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Can anyone help finding the MRC application for the PACE Trial

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Tom Kindlon, May 16, 2021.

  1. Tom Kindlon

    Tom Kindlon Senior Member (Voting Rights)

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    A person has contacted me to see if I could assist in finding the source/complete document of the application to MRC for the PACE trial. First page of the relevant document is in the picture.

    I can be contacted via DM or tomkindlon{a}hotmail.com
    Image-1 (1).png
     
    Graham, Hutan, Starlight and 5 others like this.
  2. Tom Kindlon

    Tom Kindlon Senior Member (Voting Rights)

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    All I could find on a quick search was the attached file, but that is not what they are looking for, it seems
     

    Attached Files:

  3. JohnTheJack

    JohnTheJack Moderator Staff Member

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    Pretty sure I got that with an FOI. I'll check files and get back to you.
     
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  4. Barry

    Barry Senior Member (Voting Rights)

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  5. JohnTheJack

    JohnTheJack Moderator Staff Member

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    Tom, one file is 20MB, so I have done an upload. Everything I got from that FOI is here.
    https://www.mediafire.com/folder/d5tryetu1l2mn/MRC
     
    EzzieD, tomnext, Lidia and 6 others like this.
  6. InitialConditions

    InitialConditions Senior Member (Voting Rights)

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    Location:
    North-West England
  7. Barry

    Barry Senior Member (Voting Rights)

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    Yes, correct.

    upload_2021-5-16_20-43-51.png

    How does that answer the question of what the ethical issues are .... ? It feels like what a person might do when trying to evade a question.
     
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  8. Barry

    Barry Senior Member (Voting Rights)

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    upload_2021-5-16_20-55-30.png
    Given this, there is no way the investigators could legitimately argue, in an unblinded study, that they had no indications of how the outcomes were trending during the course of the trial, especially in its latter stages, well before any formal analysis was done. They could not possibly have been engaging in day-to-day control and not been picking up on such things.
     
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  9. Tom Kindlon

    Tom Kindlon Senior Member (Voting Rights)

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    tomnext, JohnTheJack and alktipping like this.
  10. dave30th

    dave30th Senior Member (Voting Rights)

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    This is of course true. But unlikely to be persuasive to anyone on that side, since they have always failed to acknowledge the notion that any investigators in an unblinded study relying on subjective outcomes would know anything about the results before unlocking.
     
    alktipping, EzzieD, Graham and 4 others like this.
  11. Barry

    Barry Senior Member (Voting Rights)

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    From the PACE trial application for funding:

    upload_2021-5-16_22-22-45.png

    upload_2021-5-16_22-24-28.png


    upload_2021-5-16_22-31-37.png
    upload_2021-5-16_22-32-30.png

    But the PACE trial's actual engagement with this was to treat adverse effects as being symptomatic of normal exercise, and for participants to not be worried by it! In effect participants were being experimented on with some of these treatments, given the interventions had the potential to permanently exacerbate symptoms; the fact the investigators did not appreciate this, and paid no heed to it, is immaterial.
     
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  12. Barry

    Barry Senior Member (Voting Rights)

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    Hence "legitimately". These days I never make such comments in anticipation of the investigators seeing reason, because that is clearly a no-hoper. In the back of my mind is always the thought that if there is ever any sort of public enquiry (with a view to furthering the best interests of patients and health care), then such observations are potentially worth noting.
     
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