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Wikipedia

David Horrobin

David Frederick Horrobin (6 October 1939 – 1 April 2003) was a British-Canadian entrepreneur, medical researcher, author and editor. He is best known as the founder of the biotechnology company Scotia Holdings and as a promoter of evening primrose oil as a medical treatment,[1] Horrobin was founder and editor of the journals Medical Hypotheses and Prostaglandins, Leukotrienes and Essential Fatty Acids, the latter journal (initially titled Prostaglandins and Medicine) co-founded with his then graduate student Morris Karmazyn.

Horrobin believed that many diseases involve a lack of fatty acid precursors and might be alleviated by supplementing with the appropriate fatty acid.[2] Horrobin's efforts focused on evening primrose oil, which contains gamma-linolenic acid. In the 1980s, Horrobin sold primrose oil in the United States without legally demonstrating its safety and efficacy,[3] leading to government confiscations and felony indictments of his associates.[4][5] Horrobin was later accused of withholding research data and suppressing the reports of scientists who questioned his claims.[6][7] During Horrobin's tenure as chief executive, Scotia Pharmaceuticals obtained licences for several drugs based on evening primrose oil, but these licenses were withdrawn for lack of efficacy.[8] Amidst charges of mismanagement and research fraud, Horrobin was ousted as CEO by a unanimous vote of the board and left the company in 1998. In 2001, Scotia, one of the first publicly traded biotechnology companies in the United Kingdom,[9] also became the first to collapse.[1][10] After Horrobin's departure from Scotia, he founded Laxdale Ltd., a company that investigated omega-3 fatty acids as possible treatments for schizophrenia and neurodegenerative diseases.

Horrobin died of pneumonia as a complication of mantle cell lymphoma in 2003. Obituaries noted his contributions to the biotechnology industry, intellectual acumen, original thinking and adventurousness, while some criticised his promotion of primrose oil and other questionable claims.[11] Notably controversial[5][12][13][14] obituaries in The Independent[11] and the British Medical Journal[15] angered Horrobin's friends and family by also portraying negative aspects of Horrobin's life, with the BMJ obituary stating that Horrobin "may prove to be the greatest snake oil salesman of his age".[15]

Education and academic career edit

Born in Bolton, England, Horrobin attended Queen Elizabeth's Grammar School, Blackburn,[citation needed] and King's College[citation needed] in Wimbledon. He studied medicine on scholarship at Balliol College, Oxford, obtaining degrees in both medicine and surgery[citation needed], and during the same period earned a doctorate in neurophysiology and neuroendocrinology.[citation needed] On completing his pre-clinical work, Horrobin became a fellow of Magdalen College in 1963.[citation needed] At Magdalen, he was strongly influenced by the nutritionist Hugh Macdonald Sinclair and his hypotheses on essential fatty acids and degenerative disease.[citation needed]

Following participation in the Flying Doctor Service in east Africa, Horrobin was appointed as professor and chairman of medical physiology at Nairobi University in Kenya. In 1972, he moved to the University of Newcastle upon Tyne, where he was appointed as a reader in medical physiology. In 1975, he became professor of medicine at the University of Montreal.[9]

Drug companies and dietary supplements edit

Founding of Efamol and Scotia edit

While working as an academic investigator, in Africa and later, Horrobin developed a theory implicating altered fatty acid metabolism in schizophrenia. The idea did not generate interest,[9] and Horrobin failed to obtain funding.[16] It was noted that Horrobin presented only circumstantial evidence and was unable to propose a mechanism underlying the hypothesised link.[9] To raise money for his research,[16] Horrobin left academia and in 1977 established a company called Efamol to sell evening primrose oil (EPO) as a proposed treatment for various ailments. For example, Horrobin considered EPO to be a treatment for eczema "after trying it on the son of a librarian from his college".[17] Horrobin planned to use the profits from Efamol to fund research and development of drugs containing EPO fatty acids.[9] Efamol, renamed Scotia Pharmaceuticals in 1987,[11] was active in Nova Scotia, Surrey and Scotland.[9] In 1993, under Horrobin's leadership, Scotia was one of the first biotechnology companies to be floated on the London Stock Exchange.[9] Scotia spent heavily on research, being ranked 79th among all UK companies in 1993, and reached a peak market capitalisation of about £600m in 1996.[18] As a major shareholder of Scotia, Horrobin rose to number 212 in 1996 on the list of the wealthiest people in the United Kingdom.[11]

Controversy and administration edit

Legal and regulatory problems edit

Horrobin, within several years of founding Efamol, was selling EPO in more than 25 countries. He marketed the supplement as a treatment for "PMS, alcoholism, pregnancy-induced hypertension, atopic eczema, elevated cholesterol levels, hypertension, scleroderma, multiple sclerosis, rheumatoid arthritis, mastalgia (breast pain) and other problems",[5] but according to the United States Food and Drug Administration (FDA), Horrobin did not satisfactorily demonstrate the efficacy and safety of his supplement.[3][4][19] The FDA advised Efamol not to ship EPO to the United States without obtaining approval. Horrobin agreed, but began making shipments. Horrobin conspired with General Nutrition, Inc. to process Efamol into capsules in California; it would then be sold to General Nutrition and relabeled for resale under a different brand name. According to an FDA investigation, Horrobin suggested marketing strategies to circumvent the laws, including coaching retail representatives on making oral claims to customers, "planting articles on their research in the media, deploying researchers to make claims on their behalf, using radio phone-ins" and other tactics.[6] Horrobin wrote to General Nutrition, "Obviously you could not advertise Efamol for these purposes but equally obviously there are ways of getting the information across".[5] As a result, the FDA began to seize shipments of EPO and handed down felony indictments to General Nutrition, several executives and store managers for "conspiring to defraud the FDA and violating provisions of the Food, Drug, and Cosmetic Act". General Nutrition and its president entered guilty pleas and paid fines, but Horrobin was not prosecuted.[5]

Efamol continued to ship EPO into the United States and to market its products. In a 1989 article on "health food frauds", the New York Times reported on the FDA's seizure of "more than $1 million worth" of illegal EPO. The FDA again accused Efamol of marketing the oil "with unsubstantiated claims of treating a wide variety of illnesses". Efamol's lawyers responded that the product was not dangerous and that it had not made unsubstantiated claims.[3] The American Dietetic Association, representing over 50,000 nutritionists, questioned the value of Horrobin's product since "one-tenth of a teaspoon of ordinary corn oil has as much of the fatty acids as a capsule of Evening Primrose Oil, at a fraction of the cost".[3] In 1989, the FDA commissioned a report by investigator Stephen Barrett, a medical doctor and consumer protection advocate. Barrett advised the FDA that Horrobin's marketing of Efamol was done in "a transparent attempt to evade the food and drug laws". In a report on the incident published by the consumer information organisation Quackwatch, Barrett also questions Horrobin's research ethics: "Would someone that contemptuous of the law have any qualms about faking data?"[5]

