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A survey of eight cancer clinical trial centres in the UK also found that the cost of noncommercial trials had doubled, trials have been delayed, and staff were demoralised in many trial centres [40]. Since funds are often collected directly from the public by charity appeals, public money is being spent. It always difficult to fund clinical trials in this way, with some of the real costs being absorbed or cross-subsidised in department accounts. Con-siderably more money is now required, and only projects that are attractive to the pharmaceutical industry are likely to proceed. Since outcomes are often better in patients taking part in clinical trials, countless thousands receiving care outside of trials are therefore having their health damaged because of the reduced recruit-ment into trials. This is particularly true of areas that are of no interest to the pharmaceutical industry. |
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