Gilead drug showing effectiveness treating Corona.

4,528 Views | 31 Replies | Last: 5 yr ago by PerpetualLurker
SMM48
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https://www.statnews.com/2020/04/16/early-peek-at-data-on-gilead-coronavirus-drug-suggests-patients-are-responding-to-treatment/


https://www.cnbc.com/2020/04/16/sp-500-etf-jumps-2percent-after-hours-on-report-gilead-drug-showing-effectiveness-treating-coronavirus.html



https://www.cnbc.com/2020/04/16/gilead-stock-surges-after-report-says-coronavirus-drug-trial-shows-encouraging-early-results.html?__source=iosappshare%7Ccom.apple.UIKit.activity.CopyToPasteboard
John J 01
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Thanks for posting. Some much needed, although tentative, good news.
cone
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wonder if they're going to tear these findings a new ******* like do they every HCQ finding
Gordo14
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Gordo14
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That sounds very positive based on the details in the cnbc story. Really exciting that we might have a real anti-viral for this.
74Ag1
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Great news thanks !!!

Need at home Test now that we can do ourselves
Duncan Idaho
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cone said:

wonder if they're going to tear these findings a new ******* like do they every HCQ finding

Who is the they?
BadMoonRisin
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cone said:

wonder if they're going to tear these findings a new ******* like do they every HCQ finding
anecdotal evidence! No control group! No peer reviewed research! Wait two weeks! 12-18 months until a vaccine! Shelter in place!

am i doing this right?

I'll take this as good news. Small piece, but good news. Wish everyone else could at least try to be a little optimistic.
cone
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people with blue check marks from what I can tell
cone
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you're doing it right

the whole if you don't have a RCT then there's no proof it works is pretty annoying

it's early stage pandemic. repeated frontline anecdotes are good enough to throw money at production capacity. you pick a half dozen things that look promising and stand them up now.
NawlinsAg01
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Quote:

anecdotal evidence! No control group! No peer reviewed research! Wait two weeks! 12-18 months until a vaccine! Shelter in place!

am i doing this right?
no need to be an ass.

Gilead is conducting good science...I'm excited about positive trends here, but yes we still have to see what the data shows.
Diyala Nick
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cone said:

you're doing it right

the whole if you don't have a RCT then there's no proof it works is pretty annoying

it's early stage pandemic. repeated frontline anecdotes are good enough to throw money at production capacity. you pick a half dozen things that look promising and stand them up now.


The ivory tower academics are proving to be incapable of any non-binary thinking during this whole thing, which in a hilarious way aligns them with the people that are dead set on HCQ simply based upon political affiliation.

In the business world, you would call the remdesivir story today a strong leading indicator. The final conclusion will play out in the coming weeks and months, but this is a good sign at this point.
BadMoonRisin
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NawlinsAg01 said:

Quote:

anecdotal evidence! No control group! No peer reviewed research! Wait two weeks! 12-18 months until a vaccine! Shelter in place!

am i doing this right?
no need to be an ass.

Gilead is conducting good science...I'm excited about positive trends here, but yes we still have to see what the data shows.

edit: since you changed your response to be less antagonistic, I will edit your reply to put it back in context. I think we are agreeing with each other.

Cheers. Have a good night.
Husky Boy Jr.
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Blessed be the fruit
TefIon Don
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May the Lord open.
PDEMDHC
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Starting to look more and more like insider trading in relation to this main article and Boeing. Lots of unusual options activity hitting exact numbers hours before announcement of Boeing working and the treatment article that shot markets up after hours.

Over on the stocks thread a few pages back.
Infection_Ag11
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The responses in this thread are a sad indictment of the science education in our country.

The Gilead data sounds promising
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
HouAggie2007
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Don't let two idiots ruin it for everyone
Diyala Nick
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Infection_Ag11 said:

The responses in this thread are a sad indictment of the science education in our country.

The Gilead data sounds promising


I think the critique (at least mine) is that there are A LOT of academics who deem any data worthless if it lacks a control group. That sort of thinking (dealing only in absolutes) seems very dogmatic.

I get the biases that RCTs mitigate, and I'm all for it. But there is also value in incomplete and inconclusive data as well, especially in the absence of additional evidence.
Ciboag96
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Sounds great. Hope Trump doesn't promote it cause then the data won't sound great to the masses.
Infection_Ag11
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Diyala Nick said:

Infection_Ag11 said:

The responses in this thread are a sad indictment of the science education in our country.

The Gilead data sounds promising


I think the critique (at least mine) is that there are A LOT of academics who deem any data worthless if it lacks a control group. That sort of thinking (dealing only in absolutes) seems very dogmatic.

I get the biases that RCTs mitigate, and I'm all for it. But there is also value in incomplete and inconclusive data as well, especially in the absence of additional evidence.


In a disease with such a low overall mortality, data isnt clinically meaningful without a control group because you have no idea who would have gotten better regardless of what you did (because most will). Anecdotal "evidence" is even worse because it's rife with bias in addition to the previously mentioned issue.

You're going to see this play out with HCQ it appears. Despite all the anecdotes and poorly designed studies (the French study effectively amounted to academic fraud) the controlled trials awaiting peer review that have leaked appear to show no benefit.

Medicine is different than the business world. It's more nuanced and less predictable and there is no such thing as proof.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Infection_Ag11
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BadMoonRisin said:

cone said:

wonder if they're going to tear these findings a new ******* like do they every HCQ finding
anecdotal evidence! No control group! No peer reviewed research! Wait two weeks! 12-18 months until a vaccine! Shelter in place!

am i doing this right?

I'll take this as good news. Small piece, but good news. Wish everyone else could at least try to be a little optimistic.


