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Software Science

Merck's Deleted Data 200

An anonymous reader wrote to mention a Forbes article describing a drug study tampering proven by software. From the article: "A top editor of The New England Journal of Medicine says that he was stunned to find out that data linking Vioxx to cardiovascular risk was deleted from a major study his journal published five years ago--and that it appears that Merck researchers may have deleted that data ... When you hover the cursor over the editing changes, the identity of the editor pops up, and it just says 'Merck'"
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Merck's Deleted Data

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  • by NastyNate ( 398542 ) on Friday December 09, 2005 @05:23PM (#14223310)
    It looks like Merck deleted this submission.
    • by Anonymous Coward
      An entire multi-national corporation brought down by Microsoft's TrackChanges feature...
      • by technoextreme ( 885694 ) on Friday December 09, 2005 @05:32PM (#14223401)
        An entire multi-national corporation brought down by Microsoft's TrackChanges feature...

        Im sure a large group of people on slashdot would also like to see Microsoft be brought down by their TrackChanges feature also. This is a horribly bad joke and I doubt anyone is going to find it funny....
      • by conJunk ( 779958 ) on Friday December 09, 2005 @05:56PM (#14223606)
        An entire multi-national corporation brought down by Microsoft's TrackChanges feature...

        where i work, we enforce use of the Remove Hidden Data Tool [microsoft.com] to prevent this happening

        we once got some documents from DOJ that were supposed to go up on our website that had obvious edditing changes in them

        • So you admit that you work at a place that uses illegal practices? Someone should really do a survey of documents with TrackChanges found on company web sites. It could give us emperical data about the standard of ethics in corporations.
          • by hey! ( 33014 ) on Friday December 09, 2005 @06:41PM (#14224037) Homepage Journal
            That's like saying that pleading the fifth means your guilty. People believe that because they're too naive to know what a skilled lawyer with money (== time) to burn can do with your normal innocent activites. Much less the ones you aren't quite sure of. So -- if you're smart, you certainly don't count on mere innocence to protect you from the prosecutor or the courtroom privateer pursuing lawsuit booty.

            It seems to me whole premise of the adversarial legal system, and the fifth ammendment, is that nobody can be trusted to give a true and honest picture. So you set up a game with opposing sides. You set up rules to avoid fabrication and actually hiding evidence, and then you need a bit more rules help the defense because from the defendant's position you can't prove a negative. And when you're done, the game is still too slanted for the prosecution, so you need to make it possible for a cautious man not to get trapped. Of course, these rules probably on the whole benefit the unscrupulous, who are naturally more cautious. But when the honest man can't be bothered to play the game anymore, the system is utterly worthless.
            • I don't believe the 5th ammendment applies to corporations trying to hide knowledge of the danger of their products, at least not in civil court. The tobacco companies were crucified over the contents of their internal memos showing they knew nicotine was addictive. If Merck was proven to hide negative information about their drugs, maybe the 5th protects them from criminal prosecution (I don't know) but the ambulance chasing lawyers would have an absolute field day suing them into oblivion.
          • Not all information you want to keep hidden is illegal. In fact, in the corporate environment, I would think illegal stuff would make up a negligible percentage of secret/proprietary information. Not to mention simple mistakes, wordings that someone wanted changed so as not to offend a client, or things of that nature.
          • So you admit that you work at a place that uses illegal practices?

            Not all changes are about illigal stuff. How about "The state agrees to pay $1,000,000^H^H^H^H^H^H^H500,000 for the whatever..."

            you don't want the casual reader to be able to see what sort of numbers were in various versions of the agreement before the final public document is ready

    • It looks like Merck deleted this submission.

      Yes, but which body done it?

