When Experiments Travel: Clinical Trials and the Global Search for Human Subjects

Paperback (Print)
Rent
Rent from BN.com
$9.28
(Save 71%)
Est. Return Date: 09/11/2014
Buy Used
Buy Used from BN.com
$20.12
(Save 37%)
Item is in good condition but packaging may have signs of shelf wear/aging or torn packaging.
Condition: Used – Good details
Used and New from Other Sellers
Used and New from Other Sellers
from $5.99
Usually ships in 1-2 business days
(Save 81%)
Other sellers (Paperback)
  • All (14) from $5.99   
  • New (7) from $20.98   
  • Used (7) from $5.99   

Overview

"This thoughtful and reflective book offers us a sobering account of the spread of clinical research in a world without borders and often without norms. Based on careful comparative anthropological research, it both casts light on a gray zone where research, medicine, and capitalism merge, and provides a first-rate example of how an anthropology for the twenty-first century can contribute to our understanding and to the public good."—Paul Rabinow, author of Marking Time

"This superb book provides the best overview of the pharmaceutical industry's rush to move clinical trials to developing countries, and the intensely troubling moral, political, economic, and cultural issues this effort raises. Petryna's argument is balanced and compelling, and her case studies are riveting."—Arthur Kleinman, M.D., Harvard University

"This is a very important book, notable for its novel subject, innovative approach, and seriousness. A singular contribution to the anthropology of science and medicine."—Veena Das, Johns Hopkins University

Read More Show Less

Editorial Reviews

The Lancet
Obama administration officials wondering what to expect from this brewing storm should consult Adriana Petryna's new book When Experiments Travel, which deals with the global clinical trials industry, especially in low-income and middle-income countries.
— Helen Epstein
Health Affairs
In When Experiments Travel, Adriana Petryna has written a timely book. It provides an important anthropological perspective on the issues surrounding clinical trials and how to make medical research more transparent and accessible to the general public.
— Dinesh Sharma
IRB Ethics and Human Research
When Experiments Travel is a provocative look inside the outsourcing of clinical trials. The issues that it raises are complex and profound. Hopefully, it will spawn further empirical work and influence the terms of the ongoing debate surrounding the ethics and regulation of international research.
— Alex John London
Qualitative Sociology
[S]cholars of the social organization of medicine would appreciate this book for the window it provides into treatment. . . . The book is also an important information source for economic sociologists interested in how a new industry is recontextualized into distant political and professional regimes. Finally, it should be appreciated for the insight it offers into the production of a form of evidence onto which a remarkable amount of importance is placed in contemporary medicine.
— Daniel Menchik
The Lancet - Helen Epstein
Obama administration officials wondering what to expect from this brewing storm should consult Adriana Petryna's new book When Experiments Travel, which deals with the global clinical trials industry, especially in low-income and middle-income countries.
Choice - K.H. Jacobsen
She succeeds in presenting a balanced set of viewpoints on a variety of concerns about recruiting practices, informed consent, drug safety, the blurring of lines between clinical practice and research, and issues of distributive justice such as drug pricing and access.
Health Affairs - Dinesh Sharma
In When Experiments Travel, Adriana Petryna has written a timely book. It provides an important anthropological perspective on the issues surrounding clinical trials and how to make medical research more transparent and accessible to the general public.
IRB Ethics and Human Research - Alex John London
When Experiments Travel is a provocative look inside the outsourcing of clinical trials. The issues that it raises are complex and profound. Hopefully, it will spawn further empirical work and influence the terms of the ongoing debate surrounding the ethics and regulation of international research.
Qualitative Sociology - Daniel Menchik
[S]cholars of the social organization of medicine would appreciate this book for the window it provides into treatment. . . . The book is also an important information source for economic sociologists interested in how a new industry is recontextualized into distant political and professional regimes. Finally, it should be appreciated for the insight it offers into the production of a form of evidence onto which a remarkable amount of importance is placed in contemporary medicine.
From the Publisher
"Obama administration officials wondering what to expect from this brewing storm should consult Adriana Petryna's new book When Experiments Travel, which deals with the global clinical trials industry, especially in low-income and middle-income countries."—Helen Epstein, The Lancet

