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Now, an article about the globalization of clinical trials, published Thursday in The New England Journal of Medicine raises questions about the ethics and the science of increasingly conducting studies outside the United States - when the studies are meant to gather evidence for new drugs to gain approval in this country.
The article, by several Duke University researchers, suggests an ethical quagmire when drugs intended for wealthy nations are tested on people in developing countries. The authors suggest that human volunteers in foreign countries may be unduly influenced with the promise of financial compensation or free medical care to participate in clinical trials.
The report, "Ethical and Scientific Implications of the Globalization of Clinical Research," also asks whether drug research conducted in developing countries is relevant to the treatment of American patients.
"We don't want to imagine that...