Allegations of selective reporting and research suppression edit

In 2006, a column in The Guardian suggested that Horrobin had also actively suppressed research findings contradicting his claims about EPO. Horrobin wrote a meta-analysis of EPO research on eczema in 1989, concluding that EPO was effective. Horrobin excluded the negative results of the largest published study to date but included purported results of seven of his own unpublished studies that remained unpublished as of 2006. When several scientists asked to see the unpublished data, Horrobin's legal team convinced the journal to refuse the request.[6] In 1997, Horrobin's team successfully halted the publication of another meta-analysis commissioned by the Department of Health.[7] Research published after Horrobin's death indicates that fatty acids are no more effective than a placebo against eczema;[20] Scotia's medicines licences for evening primrose oil drugs was withdrawn.[6]

Investor concerns about an "ailing company" edit

As the supplement sales generated revenue, Horrobin's company began work on numerous drugs, most of them containing evening primrose oil. In 1993, the company was floated and enjoyed several years of increasing capitalisation as Horrobin reassured investors who worried about the company's lack of success, operating losses and enigmatic nature.[21][22] Horrobin stated that any of four products in Scotia's drugs pipeline could bring the company billions of pounds in revenue.[23] In early 1995, Horrobin said that he hoped to receive approval in the "next 18 months to sell one or both" of two of these drugs.[23] In late 1996, Horrobin predicted that he would receive approval for one of the drugs "in under two years".[22] In 1997, Horrobin stated, "Scotia will be cash-positive by 2000".[21]

However, the initial successes of Scotia on the stock markets and Horrobin's reassurances were undermined by what investors perceived as long-standing and systemic problems at the company, and they saw their fears confirmed with the rejection in March 1997 of regulatory approval for Scotia's drug Tarabetic. Also known as Efamol, the product contained evening primrose oil and was intended to treat diabetic peripheral neuropathy.[24] Scotia immediately lost one quarter of its value. Licences for several evening primrose oil-containing drugs were later withdrawn. A Scotia product, Epogam, was reportedly the first drug to have its licence withdrawn as a result of "evidence that it didn't work".

By the end of 1997, Scotia was nearly broke and did not have enough money to fund another year of research.[25] Investors worried that Horrobin had spread the company and its resources too thinly, a state described by The Guardian as "woolly, sprawling and lacking in focus".[17] They also questioned Horrobin's judgement in promoting his wife to research manager of the company despite her lack of scientific or business training;[26] her highest qualification was a BA in English and women's studies.[17] Investors were restive about Horrobin's emphasis on products related to evening primrose oil, which they considered a "hippy" project,[17] "outmoded and of questionable scientific validity".[25] When it was found that borage contained a higher percentage of gamma-linolenic acid than did the evening primrose, rival companies had begun to take market share of the supplement. In 1996, The Independent described Scotia's supplement business as "struggling". Horrobin responded to the borage competition by accusing his rivals of "duping women, selling pigs in pokes and marketing 'unstable and potentially toxic products'."

Findings of fraud associated with Scotia trials also weighed on Horrobin's company. Goran Jamal, a doctor who had participated in developing Efamol, was found guilty of research fraud by the General Medical Council in 2003.[27] The Council ruled that Jamal had committed "serious professional misconduct for falsifying his results", manipulating the supposed randomisation of the clinical trial conducted over a decade earlier. Scotia was faulted by industry observers for what was called a "highly unusual" compensation scheme, as it had offered the doctor a portion of profits from future sales,[26] although the Council suggested that Jamal was prompted to commit fraud by his "belief" in the efficacy of the drug and not by his desire for financial gain.[24]

Horrobin's ousting from Scotia edit

Horrobin was ousted as chief executive of Scotia by a unanimous vote of the board[28][29] and was replaced on 1 January 1998 by Robert Dow, whom Horrobin had hired several months earlier to help with the company's business plan and investor relations. Horrobin remained until May 1998 as a non-executive director. When he tried to stage a "boardroom coup" to return himself to the executive position, the other directors refused to support him, and Horrobin resigned. As the company's value fell from about £600 m to £16 m,[15][28] Horrobin and his successor each blamed the other for the company's failure.[17] Scotia went into administration in 2001.[30]

Laxdale Ltd edit

Following his departure from Scotia, Horrobin set up a new company, Laxdale Ltd, to examine the use of omega-3 essential fatty acids in treating schizophrenia and neurodegenerative diseases.[31] The company was sold after his death to the Amarin Corporation and is now known as Amarin Neuroscience Ltd.[32]

Research, publications and editorships edit

Horrobin was a prolific writer of academic and popular works. He was also the founder/co-founder and editor of two journals, and, with his brother Peter, the co-founder of MTP Press. Peter Horrobin later founded a religious cult, Ellel Ministries.

Scientific publications edit

Horrobin was an author on over 800 publications, including about 500 scientific papers,[33][34] many of which appeared in journals he edited.[11][15] Horrobin's belief in a connection between fatty acids and schizophrenia guided much of his career. From 1970, Horrobin was medical adviser to the Schizophrenia Society of Great Britain. He later served as the Society's president.[9] Horrobin also wrote on other scientific issues. He considered research with animal models of human disease to be a waste of resources,[35] and believed that large-scale clinical trials were unnecessary and unethical. However, in at least one case, he defended modern medicine by writing a critique of Ivan Illich's famous attack on the medical establishment, Medical Nemesis.[36][37][38]

Journal editor edit

Horrobin was a longtime critic of the anonymous peer review system,[39] which, he believed, stifled creativity and innovation in science. Horrobin founded and edited the non-peer reviewed journal Medical Hypotheses to provide an outlet for unorthodox ideas and research that would not be evaluated by other scientists before publication. Horrobin envisioned the journal as a resort for thinkers who were "very good at generating ideas, but are complete klutzes in the field" and committed to publishing ideas based only on whether he or other reviewers considered them "interesting and reasonable".[40]

Horrobin also co-founded the journal Prostaglandins, Leukotrienes and Essential Fatty Acids.[15] Science writer Susan Allport, in her book on dietary fatty acids, states that Horrobin founded this journal to disseminate his ideas about evening primrose oil and fatty acids.[14]