You realize the primary study that drew the aggressive critiques which you are now mocking was so bad it was withdrawn from publication and authors being investigated, right? And that it's looking more and more like HCQ is not effective based on preliminary controlled trials data?

Perhaps it's time for some of you to be a little less condescending and and be a bit humbled by this experience. Especially given the vast majority of you acted the way you did for reasons having nothing to do with science or medicine.
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Bondag
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I think we can all agree that we need to let people choose to take medicine that may work and has little known side effects with short treatment and continue looking for better options, at home testing for virus and antibodies and a vaccine.
Infection_Ag11
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cone said:

wonder if they're going to tear these findings a new ******* like do they every HCQ finding


Gilead is conducting controlled trials. The previously remdesivir study people were bringing up had no control data.

As for HCQ, there were never any good findings. There were several poorly designed studies and a bunch of anecdotes, and now the large controlled trials that have leaked pending peer review appear to show no benefit even earlier in the disease course.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
KlinkerAg11
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If this passes clinical trials how will it be used as a therapeutic early in the life of the virus?

I'm assuming you get tested in a quick testing form, get your results, take a shot and go home to recover?

Does that sound correct?
cone
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will you post those leaked studies?

would be interested to read the findings as well

i think we're generally having two conversations here. what works with scientific predictability and authority vs. what at least has the possibility of working based on frontline experience and as such deserves planning and investment consideration to stand up just-in-time mass capacity/delivery in case the clinical trials hit

the money hose is full on right now. you pick 6-10 things that even pass the smell test and start making plans. every day in early pandemic is critical.
cone
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it's not a shot

it's IV administered

this isn't going to be a prophylactic

you're going to get it after you feel like complete **** and end up in the hospital
AgsMyDude
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cone said:

wonder if they're going to tear these findings a new ******* like do they every HCQ finding

I hope they do. That's important. Everything needs to be torn to shreds in peer review, etc.. That's the whole point of science.
Diyala Nick
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Infection_Ag11 said:

Diyala Nick said:

Infection_Ag11 said:

The responses in this thread are a sad indictment of the science education in our country.

The Gilead data sounds promising


I think the critique (at least mine) is that there are A LOT of academics who deem any data worthless if it lacks a control group. That sort of thinking (dealing only in absolutes) seems very dogmatic.

I get the biases that RCTs mitigate, and I'm all for it. But there is also value in incomplete and inconclusive data as well, especially in the absence of additional evidence.


In a disease with such a low overall mortality, data isnt clinically meaningful without a control group because you have no idea who would have gotten better regardless of what you did (because most will). Anecdotal "evidence" is even worse because it's rife with bias in addition to the previously mentioned issue.

You're going to see this play out with HCQ it appears. Despite all the anecdotes and poorly designed studies (the French study effectively amounted to academic fraud) the controlled trials awaiting peer review that have leaked appear to show no benefit.

Medicine is different than the business world. It's more nuanced and less predictable and there is no such thing as proof.


That's fair, and you are certainly more qualified to assess this situation that I will ever be. That said, from a layman's perspective, if the person leading up the study at the U of Chicago is optimistic about the potential benefit, I will be too. I realize that can create all sorts of negative unintended effects, but I think that dismissing those anecdotal observations entirely is hard to rationalize (at least for me).

Also...I enjoy your posts. Super educational for me and others on this board.
Windy City Ag
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Quote:

Medicine is different than the business world. It's more nuanced and less predictable and there is no such thing as proof.
I laughed at this comment. I remember sitting through my grad schools stats classes where the professor took us through most Nobel prize winning research on international trade flow, currency pricing, efficient markets, etc. and highlighted the abysmal statistical underpinning for most every piece of work. He concluded that "you don't really have to prove anything to get the praise!"

There is almost zero nuance in the business world. Every historical pattern gets upended by changing market conditions.
Carolin_Gallego
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Optomistic news from the Remdesivir studies, but no definitive conclusions yet.
Quote:

One of the testing sites in the United States, the University of Chicago, has recruited 125 people with COVID-19, 113 with severe disease, treating them with daily infusions of remdesivir. Kathleen Mullane, DO, PharmD, a professor of medicine and the chief of clinical trials in the Section of Infectious Diseases at University of Chicago Medicine, who is leading the remdesivir trials there, recently led a video discussion with colleagues about the trial results, according to a report in Stat.

During the discussion, Dr. Mullane shared some positive findings but refrained from drawing definitive conclusions from the early data, particularly with respect to the information from the study in severely affected patients, which does not have a control group. She did note that they have seen high fevers fall "quite quickly" in remdesivir-treated patients and patients weaning "off ventilators a day after starting therapy."

Katherine K. Perez, PharmD, an infectious diseases pharmacist at Houston Methodist Hospital, another trial site, noted that "early results are promising" there, too. In a press release from the hospital, she explained that "courses have been well tolerated, and a number of COVID-19 patients who have undergone treatment with remdesivir are showing signs of recovery and have been released from the hospital to go home." Acknowledging that it is too early to tell, Dr. Perez noted that there are "indications that treatment with remdesivir can possibly stave off" intubation.

VaultingChemist
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The first documented case of Covid-19 in the U.S. was treated with Remdesivir on the basis of "compassionate grounds". The following paper is over two and a half months old.

NEJM First Coronavirus Patient in the U.S.

The 35-year-old Washington man was treated at a facility designed to treat Ebola patients. Even though Remdesivir did not work on Ebola, it did show positive results in this case.
PerpetualLurker
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This is from February. Dr Baric briefing on Corinavirus, mentions Remdisivir. Thought it was interesting.

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