A review of the ethics of the use of placebo in clinical trials for relapsing-remitting multiple sclerosis therapeutics.

Abstract:

:Randomized placebo-controlled clinical trials have been considered the most rigorous method of evaluating the efficacy of novel treatment interventions. The first effective disease-modifying therapies (DMTs) for relapsing-remitting multiple sclerosis (RRMS) were approved in the 1990s after a number of pivotal placebo-controlled trials. Since then, the ethics of the continued use of placebo in clinical trials of new DMTs for RRMS has been the subject of repeated policy statements and recommendations by international committees. As further data have accumulated demonstrating a reduction in long-term morbidity and mortality with early initiation of DMT, a growing consensus has emerged that further inclusion of placebo arms in clinical trials of novel RRMS therapies is no longer ethical.

authors

Solomon AJ,Bernat JL

doi

10.1016/j.msard.2016.03.019

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

109-12

eissn

2211-0348

issn

2211-0356

pii

S2211-0348(16)30043-8

journal_volume

7

pub_type

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