Day Lila

Biotech & Longevity · Saturday, 3 October 2026

01 Briefing what happened

Advice to give Prozac to depressed children leans on one doubtful 40-child trial, a new analysis finds

Biotech & Longevity 27 sources

Re-running two major reviews without a 2006 trial from Iran made Prozac's large advantage over a dummy pill disappear. The authors ask guideline committees to look again, not doctors to stop prescribing.

40

children in the 2006 trial from Iran that the new analysis questions

it compared Prozac with an older antidepressant, nortriptyline [1]

2 of 3

big reviews of Prozac for young people that found a clear benefit

both included the 2006 trial; the 2021 Cochrane review left it out and found only a small edge [1]

1987

the year fluoxetine, the drug sold as Prozac, was first approved

it is prescription-only and carries a boxed safety warning on its label [2]

The lead story — what happened

  • A new analysis says the case for giving Prozac to depressed children and teenagers leans heavily on one trial that may not be trustworthy. [1]
  • That trial had 40 children, was run in Iran and was published in 2006. [1] It compared Prozac with nortriptyline, an older antidepressant. [1]
  • It reported a benefit so large that Martin Ploderl, one of the new analysis's authors, says it is unheard of in medical research. [1]
  • Many national prescribing guidelines recommend Prozac for depressed young people, on the basis of a 2016 review in The Lancet that pooled many trials. [1] A 2020 review agreed. [1]
  • A 2021 review by Cochrane, a network that checks medical evidence, found Prozac only slightly better than a dummy pill. [1] It had left the 2006 trial out, for an unrelated reason. [1]
  • The new team re-ran the 2016 and 2020 reviews without the 2006 trial, and Prozac's large advantage disappeared. [1]
  • They point to warning signs. In each group of the 2006 trial, every child's depression score changed by about the same amount, which is rare in real trials. [1] The paper also never described an ethics approval. [1]
  • The 2006 trial's authors did not answer the team or Nature. [1] MedKnow, the journal's publisher, has asked the editors to look into it and expects delays because of the situation in Iran. [1]
  • Andrea Cipriani of the University of Oxford, who co-wrote the 2016 and 2020 reviews, told Nature he agrees the 2006 data are problematic. [1]
  • Cipriani said his teams had no rule at the time for leaving such a trial out. [1] They rated their confidence in the Prozac result as very low, in an appendix. [1]
  • Cochrane has since brought in a set of rules for judging whether a trial is untrustworthy, so that reviewers can leave it out. [1]
  • The authors do not ask doctors to stop prescribing Prozac to young people. [1] They ask guideline committees to weigh the evidence again. [1]
  1. 1The 40-child trial from Iran2,006
  2. 2Lancet review: clear benefit2,016
  3. 3Second review agrees2,020
  4. 4Cochrane, without the trial: small2,021
  5. 5Re-analysis published2,026
Twenty years of evidence on Prozac for depressed children. The two reviews that found a clear benefit both included the 2006 trial.

Who is involved

  • Martin Ploderl, Florian Naudet and Richard Lyus

    researchers in Austria, France and the UK; they wrote the new analysis

  • Andrea Cipriani

    a psychiatrist at the University of Oxford; he co-wrote the 2016 and 2020 reviews and agrees the 2006 data are problematic

  • Cochrane

    a network of doctors, patients and researchers that runs medical evidence reviews; it now has rules for spotting untrustworthy trials

  • MedKnow

    the publisher of the journal that printed the 2006 trial; it has asked the editors to look into it

How it unfolded

  1. 2006 A trial of 40 children in Iran reports a huge benefit for Prozac [1]
  2. 2016 A review in The Lancet finds Prozac beats a dummy pill, and guidelines lean on it [1]
  3. 2020 A review in The Lancet Psychiatry agrees [1]
  4. 2021 A Cochrane review, without the 2006 trial, finds only a small advantage [1]
  5. Sept 2025 The new team posts its analysis online before peer review [1]
  6. Oct 2026 The analysis is published, and Nature reports it [1]

Where this points

The next step is with guideline committees: whether any of them reviews its advice on Prozac for children, as the authors ask, and whether the 2006 journal finishes its own check. [1]

What is pushing on the whole day

The bar and the word are our reading of how hard each one is pushing today. The arrow is where it is heading. The evidence is in the stories below.