      We can already guess the why, which goes something like this:

      Damn what the research tells you! We've got a lot of money riding on this and I'm not going to see my stock options or year-end bonus dragged down by a bunch of words.
      (A similar thing happened at Intel years ago, but I don't think it lead to very many heart attacks.)
  • by Anonymous Coward on Friday December 09, 2005 @05:23PM (#14223315)
    I got a 404 error when clicking on the 'Read more...' link. Damned multinationals!
  • Edit changes... (Score:3, Insightful)

    by Scoth ( 879800 ) on Friday December 09, 2005 @05:23PM (#14223316)
    You'd think after all the high profile cases of stuff like this happening, companies would be more careful with the revision history system. Guess not...
    • You seem to think the companies a) have much technical understanding of the issues b) have awareness of the understanding of outsiders.
      SonyBMG wasn't an isolated incident of cranial rectalitis.
    • Re:Edit changes... (Score:3, Informative)

      by guardiangod ( 880192 )
      If you RTFA, you will notice that the said article was submitted in 2000.
    • Hard to, when the IT folks who understand the business have all been laid off in favor of an outsourcing firm to boost short term profits. They don't have anyone writing policys anymore, but management did get a Squishy with the outsourcing deal.
  • by account_deleted ( 4530225 ) on Friday December 09, 2005 @05:25PM (#14223340)
    Comment removed based on user account deletion
  • by OakDragon ( 885217 ) on Friday December 09, 2005 @05:26PM (#14223346) Journal
    The researchers must have forgotten to slide the little "write protect" tab on the diskette.
  • ...it's easier to delete user data. :)
  • by mrshoe ( 697123 ) on Friday December 09, 2005 @05:28PM (#14223359) Homepage

    The researchers still aren't sure whether Clippy's testimony will hold up in court.
    .
  • by joe 155 ( 937621 ) on Friday December 09, 2005 @05:30PM (#14223377) Journal
    they are now testing on humans...
  • by karvind ( 833059 ) <karvind.gmail@com> on Friday December 09, 2005 @05:31PM (#14223388) Journal
    From TFA

    "I was somewhere between surprised and stunned," Dr. Gregory Curfman, executive editor of The Journal, says. "They allowed us to publish an article that was just incomplete and inaccurate in some respects and was misleading and may have contributed to the detriment to the public health. " (emphasis added)

    Now why would you allow to publish such inconclusive studies at all ? Is this journal peer-reviewed ? It would be interesting to see if they also publish the comments from the anonymous reviewers ? Did they agree about the paper before it got published ?

    • by GrnArmadillo ( 697378 ) on Friday December 09, 2005 @05:38PM (#14223449)
      All but one of the authors of the study were either employed by or consultants for Merck. The company decided that the article would technically be telling the truth (X patients died DURING THIS TRIAL) without mentioning the deaths that occured between the scheduled end of the trial and the publication of the paper. Short of the peer reviewers conducting their own clinical trial, at the cost of hundreds of millions of dollars, there was no way for them to know that information had been withheld.
    • Now why would you allow to publish such inconclusive studies at all ? Is this journal peer-reviewed ? It would be interesting to see if they also publish the comments from the anonymous reviewers ? Did they agree about the paper before it got published ?

      You see it was fairly conclusive though after they omitted the whole part about people dropping dead....
    • by spirit_fingers ( 777604 ) on Friday December 09, 2005 @05:40PM (#14223473)
      You missed the point entirely. The Journal was given a hard copy of the study by Merck four months before the issue came out. This was in the days before the publication worked from digital submissions.

      Merck knowingly gave the Journal incomplete data and the editors have only now discovered the discrepancy by going back and examining the original computer document.
    • by lbrandy ( 923907 ) on Friday December 09, 2005 @05:46PM (#14223530)
      Now why would you allow to publish such inconclusive studies at all ? Is this journal peer-reviewed ? It would be interesting to see if they also publish the comments from the anonymous reviewers ? Did they agree about the paper before it got published ?

      Do you expect scholarly journals to reproduce all experiments before publishing the data? It's only inconclusive and misleading because some data was conviniently deleted. There is no way for a journal to know this without reproducing the study.. and that is not the purpose of "peer-review" in the "peer-reviewed journal". The work, itself, is taken on honor, and the "peer-review" is there only to make sure the experiment, as explained, is scientifically interesting and accurate... the data itself is taken at face value until it is either independantly confirmed or denied.
    • The data was about events that occured after the study, so while Merck was technically correct to delete the data, there is an air of amorality about it. Dr. Claire Bombardier's, and the University of Toronto's reputations are going to be severly tarnished by this incident. Now because people have presumably died or have been physically injured because of the ommission of the data it isn't a streach to imagine neglegent homicide and criminal conspiracy to be looked at by prosecuters. Even if Merck had final
    • http://www.corante.com/pipeline/archives/2005/12/0 9/a_vioxx_bomb_drops_or_does_it.php [corante.com]

