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NEJM Evidence, a journal from NEJM Group, presents innovative Original Research and fresh, bold ideas in Clinical Trial design and clinical decision-making.

Boston
Joined August 2021
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A new trial tested clinicians’ performance on fictional case vignettes in which test results were presented with a single threshold, binary test characteristics, or interval likelihood ratio test characteristics across a range of values. Learn more: eviden.cc/4b2Bokm
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“Although the tested [long-lasting insecticidal nets] were shown to be beneficial ... malaria incidence among children assigned [chlorfenapyr-pyrethroid] nets ... remained high. Next-generation nets ... cannot carry the burden of malaria control alone.” eviden.cc/4iowmBX
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In an extended analysis of the HORIZON Lp(a) trial, pelacarsen was not associated with a reduction in adverse cardiovascular events when evaluated by treatment exposure, baseline lipid levels, or achieved lipoprotein(a) level. Full results: eviden.cc/4eQEutM #AHA26
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"[Chlorfenapyr-pyrethroid] and [piperonyl butoxide-pyrethroid long-lasting insecticidal nets] significantly reduced the incidence of malaria in children in areas of intense pyrethroid resistance in Côte d’Ivoire over 1 year." Full trial results: eviden.cc/4smnj8Y
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Should atrial fibrillation burden replace 30 seconds of atrial arrhythmia as the primary endpoint of clinical trials in atrial fibrillation? Learn more in a Clinical Trial Workshop in @NEJMEvidence: eviden.cc/4zRprIl #AFib #Cardiology
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𝐉𝐮𝐬𝐭 𝐩𝐮𝐛𝐥𝐢𝐬𝐡𝐞𝐝! Original Article by S.E. Nissen et al.: Extended Analyses of Pelacarsen and Cardiovascular Outcomes in Patients with High Lipoprotein(a) eviden.cc/4eQEutM #ScientificSessions26 | @AHAScience
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A 58-year-old woman initially had fever and muscle aches, followed by abdominal pain and a nonproductive cough days later. She has right-upper-quadrant tenderness and crackles at the right lung base. How would you build the differential diagnosis? eviden.cc/47B0gOl
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Original Article by @endodocdauber et al.: A Phase 3 Trial of Vosoritide in Children with Hypochondroplasia eviden.cc/4xhZGzo @RaviSavarirayan #Endocrinology #Genetics
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A new trial conducted in the UK demonstrated that to quit smoking, e-cigarettes were better than behavioral support alone, but the two together were better yet. Read the full trial results: eviden.cc/48hvH0c
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This editorial comments on a trial that found the incidence of malaria was significantly reduced among children in Côte d’Ivoire randomly assigned to use piperonyl butoxide-pyrethroid or chlorfenapyr-pyrethroid vs. pyrethroid-only insecticidal nets. 👉 eviden.cc/4iowmBX
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Malaria incidence over 1 year was significantly reduced among children residing in clusters of villages in Côte d’Ivoire randomly assigned to use chlorfenapyr-pyrethroid or piperonyl butoxide-pyrethroid versus pyrethroid-only treated insecticidal nets. eviden.cc/4smnj8Y
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“E-cigarettes with no further support were more effective than supportive messaging [in helping people achieve abstinence from smoking]. E-cigarettes with multisession telephone-based support were more effective than e-cigarettes alone.” Learn more: eviden.cc/48hvH0c
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In a phase 3, multicenter trial in children with hypochondroplasia, treatment with once-daily vosoritide injections for 52 weeks significantly increased linear growth compared to placebo, with no treatment-related serious adverse events. Full results: eviden.cc/4xhZGzo
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Volume 5 Issue 11 of 𝘕𝘌𝘑𝘔 𝘌𝘷𝘪𝘥𝘦𝘯𝘤𝘦 is now available! Here is a preview of the latest content: 𝗣𝘂𝗯𝗹𝗶𝗰 𝗛𝗲𝗮𝗹𝘁𝗵 𝗔𝗹𝗲𝗿𝘁𝘀 Domestic Measles Importations in Washington State, January 2026 eviden.cc/4sIU8gN
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An International Study of Pembrolizumab for Drug-Resistant Gestational Trophoblastic Neoplasia eviden.cc/4ikXO3e 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗧𝗿𝗶𝗮𝗹𝘀 𝗪𝗼𝗿𝗸𝘀𝗵𝗼𝗽 Atrial Fibrillation Burden as an Outcome in Clinical Trials eviden.cc/4zRprIl
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NEJM Evidence retweeted
“We essentially are told to, by default, include age, sex and race into all of our models that accounts for the majority of population health differences.” Shazia Siddique, MD, MSHP, explains how the common belief that race is biological in nature is now being challenged on the grounds that race is instead socially constructed. Watch the full Perspective Roundtable: nej.md/4ivgrCN
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