I would agree with you re, the placebo response rate. this has been onserved to be higher in a no. of clinical trials and thus confounding results. This has been a big issue in Urology trials and in facts one of my colleagues is in a NIH sponsored study loking at this currently. Below is a link to a study of placebo response rates in diabetics.
Magnitude and Pattern of Placebo Response in Clinical Trials of Oral Antihyperglycemic Agents: Data From the U.S. Food and Drug Administration, 1999–2015
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Arif Khan1,2⇑,
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Kaysee Fahl Mar1,
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Joshua Schilling3 and
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Walter A. Brown4
+Author Affiliations
- Corresponding author: Arif Khan, akhan@nwcrc.net.