Cook C C, Scannell T D, Lipsedge M S
Department of Psychiatry, United Medical School, Guy's Hospital, London.
Lancet. 1988 Mar 5;1(8584):524-5. doi: 10.1016/s0140-6736(88)91309-8.
A double-blind comparison of clonidine and lofexidine in the management of the opioid withdrawal syndrome encountered several difficulties of a non-scientific nature which eventually forced termination of the trial. There were, for example, problems with research beds, self-discharges, staff attitudes, access to haematological monitoring, and worries about exposure to staff to human immunodeficiency virus. The trial collapsed when the manufacturers stopped making lofexidine on commercial grounds and the charitable foundation which was backing the trial withdrew its support. Some of the insecurities of medical research may have little to do with scientific merit.
可乐定与洛非西定治疗阿片类药物戒断综合征的双盲比较遇到了一些非科学性的困难,最终迫使试验终止。例如,存在研究床位、自行出院、工作人员态度、血液学监测获取以及对工作人员接触人类免疫缺陷病毒的担忧等问题。当制造商基于商业理由停止生产洛非西定且支持该试验的慈善基金会撤回支持时,试验失败了。医学研究中的一些不稳定性可能与科学价值关系不大。