Monday, September 22, 2008

Man dies in government cancer drug trial

By Jon Swaine

Gary Foster, 27, was repeatedly given twice the amount of chemotherapy drugs he should have been prescribed.

He was due to be married this month.

Reports have said his death was caused by an error in the setting up of the trial on the computer system at University College London Hospital (UCLH).

A second patient was affected by the same mistake, but survived.

When the MRC suspected patients had been given overdoses, instead of calling the hospital immediately it wrote a letter - which a nurse at UCLH failed to open until two days after Mr Foster had died.

Mr Foster's mother Colleen said: "Gary was slowly poisoned to death.

"We just thought Gary was getting tired because of the chemotherapy."

The incident raises fresh questions about the safety of medical testing in Britain.

Two years ago six men almost died in the so-called "elephant man" case at Northwick Park Hospital, North London.

Their bodies swelled horrifically after they were given the experimental drug TGN1412.

UCLH has been forced to suspend the trial, called TE23, which tests whether a combination of five drugs is better at treating testicular cancer than the standard treatment of three drugs.

It has, however, being continued at other UK hospitals.

Mr Foster, a graphic designer, had just been diagnosed with testicular cancer.

He was told he had a 60 per cent chance of survival.

The disease has a 95 per cent survival rate when caught early.

Mr Foster was told about the TE23 trial and told that if he was accepted on to it, his chances of survival would increase.

His fiancée, Paula Collins, 35, told The Sunday Times: "When Gary became involved in the trial, we thought it was fantastic news because we thought Gary's chance of survival would be greater and the care would be better.

"The trial sister said: 'Good news, Gary, you have been selected for the trial.' At UCLH they said, 'Don't worry, testicular cancer is curable. We will monitor Gary for 10 years – you don't have to worry.' They made us feel so confident."

Mr Foster received the drugs during visits to UCLH between June and September 2007. On seven occasions, he received 30,000 units of bleomycin - of one of the five drugs - instead of 15,000.

A third patient died at a different hospital after receiving an overdose of the same drug due to an error by a nurse or doctor. However the Medical Research Council (MRC), the government body which ran the trial, said the drug was not the direct cause of his death.

An inquest heard Mr Foster began to show signs of deterioration after taking the drugs.

Eventually he developed a dry cough, a symptom of damage to his lungs that had been caused by the overdose of bleomycin. The lung damage was eventually fatal.

The inquest heard the cough should have been recognised by doctors and nurses as a warning sign. However, he was given a final dose.

Miss Collins said: "We had dreams and lots of plans together. Gary also had his own ambitions. We were supposed to be getting married. He was such a lovely person. He was so well liked and had so many friends."

"We do need trials but there need to be more controls," Collins added.

"I would encourage other people thinking about taking part in trials to proceed with caution. I would hate to think of anyone else going through what we have gone through."

"Checks should have been carried out. It is incomprehensible that they were dealing with the most dangerous medicines and they were so blasé. It was so slapdash."

Mrs Foster said: "An overdose gives the impression that it was a one-off. It was seven times.

"Every week my poor Gary was going into hospital, we thought he was getting better but, actually, he was being slowly poisoned and poisoned to death."

In a statement, UCLH said: "We would like to reiterate our deepest sympathy and condolences to the family and friends of Mr Foster."

It said it has introduced measures to make medical tests safer.

The MRC said it had reviewed its trial procedures as a result of Mr Foster's death and subsequently introduced additional checks.

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Evangelist's compound raided in child porn case

FOUKE, Arkansas (AP) -- FBI agents and state police raided an evangelist's headquarters Saturday as part of a child pornography investigation and said they planned to remove several children from the complex, run by a man previously accused of child abuse.

The raid at the Tony Alamo Christian Ministries south of Texarkana started an hour before sunset. Armed guards regularly patrol the ministry headquarters, but there was apparently no resistance as agents moved in.

"I have not heard of any shots fired," State Police spokesman Bill Sadler said.

U.S. Attorney Bob Balfe said before the raid that he expected an arrest warrant to be issued for Alamo. It wasn't known whether he was present during the raid.

Shortly after the raid began, a sport-utility vehicle hauling a trailer backed up to the ministry building's front door. FBI vehicles blocked off a dead-end road.

A Fouke School District bus also pulled up near 12 unmarked vans, SUVs and sedans parked alongside the low-slung ministry headquarters along U.S. 71 just inside the city limits of tiny Fouke.

Sadler said a search would be conducted at the compound headquarters and at Alamo's home nearby.

A helicopter circled, and onlookers stopped along the two-lane highway to watch the raid.

Alamo's church is in a single-story building that looks like a strip mall. A white cross stands atop the structure, with a small steeple to the right side.

Alamo was once accused in California of directing the beating of a church member's 11-year-old son. In 1994, he was sentenced to six years in prison on tax evasion charges filed in Memphis, Tennessee.

