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BMJ 2004;328:1217 (22 May), doi:10.1136/bmj.328.7450.1217
Jeanne Lenzer
New York
| The first 150 words of the full text of this article appear below. |
Pfizer, the world's largest drug maker, pleaded guilty on 13 May to numerous civil and criminal charges for illegally promoting the off-label use of gabapentin (Neurontin). It has agreed to pay a $240m (£136m;
200m) criminal fine and $152m to state and federal healthcare programmes. The fine is the second largest given in the industry.
Meanwhile, off-label sales of gabapentin continue to soar, despite evidence that the drug is not effective for some of the problems it is used to treat.
David Franklin, 42, a microbiologist and former Harvard research fellow who worked as a "medical liaison" expert for Warner-Lambert before it was bought by Pfizer in 2002, filed a whistleblower suit under the False Claims Act in 1996, charging the company with using "fraudulent scientific evidence" to promote off-label uses of gabapentin.
Dr Franklin's suit detailed how the company suppressed study results, planted people in medical audiences to ask
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