1. Regarding Hydroxychloroquine Trial in NY

Like most of you, I am hoping dearly that the trial proves to be an overwhelming success.

I also know many people, quite understandably, are anxious to get weekly, if not daily or even hourly, updates on how the trial is going.
2. Regarding Hydroxychloroquine Trial in NY

Out of frustration with not getting such updates, many people are also reading something sinister into it. Based on my knowledge of clinical trials, I want to make a couple of points, which I invite others in the field to weigh in on.
3. Regarding Hydroxychloroquine Trial in NY

First of all, I don't believe anything sinister is going on. Please do not expect any interim updates on how the trial is going that has any scientific basis. Anecdotal hearsay is not always wrong, but that is all you are going to get.
4. Regarding Hydroxychloroquine Trial in NY

Personally, I will be horrified if I got any update, based on any leaked information, on how the trial was going. Why? Because that would mean we will have to start the trial all over again, losing precious time.
5. Regarding Hydroxychloroquine Trial in NY

While the math is a little complicated, suffice it to say that there is a very good reason no clinical trial provides an interim update on the efficacy of the drug being tested, except ...
6. Regarding Hydroxychloroquine Trial in NY

... if it is a very long trial, with an interim update designed in from the very beginning of the trial. I have never ever come across a short duration clinical trial with even a single interim update, let alone more frequent ones.
7. Regarding Hydroxychloroquine Trial in NY

The reason is simple. An interim update either invalidates the trial altogether, or raises the statistical bar for a successful outcome so high that it is better to wait for the trial to complete before doing a readout of results.
8. Regarding Hydroxychloroquine Trial in NY

What I said is pure math, no politics, and applies universally to all clinical trials.

That said, there are two cases in which an interim update is provided.
You can follow @bansisharma.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled: