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Stung by criticism of its handling of clinical-trial studies,
GlaxoSmithKline yesterday said it will soon release summaries of safety
and effectiveness data of its antidepressant pill in children under the
age of 18. The move comes one week after New York Attorney General Eliot Spitzer
filed a civil lawsuit accusing the British drug maker of fraud for
allegedly withholding negative information about its Paxil drug. Glaxo was
accused of failing to tell doctors that some studies showed Paxil did not
work in teenagers and may lead to suicidal thoughts. In a novel attempt to regulate the pharmaceutical industry, the lawsuit
highlighted a growing controversy over the availability of clinical-trial
data. Currently, there is no requirement that a drug maker publish or
disseminate all of its data. But industry critics say the lack of
disclosure allows negative information to be suppressed. The issue is an outgrowth of the ongoing debate over antidepressants
and whether the drugs are linked to suicide. The Food and Drug
Administration commissioned researchers to review studies and side effect
reports, and asked drug makers to issue stronger warnings on product
labels. Last year, U.K. regulators urged doctors to write fewer
prescriptions. Other companies that make these pills include Wyeth, Pfizer and Lilly.
But Glaxo, in particular, has generated criticism over an internal 1998
memo, which indicates the drug maker intended to manage the release of
clinical-trial data in order to "minimize any potential negative
commercial impact." In a statement yesterday, Glaxo maintained that clinical-trial data on
Paxil has already been provided to U.S. and U.K. regulators. The company
also reiterated earlier comments that data has been made available
previously to doctors through publication in medical journals or poster
presentations at scientific meetings. Glaxo called this approach "standard
practice." But in order to "clarify the nature of these data," Glaxo will make
summaries of Paxil safety and effectiveness data available "shortly" on
its Web site, which is www.gsk.com. In an interview earlier this week with the Daily Telegraph, the British
newspaper, Jean-Pierre Garnier, Glaxo's chief executive, denied acting on
the instructions in the memo. "Of course we didn't follow this advice," he said. "We didn't
selectively publicize the data. This is not a smoking gun. "It's a stupid memo, and there are lots of stupid memos in every
company's file and it is really unfair to look at the company's actions
through the small hole of one memo written among thousands and thousands
in 1998. I do regret that those memos exist, but I'm not going to lose
sleep over the fact."
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