Health workers unpaid or too few High↑

Some Ebola workers in Bunia, Congo, protested that they had not been paid for August and September. [3] In a survey of 524 US disability care providers, 85% reported moderate or severe staff shortages. [7] More than half of those providers had turned away people who needed care. [7]

Outbreaks bigger than the count High↑

Pennsylvania has confirmed 943 measles cases, and only confirmed cases are reported. [7] New Ebola cases in Congo fell from about 850 a week in mid-July to about 490 in September. [3] Africa CDC, the African Union's health agency, says insecurity and resistance in some hot spots could explain that fall. [3]

Drugmakers hunting the next big seller Building↑

Novartis will pay Abogen, a Chinese company, $575 million up front for an experimental autoimmune drug. [4] Pfizer is testing its eczema drug against Dupixent, whose key patents expire in 2031. [11] Lilly ended a cancer partnership with Foghorn after the drug missed its targets. [12]

New ways at hard cancer targets Building↑

MYC, a gene that runs too hot in 70% of cancers, has resisted drugs for decades, and a new study found two switches that control it. [16] Talus Bio released an AI model aimed at the roughly 40% of human proteins that standard tools cannot model. [19] A Nature study tested removing a cancer-driving enzyme instead of blocking it. [17]

The rest of the day

26 more stories on this beat.

Each with its own sources. None of these is a link to the story above.

  1. 02

    Ebola deaths in Congo pass 4,000

    Congo's Ebola outbreak, the fastest-growing on record, has killed 4,018 people among 8,300 cases since it was declared on 15 May, the health ministry said on Thursday. [3] A senior UN official said soldiers hunting for weapons burned a camp near Bunia with an Ebola transit centre this week, and 19,000 people fled. [3] Some health workers in Bunia protested that they were unpaid for August and September. [3] A Doctors Without Borders aid worker who caught Ebola was flown to the Netherlands on Thursday. [3] In Butembo, mobile laboratories now return test results in six hours instead of 72. [3]

    Why it matters — Losing a centre means losing capacity and money, and starting again, said Julien Harneis, the UN's senior Ebola coordinator. [3] The WHO has said the outbreak is on track to pass West Africa's of 2014 to 2016, which killed 11,000 people. [3]

  2. 03

    Novartis pays $575 million for a Chinese mRNA drug

    Novartis, the Swiss drugmaker, will pay Abogen Biosciences of China $575 million up front for an experimental drug called ABO2203, Abogen said on Friday. [4][5] Novartis could pay up to $7.2 billion more if the drug reaches set goals, so the deal is worth up to $7.8 billion. [4][5] The drug is mRNA, a set of genetic instructions that makes the patient's own cells build the medicine. [4][5] That medicine is meant to wipe out B cells, the immune cells behind diseases such as lupus and rheumatoid arthritis. [4][6]

    Most of the $7.8 billion headline is paid only if the drug keeps passing its tests.

    Why it matters — Weeks ago Novartis paused its own autoimmune cell therapy after three deaths, and this drug aims at the same B cells by a different route. [4] The autoimmune results published so far come from three patients with a bleeding disorder, ITP. [4]

  3. 04

    Pennsylvania's measles count nears 1,000

    Pennsylvania had confirmed 943 measles cases as of Wednesday, about a quarter of the US total for 2026, and has now reported a fifth measles death. [7] Only confirmed cases are counted. [7] Several Pennsylvania counties have large Amish communities, where measles vaccination rates are low and families are large. [7] People there may not see a doctor unless the illness becomes severe. [7]

    Why it matters — Paul Offit, who runs the Vaccine Education Center at the Children's Hospital of Philadelphia, says the outbreak is much worse than the count. [7] Researchers will need computer models to estimate its real size. [7]

  4. 05

    Few young people stay on addiction medicine

    A study published on Friday in JAMA Network Open followed nearly 230,000 Americans aged 13 to 25 diagnosed with opioid addiction between 2016 and 2023. [8] About half saw a clinician for it, and about a third had two visits in the first month. [8] Of those in care, about one in six got a medicine such as buprenorphine or methadone. [8] Just one in 32 stayed on it for six months. [8]

    Young Americans with opioid addiction, 2016 to 2023: fewer at every step of care.

