Anavex Life Sciences Corp (AVXL)

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Ms. Sheehan was on a randomized trial where both groups of patients received treatment with Olaparib. One group got the drug only, the other received Olaparib in combination with another drug, her doctor said, adding, “there was no placebo.”

In remission, Ms. Sheehan has become a fan of small trials that offer women such as herself options. She also is a realist. If Olaparib fails, she hopes other trials now going on may yield treatments for her.

The big randomized clinical trial is an “endangered species,” says the senior author of a recent study that charted a decline in clinical trials funded by the National Institutes of Health. “Everyone wants an answer in a hurry. Everyone wants to study a few patients,” says Curtis Meinert, a professor at the Johns Hopkins Bloomberg School of Public Health.

Isn't the whole point on Precision Medicine..."Precision"? Big, expensive, time consuming trials provide no certainty of outcome over precisely detailed pre work. Some generals still fighting the last war.