Newswise — January saw one of the worst clinical trial debacles in memory, when a healthy man volunteering for a Phase 1 study in France died of hemorrhagic brain lesions and four others were hospitalized within days of receiving an experimental drug for anxiety and chronic pain. The fiasco was the worst such incident since 2006, and prompted calls for greater transparency in clinical trials and earlier public identification of experimental compounds. But while the French National Agency for Medicines and Health Products Safety (ANSM) has launched an investigation into the incident and other agencies are considering a response, the company, Bial Pharmaceuticals of Portugal, has been slow to hand over its preclinical data, citing trade secrecy.

Experts suggest that the debacle could lead to new safety recommendations for first-in-human drug studies, but others worry it could slow recruitment into trials, already a problem for many Alzheimer’s studies. Madolyn Rogers investigates what chemists have been able to find out about this drug, what may have gone wrong in this trial, and what the consequences may be.

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