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Thursday, 10/17/2019 10:12:22 AM

Thursday, October 17, 2019 10:12:22 AM

Post# of 426579
ICER excerpt on "confirmation"

11. Researchers should conduct a real-world observational study to confirm the benefits of icosapent ethyl.

The results of REDUCE-IT, while impressive, have not eliminated uncertainty regarding the potential effects of the placebo composition in the trial, as well as the largely unimpressive evidence from prior omega-3 studies. In addition, the FDA is unlikely to require a second confirmatory clinical trial for this indication. A rigorous prospective observational study of icosapent ethyl that had results consistent with those seen in the REDUCE-IT trial would help alleviate concerns, while a conflicting result would suggest the need for a second randomized trial.


I think this is reasonable, but the constant harping on the "largely unimpressive evidence" from other omega-3 trials is tone deaf and stupid.

It's like saying that a specific vitamin (e.g. B12) had a great trial for something, but it's not definitive because trials with other "vitamins" didn't show the same benefit. Extra, extra, extra stupid.

“The trick is in what one emphasizes. We either make ourselves miserable, or we make ourselves happy. The amount of work is the same.” Carlos Castaneda

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