The judge in the tax case ordered him held pending sentencing after prosecutors argued that the evangelist was a flight risk and a polygamist who preyed on married women and girls in his congregation. U.S. District Judge Jon McCalla said he was concerned over "the very great control Mr. Alamo has over a number of people."

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Al Qaeda Suspected Of Pakistan's Marriott Bombing

Reuters

ISLAMABAD (Reuters) - A suicide bomb attack that killed 53 people at the Marriott Hotel in Pakistan's capital bore the hallmarks of an operation by al Qaeda or an affiliate, Pakistani and U.S. intelligence officials said on Sunday.

Teams combing the burnt shell of the hotel found more charred bodies after the blast on Saturday evening ignited a blaze that swept through the hotel, part of a U.S.-based chain and a favorite haunt of diplomats and wealthy Pakistanis.

Internal security in nuclear-armed Pakistan, a country vital to the war against al Qaeda and other Islamist militant groups, has deteriorated alarmingly over the past two years.

"The sophistication of the blast shows it's the work of al Qaeda," a Pakistani intelligence officer told Reuters.

Four foreigners were killed including the Czech ambassador, his Vietnamese partner and two members of the U.S. armed forces assigned to the U.S. embassy. Denmark's security service said one of their staff, attached to the Danish mission in the capital, was missing, presumed dead.

An American State Department employee was also missing, a spokesman said.

The Interior Ministry said 266 people were wounded, 11 of them foreigners, after the bomber blew up a truck packed with 600 kg (1,320 lb) of explosives including artillery shells, mortar bombs and shrapnel.

Pakistan's army is in the midst of an offensive against al Qaeda and Taliban fighters in the Bajaur region on the Afghan border. The United States has intensified attacks on militants on the Pakistani side of the border, alienating many Pakistanis.

Militants have launched bomb attacks, most on security forces in the northwest, in retaliation. Security analysts said the militants wanted to show they could strike anywhere unless the government changed its policies.

"(It) underscores the ability of these groups to really challenge the authority of the state in the heart of the capital," said Riffat Hussein, a professor of defense studies.

An al Qaeda video, released to mark the seventh anniversary of the Sept 11, 2001, attacks in the United States, included a call for militants in Pakistan to step up their fight.

ATTEMPT TO DESTABILISE PAKISTAN

"They want to destabilize the country. They want to destabilize democracy. They want to destroy the country economically," Prime Minister Yousaf Raza Gilani told reporters.

A civilian government led by Gilani was sworn in six months ago after nine years of rule by former army chief and firm U.S. ally Pervez Musharraf. It is also facing an economy on the verge of collapse.

The attack will be a big blow for foreign investment and will lead to further weakening of the rupee which is already trading at a record low, dealers and analysts said.

The attack was staged hours after new President Asif Ali Zardari, widower of assassinated former prime minister Benazir Bhutto, made his first address to parliament, a few hundred meters from the hotel, calling for terrorism to be rooted out.

Zardari called the bombing cowardly.

"This is an epidemic, a cancer in Pakistan which we will root out," he said in a televised address.

Army chief General Ashfaq Kayani said the army stood with the nation in its resolve to defeat the forces of extremism and terrorism.

HUGE CRATER

Saturday's attack was the worst in the capital.

The blast left a crater 24 feet deep and 59 feet

wide, ministry official Rehman Malik told a news conference.

Malik showed security camera footage from the front of the hotel, which had been bombed twice before, showing a truck trying unsuccessfully to force its way through security barriers.

A small blast could be seen going off in the truck cab, apparently as the bomber blew himself up with a grenade, which started a fire. Minutes, later, after a guard tried to put out the fire with an extinguisher, the truck blew up.

Flames and smoke poured out of the 290-room, five-storey hotel located in a high security zone. Dozens of cars were destroyed and windows shattered hundreds of meters away.

Survivors said hotel security men had warned guests to move to the back of the building shortly before the bomb went off.

Most people managed to flee from the fire before it spread but a Reuters photographer saw a body lying on a top floor balcony on Sunday morning.

Malik suggested the investigation would end up pointing to al Qaeda and Taliban militants based in the Federally Administered Tribal Areas (FATA) on the Afghan border

"In previous attacks, all roads led to FATA," he said.

The United States was ready to assist with the investigation if requested, said U.S. embassy spokesman Lou Fintor.

Some Islamabad-based expatriates were considering leaving, after shrugging off smaller blasts in the city.

"I'll be speaking to my boss tomorrow," said Steve, a Briton working in Islamabad who did not want to give his full name.

Zardari, who won a presidential election this month, left for the United States on Sunday and is scheduled to meet President George W. Bush in New York on Tuesday before the U.N. General Assembly.

(Additional reporting by Robert Birsel, Zeeshan Haider, Kamran Haider, Augustine Anthony and Sahar Ahmed; Writing by Simon Cameron-Moore; editing by Matthew Jones/Keith Weir)

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