There is no report regarding the conduct of clinical
trials on children particularly on new borns by foreign
pharmaceutical firms at Safdarjung Hospital, New
Delhi.
Research in the area of drug discovery leads
to newer, safer and more efficacious drugs being made available in the country. Clinical trials are the only way of
establishing the safety and efficacy of any new drug before its introduction in
the market for human use. Clinical
trials (with safeguards) are necessary for introduction of new drugs for a
country like India, considering its disease burden and emergence of new
variants of disease. The trials in the
long run benefit the country and its patients. However, lesser number of
clinical trials are taking place in the country as
compared to the trials in other countries. As on 20-03-2013, as per the
information available in www.clinicaltrials.gov of National
Institute of Health, United States of America (USA), a total number of 1,42,239 clinical trials of different countries worldwide
were registered. Out of these, 67,881
are from USA, 38,473 from Europe, 10,702 from Canada, 2,645 from Japan,
etc. Only 2,178 clinical trials were
registered from India.
Banning clinical trials, whether local or global, will not be in the
interest of drug discovery and research in the country. However, there is a
need to effectively monitor these trials so as to avoid irregularities therein.
The Government has been continuously making efforts at strengthening the regulatory
provisions and
the monitoring mechanism of clinical trials in the country and to avoid
irregularities therein. The provisions in the Drugs and Cosmetics Rules, 1945
relating to clinical trials have recently been amended as follows:
(i) Amendment vide Gazette Notification
G.S.R. 53 (E) dated 30-01-2013 specifying procedures to analyse the reports of Serious Adverse
Events occurring during clinical trials and procedures for payment of
compensation in case of trial related injury or death as per prescribed
timelines.
(ii) Amendment vide Gazette Notification
G.S.R. 63(E) dated 01-02-2013 specifying various conditions for conduct of
clinical trials, authority for conducting clinical trial inspections and
actions in case of non-compliance.
(iii) The registration of the Ethics Committees
has been made mandatory in the Drugs & Cosmetics Rules vide Gazette
Notification G.S.R No. 72(E) Dated 08.02.13 specifying requirements and
guidelines for registration of Ethics Committee.
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