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Pfizer begins payouts in fatal Nigeria drug study

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    Pfizer begins payouts in fatal Nigeria drug study

    Pfizer begins payouts in fatal Nigeria drug study

    August 11, 2011

    KANO, Nigeria (AP) - Drug maker Pfizer Inc. says it has begun paying victims and their families affected by its fatal 1996 meningitis study in northern Nigeria.

    Nigeria's government and the New York-based pharmaceutical company announced a $75 million settlement in 2009.

    The company on Thursday announced it made a $175,000 payment to the families of four children who died.

    The families submitted DNA to show the dead were their children.

    In 1996, Pfizer treated 100 meningitis-infected children with an experimental antibiotic called Trovan.

    Eleven children died during the clinical trial, performed during an outbreak of the disease. Lawsuits filed against the company alleged some received a dose lower than recommended, leaving many children with brain damage, paralysis or slurred speech.

    Pfizer denied the charges.

    From The Associated Press

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    Fuck Pfizer

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    Good ole Pfizer! Spreading hope and good will around the world as usual.
    “I used to do drugs. I still do drugs. But I used to, too.”

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    i don't see the problem.....pfizer did a clinical study....they signed waivers to be a part of the study for compensation.....there's a certain risk that's why they pay people to be a part of the study.....waiver signed.....i wouldn't pay shit......the courts got this one wrong......
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    Edit: irish, did you see this bit?

    In 2001, families of the children, as well as the governments of Kano and Nigeria, filed lawsuits regarding the treatment.[57] Representing the government is Babatunde Irukera. According to news reports, "[r]esearchers did not obtain signed consent forms, and medical personnel said Pfizer did not tell parents their children were getting the experimental drug."[58]

    Quote Originally Posted by irish_2003 View Post
    i don't see the problem.....pfizer did a clinical study....they signed waivers to be a part of the study for compensation.....there's a certain risk that's why they pay people to be a part of the study.....waiver signed.....i wouldn't pay shit......the courts got this one wrong......
    But they're stating that the wrong dose was administered to those who signed the waiver, right?

    If you sign a contract and then the person double-crosses you, aren't you due some type of compensation for their misdeed?

    Pfizer denies wrongdoing, but how many companies are going to come clean and say, "Yeah, you got us. Some of those children received a dose lower than recommended. Hey, sorry about the whole brain damage, paralysis, and slurred speech, guys. Our bad!"
    Last edited by Curt James; 08-12-2011 at 04:16 PM.

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    Quote Originally Posted by Prince View Post
    Fuck Pfizer
    I was going to say that $75 million is a bit of a ****ing, but that was awarded in 2009. They're just sending out checks now? And just a paltry $175,000?

    (Googles)

    Ah! Get in line, Nigeria!

    Legislation and litigation


    Pfizer is party to a number of suits stemming from its pharmaceutical products as well as practices of various companies it has acquired or merged with.

    Kelo case

    Pfizer's interest in obtaining property in New London, Connecticut, for expanded facilities led to the Kelo v. New London case before the U.S. Supreme Court.
    The Supreme Court's 2005 decision in Kelo v. City of New London handed local governments the right to seize private property for economic development,[33] i. e., offices, a hotel to enhance Pfizer Inc.'s nearby corporate facility. However, following the completion of the aforementioned Wyeth merger, Pfizer announced it will close its research and development headquarters in New London, Connecticut, moving employees to nearby Groton.

    Quigley Co.


    Pfizer acquired Quigley in 1968, and the division sold asbestos-containing insulation products until the early 1970s.[34] Asbestos victims and Pfizer have been negotiating a settlement deal which calls for Pfizer to pay $430 million to 80 percent of existing plaintiffs. It will also place an additional $535 million into an asbestos settlement trust that will compensate future plaintiffs as well as the remaining 20 percent of current plaintiffs with claims against Pfizer and Quigley. The compensation deal is worth $965 million all up. Of that $535 million, $405 million is in a 40-year note from Pfizer, while $100 million will come from insurance policies.

