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Florian Naudet

@floriannaudet.bsky.social
2.6K followers 3.5K following 1.1K posts

Meta-researcher, Clinician, Professor at Rennes University, Senior member at Institut Universitaire de France, affiliate at METRICStanford. ORCID: 0000-0003-3760-3801 Posts are my own. Website: restores.univ-rennes.fr

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Reposted by Florian Naudet
Elisabeth Bik @elisabethbik.bsky.social · 09/10/2026
Hahaha at least they changed the fonts.
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Margarita Nadenka @margaritanadenka.bsky.social · 10/10/2026
Great post! Congrats Florian 🙌
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Florian Naudet @floriannaudet.bsky.social · 07/10/2026
It was rated as unclear risk of bias. The sensitivity analysis based on risk of bias was perform between low/unclear versus high risk of bias. It remained undetected here...
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Florian Naudet @floriannaudet.bsky.social · 07/10/2026
The Cohrane meta-analysis did not include nortriptyline and thus the problematic loop was not included.
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Florian Naudet @floriannaudet.bsky.social · 06/10/2026
@elisabethbik.bsky.social
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Florian Naudet @floriannaudet.bsky.social · 06/10/2026
Hey @jama.com, your webpage "Research, Methods, Statistics" is an incredibly useful resource. One question: why illustrate it with a photo of Excel that looks like the worst copy-and-paste job you’d expect to find in a fraudulent study? The irony is perfect. 😜 jamanetwork.com/collections/...
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rboussageon.bsky.social @rboussageon.bsky.social · 06/10/2026
Yes, and David Taylor says that all of this comes down to interpretation... and therefore to authority. It's time for you to come up with REB, a method of interpretation!
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Martin Plöderl @ploederl.bsky.social · 04/10/2026
Interesting thread of @literalbanana.bsky.social on X about our recent zombie-study in the wider context surrounding efficacy of antidepressants for children and adolescents. Thanks! twitter-thread.com/t/1974884739... @floriannaudet.bsky.social
twitter-thread.com
I GOT A THIRD NICKEL but unfortunately it's driving the most influential meta-analysis of antidepressants in children and adolescents (thread) https://t.co/DrZ9V4g41b by @literalbanana(Science Banana)...
I GOT A THIRD NICKEL but unfortunately it's driving the most influential meta-analysis of antidepressants in children and adolescents (thread) https://t.co/DrZ9V4g41b
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Martin Plöderl @ploederl.bsky.social · 03/10/2026
Ooops, here is the link: mmmdata.io/posts/2025/0...
mmmdata.io
If researchers find Cohen's *d* = 8, no they didn't
I’ve spent a lot of time thinking about the plausibility of standardized effect sizes in the last year. From a trustworthiness assessment perspective, (standardized) effect sizes have a great combinat...
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Martin Plöderl @ploederl.bsky.social · 03/10/2026
See this excellent blog by @ianhussey.mmmdata.io for background on implausible effect sizes, including the reference to the 🍫 vs. 💩 study. We thought of including this comparison in the paper but did not, in order to avoid being all too provocative and rejected
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Florian Naudet @floriannaudet.bsky.social · 03/10/2026
🍫 or 💩? About the effect size reported in a trial that shaped the estimated effect of fluoxetine in meta-analyses of pediatric depression, my stellar co-author @ploederl.bsky.social says: “It’s the kind of effect size you only get if you ask people whether they prefer chocolate or faeces.” 👇👇👇
nature.com
Prozac use for childhood depression skewed by single flawed medical trial
One small study in Iran swayed meta-analyses in favour of antidepressant use in children, researchers say.
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Martin Plöderl @ploederl.bsky.social · 02/10/2026
Thanks, Erick!
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Erick Turner @eturnermd1.bsky.social · 02/10/2026
Excellent work by @ploederl.bsky.social , @floriannaudet.bsky.social & colleagues. There had bn 2 NMAs published in @thelancet.com on meds 4 pediatric depression reporting o'all SMDs that seemed 2 good 2 B true, then found the culprit–an outlier with an SMD>4! onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
A Re‐Appraisal of Three Network Meta‐Analyses to Explain the Discrepancy in Findings for the Efficacy of Fluoxetine for the Treatment of Depression in Children and Adolescents
Objective To explain discrepant findings for fluoxetine's efficacy in three influential network meta-analyses (NMAs) of treatments for pediatric depression, which led to conflicting clinical recomme...
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Jacek Debiec, MD, PhD, DPhil 🌎 🧠 @drjacekdebiec.bsky.social · 03/10/2026
Congrats!
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Florian Naudet @floriannaudet.bsky.social · 02/10/2026
🔥 OUR STUDY FEATURED IN NATURE NEWS What if one flawed zombie trial 🧟 helped shape the evidence for treating depression in children? Quote : "Elia Abi-Jaoude, [...] calls the paper a “slam-dunk study”. “I hope it will get wide exposure” he says."
