THIS IS WILD—the NIH is expressing “concern” about information released by AstraZeneca on initial #COVID19 vaccine trial data. “AstraZeneca may have included outdated information from trial, which may have provided an incomplete view of the efficacy data”
nih.gov/news-events/ne…
2) Yeah, NYT picked up on this NIH statement released just **after midnight** (unusual in itself). nytimes.com/2021/03/22/wor…
3) “Companies sponsoring drug or vaccine trials typically wait for the monitoring board to run analyses and conclude that the study has yielded an answer before they announce trial results....”
4) “In recent days, the monitoring board’s analysis of the AstraZeneca trial was delayed several times because the board had to ask for revised reports from those handling trial data on behalf of the company.”
5) “The monitoring board ultimately conveyed the results of the study to AstraZeneca in a meeting over the weekend, leading to the company’s announcement Monday morning.
6) “Dr. @EricTopol said it was “highly irregular” to see such a public display of friction between a monitoring board and a study sponsor, which are typically in close concordance.
7) “I’ve never seen anything like this,” he said in an interview after the institute’s statement was released. “It’s so, so troubling.”
8) So in my experience with trials, usually the independent DSMB committee conducts the interim analysis without sharing results with company—the company doesn’t control the analysis. So did AZ cherry pick, or did the DSMB fault for outdated data? Unclear.
nytimes.com/2021/03/22/wor…
9) AstraZeneca just denied the claims.

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More from @DrEricDing

25 Mar
More and more young people. Analysis of data from Brazil found “people aged 30-59 represented about 27% of #COVID19 deaths over the past 3 months or so—7% increase from pre-December numbers.” This matches the trend of many younger adults in ICUs in 🇧🇷. 🧵
cnn.com/2021/03/24/ame…
2) “And amid that (Brazil) surge, a worrying pattern has emerged—more young people seem to be getting severely ill and dying from Covid-19, doctors tell CNN.”
3) Across the country, intensive care physicians keep saying the same thing: In this latest wave, their patients are younger than ever.
"We have otherwise healthy patients that are between 30 and 50-years-old and that is the profile for the majority of patients,"
Read 8 tweets
24 Mar
Brazil🇧🇷 #P1 variant surging in British Columbia 🇨🇦. How much?

📍92% (140/152) of all #P1 in 🇨🇦 are in BC.

📍BC 🇨🇦 has over 2x the number of #P1 than entire USA 🇺🇸 combined (61).

📍BC 🇨🇦 found more new #P1 (+30) yesterday **in 1 day than Florida has entire pandemic**. #COVID19 ImageImage
2) Is there a bad #P1 trend in BC 🇨🇦? Yes...

Keep in mind Florida (the US state with most #P1) has only had 23 cumulative cases in all. BC has had more than that for each of the last 2 days alone. Image
3) There is debate how fast transmission of #P1 variant is. But several groups estimated it is 2-2.5x more transmissible. The 2.5x estimate is from Brazil research group @obscovid19br....
Read 11 tweets
24 Mar
BREAKING—due to surging #COVID19 cases, India 🇮🇳 has frozen all major exports of AstraZeneca #COVIDVaccine made by Serum Institute of India, world’s biggest vaccine-maker, to meet domestic demand as infections rise. This will also delay supplies to COVAX.
reuters.com/article/health…
2) “COVAX has so far received 17.7 million AstraZeneca doses from the SII, of the 60.5 million doses India has shipped in total, and many countries are relying on the programme to immunise their citizens. There have been no vaccine exports from India since Thursday.”
3) “Everything else has taken a backseat, for the time being at least,” said one of the sources. Both sources had direct knowledge of the matter, but declined to be named as the discussions are not public.
Read 11 tweets
24 Mar
First study focused on long-term neurological symptoms in people not sick enough from #COVID19 to need hospitalization: found many visiting neuro clinic had >=4 neurological issues like brain fog, headaches, tingling, muscle pain & dizziness. Avg age 43.🧵 nytimes.com/2021/03/23/hea… Image
2) “We are seeing people who are really highly, highly functional individuals, used to multitasking all the time and being on top of their game, but, all of a sudden, it’s really a struggle for them,” said Dr. Igor J. Koralnik, chief of neuro-ID and global neurology. #LongCovid
3) “In the study, many experienced symptoms that fluctuated or persisted for months. Most improved over time, but there was wide variation. “Some people after 2 months are 95 percent recovered, while some people after 9 months are only 10 percent recovered,” said Dr. Koralnik.
Read 8 tweets
24 Mar
WOW—25 new cases of #P1 variant suddenly appeared in British Columbia Canada 🇨🇦!! This is the variant from Brazil 🇧🇷 that is utterly decimating the country right now—and had ransacked Manaus 🇧🇷 despite high antibodies levels previously before it hit.

BC 🇨🇦 needs to act fast!!!
3) this is also #P1 in Brazil. Got it @DrBonnieHenry? Please stop #P1 in BC 🇨🇦 ASAP. Image
Read 4 tweets
24 Mar
Let that sink in:

60% of all ICU patients in São Paulo, Brazil 🇧🇷 are now between the ages of 30-50 years old, reports @MattRiversCNN.

Bolsonaro is actively killing the next generation by destroying families. 🧵

Time to call it—“pandemicide”. #COVID19
2) Sobering day - did you know - 1 in 3 deaths from #COVID19 worldwide today—was in Brazil? It’s true.
3) We cannot turn our backs to Brazil. If we lose control of #P1, it will endanger the world. If we let Brazil collapse, it will endanger the world.

The world must act decisively to aid Brazil.
Read 17 tweets

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