    Bjork–Shiley heart valve


    Pfizer purchased Shiley in 1979 at the onset of its Convexo-Concave valve ordeal, involving the Bjork–Shiley heart valve. Approximately 500 people died when defective valves failed and, in 1994, the United States ruled against Pfizer for ~$200 million.

    Political lobbying

    Pfizer is a leading member of the U.S. Global Leadership Coalition, a Washington D.C.-based coalition of over 400 major companies and NGOs that advocates for a larger International Affairs Budget, which funds American diplomatic, humanitarian, and development efforts abroad.

    Pfizer is one of the single largest lobbying interests in United States politics. For example in the first 9 months of 2009 Pfizer spent over $16.3 million on lobbying US congressional lawmakers, making them the sixth largest lobbying interest in the US (following Pharmaceutical Research and Manufacturers of America (PhRMA), which ranked fourth but also represents many of their interests). A spokeswoman for Pfizer said the company “wanted to make sure our voice is heard in this conversation” in regards to the companies expenditure of $25 million in 2010 to lobby health care reform.

    Pfizer's primary interests are opposition of Congressional efforts to attach a prescription drug benefit to Medicare and opposition to generic drugs entering US markets.[39] Pfizer also purportedly proposed a ban on all lawsuits against manufacturers of body implant parts which was proposed in the United States Congress as part of tort reform legislation.

    According to U.S. State Department cables released by the whistle-blowing site WikiLeaks, Pfizer "lobbied against New Zealand getting a free trade agreement with the United States because it objected to New Zealand’s restrictive drug buying rules and tried to get rid of New Zealand’s former health minister, Helen Clark, in 1990.

    Off-label promotional practices

    Access to pharmaceutical industry documents has revealed marketing strategies used to promote Neurontin for off-label use.[43] In 1993, the U.S. Food and Drug Administration (FDA) approved gabapentin (Neurontin, Pfizer) only for treatment of seizures. Warner–Lambert, which merged with Pfizer in 2000, used activities not usually associated with sales promotion, including continuing medical education and research, sponsored articles about the drug for the medical literature, and alleged suppression of unfavorable study results, to promote gabapentin. Within 5 years the drug was being widely used for the off-label treatment of pain and psychiatric conditions. In 2004, Warner–Lambert admitted to charges that it violated FDA regulations by promoting the drug for pain, psychiatric conditions, migraine, and other unapproved uses, and paid $430 million to resolve criminal and civil health care liability charges.[44][45] Today it is a mainstay drug for migraines, even though it was not approved for such use in 2004.

    Bextra settlement of off-label marketing investigation

    In September 2009, the United States Department of Justice announced that Pfizer had agreed to pay $2.3 billion to settle civil and criminal allegations that it had illegally marketed four drugs: Bextra, Geodon, Zyvox, and Lyrica "with the intent to defraud or mislead" by promoting the drugs for non-approved uses[examples needed]; this marks Pfizer's fourth such settlement in a decade.[4][5][32] Pharmacia & Upjohn Company, Inc., a Pfizer subsidiary, agreed to plead guilty to mis-branded promotion of Bextra, a felony violation of the Food, Drug and Cosmetic Act. The criminal fine accounts for $1.3 billion of the settlement, and is the largest criminal penalty ever imposed in American history.[47] Pfizer has entered an extensive corporate integrity agreement (CIA) with the Office of Inspector General and will be required to make substantial structural reforms within the company, and maintain the Pfizer website (PMC Redirect) to track the company's post marketing commitments. Pfizer must also put a searchable database of all payments to physicians the company has made on the Pfizer website by March 31, 2010.[48] In addition, two former employees were separately indicted and sentenced for their role in marketing of Bextra. A former District Sales manager was found guilty of obstruction of justice for destroying documents pertinent to the investigation, and a Regional Sales Manager pled guilty to the distribution of a mis-branded product.