    Why it matters — US federal law makes minors fail twice without medicine before they may start methadone, and fewer than 10 minors in the study got it. [8] Poisonings, including overdoses, are now the third-leading cause of death for Americans aged 19 and under. [8]

  5. 06

    US research grants reach fewer projects

    The NIH, the US government's medical research agency, spent all of its roughly $34 billion grants budget in the year that ended on Wednesday, a STAT analysis found. [9] But the money went to 58,000 projects, against an average of 63,700 a year before the second Trump administration. [7] The agency again cut awards for research on health disparities, race and ethnicity. [9] About 50 researchers surveyed by STAT said slow, unclear grant decisions are delaying their work. [7]

    Projects funded by NIH grants. The budget was spent in full, on about 5,700 fewer projects.

    Why it matters — The analysis found little progress on two of the Trump administration's own goals: spreading money more evenly across the country, and backing early-career scientists. [9]

  6. 07

    US disability care short of staff

    A survey of 524 US disability care providers, published on Wednesday by an advocacy group called ANCOR, found 85% had moderate or severe staff shortages in the past year. [7] More than half, 55%, had turned away people who needed care. [7] Care quality fell while reported incidents rose. [7] ANCOR campaigns for people with intellectual and developmental disabilities. [7]

    Why it matters — States have already started cutting caregivers' pay ahead of cuts next year to Medicaid, the US government health plan for people on low incomes. [7] STAT reports the numbers are unlikely to improve. [7]

  7. 08

    Food rations lift measles jabs in Nigeria

    In northern Nigeria, clinics that handed out a monthly food supplement after routine vaccinations got more young children vaccinated against measles, a trial in Nature Medicine reports. [10] The supplement is a small daily sachet of nutrient-rich food for children aged 6 to 23 months. [10] Twenty areas were split into two groups, and 1,604 children were surveyed after a year. [10] Coverage of the first measles dose rose about 20 percentage points more in the supplement areas. [10]

    Why it matters — Stopping measles needs about 95% of children to get two doses on time, a target many places miss. [10] Measles vaccination has prevented an estimated 92 million deaths of young children. [10]

  8. 09

    Pfizer's eczema drug clears skin in a trial

    Pfizer said on Thursday that tilrekimig, its experimental eczema antibody, met its main goal in a mid-stage trial. [11] The antibody blocks three immune signals at once. [11] In one part of the trial, 63% of patients on the highest dose saw their eczema score improve by at least three-quarters, against 20% on a dummy injection. [11] In a second part, with a dose every four weeks, 48% to 61% reached that mark, against 9%. [11]

    Share of patients whose eczema score improved by at least three-quarters in the first part of Pfizer's trial.

    Why it matters — Pfizer is now testing it head to head against Dupixent, the best-selling eczema drug, whose key patents expire in 2031. [11] An RBC analyst called the results impressive but said they barely stand out from rivals, and final-stage results are due in 2028. [11]

  9. 10

    A faster route for an RNA-editing drug

    The FDA, the US drug regulator, told Wave Life Sciences it can seek accelerated approval for WVE-006, its RNA-editing treatment, Wave said on Thursday. [12] The drug is for alpha-1 antitrypsin deficiency, a disease in which the body does not make one protein it needs. [12] In May, Wave reported that the drug helped patients make useful levels of that protein. [12] The route follows a two-year trial. [12]

    Why it matters — Wave's medical chief said the design is an efficient path to full approval, with no separate confirming trial needed afterwards. [12] It is still in mid-stage testing, with more data due by the end of 2026. [12]