Popular science edit

In the popular science book The Madness of Adam and Eve (2001), Horrobin outlined his hypothesis that schizophrenia contributed to the evolution of modern humans. According to Horrobin, fat metabolism was altered as humans evolved from other primates, leading to early humans with schizophrenia. These humans were more creative and did not experience as much physical pain as others.[41] Horrobin suggested that the "genes for schizophrenia are responsible for most of the religious sense, most of the technical and artistic creativity and most of the leadership qualities of modern human beings".[42] The Madness of Adam and Eve was one of six books shortlisted for the 2002 Aventis Prize (now the Royal Society Prizes for Science Books; the prize was won that year by Stephen Hawking's The Universe in a Nutshell).[43] Reviews of the book were mixed, writing of a "useful contribution" that was also "highly partisan and selective";[41] an "engaging and plausible argument" that is "not so convincingly" argued;[42] and a book "brightly written" but with "a huge hole in its central premise"[44] Horrobin was somewhat critical of his theory, describing it as a "just-so story perhaps fed by my own personal delusions".[45] The book was compared unfavorably to similar works by Kay Redfield Jamison, who examines a possible link between bipolar disorder and artistic creativity.[42]

Tim Crow, a professor of psychiatry at Oxford University who had proposed a similar theory in 1995, accused Horrobin of failing to acknowledge Crow's contributions to the development of his ideas. When novelist Sebastian Faulks stated that Horrobin's ideas influenced his novel Human Traces, published in 2005, Crow protested that "much of the credit for his theory has been misdirected by Faulks to the late maverick doctor and writer, David Horrobin".[46]

Death and obituary controversy edit

In 2001, Horrobin was diagnosed with mantle cell lymphoma. He died of pneumonia as a complication of this cancer in 2003. Horrobin was survived by his wife, Sherri Clarkson, and two children from a previous marriage.[9] A number of obituaries were published, both in medical journals such as The Lancet[47] and Horrobin's Prostaglandins, Leukotrienes and Essential Fatty Acids,[12] and in the popular press.[9][28] Most obituaries referred to Horrobin as a highly intelligent, creative and persuasive individual. According to The Telegraph, Horrobin was "a founding father of the biotechnology industry and regarded by some as one of Britain's finest original thinkers in medicine", but the same obituary also noted that Horrobin's implication of fatty acid metabolism in schizophrenia was not accepted by other scientists; that his approach was "unorthodox" and unpopular; and that his major business venture failed.[9] The many problems at Scotia under Horrobin's leadership, which led to the company's eventual collapse, were a theme in several obituaries[28] including two highly critical and controversial accounts written by former Horrobin colleague Caroline Richmond and published in the British Medical Journal (BMJ)[15] and The Independent.[11]

The BMJ obituary sparked a months-long controversy.[5][12][13][14][48][49][50][51][52][53][54] The obituary described Horrobin as "effortlessly prolific" and "one of the most persuasive people on earth", but also criticised him as excessively promoting evening primrose oil despite a lack of scientific evidence, noting that some critics questioned his ethics. It suggested that Horrobin "may prove to be the greatest snake oil salesman of his age", stating that his evening primrose oil would "go down in history as the remedy for which there is no disease" and reporting that several of Scotia's product licences were later withdrawn because the drugs were ineffective.[15] The obituary generated the largest e-mail response to an obituary in the history of the BMJ.[55] Respondents, including Horrobin's colleagues, friends and family, were largely critical of the negative tone of the obituary.[56] On behalf of Horrobin's family, Horrobin's son-in-law, Adam Kelliher, filed a complaint with the British Press Complaints Commission, alleging that the BMJ obituary was "inaccurate" and "intrusive at a time of grief" in violation of the Code of Practice.[57] Kelliher was founder and at the time chief executive of Equazen, a company marketing fish and evening primrose oils including a formulation called eye q, said to improve scholastic ability in children. However, in his initial complaint to the BMJ Kelliher stated that he had no competing interests. In reaction, the BMJ published an apology to Horrobin's family expressing regret for any distress caused. The journal corrected what its editor considered several insignificant[58] spelling and factual errors and published three further obituaries of Horrobin. However, the journal also defended its original obituary as fairly presenting "both the positive and negative aspects of its subject's life".[55][56][58] Kelliher did not accept the BMJ apology as genuine and maintained that inaccuracies and "unjustified slander" remained, but the Press Complaints Commission declined to take any action against the journal, stating that the BMJ had offered "sufficient remedial action". According to the commission, the journal was not obliged to omit negative information, including the journal's contention "that Dr Horrobin was 'in some ways a charlatan'".[57]

Posthumous honours edit

In June 2004, the scientific publisher Elsevier, having acquired the journal Medical Hypotheses, created an annual David Horrobin Prize for medical theory in his honour.[59] He was posthumously awarded the Stephen S. Chang Award by the American Oil Chemists' Society in 2003.[60]

Selected bibliography edit

  • Horrobin, David F. (1964). The Communication Systems of the Body. New York: Basic Books. p. 214. ISBN 0-465-01287-6.
  • Horrobin, David F. (1970). Principles of biological control. Aylesbury: Medical and Technical Pub. Co., Ltd. p. 70. ISBN 0-85200-002-2.
  • Horrobin, David F. (1971). Essential Biochemistry, Endocrinology and Nutrition. New York: Medical and Technical Publishing Co. Ltd. p. 118. ISBN 0-85200-025-1.
  • Horrobin, David F. (1972). A Guide to Kenya and Northern Tanzania. Scribner. p. 304. ISBN 0-684-12629-X.
  • Horrobin, David F. (1977). Medical Hubris: A reply to Ivan Illich. Montreal: Lunesdale House. p. 146. ISBN 0-88831-086-2.
  • Horrobin, David F. (1983). "The role of essential fatty acids and prostaglandins in the premenstrual syndrome". J Reprod Med. 28 (7): 465–8. PMID 6350579.
  • Horrobin, David F. (1987). "Essential fatty acids, prostaglandins, and alcoholism: an overview". Alcohol Clin Exp Res. 11 (1): 2–9. doi:10.1111/j.1530-0277.1987.tb01250.x. PMID 3032012.
  • Horrobin, David F. (Ed.) (1990). Omega-6 essential fatty acids: pathophysiology and roles in clinical medicine. New York: Wiley-Liss. ISBN 0-471-56693-4.
  • Horrobin, David F. (1990). "Gamma linolenic acid". Reviews in Contemporary Pharmacotherapy. 1 (1). Carnforth, UK: Marius Press: 1–45. ISSN 0954-8602. OCLC 729348324.
  • Horrobin, David F. (1993). "Omega-6 and omega-3 essential fatty acids in atherosclerosis". Semin Thromb Hemost. 19 (2): 129–37. doi:10.1055/s-2007-994016. PMID 8356458. S2CID 40590225.
  • Horrobin, David F. (1994). "Unsaturated lipids: a new approach to the treatment of cancer". World Rev Nutr Diet. World Review of Nutrition and Dietetics. 76: 77–80. doi:10.1159/000423997. ISBN 978-3-8055-6040-5. PMID 7856241.
  • Horrobin, David F. (1997). "Essential fatty acids in the management of impaired nerve function in diabetes". Diabetes. 46 (Suppl 2): S90–3. doi:10.2337/diab.46.2.s90. PMID 9285506. S2CID 10174746.
  • Horrobin, David F. (2000). "Essential fatty acid metabolism and its modification in atopic eczema". Am J Clin Nutr. 71 (1 Suppl): 367S–72S. doi:10.1093/ajcn/71.1.367s. PMID 10617999.
  • Horrobin, David F. (2001). The madness of Adam & Eve: how schizophrenia shaped humanity. London: Bantam. ISBN 0-593-04649-8.
  • Peet, M. (2003). Glen I; Horrobin DF (eds.). Phospholipid spectrum disorders in psychiatry and neurology (2nd ed.). Carnforth, UK: Marius Press. ISBN 1-871622-25-5.

