Dropping slow process in early clinical trials would make medicines available sooner

  • Takatakatakatakatak@lemmy.dbzer0.com
    link
    fedilink
    English
    arrow-up
    10
    ·
    1 year ago

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2976712/

    It's significant. Biggest effect is on efficacy of drug metabolism. There are many such studies.

    One size does not fit all here owing to differences in expression of metabolising enzymes and drug transport mechanisms.

    No, the Japanese are not aliens but they may require far less of a given drug than a westerner, or far more. This affects the likelihood to experience side effects for any given compound, and their severity.

    It's fairly ironic to make this change for Japan whilst elsewhere in the world with more racially mixed populations there has been a push in the opposite direction: a recognition that you cannot assume the results of a trial carried out on white male subjects will apply to those of African descent for example.

    It's not just drug treatments either. There are many aspects of medical care which have suffered from a lack of specificity and systemic bias.

    • regul@lemm.ee
      link
      fedilink
      arrow-up
      2
      ·
      1 year ago

      Wouldn't Japan have decades of data to analyze, though? Comparison of the global vs Japanese trials, any detected differences once released, etc. It's not like they're making this decision blind.

    • otp@sh.itjust.works
      link
      fedilink
      arrow-up
      1
      ·
      1 year ago

      It's significant, sure. But it might be better to let the companies bring the drugs in, and any skeptics can wait for any news if they choose.

      If I recall, this lengthened the impact of covid because they delayed the vaccines.