Sunday, May 30, 2021

Drug development is a science, not politics

First, a disclaimer, I worked as a drug discovery scientist for more than a decade working on different projects including anti-HIV and antibacterial. I was fortunate enough to work in such a creative enterprise with some of the best talents in the world in academia as well as in the pharma industry. So, this blog post is based on my training and experience as a drug discovery scientist.

Drug development is not an easy endeavor. It is a risky, expensive, and prolonged process with absolutely no guarantee of success. Many countries in the world where protection for intellectual property for drug development is non-existent or pathetically inadequate don't even engage in this endeavor even though their population needs new drugs for almost every lethal disease that exists in this world. These countries depend entirely on developed countries for drug discovery, even for the drugs for diseases like malaria and tuberculosis that are eradicated from most developed countries but are very much a public health concern in most other countries. Drug development is a scientific endeavor, a very challenging and complex problem, it's not politics and the two should not be mixed.

There are arguments on various social media platforms in India about different types of medicines like allopathy, homeopathy, Ayurveda, home remedies, alternative medicine, or whatever. This argument is more emotional or political than a scientific argument. There is no data, no experiments, or any scientific principles that are debated, there are just accusations and counter-accusations, just like most political discussions. The debate is devoid of any scientific spirit and temper. People engaging in the debate are not even interested in knowing how a drug is developed or approved, they only want to prove the other side wrong, by hook or crook. Once politics enters any argument the first two causalities are rationality and common sense.

Either something is a medicine (drug), or it's not. Over the period of time, the scientific community and governments have developed a reliable, reproducible, and verifiable mechanism to evaluate the approval of a drug. It is called clinical trials, and the data submitted for this purpose is publicly available, almost every country has a competent body to evaluate such data, for example, the US has Food and Drug Administration (FDA). If there is no such data, it cannot be called medicine, it is that simple, it can be anything else but not medicine or an approved drug. So, there is no secret sauce to develop any drug or medicine, there is no need for a statement of an expert, you just need clinical data that can be verified by an independent body. So, anyone or any company claiming anything as a drug doesn't need any celebrity, govt backing, or opinions, just producing clinical data, proving the drug's safety and efficacy, and getting the approval. You just need one reproducible experiment with verifiable data to prove or disapprove any scientific hypothesis right or wrong, it's that simple, but it's not at all easy as collecting such data may not be easy in some cases. Drug development is science, not politics.

Thanks for reading and please share your opinion about this topic. 

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