A more extensive bibliography is available on the Institute for Scientific Information website.[33]

References edit

  1. ^ a b Court, Mark (2 April 2003). . The Times. Archived from the original on 12 June 2011. Quote: "Dr Horrobin was best known for creating Scotia Holdings, a once sprawling biotechnology company which has the unfortunate distinction of being the UK’s only quoted biotechnology company to have collapsed into administration."
  2. ^ Horrobin DF (1991). "Interactions between n-3 and n-6 essential fatty acids (EFAs) in the regulation of cardiovascular disorders and inflammation". Prostaglandins Leukot Essent Fatty Acids. 44 (2): 127–31. doi:10.1016/0952-3278(91)90196-C. PMID 1745654.
  3. ^ a b c d . The New York Times. 1 June 1989. Archived from the original on 6 July 2022. Retrieved 7 February 2017.
  4. ^ a b "General Nutrition, officials indicted", Lexington Herald-Leader (KY), 15 November 1984, p. C9
  5. ^ a b c d e f g "Primrose Oil and Eczema: How Research Was Promoted and Suppressed" Stephen Barrett, Quackwatch, 31 January 2004.
  6. ^ a b c d "How to avoid the bitter pill of regulation" Ben Goldacre, Bad Science Column, The Guardian, 23 September 2003.
  7. ^ a b Hoare C, Li Wan Po A, Williams H (2004). "Systematic review of treatments of atopic eczema". Health Technology Assessment. 4 (37).
  8. ^ . The Pharmaceutical Journal. 269 (7215): 352. September 2002. Archived from the original on 4 December 2008. Retrieved 15 September 2009.
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  11. ^ a b c d e f Richmond, C. (17 April 2003). . The Independent. London. Archived from the original on 13 March 2010. Retrieved 15 September 2009.
  12. ^ a b c Stein J (2004). "David Horrobin (1939–2003): a memoir". Prostaglandins Leukot. Essent. Fatty Acids. 70 (4): 339–43. doi:10.1016/j.plefa.2004.01.001. PMID 15085824.
  13. ^ a b "'A rotter, a snake oil salesman, a chancer' – how scientist's obituary sparked a storm. A vitriolic attack in the British Medical Journal has devastated eminent academic David Horrobin's family, reports Robin McKie" Robin McKie, The Observer, in The Guardian, 25 May 2003.
  14. ^ a b c Allport, Susan (2008). The Queen of Fats: Why Omega-3s Were Removed from the Western Diet and What We Can Do to Replace Them. University of California Press. ISBN 978-0-520-25380-3.
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  30. ^ . The Pharmaceutical Journal. 266 (7133): 143. 2001. Archived from the original on 24 May 2010. Retrieved 16 September 2009.
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  32. ^ Amarin Corporation 2nd quarter 2004 statement of results.
  33. ^ a b ISI publications list for David Horrobin[permanent dead link]
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  41. ^ a b "A polluted puddle of poetry and psychosis" David Pilgrim, Times Higher Education, 5 October 2001.
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  45. ^ "Fat is an insanity issue" The Telegraph, 7 April 2001.
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  55. ^ a b McGoldrick, S. (2003). "Correction – Obituary of David Horrobin". British Medical Journal. 326 (7398): 1091. doi:10.1136/bmj.326.7398.1089-a. PMC 1126009.
  56. ^ a b Davies S (2003). "Obituary for David Horrobin: Summary of rapid responses". British Medical Journal. 326 (7398): 1089. doi:10.1136/bmj.326.7398.1089-b. PMC 1126010.
  57. ^ a b "Mr Adam Kelliher complained to the Press Complaints Commission, on behalf of the family of the late Dr David Horrobin" Press Complaints Commission, Report 63.
  58. ^ a b "An apology: Obituary of David Horrobin". British Medical Journal. 327 (7408): 229. 2003. doi:10.1136/bmj.327.7408.229-e. PMC 1126617.
  59. ^ Announcement of the David Horrobin Prize on the Elsevier site
  60. ^ Stephen S. Chang Award 10 April 2008 at the Wayback Machine

