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Global Trials, Local Bodies: Negotiating Difference and Sameness in Indian For-profit Clinical Trials

机译：全球审判，当地机构：印度营利临床试验中的谈判差异和明确

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摘要

Global clinical trials depend on a range of standards in order for research results to be comparable. As standardization is more than a mere technical exercise, tensions can arise when things are not uniform. This paper uses empirical data from interviews with principal investigators as well as Clinical Research Organization and pharmaceutical industry representatives working in India's clinical trial industry to critically examine the ways Indian researchers navigate quests for standardization. It turns the analytical lens to the often obfuscated work of standardization aiming to transcend the biological and cultural specificity of research participants and research sites. Drawing on the concept of local biologies, it illustrates that the universal body presumed by clinical trial methodology is, in fact, a specifically Euro-American one: Indian participants not only need to be made globally comparable but also aligned with the drugs' future consumers. Focusing on the tensions between biomedicine's postulation of bodily universality and trial participants' local biologies, this paper advances recent interventions problematizing the structural violence undergirding global clinical trials. It also contributes to the literature on local biologies in its discussion of how these are negotiated in Indian for-profit clinical trials.
机译：全球临床试验依赖于一系列标准，以便对研究结果进行比较。由于标准化不仅仅是技术练习，当事情不统一时，可以出现紧张局势。本文采用主要调查人员的访谈以及在印度临床试验行业工作的临床研究组织和制药业代表的经验数据，以批判性地研究印度研究人员驾驶标准化任务的方式。它将分析镜头转变为经常混淆的标准化工作，旨在超越研究参与者和研究网站的生物学和文化特异性。绘制当地生物学的概念，说明临床试验方法所假定的通用机构实际上是一个特别欧美的身体：印度参与者不仅需要制造全球可比，而且与毒品的未来消费者一致。专注于生物医学介绍的身体普遍性和审判参与者当地生物学之间的紧张局势，近期近期干预措施解决了全球临床试验的结构暴力问题。它还有助于在讨论印度营利临床试验中谈判这些地方生物学的文献。

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