Card twelve · Hold uncertainty honestly

Did the stopped trial prove what caused the death?

No. The record is serious, but it does not show what caused the death.

Short answer

A patient trial that began in 2005 was terminated in 2006, and its results were never published.

Reports summarized by the FDA say a participant died after a heart attack about two hours after the eleventh weekly dose.

What the record adds—and does not add

The treating doctor thought hidden heart disease was the most likely explanation for the death.

An adverse-event report does not by itself prove that a medicine caused the event.

So two things are true at once: no one showed that the compound caused the death, and because the results were never published, the trial cannot tell us whether the compound is safe or whether it works.

The careful conclusion

The death should not be told as proof that the compound kills, and it should not be left out either. A fair account of this compound mentions it, along with how uncertain the cause is.

Keep this line

If someone says this trial proves the compound is deadly, or proves it is safe, they are claiming more than the record shows.