david, horrobin, neutrality, this, article, disputed, relevant, discussion, found, talk, page, please, remove, this, message, until, conditions, december, 2013, learn, when, remove, this, message, david, frederick, horrobin, october, 1939, april, 2003, british. The neutrality of this article is disputed Relevant discussion may be found on the talk page Please do not remove this message until conditions to do so are met December 2013 Learn how and when to remove this message David Frederick Horrobin 6 October 1939 1 April 2003 was a British Canadian entrepreneur medical researcher author and editor He is best known as the founder of the biotechnology company Scotia Holdings and as a promoter of evening primrose oil as a medical treatment 1 Horrobin was founder and editor of the journals Medical Hypotheses and Prostaglandins Leukotrienes and Essential Fatty Acids the latter journal initially titled Prostaglandins and Medicine co founded with his then graduate student Morris Karmazyn Horrobin believed that many diseases involve a lack of fatty acid precursors and might be alleviated by supplementing with the appropriate fatty acid 2 Horrobin s efforts focused on evening primrose oil which contains gamma linolenic acid In the 1980s Horrobin sold primrose oil in the United States without legally demonstrating its safety and efficacy 3 leading to government confiscations and felony indictments of his associates 4 5 Horrobin was later accused of withholding research data and suppressing the reports of scientists who questioned his claims 6 7 During Horrobin s tenure as chief executive Scotia Pharmaceuticals obtained licences for several drugs based on evening primrose oil but these licenses were withdrawn for lack of efficacy 8 Amidst charges of mismanagement and research fraud Horrobin was ousted as CEO by a unanimous vote of the board and left the company in 1998 In 2001 Scotia one of the first publicly traded biotechnology companies in the United Kingdom 9 also became the first to collapse 1 10 After Horrobin s departure from Scotia he founded Laxdale Ltd a company that investigated omega 3 fatty acids as possible treatments for schizophrenia and neurodegenerative diseases Horrobin died of pneumonia as a complication of mantle cell lymphoma in 2003 Obituaries noted his contributions to the biotechnology industry intellectual acumen original thinking and adventurousness while some criticised his promotion of primrose oil and other questionable claims 11 Notably controversial 5 12 13 14 obituaries in The Independent 11 and the British Medical Journal 15 angered Horrobin s friends and family by also portraying negative aspects of Horrobin s life with the BMJ obituary stating that Horrobin may prove to be the greatest snake oil salesman of his age 15 Contents 1 Education and academic career 2 Drug companies and dietary supplements 2 1 Founding of Efamol and Scotia 2 2 Controversy and administration 2 2 1 Legal and regulatory problems 2 2 2 Allegations of selective reporting and research suppression 2 2 3 Investor concerns about an ailing company 2 2 4 Horrobin s ousting from Scotia 2 3 Laxdale Ltd 3 Research publications and editorships 3 1 Scientific publications 3 2 Journal editor 3 3 Popular science 4 Death and obituary controversy 5 Posthumous honours 6 Selected bibliography 7 ReferencesEducation and academic career editBorn in Bolton England Horrobin attended Queen Elizabeth s Grammar School Blackburn citation needed and King s College citation needed in Wimbledon He studied medicine on scholarship at Balliol College Oxford obtaining degrees in both medicine and surgery citation needed and during the same period earned a doctorate in neurophysiology and neuroendocrinology citation needed On completing his pre clinical work Horrobin became a fellow of Magdalen College in 1963 citation needed At Magdalen he was strongly influenced by the nutritionist Hugh Macdonald Sinclair and his hypotheses on essential fatty acids and degenerative disease citation needed Following participation in the Flying Doctor Service in east Africa Horrobin was appointed as professor and chairman of medical physiology at Nairobi University in Kenya In 1972 he moved to the University of Newcastle upon Tyne where he was appointed as a reader in medical physiology In 1975 he became professor of medicine at the University of Montreal 9 Drug companies and dietary supplements editFounding of Efamol and Scotia edit While working as an academic investigator in Africa and later Horrobin developed a theory implicating altered fatty acid metabolism in schizophrenia The idea did not generate interest 9 and Horrobin failed to obtain funding 16 It was noted that Horrobin presented only circumstantial evidence and was unable to propose a mechanism underlying the hypothesised link 9 To raise money for his research 16 Horrobin left academia and in 1977 established a company called Efamol to sell evening primrose oil EPO as a proposed treatment for various ailments For example Horrobin considered EPO to be a treatment for eczema after trying it on the son of a librarian from his college 17 Horrobin planned to use the profits from Efamol to fund research and development of drugs containing EPO fatty acids 9 Efamol renamed Scotia Pharmaceuticals in 1987 11 was active in Nova Scotia Surrey and Scotland 9 In 1993 under Horrobin s leadership Scotia was one of the first biotechnology companies to be floated on the London Stock Exchange 9 Scotia spent heavily on research being ranked 79th among all UK companies in 1993 and reached a peak market capitalisation of about 600m in 1996 18 As a major shareholder of Scotia Horrobin rose to number 212 in 1996 on the list of the wealthiest people in the United Kingdom 11 Controversy and administration edit Legal and regulatory problems edit Horrobin within several years of founding Efamol was selling EPO in more than 25 countries He marketed the supplement as a treatment for PMS alcoholism pregnancy induced hypertension atopic eczema elevated cholesterol levels hypertension scleroderma multiple sclerosis rheumatoid arthritis mastalgia breast pain and other problems 5 but according to the United States Food and Drug Administration FDA Horrobin did not satisfactorily demonstrate the efficacy and safety of his supplement 3 4 19 The FDA advised Efamol not to ship EPO to the United States without obtaining approval Horrobin agreed but began making shipments Horrobin conspired with General Nutrition Inc to process Efamol into capsules in California it would then be sold to General Nutrition and relabeled for resale under a different brand name According to an FDA investigation Horrobin suggested marketing strategies to circumvent the laws including coaching retail representatives on making oral claims to customers planting articles on their research in the media deploying researchers to make claims on their behalf using radio phone ins and other tactics 6 Horrobin wrote to General Nutrition Obviously you could not advertise Efamol for these purposes but equally obviously there are ways of getting the information across 5 As a result the FDA began to seize shipments of EPO and handed down felony indictments to General Nutrition several executives and store managers for conspiring to defraud the FDA and violating provisions of the Food Drug and Cosmetic Act General Nutrition and its president entered guilty pleas and paid fines but Horrobin was not prosecuted 5 Efamol continued to ship EPO into the United States and to market its products In a 1989 article on health food frauds the New York Times reported on the FDA s seizure of more than 1 million worth of illegal EPO The FDA again accused Efamol of marketing the oil with unsubstantiated claims of treating a wide variety of illnesses Efamol s lawyers responded that the product was not dangerous and that it had not made unsubstantiated claims 3 The American Dietetic Association representing over 50 000 nutritionists questioned the value of Horrobin