      While this story makes Merck look bad, idiotically bad, on closer inspection there isn't as much here as you'd think. The data in question are three heart attacks in the final weeks of the VIGOR trial. But the adverse cardiovascular event data in the paper, as published, didn't reach statistical significance, and they don't seem to reach it with these added in, either. On top of that, these data were submitted to the FD

      • Yeah, but no one wants to hear the truth like that, they want them to be bad and be caught doing something bad. No will ever take into account that the Journal prints what they want to print; has a history of dropping all sorts of relevant data they don't think necessary and can and always print anonymous retorts attacking the study.
  • Haha (Score:2, Interesting)

    by ph4s3 ( 634087 )
    Nothing like getting busted by a your own inability to use secure document authoring tools.
  • Firestone ? (Score:3, Interesting)

    by Chaffar ( 670874 ) on Friday December 09, 2005 @05:34PM (#14223422)
    Some analysts have estimated Merck's potential liability in the tens of billions of dollars. Others say that the risk to the drugmaker, once the most esteemed name in the pharmaceutical business, is impossible to know. The news that the once-popular arthritis drug may have caused thousands of heart attacks led to a firestorm about drug safety.

    Could this be the drug industry's "Firestone"? Yet another example of he classic irresponsible/corrupt/greedy corp. that tries to cover up its own blunders.

    • Could this be the drug industry's "Firestone"? Yet another example of he classic irresponsible/corrupt/greedy corp. that tries to cover up its own blunders.

      If Merck is as you say, they wouldn't be running this program [cartercenter.org] for free.
    • What cover up?

      If you read the last paragraph of the it says they provided ALL the data to the FDA. I guess if you provide data publicly to a federal agency in which anyone can look it up that's a cover up nowdays. The fact that Curfman states that he is not buying into the fact that is was publicly available knowledge really shows his bias.

      "Nevertheless, the additional events were disclosed to the FDA in 2000, presented publicly to the FDA's Advisory Committee in February 2001 and included in numerous pre

    • I wonder which politician was in bed with them at the time...after all, Rumsfeld did the nearly the same thing with GD Searle, who at the time was trying to get Nutrasweet approved.
  • by Japong ( 793982 ) on Friday December 09, 2005 @05:35PM (#14223431)

    "At 3:00 P.M. today, Curfman and two other editors released an editorial on The New England Journal's Web site entitled "Expression of Concern," which calls on the VIGOR authors to submit a correction of the 2000 manuscript. "Taken together, these inaccuracies and deletions call into question the integrity of the data on adverse cardiovascular events in this article," it read. "

    The editorial, however, is also strangely missing. In its place was a message: "Silly Scientists - morality is for kids! Love, Merck."

  • well... (Score:5, Interesting)

    by flynt ( 248848 ) on Friday December 09, 2005 @05:40PM (#14223476)
    It wasn't so much the data that was tampered with. I can almost guarantee you that Merck was not unblinded during the trial, and therefore wouldn't know which data to change. This article is talking about a scientific publication based on the study results, there are usually many publications resulting from any study. At this point, several institutions, including Merck, a data safety board, and an independent statistical data center would complete copies of the original data, so any changes at Merck would be caught by these people (in theory).

    What the Journal found, was that someone at Merck had included a table on CV events in an early version of the manuscript, and then deleted it. So this isn't really tampering with data, it's not including all the data in your conclusions. It's not including data that shows potential harm to patients. It could be argued that this is tantamount to the same thing, which I'm not disagreeing with. Merck's defense is that the events in question occured after some pre-specified cut off date for analysis, who knows if that is true or not.

    • Re:well... (Score:5, Informative)

      by Anonymous Coward on Friday December 09, 2005 @06:07PM (#14223704)
      Yeah... I work in data management for a central lab, and I don't think data can really ever be "deleted". We certainly never delete ANY data (not for at least 15 years anyway), and as a central lab, we don't answer to a single sponsor and DO answer to federal regulations and are subject to random audits at any time. So, we would have the data, and the CRO (contract research organization) would have the data at least. What Merck or any other drug company does with the data is not really our concern but it's effectively impossible for clinical data to really be wiped out totally because it will be in the hands of many independent organizations.

