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Freakonomics Radio

Bad Medicine, Part 2: (Drug) Trials and Tribulations (Rebroadcast)

Freakonomics Radio

Freakonomics Radio + Stitcher

Documentary, Society & Culture

4.632K Ratings

🗓️ 24 August 2017

⏱️ 46 minutes

🧾️ Download transcript

Summary

How do so many ineffective and even dangerous drugs make it to market? One reason is that clinical trials are often run on "dream patients" who aren't representative of a larger population. On the other hand, sometimes the only thing worse than being excluded from a drug trial is being included.

Transcript

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0:00.0

Hey there, it's Stephen Dubner. Last week we brought you part one of the re-broadcast of our

0:04.8

Bad Medicine series. Today, part two, it's called Drug Trials and Tribulations, and it starts right now.

0:19.6

In the mid-20th century, an exciting new drug hit the market.

0:23.3

It's a small molecule that was produced in West Germany in the late 50s and early 60s.

0:30.2

It was a sedative, but not a barbiturate, so it wasn't addictive, didn't clash with alcohol or

0:36.1

other drugs, and, according to its manufacturer, was entirely safe. They based this claim on the

0:42.1

fact that no matter how much of it, they fed the lab rats. The rats did not die. Once this new

0:48.6

sleeping pill was made available, doctors discovered it did more than help people sleep.

0:53.2

It would combat for pregnant women morning sickness. And so pregnant women all over the world

0:59.2

were given the drug. It was called Philidamide. The problem was the Philidamide would actually cross

1:05.5

the placenta and impact the baby, and it would cause a whole series of malformations and probably

1:14.4

a lot of fetal deaths. Fetal deaths were thought to number at least 10,000. Among the babies who

1:20.7

survived, there were serious birth defects. Children that survived were deaf and blind had a number

1:27.3

of disabilities. They had a shortened or lacked limbs. Babies born with horribly malformed limbs,

1:35.5

with missing or malfunctioning organs, because of the putatively super safe drug their mothers took

1:42.9

to prevent morning sickness. Philidamide was on the market for roughly five years before it was

1:48.4

banned. Its German manufacturer, Kemi Gruninthal, first denied the disaster side effects before

1:54.8

ultimately accepting blame. The history of medicine is full of tragic missteps, but Philidamide,

2:01.3

coming as it did during a boom in global mass media, made more noise than most.

2:06.5

A problem of tighter controls to prevent the distribution of dangerous drugs, such as

2:11.4

Philidamide, is a matter of concern to the president at his news conference. Concern over the

2:17.0

tragic effects of the new sedative, Philidamide, prompt President Kennedy. Already more than 7,000

...

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