s product since one tenth of a teaspoon of ordinary corn oil has as much of the fatty acids as a capsule of Evening Primrose Oil at a fraction of the cost 3 In 1989 the FDA commissioned a report by investigator Stephen Barrett a medical doctor and consumer protection advocate Barrett advised the FDA that Horrobin s marketing of Efamol was done in a transparent attempt to evade the food and drug laws In a report on the incident published by the consumer information organisation Quackwatch Barrett also questions Horrobin s research ethics Would someone that contemptuous of the law have any qualms about faking data 5 Allegations of selective reporting and research suppression edit In 2006 a column in The Guardian suggested that Horrobin had also actively suppressed research findings contradicting his claims about EPO Horrobin wrote a meta analysis of EPO research on eczema in 1989 concluding that EPO was effective Horrobin excluded the negative results of the largest published study to date but included purported results of seven of his own unpublished studies that remained unpublished as of 2006 When several scientists asked to see the unpublished data Horrobin s legal team convinced the journal to refuse the request 6 In 1997 Horrobin s team successfully halted the publication of another meta analysis commissioned by the Department of Health 7 Research published after Horrobin s death indicates that fatty acids are no more effective than a placebo against eczema 20 Scotia s medicines licences for evening primrose oil drugs was withdrawn 6 Investor concerns about an ailing company edit As the supplement sales generated revenue Horrobin s company began work on numerous drugs most of them containing evening primrose oil In 1993 the company was floated and enjoyed several years of increasing capitalisation as Horrobin reassured investors who worried about the company s lack of success operating losses and enigmatic nature 21 22 Horrobin stated that any of four products in Scotia s drugs pipeline could bring the company billions of pounds in revenue 23 In early 1995 Horrobin said that he hoped to receive approval in the next 18 months to sell one or both of two of these drugs 23 In late 1996 Horrobin predicted that he would receive approval for one of the drugs in under two years 22 In 1997 Horrobin stated Scotia will be cash positive by 2000 21 However the initial successes of Scotia on the stock markets and Horrobin s reassurances were undermined by what investors perceived as long standing and systemic problems at the company and they saw their fears confirmed with the rejection in March 1997 of regulatory approval for Scotia s drug Tarabetic Also known as Efamol the product contained evening primrose oil and was intended to treat diabetic peripheral neuropathy 24 Scotia immediately lost one quarter of its value Licences for several evening primrose oil containing drugs were later withdrawn A Scotia product Epogam was reportedly the first drug to have its licence withdrawn as a result of evidence that it didn t work By the end of 1997 Scotia was nearly broke and did not have enough money to fund another year of research 25 Investors worried that Horrobin had spread the company and its resources too thinly a state described by The Guardian as woolly sprawling and lacking in focus 17 They also questioned Horrobin s judgement in promoting his wife to research manager of the company despite her lack of scientific or business training 26 her highest qualification was a BA in English and women s studies 17 Investors were restive about Horrobin s emphasis on products related to evening primrose oil which they considered a hippy project 17 outmoded and of questionable scientific validity 25 When it was found that borage contained a higher percentage of gamma linolenic acid than did the evening primrose rival companies had begun to take market share of the supplement In 1996 The Independent described Scotia s supplement business as struggling Horrobin responded to the borage competition by accusing his rivals of duping women selling pigs in pokes and marketing unstable and potentially toxic products Findings of fraud associated with Scotia trials also weighed on Horrobin s company Goran Jamal a doctor who had participated in developing Efamol was found guilty of research fraud by the General Medical Council in 2003 27 The Council ruled that Jamal had committed serious professional misconduct for falsifying his results manipulating the supposed randomisation of the clinical trial conducted over a decade earlier Scotia was faulted by industry observers for what was called a highly unusual compensation scheme as it had offered the doctor a portion of profits from future sales 26 although the Council suggested that Jamal was prompted to commit fraud by his belief in the efficacy of the drug and not by his desire for financial gain 24 Horrobin s ousting from Scotia edit Horrobin was ousted as chief executive of Scotia by a unanimous vote of the board 28 29 and was replaced on 1 January 1998 by Robert Dow whom Horrobin had hired several months earlier to help with the company s business plan and investor relations Horrobin remained until May 1998 as a non executive director When he tried to stage a boardroom coup to return himself to the executive position the other directors refused to support him and Horrobin resigned As the company s value fell from about 600 m to 16 m 15 28 Horrobin and his successor each blamed the other for the company s failure 17 Scotia went into administration in 2001 30 Laxdale Ltd edit Following his departure from Scotia Horrobin set up a new company Laxdale Ltd to examine the use of omega 3 essential fatty acids in treating schizophrenia and neurodegenerative diseases 31 The company was sold after his death to the Amarin Corporation and is now known as Amarin Neuroscience Ltd 32 Research publications and editorships editHorrobin was a prolific writer of academic and popular works He was also the founder co founder and editor of two journals and with his brother Peter the co founder of MTP Press Peter Horrobin later founded a religious cult Ellel Ministries Scientific publications edit Horrobin was an author on over 800 publications including about 500 scientific papers 33 34 many of which appeared in journals he edited 11 15 Horrobin s belief in a connection between fatty acids and schizophrenia guided much of his career From 1970 Horrobin was medical adviser to the Schizophrenia Society of Great Britain He later served as the Society s president 9 Horrobin also wrote on other scientific issues He considered research with animal models of human disease to be a waste of resources 35 and believed that large scale clinical trials were unnecessary and unethical However in at least one case he defended modern medicine by writing a critique of Ivan Illich s famous attack on the medical establishment Medical Nemesis 36 37 38 Journal editor edit Horrobin was a longtime critic of the anonymous peer review system 39 which he believed stifled creativity and innovation in science Horrobin founded and edited the non peer reviewed journal Medical Hypotheses to provide an outlet for unorthodox ideas and research that would not be evaluated by other scientists before publication Horrobin envisioned the journal as a resort for thinkers who were very good at generating ideas but are complete klutzes in the field and committed to publishing ideas based only on whether he or other reviewers considered them interesting and reasonable 40 Horrobin also co founded the journal Prostaglandins Leukotrienes and Essential Fatty Acids 15 Science writer Susan Allport in her book on dietary fatty acids states that Horrobin founded this journal to disseminate his ideas about evening primrose oil and fatty acids 14 Popular science edit In the popular science book The Madness of Adam and Eve 2001 Horrobin outlined his hypothesis that schizophrenia contributed to the evolution of modern humans