      I'm just a database monkey so I'm pretty ignorant about the process with these journals and such, but it sounds like the data was deleted because it was past a cutoff date; maybe at that level thats a no-no, but for us it's pretty much standard procedure that if we have data that has some outstanding issue and we are waiting for some confirmation/reconciliation, we just suppress it until the issue is resolved, which is preferable to sending erroneous data.

      Also, to troll it up: maybe if it was possible to recall a drug without necessarily opening up yourself to billions of dollars of liability lawsuits, drug companies would have more incentive to take recall actions sooner rather than waiting until the evidence is overwhelming. By making the price of admitting there MIGHT be a problem with the drug so high, it's inevitable they would try to delay a recall for as long as possible. I'm not defending it - I'm saying it's inevitable and logical. The tort system takes it's toll in lives as well as dollars.
      • Just pay some clown to sue you for patent infringement, stop making it and say no comment due to pending litigation; or just stop making it without comment. Hygenic just quit making Novus, denture soft lining material no reason given. I did notice that some patient's liners had a bizare coating of what appeared to be mucus and calculus that I assumed to be due to alergey issues, then they just quit making it. The rumors that one of the suppliers went out of business that did circulate, were bogus because th
      • By making the price of admitting there MIGHT be a problem with the drug so high, it's inevitable they would try to delay a recall for as long as possible. I'm not defending it - I'm saying it's inevitable and logical. The tort system takes it's toll in lives as well as dollars.

        I don't agree with your logic. When the cost of liability is so high it should encourage companies to play it safe and pull drugs as soon as they suspect there might be an issue, because in that case they can legitimately claim t

    • So, if I read what you wrote correctly, Merck is saying "Why should we worry about the people, money was at stake!"?
    • While I don't know what kind of study they were doing, it should be noted that in survival studies, this kind of thing is routine.

      If you have a 30 day mouse study, and a mouse dies on day 31, when it goes to publication the mouse "survived the study."

      Now I don't know what kind of study merck was doing, and I don't know that they had this cut-off date pre-specified, but the possibility that there was such a cutoff date and that these heart attacks just happened to fall after and were therefore excluded it is
  • obligatory (Score:3, Funny)

    by GungaDan ( 195739 ) on Friday December 09, 2005 @05:43PM (#14223501) Homepage
    $sys$data_unfavorable_to_merck

  • by Zarhan ( 415465 ) on Friday December 09, 2005 @05:44PM (#14223507)
    Well, I'm glad that the issues has finally come to light. I heard someone else suspected something along these lines before, but he became Fugitive [imdb.com] when he murdered his wife.
  • Easily Forged (Score:5, Insightful)

    by ShawnDoc ( 572959 ) on Friday December 09, 2005 @05:44PM (#14223511) Homepage
    The only problem with this is that this information is easily forged. It would be VERY EASY for someone to frame someone else this way. I'm not saying Merck didn't do it in this case. I'm just saying that even someone with no computer knowledge can change their user name in Word, make some changes, and have it appear as if someone else made the edit.
    • Agreed. I also find it rather unsettling that the editor of the file was apparent just called "Merck" in the installation of Word. It could be that Merck really does make the user name "Merck" on all of its machines, but I can't help but feel that this looks like a half-assed framing attempted. Not that I think Merck is innocent, just that it has a surreal quality to it.
      • It's even probable that the user name is "Merck".

        I recall doing IT for a relatively small shop in the early
        eighties, and after a while, I stopped putting user's names
        on the software installed. I just put in the company name
        for the user name as well. I can imagine that a big place
        like Merck might well stockpile and "recycle" machines,
        and would probably not put user names in, not having them
        at the time of setup.

        So, now to the hopefully humourous part:

        To properly incriminate someone, run some incriminating
        go
        • Ah, well. Silly, but reasonable in its way. It does render part of the track-changes feature pointless, though, to not insert some unique identifier.
          • It does, but who thinks of that when rebuilding a box?

