""I am sure you are right about placebo being soc. No way would it be a “sugar pill”"
And I'm pretty sure you're wrong.
There's sufficient uncertainty about the efficacy of remdesivir monotherapy in Covid-19 that to use it as standard of care would border on being unethical.
"In this study of adult patients admitted to hospital for severe COVID-19, remdesivir was not associated with statistically significant clinical benefits. However, the numerical reduction in time to clinical improvement in those treated earlier requires confirmation in larger studies."
I'm thinking a sensible design for the three arm study (and I appreciate this may not happen) would be placebo vs remesdivir vs remdesivir plus brilacidin.
In an ideal world I would add a brilacidin alone fourth arm, but sadly this is not an ideal world."
And if the interim results of the coming Ph 2 Brilacidin trial are as stellar as the lab findings, there is always the option of halting the trial and giving the placebo patients the REAL drug.