Evidence map›Paper›PMID 30998281›Full record

ArticleThe Hastings Center report2019

Federal Right to Try: Where Is It Going?

Kelly Folkers, Carolyn Chapman, Barbara Redman

Abstract read
PubMed Publisher
In one paragraph

Article in The Hastings Center report, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Mapping the Landscape of Do-it-Yourself Medicine.Citizen science : theory and practice · 2022
    Article
  2. Formulating an Ethics of Pharmaceutical Disinvestment.Journal of bioethical inquiry · 2020
    Article
  3. Right to Try Requests and Oncologists' Gatekeeping Obligations.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Kelly Folkers
Carolyn Chapman
Barbara Redman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Policy-makers, bioethicists, and patient advocates have been engaged in a fierce battle about the merits and potential harms of a federal right-to-try law. This debate about access to investigational medical products has raised profound questions about the limits of patient autonomy, appropriate government regulation, medical paternalism, and political rhetoric. For example, do patients have a right to access investigational therapies, as the right-to-try movement asserts? What is government's proper role in regulating and facilitating access to drugs that are still in development? In this review, we analyze the history of the right-to-try movement, review the arguments put forth by supporters and opponents of the legislation, and consider the movement's consequences. Two possible scenarios may emerge. One is that the right-to-try pathway may fail to meaningfully increase patient access to investigational products. Alternatively, certain companies may attempt to rely on the federal right-to-try legislation to sell investigational products, taking advantage of the provision that allows for direct costs, as there is currently no clear mechanism for enforcement or monitoring of cost calculations.

Indexed as

Drugs, InvestigationalGovernment RegulationHealth Services AccessibilityHumansInvestigational New Drug ApplicationOrphan Drug ProductionPatient AdvocacyTerminally IllUnited StatesUnited States Food and Drug AdministrationDrugs, Investigational

Identifiers

PMID30998281

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.