🤖 AI Summary
本記事は、予想市場プラットフォームのKalshiとPolymarketが臨床試験の結果を賭け金にし、「不道徳」と批評されていることを報じています。Kalshiは、投資家が新しい薬品を資金調達する際の参考情報を提供することを目指しており、その主張に対して臨床研究者の懸念や反対意見が示されています。
1. Kalshiの説明: Kalshiのジャック・サウ氏は、「株式市場の方が数段階大きな利益を追求している」と指摘し、予想市場と株式市場の違いは情報提供にあり、後者は研究者に対して有用な情報を提供しない点だと主張しています。
2. 反対意見: ビジネス医薬品研究所での臨床試験責任者であるデビッド・ Tsai氏は、賭けが行われることで臨床試験に関わる人々が結果を改ざんする可能性があると懸念しています。ニコラス・ザーコフスキ教授も同様の見解を示し、予想市場は生命維持薬品の進歩を妨げる可能性があると指摘しています。
3. Kalshiの反論: Kalshiは患者が有望な医学的進歩や臨床試験を追跡できる機会を得られることを目指しており、アネ・ウォージキ氏ら専門家たちの支援を受けています。
4. 議論の中心: 本件は倫理的な懸念だけでなく、患者への情報提供という視点からも注目を集めています。しかし、賭けが行われることで試験結果の改ざんや信頼性の損失を懸念する研究者たちの反対 voice も大きく、議論は継続的です。
An anonymous reader quotes a report from NPR: Billions of dollars are traded every week on the lightly regulated prediction market sites, where users bet on everything from movie reviews to elections to conflicts in the Middle East. Clinical trials are just the latest area where the industry's rapid growth is raising ethical questions. Kalshi claims such bets will provide a new source of information about which drugs will get approved, and what clinical trials will show promising results, which the company says can help investors decide what new drugs to fund.
"If you want to ban profiting from the failure of clinical trials, you would start with the stock market, where the financial incentive for this type of profit is orders of magnitude larger," said Kalshi spokesman Jack Such, pointing to stock market short sellers who have profited from clinical trial failures. "While Kalshi and the stock market are the same in this regard, they do differ in one important way: the stock market doesn't give any valuable information to researchers," Such said.
Drug trial researchers, though, are far from convinced. David Tsai, who runs clinical trials at a biotech company in the San Francisco Bay Area, started an online petition pushing for such betting to be banned, making the case that betting on drug trials "threatens the very foundation of trust and integrity in biotechnology." Tsai is concerned that the prospect of betting provides those involved with a clinical trial a reason to tamper with the results for a prediction market payout. "If we were running a trial for an oncology drug that requires an infusion, a pharmacist who had placed a bet saying that it's gonna work well, or doesn't work well, could obviously adjust the infusion rate, could adjust the source temperature of the drug," he said. "They could change any number of variables that could obviously have a direct impact [on] how the trial and the data and the patient safety would come out."
Another skeptic is Nicholas Zaorsky, a professor of radiation oncology at the Mayo Clinic in Jacksonville, Fla., who has helped run clinical trials and agrees that prediction markets can interfere with the advancement of life-saving drugs. "Prediction markets can be valuable in some settings because they aggregate information, but clinical trials are fundamentally different: investigators, coordinators, and sometimes even participants can directly influence aspects of the outcomes being wagered on," Zaorsky said. "That creates financial incentives that risk undermining trial integrity." Bettors should not be rooting for an experimental medicine to fail just to earn a buck, says Joshua Pederson, the father of a 12-year-old cancer patient enrolled in a clinical trial. "It's a dark idea," he said. "It's quite ghastly."
Kalshi, for its part, argues that its prediction markets could help patients track promising medical breakthroughs and clinical trials, enlisting experts including 23andMe founder Anne Wojcicki to make the case.
"Most patients don't know about the choices available in clinical trials or which programs are most promising. The opportunity to have an open, transparent dataset about trial probabilities is extremely promising and empowering for people," a white paper sponsored by Kalshi stated.
Read more of this story at Slashdot.