Bmj Usa: Editor's Choice

Science, industry, and politics at the FDA

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E160

From BMJ USA 2002;November:589

In this issue, the Australian journalist Ray Moynihan reports on the FDA decision to reintroduce alosetron (Lotronex) for irritable bowel syndrome despite serious side effects (BMJ USA p 633). He asserts that the FDA looked the other way, ignoring warnings from its advisory committees and FDA staff, under pressure from private industry and advocacy groups.

The cover photo of the September 14 BMJ, in which his article first appeared, showed the FDA building in Rockville, Maryland, above the provocative caption, “Who owns the FDA?” A news report in that issue quoted a former FDA consultant: “[the agency …

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