    The case is the largest civil settlement against a pharmaceutical company as well.[51] Pfizer paid a $1 billion civil fine to settle allegations it had illegally promoted the drugs for uses that were not approved by the U.S. Food and Drug Administration (FDA) and caused false claims to be submitted to Federal and State programs including but not limited to Medicare and Medicaid. Under the False Claims Act, damages can be assessed for violations of the federal Anti-Kickback statute, 42 U.S.C. § 1320a–7b(b)[52] and the off-label marketing provision within the Federal Food, Drug, and Cosmetic Act ("FDCA"), 21 U.S.C. §§301-97.[53] Six whistle-blowers will receive $102 million for their participation in the civil investigation, and John Kopchinski, a former sales representative, will receive $51.5 million for his allegations involving the marketing of Bextra.

    CNN reported that Pharmacia & Upjohn, not Pfizer itself, pleaded guilty because prosecutors thought Pfizer was "too big to nail." Companies convicted of major health care fraud are automatically barred from billing Medicare and Medicaid for their products. Prosecutors feared that Pfizer would collapse if it pleaded guilty, and felt that the risk of harm to patients was too great. A CNN investigation revealed that Pharmacia & Upjohn Company is little more than a shell corporation Pfizer uses to plead guilty; it was first created in 2007 as the defendant in a kickback case.

    Nigeria

    In 1996, an outbreak of measles, cholera, and bacterial meningitis occurred in Nigeria. Pfizer representatives traveled to Kano, Nigeria to administer an experimental antibiotic, trovafloxacin, to approximately 200 children. Local Kano officials report that more than 50 children died in the experiment, while many others developed mental and physical deformities.[56] In 2001, families of the children, as well as the governments of Kano and Nigeria, filed lawsuits regarding the treatment.[57] Representing the government is Babatunde Irukera. According to news reports, "[r]esearchers did not obtain signed consent forms, and medical personnel said Pfizer did not tell parents their children were getting the experimental drug."[58]

    The lawsuits also accuse Pfizer of using the outbreak to perform unapproved human testing, as well as allegedly under-dosing a control group being treated with traditional antibiotics in order to skew the results of the trial in favor of Trovan. Pfizer denied these claims, and subsequently produced an approval letter for testing from the Nigerian Ethics Committee. The Nigerian government insisted that it was a fake and a panel of Nigerian medical experts agreed that the letter had been concocted and backdated by the company's lead researcher in Kano. They went on to conclude that Pfizer never obtained authorization from the Nigerian government to give the unproven drug to children and infants.

    In 2007, Pfizer published a Statement of Defense letter.[60] The letter makes several claims, including that Pfizer donated 18 million in Nigerian Naira (NGN) (about $216,000 in 1996 US dollars (USD)) ,[61] that the drug's oral form was presented as safer and easier to administer, that the administration of Trovan saved lives, and that no unusual side effects, unrelated to meningitis, were observed after 4 weeks.

    A more likely reason for Pfizer's insistence on the oral form is the result of testing trovafloxacin intravenously in 1995, which found that the drug precipitated in saline, making it ineffective in patients receiving IV fluids. This is inferred from an FDA Warning Letter[62] to ex-CEO William C. Steere, regarding Trovan's compatibility with saline etc., which was omitted from Trovan's labeling until January 1999, shortly after Pfizer received the letter.

    In June 1999, the FDA released a public health statement warning against the use of Trovan except in life-or-death situations, due to high risk of liver failure. In some cases, liver damage occurred after only two days of treatment.

    In June 2010 the US Supreme Court rejected Pfizer's appeal against a ruling allowing lawsuits by the Nigerian families to proceed.[64]
    In December 2010 WikiLeaks released US diplomatic cables, which indicate that Pfizer had "used dirty tricks to avoid clinical trial payout". The company had hired investigators to find evidence of corruption against the Nigerian attorney general to persuade him to drop legal action.[65] Washington Post reporter Joe Stephens, who helped break the story in 2000, called these actions "dangerously close to blackmail."[58] In response the company has released a press statement describing the allegations as "preposterous" and stating that they acted in good faith.

