Kirsten Bibbins-Domingo, PhD, MD; Alicia Fernandez, MD
In 2005, the combination of hydralazine hydrochloride and isosorbide dinitrate was approved by the U.S. Food and Drug Administration (FDA) for treating heart failure in black patients. In departing from its long history of approving drugs for general clinical indications without regard to demographic classification, the FDA cited the need to address racial disparities in health as an important contributor to their decision. The authors argue that this decision, although perhaps well-intentioned, was based on flawed scientific interpretation of trial results that claimed differential drug response by race and ignored the considerable literature on the cause of racial disparities in health and health care. Because of its potential impact on future drug approvals, the FDA's decision is a setback in the scientific and policy discourse on medical therapeutics and race and specifically hinders the efforts aimed at eliminating health and health care disparities.
Learn more about subscription options.
Register Now for a free account.
Bibbins-Domingo K, Fernandez A. BiDil for Heart Failure in Black Patients: Implications of the U.S. Food and Drug Administration Approval. Ann Intern Med. 2007;146:52-56. doi: 10.7326/0003-4819-146-1-200701020-00009
Download citation file:
Published: Ann Intern Med. 2007;146(1):52-56.
Cardiology, Heart Failure.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only