Cambridge Quarterly of Healthcare Ethics

Special Section: Rejuvenating Research Ethics

Drug Trials, Doctors, and Developing Countries: Toward a Legal Definition of Informed Consent

Adina M. Newmana1

a1 Received her law degree from Georgetown University Law Center In 1995 and plans to attend Columbia University's Postbaccalaureate Premedlcal Program.

Assume this hypothetical situation: an American pharmaceutical company, Maxwell Fisch Pharmaceuticals, Inc. (Maxwell), wishes to perform clinical trials involving a new antipsychotic medication, Klezac. Klezac is in its third phase of the clinical stage of the drug research process. Once the testing is complete, Maxwell plans to submit a New Drug Application, the official request to begin marketing Klezac, to the Food and Drug Administration (FDA). The new drug is expected to receive FDA approval in 2 or more years. The company decides to shift its research and development activities to Z, a small, developing country. In doing so, Maxwell is following the course taken by numerous other drug companies who wish to take advantage of faster governmental approval in foreign sites and ensuing cheaper research costs.

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