Medical Progress Today
mpt home | sign up

Volume 3, Number 3
January 20, 2006


PRINTER FRIENDLY

Commentary

New England Journal of Politics
Wall Street Journal, 1-16-06

The Journal takes issue with the New England Journal of Medicine for its Merck-bashing editorial last month.

Accusations aren't the usual fare of august medical journals, so it's worth trying to understand the publication's self-insertion into the Merck litigation. Its extraordinary decision to publish a critical statement about a Vioxx study it ran years ago is being hailed by trial lawyers as the best evidence yet that Merck played fast and loose with its data. Another way to say this is that the New England Journal is joining the ranks of academic publications risking their reputations as non-partisan arbiters of good science in order to rumble in the political tarpits. …
Any journal has an obligation to demand honest studies. Yet the facts of this case suggest that is exactly what it got. In November 2000 the journal published a Vioxx study funded by Merck, which was ostensibly looking for gastrointestinal problems. In the course of the study, the researchers also discovered that participants showed a somewhat higher risk of heart attack from taking Vioxx as compared to another widely used painkiller, naxopren -- a fact they included in the published results.
What has [Dr. Curfman, the executive editor] in a dither is the fact that three more participants also suffered heart attacks -- though only after the cutoff date that had been determined by an outside safety panel for the study. The three heart incidents were included in an early draft of the paper, but they had disappeared by the time it went to press. The not-so-subtle accusation is that Merck manipulated the data.
In fact, as prominent scientists have since attested, the authors were simply following the rules of science. "If the outcomes truly occurred after the close of the study, then they don't belong in the study," Brian Strom, an epidemiologist at the University of Pennsylvania, told Nature magazine.

The same journal standards should apply to academic and industry researchers. In the meantime, if Merck flounders under a wave of lawsuits, the NEJM can take some of the credit.

Source: http://online.wsj.com/home/us


Medical Progress Today is published by the Center for Medical Progress at the Manhattan Institute for Policy Research.

For more information about Medical Progress Today, please contact the managing editor, Paul Howard, at phoward@manhattan-institute.org, or via telephone at 212.599.7000.

Press inquiries regarding Medical Progress Today can be directed to the Communications Department, at communications@manhattan-institute.org, or via telephone at 212.599.7000.

If you would like to unsubscribe, please reply to us and type "Unsubscribe" in the subject line.

In this week's issue:

spotlight

FDA Shows Interest in 18th Century Presbyterian Minister

news

Lawyers May Change Their Tactics in Drug Liability Cases
FDA Issues New Rules For Drug Labels --- Move Is Designed to Clarify Safety Data For Patients and Physicians
Earlier Drug Testing on Humans Okd

commentary

New England Journal of Politics
HilaryCare Returns
Keep Government Out

research

Cutting Drug Copayments For Sicker Patients Can Cut Hospitalizations and Save Money
Center for Medical Progress 
Copyright Manhattan Institute for Policy Research
52 Vanderbilt Avenue
New York, NY 10017
(212) 599-7000
mpt@manhattan-institute.org