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Beyond Animal Research
By Jonathan Balcombe, Ph.D.
January 2006 |
Homeopathy Research: Efficacy Studies
Because homeopathy involves giving vanishingly small quantities
of ingredients to patients, side effects are rare and treatments
essentially harmless. That does not mean they are effective, however. The animal studies I described in last month’s
column were trying to address efficacy, not safety. As the following
examples from 2005 show, researchers have a variety of means for
assessing alternative treatments in humans without resorting to
cruel animal studies.
Clinical studies:
- In the United States, at the University of Washington, breast
cancer survivors received either one or two homeopathic treatments,
in combination or placebo control, to evaluate effectiveness
for treating menopausal symptoms. Patients reported frequency
and severity of hot flashes every two months for one year.1
- In Switzerland, 83 children aged 6 to 16 years with attention
deficit hyperactivity disorder (ADHD) received either a homeopathic
remedy for six weeks followed by placebo for six weeks, or vice-versa.
Parents used a prescribed scoring system to report their child’s
behavior at three points in the double-blind study.2
- In an Israeli study of post-partum bleeding, two homeopathic
remedies were given at two dilutions to 28 women who had just
given birth. An additional 12 mothers received a double placebo.
Hemoglobin levels were measured at 48 and 72 hours post-partum.3
Literature review:
- A team of Swiss researchers searched 19 databases to analyze
comparisons of homeopathy and conventional medicine in trials
least likely to be influenced by bias. Randomly selected trials
were matched for disorder and outcome measure, and double-blind,
randomized studies were assumed to be of higher methodological
quality.4
In vitro study:
- At the University of Bern, Switzerland, basophils (white blood
cells) from the same human donor were kept in various homeopathic
dilutions of either histamine (test group) or water (controls),
and their functional response was measured using flow-cytometry.5
Questionnaire:
- At the University Hospital Bern (Switzerland), gastrointestinal
outpatients completed a self-administered questionnaire on the
efficacy of complementary and alternative medicine, including
homeopathy.6
Case study:
- Three case studies describe children’s responses to a
homeopathic treatment for two different complaints.7
Veterinary homeopathy:
- At the University of Cambridge, cows were randomly allocated
to either a homeopathic or a control group, and compared by blinded
evaluators for somatic cell counts in their milk both before
and at various times after treatment.8
You may be wondering about the outcomes of these studies. I excluded
them because my main point is to show that we have methods at our
command that provide useful and relevant information for humans.
For the record, homeopathic study results have been mixed. Some
report significant benefits from homeopathic treatments; others
do not. But, unlike the animal studies I examined last month, no
deliberate harm was inflicted on the subjects, and the findings
have immediate relevance to human health.
Jonathan Balcombe, Ph.D., is a PCRM research scientist with a
background in ethology. He is the author of The Use of Animals
in Higher Education, as well as many scientific papers on humane
life science education and animal behavior. His recent scientific
review showing that animal experiments are more stressful than
previously understood was published in Contemporary Topics in Laboratory
Animal Science, and a forthcoming review in Laboratory Animals,
reveals how laboratory housing thwarts rodents' behavioral
needs. His new book, Pleasurable
Kingdom: Animals and the Nature of Feeling Good, is
due out in May 2006.
Literature
1. Jacobs
J, Williams
AL, Girard
C, Njike
VY, Katz
D. Homeopathy for attention-deficit/hyperactivity disorder:
a pilot randomized-controlled trial. J
Altern Complement Med. 2005;11:799-806. 2. Frei
H, Everts
R, von
Ammon K, Kaufmann
F, Walther
D, Hsu-Schmitz
SF, Collenberg
M, Fuhrer
K, Hassink
R, Steinlin
M, Thurneysen
A. Homeopathic treatment of children with attention deficit
hyperactivity disorder: a randomised, double blind, placebo controlled
crossover trial. Eur
J Pediatr. 2005;164:758-67. 3. Oberbaum
M, Galoyan
N, Lerner-Geva
L, Singer
SR, Grisaru
S, Shashar
D, Samueloff
A. The effect of the homeopathic remedies Arnica montana
and Bellis perennis on mild postpartum bleeding—a randomized,
double-blind, placebo-controlled study—preliminary results. Complement
Ther Med. 2005;13:87-90.
4. Shang
A, Huwiler-Muntener
K, Nartey
L, Juni
P, Dorig
S, Sterne
JA, Pewsner
D, Egger
M. Are the clinical effects of homoeopathy placebo effects?
Comparative study of placebo-controlled trials of homoeopathy
and allopathy. Lancet.
2005;366:726-32.
5. Guggisberg
AG, Baumgartner
SM, Tschopp
CM, Heusser
P. Replication study concerning the effects of homeopathic
dilutions of histamine on human basophil degranulation in vitro. Complement
Ther Med. 2005;13:91-100.
6. Ausfeld-Hafter
B, Hoffmann
S, Seibold
F, Quattropani
C, Heer
P, Straumann
A. [Status of alternative medicine in Crohn disease and ulcerative
colitis patents: a questionnaire survey] Forsch
Komplementarmed Klass Naturheilkd. 2005;12:134-8.
7. Sevar
R. Sanicula. aqua: three clinical cases and a heuristic. Homeopathy.
2005;94:125-31.
8. Holmes
MA, Cockcroft
PD, Booth
CE, Heath
MF. Controlled clinical trial of the effect of a homoeopathic
nosode on the somatic cell counts in the milk of clinically normal
dairy cows. Vet
Rec. 2005;156:565-7.
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