    Lawsuit over GMO virus

    A scientist claims she was infected by a genetically modified virus while working for Pfizer. In her federal lawsuit she says she has been intermittently paralyzed by the Pfizer-designed virus. "McClain, of Deep River, suspects she was inadvertently exposed, through work by a former Pfizer colleague in 2002 or 2003, to an engineered form of the lentivirus, a virus similar to the one that can lead to acquired immune deficiency syndrome, or AIDS."

    Blue Cross Blue Shield lawsuit

    Health insurance company Blue Cross Blue Shield (BCBS) filed a lawsuit against Pfizer for reportedly illegally marketing their drugs Bextra, Geodon and Lyrica. BCBS is reporting that Pfizer used "kickbacks" and wrongly persuaded doctors to prescribe the drugs.[68][69] FiercePharma reported that "According to the suit, the drugmaker not only handed out those "misleading" materials on off-label uses, but sent doctors on Caribbean junkets and paid them $2,000 honoraria in return for their listening to lectures about Bextra. More than 5,000 healthcare professionals were entertained at meetings in Bahamas, Virgin Islands and across the U.S., the suit alleges."[70] Pfizer has had similar cases brought against it which it has settled with the US federal government and with more than 40 US states.[71] Pfizer denies the allegations.

    Wyeth's Rapamune


    A "whistleblower suit" was filed in 2005 against Wyeth, which was acquired by Pfizer, alleging that the company illegally marketed their drug Rapamune. Wyeth is targeted in the suit for off-label marketing, targeting specific doctors and medical facilities to increased sales of Rapamune, trying to get current transplant patients to change from their current transplant drugs to Rapamune and for specifically targeting African-Americans. According to the whistleblowers, Wyeth also provided doctors and hospitals with kickbacks to prescribe the drug in the form of grants, donations and other money.[72][73] A US House of Representatives committee, led by Rep. Edolphus Towns is currently investigating Pfizer for these abuses.

    More @ Pfizer - Wikipedia, the free encyclopedia

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    Quote Originally Posted by Curt James View Post
    But they're stating that the wrong dose was administered to those who signed the waiver, right?

    If you sign a contract and then the person double-crosses you, aren't you due some type of compensation for their misdeed?

    Pfizer denies wrongdoing, but how many companies are going to come clean and say, "Yeah, you got us. Some of those children received a dose lower than recommended. Hey, sorry about the whole brain damage, paralysis, and slurred speech, guys. Our bad!"
    Don't worry too much. Irish sucks cooperate cock for fun. Big business can do no wrong in his eyes. I mean lets not even consider the the fact that pfizer has a rap sheet almost a mile long. Lets also ignore the fact that this WAS FUCKING NIGERA!

    Those weren't FDA clinical trials. That was pfizer using third world children as lab rats because it was cheaper and more convenient than doing the research in the US under US rules and regulations.
    “I used to do drugs. I still do drugs. But I used to, too.”

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    Quote Originally Posted by KelJu View Post
    Those weren't FDA clinical trials. That was pfizer using third world children as lab rats because it was cheaper and more convenient than doing the research in the US under US rules and regulations.
    That's certainly what it smells like.

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    the only people that should be allowed to have a problem with this is the shareholders....they will most likely reduce dividends to pay for it
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    Quote Originally Posted by irish_2003 View Post
    the only people that should be allowed to have a problem with this is the shareholders....they will most likely reduce dividends to pay for it
    Can you define "this"?

    Because I'd have a problem with waiting for damages since 2009 after receiving brain damage and paralysis for my troubles. Allegedly no signed consent forms and no knowledge that they were receiving an experimental drug much?

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    Quote Originally Posted by Curt James View Post
    Can you define "this"?