  10. 11

    Foghorn cuts 40% of staff as Lilly leaves

    Foghorn Therapeutics, a US biotech, is cutting 40% of its staff after a cancer drug it was developing with Eli Lilly failed to meet the bar for further testing. [12] It is stopping that drug, FHD-909, and a second experimental medicine, and ending its partnership with Lilly, which began in 2021. [12] Foghorn's shares fell 22% on Thursday. [12] In 2022, regulators paused a study of its leukaemia drug after patients died. [12]

    Why it matters — FHD-909 was the company's most advanced programme, said Michael Schmidt, an analyst at Guggenheim Securities. [12] Foghorn's shares are now worth a fraction of their value when it listed on the stock market six years ago. [12]

  11. 12

    AbbVie joins a US drug-rebate test

    AbbVie, a large US drugmaker, said on Friday it will join a US government pilot that tests a new rebate system for discounted medicines. [13] It sits inside 340B, a US programme that lets hospitals and clinics serving low-income patients buy medicines at a discount. [13] From 1 January 2027, providers will claim that discount through a platform called Beacon for three AbbVie drugs. [13] AbbVie says this stops the same sale being discounted twice once Medicare's negotiated prices start. [13]

    Why it matters — The pilot covers Imbruvica, a cancer drug, Linzess, for irritable bowel syndrome, and Vraylar, an antipsychotic. [13] AbbVie says it will give providers the system free, with help for those that struggle to use it. [13]

  12. 13

    The FDA puts ageing on its science list

    Steven Kozlowski, the FDA's chief scientist, told a longevity meeting at Harvard that ageing will be among the topics in the agency's next list of science priorities. [14] The list is due early in the US government year that began on 1 October. [14] Kozlowski said it would help to have one agreed, measurable sign of ageing that every trial could use. [14] Jeffrey Siegel, another FDA official, said a drug might show it slows several age-linked diseases, or slows frailty and the decline in thinking that comes with age. [14]

    Why it matters — The first trials will count age-linked diseases or deaths, Siegel said. [14] ARPA-H, a US research agency, already runs a $144 million programme on new ways to measure and treat ageing. [14]

  13. 14

    A urine test spots bladder cancer

    A urine test that reads RNA, the working copies cells make of their genes, picked up 95% of early bladder cancers, a study in Nature Medicine reports. [15] It wrongly flagged about one in 10 people without cancer. [15] The team tested 683 urine samples from people with and without cancer. [15] In 114 patients, the test also predicted who would respond to BCG, a standard bladder cancer treatment. [15]

    The test found most early bladder cancers, and wrongly flagged about one in 10 people who did not have cancer.

    Why it matters — Bladder cancer needs frequent, costly check-ups after treatment, the authors note. [15] They say studies that follow patients forward in time are needed before doctors can rely on it. [15]

  14. 15

    Two switches behind a common cancer gene

    MYC, a gene that runs too hot in 70% of cancers, has resisted drugmakers for decades. [16] Scientists at Fox Chase Cancer Center in Philadelphia studied one way it goes into overdrive: cells piling up extra copies of it. [16] In Molecular Cell on Friday, they reported two switches, in the machinery that adds and removes chemical tags on DNA, that decide whether the copies build up. [16] Hitting a switch might be easier than hitting MYC itself, they suggest. [16]

    Why it matters — It is basic lab science, far from any trial in people with cancer. [16] Marc Mansour, a cancer researcher at University College London, said every route in cancer biology seems to lead back to MYC. [16]

  15. 16

    Removing a cancer enzyme, not just blocking it

    The FDA has approved 28 drugs that block kinases, enzymes that drive some lung cancers, writes Alice Shaw of the Dana-Farber Cancer Institute in Nature. [17] Those pills can hold the cancer back for years, but many cancers return because the kinase changes where the drug attaches. [17] A study by Conery and colleagues in Nature reports drugs that remove the kinase entirely instead of blocking it. [17]

    Why it matters — Shaw calls it a potentially powerful new route for the lung cancers that stop responding to today's pills. [17]

  16. 17

    Same damage, different cancers in mice

    Researchers gave mice from four different inbred strains one dose of the same DNA-damaging chemical at 15 days old, a study in Nature reports. [18] Tumours appeared by 25 weeks in one strain, but only by 78 weeks in another. [18] The strains whose tumours carried more mutations were not the ones that got cancer fastest. [18] All four strains' tumours used the same growth pathway, but each favoured different genes within it. [18]

