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Covid-19 human challenge trials and randomized controlled trials

Lessons for the next pandemic

Bibliographic Data

ID21787482
AuthorsCharles Weijer (0000-0002-5510-1074, Western University, corresponding author)
Year2024
Volume20
Issue4
Pages636-649
Publication date2024-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueResearch Ethics (JOURNAL)
Journal identifiersISSN: 1747-0161 • E-ISSN: 2047-6094
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/17470161231223594
OpenAlexW4390583869
LanguageEN
Citations received1
References cited30

The COVID-19 pandemic touched off an unprecedented search for vaccines and treatments. Without question, the development of vaccines to prevent COVID-19 was an enormous scientific accomplishment. Further, the RECOVERY and Solidarity trials identified effective treatments for COVID-19. But all was not success. The urgent need for COVID-19 prevention and treatment fueled an embrace of risks—to research participants and to the reliability of the science itself—as allegedly necessary costs to speed scientific progress. Scientists and (even) ethicists supported overturning longstanding norms protecting healthy volunteers in human challenge trials to speed vaccine development, but these trials led to no vaccines. Physicians, with the approval of research ethics committees, designed hundreds of unblinded, single-center clinical trials at high risk of bias to speed the identification of new treatments. But these clinical trials led to no treatments. The lesson for future pandemics is that the acceptance of greater risks to participants or science does not reliably lead to progress. We are better served by science that upholds the highest ethical and methodological standards

2019-20 coronavirus outbreak · Clinical trial · Engineering ethics · Pandemic · Randomized controlled trial · COVID-19 Clinical Research Studies · Engineering · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Medicine · Psychology · Virology

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Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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