"She succeeds in presenting a balanced set of viewpoints on a variety of concerns about recruiting practices, informed consent, drug safety, the blurring of lines between clinical practice and research, and issues of distributive justice such as drug pricing and access."—K.H. Jacobsen, Choice

"In When Experiments Travel, Adriana Petryna has written a timely book. It provides an important anthropological perspective on the issues surrounding clinical trials and how to make medical research more transparent and accessible to the general public."—Dinesh Sharma, Health Affairs

"When Experiments Travel is a provocative look inside the outsourcing of clinical trials. The issues that it raises are complex and profound. Hopefully, it will spawn further empirical work and influence the terms of the ongoing debate surrounding the ethics and regulation of international research."—Alex John London, IRB Ethics and Human Research

"[S]cholars of the social organization of medicine would appreciate this book for the window it provides into treatment. . . . The book is also an important information source for economic sociologists interested in how a new industry is recontextualized into distant political and professional regimes. Finally, it should be appreciated for the insight it offers into the production of a form of evidence onto which a remarkable amount of importance is placed in contemporary medicine."—Daniel Menchik, Qualitative Sociology

Choice
She succeeds in presenting a balanced set of viewpoints on a variety of concerns about recruiting practices, informed consent, drug safety, the blurring of lines between clinical practice and research, and issues of distributive justice such as drug pricing and access.
— K.H. Jacobsen
Read More Show Less

Product Details

  • ISBN-13: 9780691126579
  • Publisher: Princeton University Press
  • Publication date: 4/27/2009
  • Edition description: New Edition
  • Pages: 270
  • Sales rank: 1,364,871
  • Product dimensions: 6.10 (w) x 9.20 (h) x 0.80 (d)

Meet the Author


Adriana Petryna is associate professor of anthropology at the University of Pennsylvania. She is the author of the award-winning "Life Exposed: Biological Citizens after Chernobyl" (Princeton) and the coeditor of "Global Pharmaceuticals: Ethics, Markets, Practices".
Read More Show Less

Table of Contents

Abbreviations ix

INTRODUCTION: EXPERIMENTAL FIELDS 1
The Search for Human Subjects 1
Anthropology and the Global Clinical Trial 5

CHAPTER ONE: ETHICAL VARIABILITY 10
Why Are Clinical Trials Globalizing? 10
Treatment Saturation 19
Experimentality 26
Ethics as "Workable Document" 33
Floater Sites and Hidden Harms 41
The Aftermath of Clinical Trials 44

CHAPTER TWO: ARTS OF DRUG DEVELOPMENT 47
Study Mills 47
Drug-Development Services 53
From Vulnerable to Professional Subjects 61
The Pharmaceutical Boom and Everyday Research 68
Engineering Out Harm 77
The Scientific Plateau and the New Safety Paradigm 85

CHAPTER THREE: THE GLOBAL CLINICAL TRIAL 89
How Many Clinical Trials Are Being Carried Out Worldwide? 89
The Polish Market and the "Nonexistent" Patient 98
Clinical Research Frontiers 106
Collaborations in Global Science 109
Akademia Kliniczna 116
The Work of Slack 119
Patient-Consumers 124
"Our society was not competitive" 127
Pivotal Countries 130
Insurance and Legal Protection 132

CHAPTER FOUR: PHARMACEUTICALS AND THE RIGHT TO HEALTH 139
Reclaiming Patients and the Evidence Base of Drugs 139
"Pharmaceuticals are the new gold" 142
Health Technology Assessment in Brazil 146
The Judicialization of Health 150
Alternative Treatment Guidelines 153
The Clinical Research Unit 156
When a Country Is a Pharmacy 160
A Public Health Experiment 165
What Happens When Clinical Trials End 167
The Values Patients Bring 173
Information Asymmetry and Agency 179

CONCLUSION: THE FUTURE OF GLOBAL MEDICINE 186
Scientific Evidence and Value 186
Drugs as Public Goods 190
Global Health Markets 192
Innovation 195
Acknowledgments 201
Notes 205
References 225
Index 249

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)