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Is the evidence of the Supreme Court Ruling of gefitinib litigation in Japan scientific?

Authors :
Y Tsuchiya
H Enoki
A Teraoka
K Katahira
T Yoshikawa
Source :
International Journal of Risk & Safety in Medicine. 26:227-233
Publication Year :
2014
Publisher :
IOS Press, 2014.

Abstract

Background Plaintiffs of the gefitinib (Iressa) lawsuits in Japan started in 2004 were defeated in the Supreme Court in 2013. The Court judged it was not possible to foresee the outbreak of deaths caused by interstitial pneumonia due to gefitinib from death cases before approval of this drug. Objective We attempted to verify validity of this judgment. Methods We estimated the 95% confidence interval (CI) of the proportion of onset and death cases among 23 onset and 13 death cases occurring from "within 1 week" to "within 4 weeks" from clinical data before approval of this drug using data admitted to the Court. Results For death cases, all of the upper limits of the 95% CI exceeded 50% within 1-4 weeks. This fact suggested that the cases of acute interstitial pneumonia were included in the clinical trial before the approval of gefitinib. Conclusion It was possible to foresee the outbreak of death cases after drug approval. This conclusion showed the Court's ruling was not reasonable and was unscientific.

Details

ISSN :
09246479
Volume :
26
Database :
OpenAIRE
Journal :
International Journal of Risk & Safety in Medicine
Accession number :
edsair.doi.dedup.....075fb3068e897e025ceddd8d9eb9eb39