            It would not have occured to me, until this thread.
            • It would have occured to me when I was using Word as the machine's usual user. If not right away, sometime when I was ditzing with settings or when I noticed that my comments in version-controlled papers were ascribed to "Merck". :-)
    • Time stamps in the software indicated that the table was deleted two days before the manuscript was submitted to The New England Journal on May 18, 2000

      So, using your line of thinking, did someone with no computer knowledge go back in time 5 years and change these things? Because, after all time travel is such a common occurance it is only logical that after the confusion came out last september about vioxx, that someone would go back in time to plant evidence against merck.

      But they were clever about i

  • Sarbanes-Oxley (Score:3, Interesting)

    by DingoBueno ( 461129 ) on Friday December 09, 2005 @05:45PM (#14223522)
    Although targeted at financial data, legislation such as the Sarbanes-Oxley Act [wikipedia.org] is precisely what is needed in such high-risk industries. It imposes strict information controls and audit requirements, and makes an effort at putting the responsibily where it belongs, namely at the Director and Executive levels.
    • Re:Sarbanes-Oxley (Score:5, Interesting)

      by twotommylong ( 794494 ) on Friday December 09, 2005 @06:13PM (#14223777)
      Although targeted at financial data, legislation such as the Sarbanes-Oxley Act is precisely what is needed in such high-risk industries. It imposes strict information controls and audit requirements, and makes an effort at putting the responsibily where it belongs, namely at the Director and Executive levels.

      Err, there is the congressionally mandated little outfit called the Food and Drug Administration (FDA), and their code of federal regulations (21 CFR et al). No need for congress to rush out and write laws... the work is done.
      A quick read (chuckle) would point out that officers of a Pharma that knowingly submit incomplete or falsified data, are subject to fine and/or imprisonment, and even it was unknowingly falsified... the company can be effectively barred from producing/selling any product until the revalidation of all quality processes are complete. Not the sort of thing stockholders like to hear about.

  • I don't believe the researchers deleted the text. It was probably a manager handling the submission. If the researchers wanted to supress the data they would have just left it out of the article altogether.

    The submission was on paper and on diskette. The paper version was edited, and that's what was used for publication. The diskette version was not edited and had the complete original text. http://news.yahoo.com/s/nm/20051209/hl_nm/medical _ journal_says_merck_deleted_dc_1 [yahoo.com]

    That does seem odd, though,
  • by LM741N ( 258038 ) on Friday December 09, 2005 @05:49PM (#14223553)
    In related news the makers of Viagra were saying that their studies posted on the internet were "standing up" really well.
  • oh no! (Score:3, Funny)

    by legalize.ganja.now. ( 923280 ) on Friday December 09, 2005 @05:53PM (#14223584) Homepage
    they should have deleted lore instead!
  • by Jerry ( 6400 ) on Friday December 09, 2005 @06:15PM (#14223789)
    When Donald Rumsfeld was head of R.G. Serle they were doing FDA safety studies for Aspartame (later branded as NutraSweet). Several rodents in the safety study died of brain cancer, but Serle removed them from the study and the data. A PhD working on the project blew the whistle. Congress investigated, hiring two lawyers to continue their work. A couple years later the acting head of the FDA, as his final act before resigning, approved NutraSweet. He then appeared as the legal eagle for NutraSweet. Guess who his two assistants were... Right.

    Aspartame breaks down in warm water to release Methyl Alcohol, among other things, which causes cancers of the brain, eye, kidneys and liver. It can cause, like it did in me, a red flush over the upper half of the body and the face, and severe oil production by the Sebaceous glands, and a continual headach. It is associated with memory loss. My once nearly photographic memory is now gone.

    Rumsfeld got $6M for his "work".
    • Do you have some links for the above?
    • Since you don't believe the FDA, here's what the EU has to say:
      http://europa.eu.int/comm/food/fs/sc/scf/out155_en .pdf [eu.int]

      "It can cause, like it did in me, a red flush over the upper half of the body and the face, and severe oil production by the Sebaceous glands, and a continual headach. It is associated with memory loss. My once nearly photographic memory is now gone."

