Category: Clinical Trials

Illustration of a shark behind a laptop displaying a bar chart, a clipboard with a medical symbol, a pill bottle, and scattered pills, symbolizing threats or dangers in healthcare or medicine.

The Problem with Predatory Journals

The World Wide Web has proven to be a transformative communication technology (we are using it right now). At the same time there have been some rather negative unforeseen consequences. Significantly lowering the threshold for establishing a communications outlet has democratized content creation and allows users unprecedented access to information from around the world. But it has also lowered the threshold for...

/ September 3, 2025
A close-up of a mosquito with a swollen red abdomen feeding on human skin, set against a vibrant green background.
Vinay Prasad, MD, MPH

COVID-19 contrarian Dr. Vinay Prasad meets real world responsibility

Dr. Vinay Prasad parlayed his COVID-19 contrarianism into a high-ranking position in the FDA. Now he's facing real world responsibility, and knives are out for him. Can he survive?

/ July 28, 2025
A hand draws a rising graph with a question mark in a notebook labeled "RESEARCH" on a cluttered desk with charts, a calculator, crumpled papers, coffee, a magnifying glass, and a "REFERENCE" card.

Standards in Behavioral Science

How can we decrease the amount of shoddy science and improve the rigor of research in the behavioral sciences?

/ July 2, 2025
Mehmet Oz, Robert F. Kennedy Jr., Marty Makary, Jay Bhattacharya, Vinay Prasad

Marty Makary and Vinay Prasad embrace a “more fluid concept of evidence” at the FDA

Last Thursday during a roundtable on stem cell therapies, new FDA Commissioner Marty Makary referred to EBM levels of evidence as an artificial and dogmatic construct. Apparently Dr. David Katz's "more fluid concept of evidence" now reigns at the FDA—selectively.

/ June 9, 2025
Timeline of the Diabetes Prevention Program & Outcomes Study from 1996 to present. Sections include Intensive Lifestyle, Metformin, and Placebo, transitioning to modified interventions and lifestyle sessions over time, ending with ongoing lifestyle education.

The tragic termination of the Diabetes Prevention Program Outcomes Study

An invaluable resource is being starved to death with no scientific or ethical justification

/ April 1, 2025

The use of placebo controls in clinical trials

Why the value of placebo controls is not an affirmation of a powerful placebo effect

/ March 20, 2025
Image of a USAID notification announcing a reduction-in-force affecting 1,600 personnel. Starting February 23, 2025, all direct hire personnel will be on administrative leave, except for specific designations.

Indiscriminate, Cruel, and Wasteful: Abandoning USAID clinical trials

The chaos and cruelty of its abrupt deconstruction are self-evident and already demonstrable

/ February 25, 2025
A woman and a man sit facing each other, both with their hands raised towards a bright, glowing light between them. Large, ethereal hands hover above, enhancing the glow. A small plant is visible to the side. The scene suggests healing or connection.

EMDR Is Still Dubious

A recent meta-analysis of eye movement desensitization and reprocessing (EMDR) therapy concludes that the evidence “confirms” EMDR is effective in treating depression. It is a great example of the limitations of meta-analysis, and how easy it is to create essentially a false narrative using poor quality research. EMDR was “developed” by Dr. Francine Shapiro in 1987. It is the notion that bilateral...

/ October 23, 2024
Close-up of a hand performing acupuncture, carefully inserting thin needles into a person's skin. The background is softly blurred, emphasizing the focus on the acupuncture practice.

Latest Acupuncture Pseudoscience

JAMA Internal Medicine just published an article titled: Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk, A Randomized Clinical Trial. In an accompanying editorial comment, Jerard Z. Kneifati-Hayek and Mitchell H. Katz write: “This was a methodologically rigorous study; there were multiple experienced acupuncturists, the comparison group used a well thought-out sham control, and patients were followed up for 1...

/ October 16, 2024