Recent comments in /f/science

burtzev OP t1_j7h7d8w wrote

Sadly, despite earlier reports of (slight) efficacy this study found that treatment with Tilavonemab wasn't significantly better than placebo.

>A total of 453 patients were randomized, of whom 337 were treated with tilavonemab (300 mg, n = 108; 1000 mg, n = 116; 2000 mg, n = 113) and 116 received placebo. Baseline demographics and disease characteristics were comparable across groups. The mean age was 71.3 (standard deviation [SD] 7.0) years, 51.7% were female, and 96.5% were White. At baseline, the mean CDR-SB score was 3.0 (1.2), which worsened through Week 96 for all treatment groups. The least squares mean change from baseline at Week 96 in the CDR-SB score with tilavonemab was not significantly different compared with placebo (300 mg [n = 85]: −0.07 [95% confidence interval (CI): –0.83 to 0.69]; 1000 mg [n = 91]: −0.06 [95% CI: –0.81 to 0.68]; 2000 mg [n = 81]: 0.16 [95% CI: –0.60 to 0.93]; all P ≥ 0.05). The incidence of any adverse event and MRI findings were generally comparable across groups.Tilavonemab was generally well tolerated but did not demonstrate efficacy in treating patients with early Alzheimer’s disease. Further investigations of tilavonemab in early Alzheimer’s disease are not warranted.

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SaltZookeepergame691 t1_j7h61lf wrote

It’s significant (and the 95% CI indicates it is reasonably so), but this is a post hoc analysis of an outcome they already ‘knew’, in a trial that already had many outcomes, making this result at pretty high risk of being a chance false positive. This is probably why they don’t give actual p values - the findings are hypothesis generating, not confirmatory.

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aradil t1_j7h26d8 wrote

My point was that that dollar amount is meaningless without context of how much is being spent.

I also don’t think it would save billions of dollars in, say, Canada, which would still be only a modest couple of percentage of points of savings.

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Putin_Delenda_Est t1_j7h1ic9 wrote

Yeah, I also said a Public system. The United States could get down to 4-5k per year just by switching to a single payer system.

After that it very much matters how you manage resources.

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aradil t1_j7h0td3 wrote

I know you just threw out a number there, but if we’re talking single digit billions, that’s such a small percentage of health care dollars that it would barely register.

If the average person in the US costs $13k a year in health care, scaled down to the individually, billions of dollars would be like… tens of dollars per person of that $13k.

The US spends trillions of dollars a year on healthcare.

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