Abstract

O n September 27, 1978, the director of a major government research institute called for an extraordinary experiment. Arthur C. Upton, head of the National Cancer Institute (NCI), approved a clinical trial for the controversial anti-cancer drug, Laetrile. The uninformed reader might well interpret this decision as a routine health policy judgment based upon the usual clinical criteria for testing potential anti-tumor agents. Some background is necessary to correct this misapprehension and thus assure a proper appreciation of the broadened perspectives that have encouraged NCI to move beyond the limits of traditional medical research.

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