End ‘Unethical, Reckless’ NIH Sepsis Trial: Public Citizen

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Public Citizen says the CLOVERS (Crystalloid Liberal or Vasopressors Early Resuscitation in Sepsis trial) being conducted by the National Institutes of Health “is deeply flawed, riddled with serious regulatory and ethical lapses, and must be stopped.” In the experiment, a Public Citizen statement says, seriously ill sepsis patients are given one of two treatments, both of which are risky and neither of which is considered standard treatment. “Because no other group of patients in the trial is receiving the usual treatment for sepsis,” Public Citizen says, “researchers can’t ensure that the experiment isn’t causing increased deaths and organ failure.”

The goal of CLOVERS is to determine whether one of the two highly unusual treatments results in more patient deaths. “The design of this disturbing trial is more akin to an experiment that would be conducted on laboratory animals,” says Public Citizen Health Research Group director Michael Carome. “These human subjects are unwitting guinea pigs in a physiology experiment that will not advance medical care for sepsis and likely will harm many.”

In an 8/28 letter to the HHS Office of Human Research Protections, Public Citizen says the trial “fails to (1) materially comply with key requirements of HHS regulations for the protection of human subjects and (2) satisfy the basic ethical principles upon which those regulations are founded.”

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