    Why it matters — The genes an animal is born with changed what the same cancer mutation did, so one mutation may not mean the same thing in every patient. [18] This was shown in mice, not people. [18]

  17. 18

    An AI tool for floppy, shapeless proteins

    Talus Bio, a drug discovery company, released Ptarmigan-1 this week, an AI model meant to predict where small drug molecules can attach to proteins. [19] It is aimed at the roughly 40% of human proteins that have no stable shape, which standard tools cannot model. [19] The model learns from Talus's own measurements of proteins inside living cells. [19] Its most advanced drug targets brachyury, a protein that drives chordoma, a rare bone cancer. [19]

    Why it matters — Many of these shapeless proteins switch genes on and off and are clearly linked to disease, but drugging them has proven very hard, GEN reports. [19] The accuracy claims are the company's own. [19]

  18. 19

    Watching cancer receptors for 16 minutes

    Researchers at the Broad Institute and MIT made tiny particles, laced with rare-earth metals, that glow without fading. [20] They used them to follow single EGFR, HER2 and HER3 molecules, receptors on the surface of cells that are linked to cancer, for over 16 minutes. [20] Ordinary dyes fade within seconds. [20] Normal HER3 formed unexpectedly stable pairs, and cancer mutations broke those pairs apart, they report in Cell. [20]

    Why it matters — Seeing how these receptors pair up, and how cancer changes it, could help shape new cancer treatments, the team says. [20]

  19. 20

    Brain cells behind cannabis anxiety, in mice

    Northwestern University scientists found a small group of brain cells in mice that drives anxiety after a cannabis-like drug, in Nature Communications. [21] Mice given a synthetic cannabinoid froze more when they smelled fox urine and spent less time exploring it. [21] The cells sit in the amygdala, a part of the brain that handles fear. [21] When the researchers silenced those cells, the drug no longer made the mice as anxious. [21]

    Why it matters — It may help explain why cannabis sometimes brings panic instead of calm, especially in stressful settings, said Sachin Patel, the senior author. [21] The work was done in mice. [21]

  20. 21

    A parts list for an eye-infecting amoeba

    Researchers at the Morgridge Institute in Wisconsin listed 1,122 proteins inside the mitochondria, the energy-making parts, of Acanthamoeba, in a paper in Cell. [22] This single-celled organism lives in water and soil and can infect the cornea, threatening sight. [22] Starved of oxygen, its mitochondria switch to making hydrogen gas. [22] Of the proteins found, 381 have no clear match in human or yeast mitochondria. [22]

    Why it matters — Today's drugs for these eye infections are untargeted and toxic, said Jon Stefely, one of the researchers. [22] Proteins that people lack could become targets for drugs that spare human cells. [22]

  21. 22

    Salt helps lab-grown kidney tubes mature

    High salt levels help kidney tubes grown in the lab to mature, researchers report in Nature Communications. [23] They studied collecting ducts, the kidney tubes that set how concentrated urine is. [23] Salt worked mainly through a protein called NFAT5. [23] With it, the team grew mature human ducts in the lab and used them to copy diabetes insipidus, a condition in which the kidneys cannot hold on to water. [23]

    Why it matters — Getting lab-grown organ tissue to mature is a major hurdle for using it in medicine, the authors write. [23]

  22. 23

    A contest to get biologically younger

    About 500 people have signed up for Younger, a six-month contest to lower their biological age, an estimate of how old the body seems. [24] It was set up by Christin Glorioso, head of NeuroAge Therapeutics, a company that sells brain-age tests. [24] Entrants are scored on several ageing clocks, including blood tests of chemical marks on DNA, a brain test, grip strength and face photos. [24] More than 100 such clocks exist. [24]

    Why it matters — These clocks help scientists study ageing but are not yet good enough to judge one person's age, MIT Technology Review reports. [24] Glorioso hopes the contest builds the largest set of clock results yet. [24]

