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Helen MacDonald

👤 Person
1132 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

That was quite interesting.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

I was going to ask Carl what he thought about that.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

I totally hear what you're saying around you don't,

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

what sort of micromanagement of your research agenda, but how could we strike a better balance between people being free to do what they think is necessary in terms of research with also trying to identify what are the priority areas that I guess would serve society best?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

I guess if those small studies couldn't get off the ground because their local ethics committee would have said, well, you don't have enough people, they might have then been forced to think, well, let's call the next hospital over from us.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Let's see if we can try and collaborate and pull some of the information.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And then you start to see some of those standard things as sort of incentivizing behaviors that are likely to lead to stronger research.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Does guidance like that exist, Carl?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Goodbye from me.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

Yes, I'm Helen MacDonald, UK Research Editor at the BMJ.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And Carl.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

Yes, indeed.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

In my chat with Robin Ferner last week about hydroxychloroquine and chloroquine, he mentioned having greater hope for this drug remdesivir.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So I was quite interested when I saw this research paper on remdesivir in New England Journal of Medicine a few days ago.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

It described compassionate use of remdesivir for patients with severe COVID-19.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

But to be quite frank, it didn't really bring me any clarity.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

It was

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

A descriptive paper of 61 or so people in a whole variety of settings in many countries around the world that didn't have any kind of comparison group.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So it sort of left me back at square one.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So instead, I called Robin's colleague, Jeff Aronson at the University of Oxford, who together with Robin Ferner has been taking a broader look at the evidence around this drug.