompanies know that the farther the compound moves through the research cycle, the more money they can raise," Nature reported.

Merck spokesperson Amy Rose refused say how many trials Merck contracted to CROs or what percentage of the Gardasil subjects these contractors recruited in the Third World. She also refused to specify how, or even if, the company oversees CROs.
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