  23. 24

    Scientists doubt a microbe for Mars

    Pioneer Labs, a nonprofit start-up, said last month it had engineered the first microbe for Mars, a modified bacterium. [25] Its chief executive, Erika DeBenedictis, called it a first step towards making Mars more like Earth, in a post seen over two million times. [25] Chris McKay, a NASA planetary scientist, told Scientific American the microbe can only grow inside a bioreactor, a sealed tank for growing microbes. [25] It is meant to turn Martian dirt, water and carbon dioxide into plastic for 3D-printed houses. [25]

    Why it matters — DeBenedictis has said it is only the first of five organisms needed. [25] Paul Race, who studies industrial biotechnology at Newcastle University, called the announcement rather over the top. [25]

  24. 25

    Varda raises $251 million for drugs made in orbit

    Varda Space Industries raised $251 million on Wednesday, in a round led by Lux Capital and Natural Capital. [12] Varda argues that without gravity, drug ingredients can form crystals that cannot be made on Earth. [12] It plans more than a dozen launches and returns to Earth in the next two years. [12] It has said little about which medicines it is working on. [12]

    Why it matters — The company says such crystals could give new forms of medicines that help patients. [12]

  25. 26

    The NIH rebuilds its websites

    The NIH will unveil a new website on Monday that sorts its information into eight topics, such as clinical studies, rare diseases and grants, instead of by institute. [26] Over the decades its online presence grew to more than 700 separate websites. [26] A Biden-era plan to merge them was dropped when the Trump administration fired hundreds of communications staff. [26] Many sites then sat frozen for about 18 months. [26]

    Why it matters — Kathleen Hall Jamieson, a communication scholar at the University of Pennsylvania, said finding anything on the old sites took the skills of an Egyptologist. [26] The old sites will close one by one as their content is checked and redirected. [26]

  26. 27

    One cancer gene, two fates for a cell

    Scientists at NYU Abu Dhabi found that one cancer-causing gene, UHRF1, can push liver cells in zebrafish into different kinds of senescence, a state in which damaged cells stop dividing. [27] Some of those cells stopped for good and could not form tumours. [27] Others could start dividing again. [27] A common drug that kills senescent cells worked on only some of them, they report in EMBO Reports. [27]

    Why it matters — Chemotherapy often pushes cancer cells into this state without killing them, so drugs meant to clear such cells may need to tell the kinds apart. [27] The work was done in fish. [27]

02 Lesson why it matters

Why one strange trial can outweigh all the others

A review pools many trials into one answer, and that answer moves most toward the trial whose result sits furthest from the rest.

The twist

A pooled answer is pulled hardest by its most extreme trial. So one small trial with an unbelievable result can set the advice for a drug that is among the most prescribed antidepressants for children.

The picture

The same evidence pooled two ways. Leaving out one 40-child trial turned Prozac's clear advantage for depressed children into a small one.

How it works

  1. A review pools many trials into one answer, which works like an average
  2. An average moves most toward the result that sits furthest from the rest
  3. One 2006 trial of 40 children reported a benefit far bigger than any other Prozac trial
  4. So that one trial pulled the pooled answer up
  5. Take it out, and Prozac's large advantage over a dummy pill disappears
  6. Guidelines built on the pooled answer carry that one trial inside them

The same force, elsewhere today

Where this chain is also running, in today's other stories.

  • Pennsylvania's measles count

    Pennsylvania's 943 cases are about a quarter of all US cases this year. Take that one state out, and the national number for the year would be about a quarter smaller.

Where you've seen this

Average pay in a small town

one very rich newcomer raises the average while nobody else earns a penny more

Online star ratings

a few planted five-star reviews lift a new product with few reviews far more than an old one with thousands

A class test average

one copied perfect score moves a class of ten more than a class of a hundred

The catch

An extreme result is not always a wrong one. Sometimes the trial that disagrees measured best, so leaving a trial out needs a written rule, like Cochrane's new one, and not just a dislike of surprises.

And the whole of it

A child, a parent and a doctor each see one prescription, and none of them sees the 40-child trial from 2006 inside the advice behind it. The reviewers who pooled the trials did see it, and at the time they had no rule for leaving it out.