      The interesting thing about all of the websites that make threats about aspartame is the huge range of effects described:

      abdominal pain, anxiet

    • Aspartame (Score:5, Interesting)

      by smellsofbikes ( 890263 ) on Friday December 09, 2005 @07:42PM (#14224586) Journal
      I'm not trying to minimize your symptoms: aspartame does have effects on people. I'm also not trying to defend Searle. The approval process for aspartame was pretty damned sketchy, with a very uncomfortable number of high-ranking people changing jobs back and forth between Searle and the FDA during and immediately after the approval process. It wasn't just Rumsfeld, it was also Ronald Reagan and Arthur Hayes [reference.com] who essentially ramrodded the approval process.

      With that said, aspartame *can* break down into methanol, but usually only does so at extreme pH or temperature. Warm water alone very slowly hydrolyzes aspartame. I'm trying to find some good kinetics studies; this one indicates 90% hydrolysis after 53 days at 25 degrees C [nih.gov] which is a good argument for only drinking refrigerated pop.

      But the sheer amount you'd have to drink to produce blindness is astounding. I once calculated that with 100% hydrolysis, it would take 20 cans of pop per hour to build up and maintain harmful concentrations of methanol in the blood. EPA studies have indicated [epa.gov] that 0.5g/kg/day doesn't result in observable health problems. There are (Google calculator r00lz) 0.014g of methanol per can of 100% hydrolyzed Coke. Hm, so that indicates that you probably don't want to drink more than 35 cans per day or you'll be above the no-observed-adverse effect level.

      The official Materials Safety Data Sheet [bu.edu] for methanol lists "Carcinogenicity: Methyl Alcohol - Not listed by ACGIH, IARC, NIOSH, NTP, or OSHA." That doesn't mean it's not carcinogenic, but it does mean that none of them has ever found any evidence for it being carcinogenic, as opposed to things like the nitrites in bacon, which have definite carcinogenic activity. The point being: we're eating things that are probably orders of magnitude more carcinogenic than the released methyl alcohol in aspartame; our bodies produce more methyl alcohol and its metabolites naturally than any but the most aggressive pop drinker will ever experience.

      I'm not defending aspartame's use, but if you're going to attack what the FDA did when they certified it for use, attack it on other grounds, like your observed reaction to it, rather than because of methanol.

  • Clippy (Score:5, Funny)

    by mymaxx ( 924704 ) on Friday December 09, 2005 @06:30PM (#14223952)
    It looks like you are writing a drug study document. Would you like help deleting data?
  • The simple *IDEA* of a large company responsible for...

    A. It's profits/shareholder's profits

    AND

    B. the lives of others that use their product

    just seems to naturally conflict with each other. In this case, it seems especially true of drug companies. Imagine this...

    MERCK: "Hey! We've invented VIOXX! This will help osteo-arthritic patients!!"
    RESEARCHERS: "Ahh, yes, but it *WILL* also pose a potential threat to our customer's hearts/cardiovascular system! We need more testing!"
    MERCK: "Eh, forget that!
  • by rekky ( 937649 ) on Friday December 09, 2005 @07:02PM (#14224242)
    When I heard this news about Merck, my impression was "deja vu". I recently read a book entitled "Overdosed America: The Broken Promise of American Medicine" by John Abramson. The author is not some quack. He teaches medicine at Harvard Medical School. He makes a strong point that drug tests which used to be funded by unbiased sources and now mostly funded by drug companies. They tailor the tests and massage the results to arrive at the conclusions that they are looking for. Before you take any prescription medicines, I strongly recommend that you read that book!
    • I would agree with Parent's Post.
      Overdosed America is a good read. Abramson is a capable writer, and is an illuminating book both on the problems with the US health care system, and the doctor - patient relationship as well. He helps educate the reader on the disease and the history of treatment as he discusees the therapy.

      I have read several resports, articles, and books on the commercialism of our health care system. Why do we spend the most money (by far) on medicine in this country only to find ourselve
  • Here's a rundown of the FDA:

    1. They are a bureacratic department that only has one power: coercion through force
    2. They delay, for years, drugs that are saving lives in other countries
    3. They keep drugs prescribed that are OTC in other countries, raising our prices
    4. They are more interested in CYA than efficiency and lives saved
    5. They are bribable as is any government official
    6. They are useless

    There are many here who think we need the FDA. I believe that they are useless. We use items every day far mor

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