Evidence map›Paper›PMID 30536603›Full record

ReviewBritish journal of clinical pharmacology2019

Ethics codes and use of new and innovative drugs.

Jan Borysowski, Hans-Jörg Ehni, Andrzej Górski

Abstract readReview
In one paragraph

Review in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Phage Therapy-Challenges, Opportunities and Future Prospects.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  4. Procedures for application of the extended dosing after antitumor drug clinical trials.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  5. Do Physicians Have a Duty to Discuss Expanded Access to Investigational Drugs with their Patients? A Normative Analysis.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2023
    Article
  6. Article
  7. Article
  8. COVID-19 and off label use of drugs: an ethical viewpoint.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2020
    Article
  9. Review
  10. Article
  11. Innovation and off-label use, the French case and more.British journal of clinical pharmacology · 2019
    Article
  12. Ethics codes and use of new and innovative drugs.British journal of clinical pharmacology · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Jan BorysowskiCentre for Studies on Research Integrity, Institute of Law Studies, Polish Academy of Sciences, Warsaw, Poland.ORCID 0000-0001-5256-1959
Hans-Jörg EhniInstitute of Ethics and History of Medicine, Eberhard Karls Universität, Tübingen, Germany.
Andrzej GórskiDepartment of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment with new and/or innovative drugs with uncertain safety and efficacy profile is associated with substantial ethical concerns. The main objective of this paper is to present guidance on the use of such drugs contained in: (i) major international codes and guidelines pertaining to medical ethics and biomedical research; (ii) national codes of medical ethics and professional conduct of the USA, Canada, Australia, New Zealand, the UK, Ireland, France and Germany. Out of the four international codes and guidelines analysed, only the Declaration of Helsinki addresses the question of the use of unproven drugs. Among national codes, only two (USA and New Zealand) explicitly allow for use of new or innovative drugs. Moreover, treatment with unproven drugs seems to be permissible under the French code, though this is not stated explicitly. The remaining codes do not contain any articles on the use of new and innovative drugs. An update of existing articles, as well as the addition of new guidelines to the codes, should be considered in view of the rapid pace of development and introduction to clinical practice of new drugs. This work is relevant to innovative off-label applications of approved drugs and expanded access to investigational drugs.

Indexed as

Codes of EthicsEthics, MedicalAustraliaCanadaCross-Cultural ComparisonDrugs, InvestigationalFranceGermanyHumansInternationalityIrelandNew ZealandPractice Guidelines as TopicTherapies, InvestigationalUnited KingdomUnited StatesDrugs, Investigationalcode of medical ethicsDeclaration of Helsinkiexpanded accessinnovative drugoff-label

Identifiers

PMID30536603
PMCPMC6379208

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.