Yearly Archive

Yearly Archives: 2012

February 19, 2012 no comments

Avoiding the pain of the not-so-mystical placebo effect with the almost-magical run-in period

Nothing kills biotech companies like an active placebo.  More often than not the press release after a failed trial points the finger at a “surprisingly large placebo response” against which the active drug had little scope to excel.

It’s easy to assume that this placebo effect has its origins in some almost mystical neuropharmacology, where simply believing you are being treated with a powerful new drug is sufficient to induce a miraculous recovery – and as a result that there is little you can do to mitigate against the effect.

But in reality by far the largest proportion of the placebo effect originates from the design of our clinical trials, and can be readily neutralised by careful adherence to a few simple principles.  The first step to eliminating the avoidable failure that comes from high placebo response rates is to recognise that it’s not in the lap of the gods – but in the hands of your Chief Medical Officer.   All you need is the almost-magical power of a run-in period.

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January 30, 2012 no comments

Targeting tumour metabolism: the next land grab?

The sale of Avila to Celgene may mark …

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January 23, 2012 no comments

Merck’s $800M bet on Sir Austin Bradford Hill

Why Merck’s CETP Inhibitor programme is such a …

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January 3, 2012 no comments

New Year, Same Message: Ignore Commercial Risk at your Peril

DrugBaron wishes his readers a Happy New Year.  …

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December 31, 2011 no comments

The (Statistical) Power and the Glory

The worst possible outcome from a clinical trial …

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December 5, 2011 no comments

Too Much Skin in the Game?

There are very few rules for the biotech …

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November 19, 2011 no comments

Choosing the Right Path

Choosing the right path in clinical development – …

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October 28, 2011 no comments

Rotten Foundations: How defects in academic publishing are the biggest threat to the commercial life sciences sector

The cherished principles governing the publication of academic …

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August 30, 2011 comments

Apixaban and Prasugrel: Blockbusters or White Elephants?

A new study suggests that factor Xa inhibitors, …

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Yearly Archive