Heppenheimer
Well-Known Member
Also, there is a well-established heirarchy of medical evidence. The evidence for hydroxychloroquine came from a small, unblinded, non-randomized uncontrolled observational study, which sits just above the bottom of the evidence pyramid. Subsequent, larger and better designed trials showed no benefit.
The gold standard for medical evidence is a metanalysis of multiple large, randomized, double-blinded placebo controlled studies. This won't be possible for a few years with these vaccines, but in the meantime, the next best is a single large, randomized, double-blinded placebo controlled trial, which is exactly what is happening for the vaccines currently under study.
So, that's how we will know this isn't "just another hydroxychloroquine". The drug received probably undeserved media attention when it was the only clinical lead we had (and because of a certain person in position of authority who touted it against medical consensus). The media really didn't do their job putting the evidence in context. We don't know all the details yet of the vaccine trials, but what we do know indicates that the evidence is very strong and the trials were more than adequately powered to answer the specific clinical questions the FDA will demand.
The gold standard for medical evidence is a metanalysis of multiple large, randomized, double-blinded placebo controlled studies. This won't be possible for a few years with these vaccines, but in the meantime, the next best is a single large, randomized, double-blinded placebo controlled trial, which is exactly what is happening for the vaccines currently under study.
So, that's how we will know this isn't "just another hydroxychloroquine". The drug received probably undeserved media attention when it was the only clinical lead we had (and because of a certain person in position of authority who touted it against medical consensus). The media really didn't do their job putting the evidence in context. We don't know all the details yet of the vaccine trials, but what we do know indicates that the evidence is very strong and the trials were more than adequately powered to answer the specific clinical questions the FDA will demand.
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