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The Commercialization of Phase I Trials

The Commercialization of Phase I Trials

(p.100) 4 The Commercialization of Phase I Trials
Adverse Events
Jill A. Fisher
NYU Press

Shifting focus from the healthy volunteers to the clinics themselves, Chapter 4 provides a brief history of the Phase I industry to contextualize the opportunistic nature of many of the clinics that are currently operating in the United States. Clinics’ concerns about profitability and/or reputation lead to different investments in their facilities and staffing, which in turn result in a wide variation in experiences for healthy volunteers depending on where they enroll. In short, some clinics are perceived as state-of-the-art facilities that are comfortable and professional spaces, whereas others are rundown and have few amenities, indicating that participants’ needs are clearly not the priority. The material configurations of Phase I clinics communicate to healthy volunteers important messages about their safety and worth.

Keywords:   Phase I industry, United States, clinic space, capitalism, pharmaceutical industry, material investment

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