According to Horrobin fat metabolism was altered as humans evolved from other primates leading to early humans with schizophrenia These humans were more creative and did not experience as much physical pain as others 41 Horrobin suggested that the genes for schizophrenia are responsible for most of the religious sense most of the technical and artistic creativity and most of the leadership qualities of modern human beings 42 The Madness of Adam and Eve was one of six books shortlisted for the 2002 Aventis Prize now the Royal Society Prizes for Science Books the prize was won that year by Stephen Hawking s The Universe in a Nutshell 43 Reviews of the book were mixed writing of a useful contribution that was also highly partisan and selective 41 an engaging and plausible argument that is not so convincingly argued 42 and a book brightly written but with a huge hole in its central premise 44 Horrobin was somewhat critical of his theory describing it as a just so story perhaps fed by my own personal delusions 45 The book was compared unfavorably to similar works by Kay Redfield Jamison who examines a possible link between bipolar disorder and artistic creativity 42 Tim Crow a professor of psychiatry at Oxford University who had proposed a similar theory in 1995 accused Horrobin of failing to acknowledge Crow s contributions to the development of his ideas When novelist Sebastian Faulks stated that Horrobin s ideas influenced his novel Human Traces published in 2005 Crow protested that much of the credit for his theory has been misdirected by Faulks to the late maverick doctor and writer David Horrobin 46 Death and obituary controversy editIn 2001 Horrobin was diagnosed with mantle cell lymphoma He died of pneumonia as a complication of this cancer in 2003 Horrobin was survived by his wife Sherri Clarkson and two children from a previous marriage 9 A number of obituaries were published both in medical journals such as The Lancet 47 and Horrobin s Prostaglandins Leukotrienes and Essential Fatty Acids 12 and in the popular press 9 28 Most obituaries referred to Horrobin as a highly intelligent creative and persuasive individual According to The Telegraph Horrobin was a founding father of the biotechnology industry and regarded by some as one of Britain s finest original thinkers in medicine but the same obituary also noted that Horrobin s implication of fatty acid metabolism in schizophrenia was not accepted by other scientists that his approach was unorthodox and unpopular and that his major business venture failed 9 The many problems at Scotia under Horrobin s leadership which led to the company s eventual collapse were a theme in several obituaries 28 including two highly critical and controversial accounts written by former Horrobin colleague Caroline Richmond and published in the British Medical Journal BMJ 15 and The Independent 11 The BMJ obituary sparked a months long controversy 5 12 13 14 48 49 50 51 52 53 54 The obituary described Horrobin as effortlessly prolific and one of the most persuasive people on earth but also criticised him as excessively promoting evening primrose oil despite a lack of scientific evidence noting that some critics questioned his ethics It suggested that Horrobin may prove to be the greatest snake oil salesman of his age stating that his evening primrose oil would go down in history as the remedy for which there is no disease and reporting that several of Scotia s product licences were later withdrawn because the drugs were ineffective 15 The obituary generated the largest e mail response to an obituary in the history of the BMJ 55 Respondents including Horrobin s colleagues friends and family were largely critical of the negative tone of the obituary 56 On behalf of Horrobin s family Horrobin s son in law Adam Kelliher filed a complaint with the British Press Complaints Commission alleging that the BMJ obituary was inaccurate and intrusive at a time of grief in violation of the Code of Practice 57 Kelliher was founder and at the time chief executive of Equazen a company marketing fish and evening primrose oils including a formulation called eye q said to improve scholastic ability in children However in his initial complaint to the BMJ Kelliher stated that he had no competing interests In reaction the BMJ published an apology to Horrobin s family expressing regret for any distress caused The journal corrected what its editor considered several insignificant 58 spelling and factual errors and published three further obituaries of Horrobin However the journal also defended its original obituary as fairly presenting both the positive and negative aspects of its subject s life 55 56 58 Kelliher did not accept the BMJ apology as genuine and maintained that inaccuracies and unjustified slander remained but the Press Complaints Commission declined to take any action against the journal stating that the BMJ had offered sufficient remedial action According to the commission the journal was not obliged to omit negative information including the journal s contention that Dr Horrobin was in some ways a charlatan 57 Posthumous honours editIn June 2004 the scientific publisher Elsevier having acquired the journal Medical Hypotheses created an annual David Horrobin Prize for medical theory in his honour 59 He was posthumously awarded the Stephen S Chang Award by the American Oil Chemists Society in 2003 60 Selected bibliography edit nbsp Scholia has a profile for David Horrobin Q5235151 Horrobin David F 1964 The Communication Systems of the Body New York Basic Books p 214 ISBN 0 465 01287 6 Horrobin David F 1970 Principles of biological control Aylesbury Medical and Technical Pub Co Ltd p 70 ISBN 0 85200 002 2 Horrobin David F 1971 Essential Biochemistry Endocrinology and Nutrition New York Medical and Technical Publishing Co Ltd p 118 ISBN 0 85200 025 1 Horrobin David F 1972 A Guide to Kenya and Northern Tanzania Scribner p 304 ISBN 0 684 12629 X Horrobin David F 1977 Medical Hubris A reply to Ivan Illich Montreal Lunesdale House p 146 ISBN 0 88831 086 2 Horrobin David F 1983 The role of essential fatty acids and prostaglandins in the premenstrual syndrome J Reprod Med 28 7 465 8 PMID 6350579 Horrobin David F 1987 Essential fatty acids prostaglandins and alcoholism an overview Alcohol Clin Exp Res 11 1 2 9 doi 10 1111 j 1530 0277 1987 tb01250 x PMID 3032012 Horrobin David F Ed 1990 Omega 6 essential fatty acids pathophysiology and roles in clinical medicine New York Wiley Liss ISBN 0 471 56693 4 Horrobin David F 1990 Gamma linolenic acid Reviews in Contemporary Pharmacotherapy 1 1 Carnforth UK Marius Press 1 45 ISSN 0954 8602 OCLC 729348324 Horrobin David F 1993 Omega 6 and omega 3 essential fatty acids in atherosclerosis Semin Thromb Hemost 19 2 129 37 doi 10 1055 s 2007 994016 PMID 8356458 S2CID 40590225 Horrobin David F 1994 Unsaturated lipids a new approach to the treatment of cancer World Rev Nutr Diet World Review of Nutrition and Dietetics 76 77 80 doi 10 1159 000423997 ISBN 978 3 8055 6040 5 PMID 7856241 Horrobin David F 1997 Essential fatty acids in the management of impaired nerve function in diabetes Diabetes 46 Suppl 2 S90 3 doi 10 2337 diab 46 2 s90 PMID 9285506 S2CID 10174746 Horrobin David F 2000 Essential fatty acid metabolism and its modification in atopic eczema Am J Clin Nutr 71 1 Suppl 367S 72S doi 10 1093 ajcn 71 1 367s PMID 10617999 Horrobin David F 2001 The madness of Adam amp Eve how schizophrenia shaped humanity London Bantam ISBN 0 593 04649 8 Peet M 2003 Glen I Horrobin DF eds Phospholipid spectrum disorders in psychiatry and neurology 2nd ed Carnforth UK Marius Press ISBN 1 871622 25 5 A more extensive bibliography is available on the Institute for Scientific Information website 33 References edit a b Court Mark 2 April 2003 Pioneer of UK biotechnology dies of cancer The Times Archived from the original on 12 June 2011 Quote Dr Horrobin was best known for creating Scotia Holdings a once sprawling biotechnology company which has the