Lessons Learned from the NIH led research response to Covid -194 Feb 2023 21:28
Someone must have posted this already I'm sure - but if not here's a comprehensive review of what NIH has been doing since the pandemic started. It is a story of huge success and speed - covering vaxes as well as therapeutics and giving credit to the UK for the Dexa work which was possible because of the structure and unity of the NHS.
We are not mentioned of course but our shadow is there. 29 candidates selected so far - 6 of which were successfully trialed and approved and the 19 of which failed. I guess SNG001, SAB 185 & Brii 196 &198 - all passing the ACTIV 2 P2 but left in limbo as Omicron made the P3 investigations futile - should account for 3 of them. Not sure what the last might be.
Lessons learned include international cooperation - imagination in trial design and speed in protocol design and approvals or rejections.
" This partnership with other federal agencies, 20 companies, and several nonprofit organizations involved more than 100 scientists from all sectors in a team-science approach to achieve rapid testing of potential treatments and mount the largest, most comprehensive drug repurposing effort to date. This included a highly efficient, rigorous process for soliciting candidate compounds; assembling uniform dossiers of relevant data and conducting a systematic evaluation of more than 800 agents with various mechanisms of action; and selecting 34 agents for inclusion in ACTIV master protocols.
"Managed by a mix of academic experts and the staff at the Foundation for the NIH (FNIH), and funded in part through OWS, ACTIV has so far completed testing of 29 candidates, enrolling more than 22,000 participants in more than 40 substudies. Six of those candidates have shown compelling evidence of benefit and are now approved for clinical use. Nineteen (including ivermectin) have been shown definitively to be ineffective, which is valuable knowledge to reduce misinformation and focus on providing effective treatments to appropriate patients.
https://www.science.org/doi/10.1126/science.adf5167