03 Truth what's really going on

What is really going on

Many national guidelines tell doctors that Prozac helps depressed children, on the basis of a 2016 review. [1] That review's result leaned on one 40-child trial from Iran whose authors have not answered questions about it, and without that trial Prozac's large advantage disappears. [1]

Why it works on us — A drug named in a national guideline feels proven to the doctors and parents who use it. The 2016 review put its own rating of very low confidence in an appendix. [1]

Who gains

  • Abogen Biosciences — The Chinese company gets $575 million up front from Novartis for one drug, before any large trial. [4][5]
  • Novartis — It gets world rights to the drug and an option on Abogen's next mRNA medicines, weeks after pausing its own autoimmune cell therapy. [4]
  • The authors of the 2021 Cochrane review — The re-analysis explains why their review found only a small benefit from Prozac: it was the one that left the 2006 trial out. [1]
  • Wave Life Sciences — The FDA has given it a route to approval for its RNA-editing drug with no separate confirming trial afterwards. [12]
  • AbbVie — Under the rebate test, clinics claim the discount on three of its drugs through one system, which AbbVie says stops the same sale being discounted twice. [13]

Who pays

  • Depressed children and teenagers given Prozac — The advice behind their prescriptions rests on reviews that the re-analysis shows depended on one doubtful trial. [1]
  • People in the Kigonze camp near Bunia, Congo — About 19,000 fled after soldiers searching for weapons burned the camp and its Ebola transit centre. [3]
  • Ebola workers in Ituri, Congo — Some have not been paid for August and September, and at least 50 health workers have died of the virus. [3]
  • Teenagers with opioid addiction in the US — Federal law makes minors fail twice without medicine before methadone, and fewer than 10 minors in the study got it. [8]
  • Americans with disabilities who need carers — 55% of the providers surveyed had turned people away for lack of staff. [7]
  • Foghorn Therapeutics' staff — The company is cutting 40% of them after its lead cancer drug failed. [12]

What nobody knows yet

Open questions from across today’s stories — ours included.

  • 01

    Whether the 2006 trial's numbers are real.

    Its authors did not reply to the researchers or to Nature, and the journal's publisher expects its own check to be delayed by the situation in Iran. [1]

  • 02

    Whether any guideline committee will change its advice on Prozac for children.

    The authors asked the committees to weigh the evidence again, and none is quoted in Nature's report. [1]

  • 03

    How big Pennsylvania's measles outbreak really is.

    Only confirmed cases are reported, people in Pennsylvania's Amish communities may not see a doctor unless very ill, and modelled estimates have not been made yet. [7]

  • 04

    Whether Congo's Ebola outbreak is really slowing.

    New confirmed cases fell from about 850 a week in mid-July to about 490 in September, but Africa CDC says insecurity and resistance in some hot spots could explain the fall. [3]

  • 05

    Whether Novartis's new mRNA drug works in lupus or other autoimmune diseases.

    The autoimmune results published so far come from three patients with a bleeding disorder. [4]

  • 06

    What the third target in Pfizer's eczema drug adds.

    An RBC analyst says it is unclear what blocking TSLP adds, and final-stage results are not due until 2028. [11]

  • 07

    When the FDA will say how a drug against ageing could be judged.

    Its chief scientist said the new list of priorities comes early in the US government's new year, with no date. [14]

  • 08

    Why so few young people stay on addiction medicine for six months.

    The study counts who dropped out of care but not why, and doctors say there is little research on how long young people should stay on the medicines. [8]

04 Hope carry this

In northern Nigeria, areas where clinics gave out a monthly food supplement after routine jabs raised first-dose measles vaccination by about 20 percentage points more than areas without it.

Also true today

  • In Butembo, in eastern Congo, mobile laboratories now return Ebola test results in six hours instead of 72.
  • The US regulator has given Wave Life Sciences a route to faster approval for an RNA-editing drug that helped patients make a protein their bodies lack.
  • A urine test found 95 in 100 early bladder cancers in a study of 683 urine samples.

Across the beats