unfortunate distinction of being the UK s only quoted biotechnology company to have collapsed into administration Horrobin DF 1991 Interactions between n 3 and n 6 essential fatty acids EFAs in the regulation of cardiovascular disorders and inflammation Prostaglandins Leukot Essent Fatty Acids 44 2 127 31 doi 10 1016 0952 3278 91 90196 C PMID 1745654 a b c d F D A in Battle on Health Food Frauds The New York Times 1 June 1989 Archived from the original on 6 July 2022 Retrieved 7 February 2017 a b General Nutrition officials indicted Lexington Herald Leader KY 15 November 1984 p C9 a b c d e f g Primrose Oil and Eczema How Research Was Promoted and Suppressed Stephen Barrett Quackwatch 31 January 2004 a b c d How to avoid the bitter pill of regulation Ben Goldacre Bad Science Column The Guardian 23 September 2003 a b Hoare C Li Wan Po A Williams H 2004 Systematic review of treatments of atopic eczema Health Technology Assessment 4 37 Epogam and Efamast lose product licences The Pharmaceutical Journal 269 7215 352 September 2002 Archived from the original on 4 December 2008 Retrieved 15 September 2009 a b c d e f g h i j k David Horrobin The Telegraph Obituary London 2 May 2003 Archived from the original on 29 June 2011 Retrieved 16 September 2009 Should we give the biotechies money to burn Rosie Murray West The Telegraph 11 September 2004 a b c d e f Richmond C 17 April 2003 David Horrobin Champion of evening primrose oil The Independent London Archived from the original on 13 March 2010 Retrieved 15 September 2009 a b c Stein J 2004 David Horrobin 1939 2003 a memoir Prostaglandins Leukot Essent Fatty Acids 70 4 339 43 doi 10 1016 j plefa 2004 01 001 PMID 15085824 a b A rotter a snake oil salesman a chancer how scientist s obituary sparked a storm A vitriolic attack in the British Medical Journal has devastated eminent academic David Horrobin s family reports Robin McKie Robin McKie The Observer in The Guardian 25 May 2003 a b c Allport Susan 2008 The Queen of Fats Why Omega 3s Were Removed from the Western Diet and What We Can Do to Replace Them University of California Press ISBN 978 0 520 25380 3 a b c d e f g Richmond C 2003 Obituary David Horrobin British Medical Journal 326 7394 885 doi 10 1136 bmj 326 7394 885 PMC 1125787 a b Fears over future of Quantanova The Herald Glasgow 23 March 2002 His initial interest was in schizophrenia but after failing to raise funding for more research he founded the cash cow operation that would become Scotia a b c d e Clark Andrew 26 January 2001 Scotia collapses into bickering The arguments get personal as trading in biotech firm s shares is halted The Guardian London Retrieved 14 September 2009 Staples R 1995 Scotia Pharmaceuticals Harnessing the power of plants Pharmaceutical Executive Jan 1995 56 62 General Nutrition will withhold 13 products AP Morning Call Allentown PA 7 December 1984 p A 04 Takwale A Tan E Agarwal S Barclay G Ahmed I Hotchkiss K Thompson JR Chapman T Berth Jones J 13 December 2003 Efficacy and tolerability of borage oil in adults and children with atopic eczema randomised double blind placebo controlled parallel group trial BMJ 327 7428 1385 0 doi 10 1136 bmj 327 7428 1385 PMC 292992 PMID 14670885 a b The Investment Column Scotia scrabbles for a success Magnus Grimond The Independent 25 September 1997 a b Scotia s hopes for magic bullet Tom Stevenson The Investment Column The Independent 11 September 1996 a b Scotia s Unusual Approach May Yet Silence Critics A Small Drug Firm Thinks Big Erik Ipsen The New York Times 27 May 1995 a b Dyer O 2003 GMC reprimands doctor for research fraud British Medical Journal 326 7392 730 doi 10 1136 bmj 326 7392 730 a PMC 1169327 a b Scotia founder quits in shake up at ailing biotech Sameena Ahmad The Independent 10 December 1997 a b Fraud charge deals fresh blow to Scotia investors Mark Court The Times 11 March 2003 Gulf War syndrome doctor faked 90m trial for diabetes drug Ronan McGreevy The Times 28 March 2003 a b c d Obituary David Horrobin The Times London 9 April 2003 Retrieved 15 September 2009 Horrobin quits Scotia in dispute over chief Andrew Yates The Independent 12 May 1998 Scotia placed in administration after EMEA rejects Foscan The Pharmaceutical Journal 266 7133 143 2001 Archived from the original on 24 May 2010 Retrieved 16 September 2009 McGoldrick S 2003 Obituary for David Horrobin Original mind will be missed British Medical Journal 326 7398 1089 doi 10 1136 bmj 326 7398 1089 a PMC 1126009 Amarin Corporation 2nd quarter 2004 statement of results a b ISI publications list for David Horrobin permanent dead link Reid Graham 7 June 2001 New book suggests schizophrenia shaped humankind New Zealand Herald Wilson amp Horton Retrieved 26 March 2024 Horrobin David F 2003 Modern biomedical research an internally self consistent universe with little contact with medical reality Nature Reviews Drug Discovery 2 2 151 154 doi 10 1038 nrd1012 ISSN 1474 1776 PMID 12563306 S2CID 21954007 Horrobin David F 1977 Medical Hubris A Reply to Ivan Illich Montreal Canada Eden Press ISBN 978 0 88831 001 9 OCLC 299992755 Cooperman Earl M 17 February 1979 Medical Hubris A Reply to Ivan Illich David F Horrobin Canadian Medical Association Journal Book review 120 4 413 PMC 1818879 Baker H 18 August 1979 Medical Hubris Canadian Medical Association Journal Letter to the editor 121 4 405 406 PMC 1704398 PMID 20313336 Horrobin David F 2001 Something rotten at the core of science Trends Pharmacol Sci 22 2 51 2 doi 10 1016 S0165 6147 00 01618 7 PMID 11166837 Archived from the original on 14 August 2007 Retrieved 16 September 2009 First Publication For Seattle Theorist The Scientist 13 November 1989 a b A polluted puddle of poetry and psychosis David Pilgrim Times Higher Education 5 October 2001 a b c The Lust for Life Anthony Clare The New Statesman 16 April 2001 Prizes for Science Books previous winners and shortlists Retrieved 16 September 2009 The human stain The Madness of Adam and Eve by David Horrobin asks the question did schizophrenia make us sapient John McCrone The Guardian 28 April 2001 Fat is an insanity issue The Telegraph 7 April 2001 How a novelist s twist sparked academic feud When the feted author of Birdsong slipped a recent psychiatric idea into his work one don saw red Vanessa Thorpe The Guardian 21 August 2005 Oransky I 2003 Obituary David F Horrobin PDF The Lancet 361 1395 doi 10 1016 s0140 6736 03 13046 2 S2CID 54267071 Marks N 2003 Was BMJ wrong to print critical obituary PDF CMAJ 169 1 54 Dietary supplements and functional foods by Geoffrey P Webb Blackwell Publishing 2006 140519098 Keeping an open mind Archived 12 October 2008 at the Wayback Machine Murphy J The Pharmaceutical Journal 1 May 2004 Vol 272 No 7297 p543 Warts n all obituaries Prospect Magazine Patrick West 20 July 2003 BMJ apologises for insensitive obituary of doctor Archived 16 June 2011 at the Wayback Machine Jon Slattery Press Gazette 25 July 2003 The trouble with medical journals Richard Smith RSM Press 2006 ISBN 1 85315 673 6 Communicating Science Pierr Laszlo Springer 2006 doi 10 1007 3 540 31920 4 ISBN 978 3 540 31919 1 a b McGoldrick S 2003 Correction Obituary of David Horrobin British Medical Journal 326 7398 1091 doi 10 1136 bmj 326 7398 1089 a PMC 1126009 a b Davies S 2003 Obituary for David Horrobin Summary of rapid responses British Medical Journal 326 7398 1089 doi 10 1136 bmj 326 7398 1089 b PMC 1126010 a b Mr Adam Kelliher complained to the Press Complaints Commission on behalf of the family of the late Dr David Horrobin Press Complaints Commission Report 63 a b An apology Obituary of David Horrobin British Medical Journal 327 7408 229 2003 doi 10 1136 bmj 327 7408 229 e PMC 1126617 Announcement of the David Horrobin Prize on the Elsevier site Stephen S Chang Award Archived 10 April 2008 at the Wayback Machine Retrieved from https en wikipedia org w index php title David Horrobin amp oldid 1222947888, wikipedia, wiki, book, books, library,

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