Seroquel® Study Casts Doubt on Effectiveness

Possible Inflated Results from Seroquel® Effectiveness Study

March 31, 2009 — At a national medical conference in 2000, Seroquel® was touted as “significantly superior” to the gold standard of schizophrenia treatment, Haldol®. Dr. Charles Schulz, chief of psychiatry at the University of Minnesota, touted the “dramatic benefits” of Seroquel® in a press release by AstraZeneca. Newly released internal documents show that AstraZeneca knew the research couldn’t support the claim a full two months before Schulz went public.

Seroquel® had been on the market for three years when Dr. Schulz had prepared his study for the American Psychological Association (APA) conference. The study, which included an analysis of 1,800 patients in four separate trials, reported that patients on Seroquel® showed marked improvements. When AstraZeneca looked at the same data, it came to a different conclusion.

On March 23, 2000, AstraZeneca official John Tumas warned, “The data don’t look good. In fact, I don’t know how we can get a paper out of this.” An internal analysis concluded: “It is clear that a claim of superiority for Seroquel® over haloperidol (Haldol®) could not be generated using these data.

Today, Seroquel® is used worldwide to treat a variety of psychiatric conditions. With $4.5 billion in annual sales, AstraZeneca has placed a request to the FDA to approve Seroquel® for major depression, which could greatly increase the drug’s sales. But there are experts who doubt the value of the drug. According to Dr. Daniel Carlat, a psychiatrist at Tufts University in Boston, “It [Seroquel®] does work, but it’s not necessarily better than the pills that are already out there. And it does have some nasty side effects.

Did Corporate Ties Affect the ‘Science’ in the Studies?

Over a 10–year period, Schulz received at least $88,000 from AstraZeneca for consulting and drug research, according to records at the Minnesota Board of Pharmacy. He also authored five studies on Seroquel®. Schulz denied that his ties to the company affected his research. “I don’t think I would have been comfortable standing in front of a poster that exaggerated the results,” he said.

In 2003, Schulz published a paper in a scientific journal saying that multiple studies showed Seroquel® as comparable in effectiveness to Haldol®, but not better.

Seroquel® Side Effects: Increased Risk of Diabetes

While there is a question of the effectiveness of Seroquel® in comparison to other drugs on the market, there is little question to some of the risks Seroquel® places on patient health. According to company documents, AstraZeneca was aware of an increased risk of diabetes in otherwise healthy patients taking Seroquel®. For further information, please see: