General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsTwitler is authorizing Plasma Treatment that has been known & already used?
Am I understanding this correctly?
Native
(6,273 posts)DeminPennswoods
(16,082 posts)The Mayo Clinic gave plasma to 66,000 patients, but it wasn't a controlled study as no one got a placebo.
That's what Fauci, Collins and Lane objected to.
But, the convalescent plasma evidently did save some lives and I'm sure the survivors are grateful for it.
Personally, I think delaying the EUA was a mistake. They could've still done a study while allowing the use. There was no evidence the treatment was harmful and in some cases it was apparently helpful.
Native
(6,273 posts)progressive nobody
(816 posts)I do know there is a narrow window to get the plasma.
DeminPennswoods
(16,082 posts)Link: https://www.newsweek.com/what-blood-plasma-treatment-1526209
The FDA was going to issue an EUA, but Fauci and Collins stopped it because of a study by the Mayo Clinic of 60,000 people with covid19.
Igel
(35,995 posts)Hence the problem.
Note that when/if a vaccine if finally approve for use, it will have been (apparently non-)used before hand on hundreds of thousands of people.
So the FDA will approve something that's already known and in use.
In this case the "plasma treatment" is getting the hydroxychloroquine treatment from the other side.
https://www.webmd.com/lung/news/20200820/fda-halts-approval-for-plasma-to-treat-covid-19
It was given emergency approval. It's not working out as useful. FDA nixes it. Trumpster comes along and pushes for it to be used. Causing heads to explode because while hydroxychloroquine was the oddball anecdotal treatment of choice from the right (mostly), convalescent plasma was the choice on the left. Both sides adduced articles quoting doctors saying it was a cure-all. The Trumpster's only been widely quoted in stuff I've seen on DU when supporting hydroxychloroquine.
Let's hope this news (https://www.statnews.com/2020/08/23/fda-under-pressure-from-trump-expected-to-authorize-blood-plasma-as-covid-19-treatment/) really is just an emergency use authorization. The "small but statistically significant" bit is nice; the lack of a control makes it meaningless.
DeminPennswoods
(16,082 posts)and it apparently has helped some people recover.
There's really no reason the CDC/FDA couldn't do an EUA while still doing the kind of rigorous study they crave. I get that scientists want to be rigorous, but sometimes you have to go with trial and error.
Cartaphelius
(868 posts)DeminPennswoods
(16,082 posts)hospitalized with SARS2, would I want to give it a try? Heck, yeah. It's plasma with antibodies. The side effects appear limited to mild flu-like symptoms.
If one of my parents was in the same situation, I'd sure want it as a treatment option.
Poiuyt
(18,254 posts)On Thursday, Dr. Janet Woodcock, director of the FDA's Center for Drug Evaluation and Research, said that doctors have treated so many Covid-19 patients with convalescent plasma, it has been difficult to figure out if the treatment works.
"The problem with convalescent plasma is the great enthusiasm about it," Woodcock said in an online conversation about the latest science behind monoclonal antibody treatments and convalescent plasma. "It exceeded anyone's expectation as far as the demand."
Woodcock, who has shifted to lead therapeutic efforts under the Trump administration's Operation Warp Speed, said plasma has shown some promise in early studies, but said Thursday there is still not yet enough evidence that it works.
Her team counted 162 prospective studies and several more observational studies, but she said only six met the standard that could produce actionable results. There is no randomized clinical trial data yet, she said, but some of those trials are ongoing.
"We continue to have hints that this is an effective treatment in this particular virus," Woodcock said, adding that the NIH will initiate or boost additional trials to find out for sure, she said.
https://www.cnn.com/2020/08/23/health/covid-19-convalescent-plasma-eua-white-house/index.html
underpants
(186,184 posts)Oh, having you been drinking enough water?