A major
pharmaceutical company has taken advantage of a legal
loophole and, for the first time in Britain, paid
women substantial sums to give their eggs for
fertility experiments. The 96 women each received
£1500, although the company originally wanted to offer
£4000.
In the UK it is
against the law to pay women more than £15 for
donating their eggs, although the donors can also
claim “reasonable expenses”. But, because the women’s
eggs were never fertilised in the trial, the
legislation did not apply.
Now legal and medical
experts have called on the government to close the
loophole to make sure no similar sales can take place.
“This is certainly
paying women for their eggs ,” said Ken Mason,
professor of law and medical ethics at Edinburgh
University. “I think £1500 is a lot of money. What is
unethical about this is that it is going to attract
the most impoverished people.
“I do think with
£1500 you are inducing someone. You are paying someone
for more than the trip into hospital. My view is that
£1500 is quite an incentive.
“This highlights the
need for comprehensive legislation that covers all
human tissue.”
Dr Des Spence, a
Glasgow GP, and spokesman for the No Free Lunch
movement which monitors the pharmaceutical industry,
added: “This is a particular interpretation of the law
for commercial purposes. This loophole should be
closed.”
The trial took place
at Leeds General Infirmary, where the 96 fertile women
were obliged to undergo a gruelling IVF cycle even
though they had no problems conceiving naturally. This
involved taking hormonal drug injections to stimulate
the growth of their eggs and having their eggs
harvested under anaesthetic.
The doctors then
studied different ways of ripening the eggs outside
the body to perfect a new, cheaper, form of fertility
treatment called in vitro maturation (IVM). The new
technique differs from regular in vitro fertilisation
(IVF) by ripening the eggs in the laboratory instead
of in the ovaries.
The pharmaceutical
company sponsoring the trial originally offered to pay
the women £4000 each for the discomfort the endured,
but the hospital ethics committee ruled that this
would be an inducement.
A statement from
Leeds Teaching Hospitals said: “It was concluded that
a sum of £1500 per patient was appropriate recompense
for the inconvenience of participating in the trial,
such as having to take time off work in order to
attend hospital as well as undergoing an IVF treatment
cycle and having their eggs harvested under
anaesthetic.”
Egg donation is
regulated by the Human Fertilisation and Embryology
Authority (HFEA) but, because there were no plans to
fertilise the eggs, this trial did not require a
licence from the government body.
The HFEA told the
Sunday Herald yesterday it would not consider a £1500
payment to be reasonable. A spokeswoman said: “In
clinics licensed by the HFEA, women can be paid £15
plus reasonable expenses. It could cover travel or the
cost of taking a day off work … but not the kind of
figures we are talking about here.
“If it comes under
our licence we wouldn’t want to offer a financial
inducement.”
Under separate laws,
it is also illegal to buy or sell human organs in the
UK. It is anticipated that, under a new Human Tissue
Bill announced in the Queen’s Speech, and European
legislation under discussion, the sale of other forms
of flesh may also be outlawed.
The HFEA have also
refused to allow a new scheme which would have offered
women cheap IVF treatment if they were prepared to
donate eggs.
Suzi Leather, HFEA
chairman, said: “The HFEA cannot allow clinics to
offer a treatment where a woman, for no other reason
than financial inducement, subjects herself to an
unnecessary and possibly risky procedure.”
Josephine Quintavalle,
director of the group Comment on Reproductive Ethics
(Core), is one of those who believes the loophole
which allowed the Leeds experiment to go ahead should
be closed. “This ruthless marketing of ovarian tissue
exploits the foolhardy women who are prepared to sell
parts of their germ-line in this way. How can you say
that this is not payment to egg donors?
“These women are
doing this because someone wants their eggs and is
prepared to pay for them. This company has managed to
get round the law but the law is founded on the
principle that we do not buy and sell tissue.”
Anthony Rutherford,
consultant obstetrician and gynaecologist at Leeds
General Infirmary and one of the doctors leading the
trial, which was originally given approval in April
2001, defended the payment yesterday. “In all walks of
medical research, volunteers need to be given
recompense for testing drugs. In this case, the
patients needed to have an invasive procedure.
“We pay people to do
that. We pay for their time and hardship. If you don’t
have healthy volunteers coming forward to test a drug
then we will never have effective new medicines.”