Covid-19: The lost lessons of Tamiflu

ABSTRACT

On 29 April, the same day as a trial was published showing no significant effect of remdesivir among patients in hospital, remdesivir’s manufacturer rushed out interim findings of a more favourable trial by press release and with full White House honours. The much vaunted but minimal benefits shown in severely ill people were used to justify FDA approvals and worldwide purchase.3 Now a much larger trial has found little or no benefit in hospital patients,4 and a BMJ Rapid Recommendation, produced in collaboration with the World Health Organization and Magic App, has come down against use of remdesivir in patients with covid-19 of any severity.5 Science by press release, on the basis of interim or ad hoc analyses, and without access to the data, also afflicts our knowledge about the covid-19 candidate vaccines.67 Patients and the public deserve better than this. Pandemic or no pandemic, decisions must be based on scrutiny of the full data from trials that are independent of drug and vaccine manufacturers.8 The pandemic has had a particular damaging impact on children,9 many of whom are going hungry as winter and the economic effects of covid restrictions bite harder.