    Because I'd have a problem with waiting for damages since 2009 after receiving brain damage and paralysis for my troubles. Allegedly no signed consent forms and no knowledge that they were receiving an experimental drug much?
    the real question is what would have happen if they din't do the studies?

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    Quote Originally Posted by AdmiralRichard View Post
    the real question is what would have happen if they din't do the studies?
    No idea.

    Meningitis - PubMed Health

    Not Nigeria, but this text from the UK offers some indication that meningitis is not like ice cream.

    Meningitis is an infection of the protective membranes that surround the brain and spinal cord which is caused by bacteria or a virus.

    Bacterial meningitis is far more serious and should be treated as a medical emergency. If left untreated, it can cause severe brain damage and a blood infection known as septicaemia.

    Around 2,500 cases of bacterial meningitis are reported in the UK each year and it kills one in 10 sufferers.

    The symptoms usually begin suddenly and rapidly get worse. Early warning signs include: pain in the muscles, joints or limbs; unusually cold hands and feet; shivering; pale and blotchy skin and blue lips.

    Later symptoms include: drowsiness and confusion; being unable to tolerate bright lights; developing a blotchy red rash that doesn’t fade when you place a glass on it; rapid breathing and seizures.

    There is no vaccine that protects against all strains of the disease.

    From Girl dies and second rushed to hospital after meningitis outbreak at secondary school | Mail Online

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    Quote Originally Posted by Curt James View Post
    Edit: irish, did you see this bit?

    In 2001, families of the children, as well as the governments of Kano and Nigeria, filed lawsuits regarding the treatment.[57] Representing the government is Babatunde Irukera. According to news reports, "[r]esearchers did not obtain signed consent forms, and medical personnel said Pfizer did not tell parents their children were getting the experimental drug."[58]



    But they're stating that the wrong dose was administered to those who signed the waiver, right?

    If you sign a contract and then the person double-crosses you, aren't you due some type of compensation for their misdeed?

    Pfizer denies wrongdoing, but how many companies are going to come clean and say, "Yeah, you got us. Some of those children received a dose lower than recommended. Hey, sorry about the whole brain damage, paralysis, and slurred speech, guys. Our bad!"
    Some folks like to ignore facts, Curt.

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    Quote Originally Posted by irish_2003 View Post
    the only people that should be allowed to have a problem with this is the shareholders....they will most likely reduce dividends to pay for it
    YOU should be having a fucking problem with this. If you are ok with human beings being treated like so much garbage then do the rest of the world a favor and eat a buckshot sandwich, take your faulty genes out of the gene pool.

    It is not only unethical behavior and thinking, but complete disregard for human life that you are condoning and apparently have no problem with. When you get fucked up by some corporate interest you will be the first to bitch and moan about how wrong it is. But since you don't actually see it firsthand there's nothing wrong with it? Go take a crash courses in grammar, spelling and, most importantly, ethics.

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    Quote Originally Posted by Zaphod View Post
    Some folks like to ignore facts, Curt.
    When I first posted the article I wasn't aware there were allegations that Pfizer hadn't obtained signed consent forms.

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    Quote Originally Posted by Curt James View Post
    When I first posted the article I wasn't aware there were allegations that Pfizer hadn't obtained signed consent forms.
    That doesn't really matter at this point. Consent forms or no, when someone dies from a corporate experiment it's not only wrong it's criminal. Nigeria should be asking for the entire board and senior management to be extradited for murder charges.

    The only way this whole corporate bullshit of companies doing as they please is going to change is if the people in charge are held responsible for the wrongdoings.

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    Quote Originally Posted by Zaphod View Post
    That doesn't really matter at this point. Consent forms or no, when someone dies from a corporate experiment it's not only wrong it's criminal. Nigeria should be asking for the entire board and senior management to be extradited for murder charges.

    The only way this whole corporate bullshit of companies doing as they please is going to change is if the people in charge are held responsible for the wrongdoings.
    I agree wholeheartedly.

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