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Richard Van Noorden @richvn.bsky.social · 02/10/2026
@floriannaudet.bsky.social, @ploederl.bsky.social and others found the change comes down to whether the meta-analyses happend to include a particular clinical trial on 40 children in Iran from 2006. This one trial found an unfeasibly huge advantage for Prozac over another antidepressant.
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Richard Van Noorden @richvn.bsky.social · 02/10/2026
Scientists have repeatedly warned that flawed studies are affecting the results of systematic reviews in medicine and other fields, but it’s rare to find such a clear example, says @floriannaudet.bsky.social . Read more here: www.nature.com/articles/d41...
nature.com
Prozac use for childhood depression skewed by single flawed medical trial
One small study in Iran swayed meta-analyses in favour of antidepressant use in children, researchers say.
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Martin Plöderl @ploederl.bsky.social · 01/10/2026
🚨 Paper Alert 🚨 Our new study on the impact of a single small zombie trial on fluoxetine's overall efficacy estimation is out. With great colleagues @floriannaudet.bsky.social @richlyus.bsky.social and Gert van Valkenhoef 🧟‍♂️🧟‍♀️🧟 A longer 🧵 (1/n)
onlinelibrary.wiley.com
A Re‐Appraisal of Three Network Meta‐Analyses to Explain the Discrepancy in Findings for the Efficacy of Fluoxetine for the Treatment of Depression in Children and Adolescents
Objective To explain discrepant findings for fluoxetine's efficacy in three influential network meta-analyses (NMAs) of treatments for pediatric depression, which led to conflicting clinical recomme.....
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Ian Hussey @ianhussey.mmmdata.io · 25/09/2026
"Systematic reviews are only as credible as the studies they include" INSPECT-SR was published yesterday, giving concrete guidance on how to exclude untrustworthy studies. Cochrane's statement: www.cochrane.org/about-us/new... Article: www.cochrane.org/about-us/new... Guidance: inspect-sr.com
cochrane.org
New tool helps researchers spot problematic trials before they distort evidence | Cochrane
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Peer Review Congress #PRC11 Coming 2029! @peerreviewcongress.bsky.social · 21/09/2026
High-confidence MAs use prospectively reg’d protocols, independent reviewers, high-qual RCTs, w enough events for precise meaningful estimates w consistent effects + heterogeneity that's low or clinically/statistically explicable www.thelancet.com/jo... Harlan M. Krumholz The Lancet
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Martin Plöderl @ploederl.bsky.social · 20/09/2026
Just came across this meta-analysis on antidepressants to treat anxiety in elderly people. Have a look at the forest plot. Yes, the effects of some SSRI trials are implausibly large. Study: doi.org/10.1016/s221... Here an overview of the errors I detected: pubpeer.com/publications...
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Florian Naudet @floriannaudet.bsky.social · 04/09/2026
🚨 paper alert 🚨 « Open Science Policies and Practices Among Medical Journals » led by Constant Vinatier. jamanetwork.com/journals/jam...
jamanetwork.com
Open Science Policies and Practices Among Medical Journals
This cross-sectional study evaluates which open science practices have been adopted by leading general medical journals and whether automated tools can assess article-level adherence.
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rboussageon.bsky.social @rboussageon.bsky.social · 04/09/2026
www.jclinepi.com/article/S089... @floriannaudet.bsky.social
jclinepi.com
The erosion of proof in paradigm transitions: the rise of narrative rationality in health technology assessment
To describe and characterize three partly coexisting evidentiary configurations in drug regulation and health technology assessment (HTA), and to examine the inferential consequences of the progressiv...
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Martin Plöderl @ploederl.bsky.social · 04/09/2026
7. Posted on PubPeer: pubpeer.com/publications... M/SDs also appear to be GRIM/GRIMMER inconsistent, but this needs a more thorough check
pubpeer.com
PubPeer - Efficacy and safety evaluation of intravenous esketamine in...
There are comments on PubPeer for publication: Efficacy and safety evaluation of intravenous esketamine in alleviating perioperative depressive symptoms in Parkinson’s disease: a randomized controlled...
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
1. Rant: with the help of BMC Journals, the literature is flooded with potentially fraudulent ketamine/esketamine studies. I just came across this one. SMD = 3.8 on day 7, when administered during anesthesia. Absurd!
link.springer.com
Efficacy and safety evaluation of intravenous esketamine in alleviating perioperative depressive symptoms in Parkinson’s disease: a randomized controlled trial - BMC Anesthesiology
Objective Depressive symptoms frequently afflict individuals with Parkinson’s disease (PD). The current study was consequently conducted to determine the efficacy of low-dose intravenous esketamine in...
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
2. Study says it followed the Helsinki Declaration, but it was registered retrospectively. The Helsinki Declaration requires prospective registration.
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
3. "a recent large-scale meta-analysis (67 RCTs, n= 11,553) concluded that intravenous administration, the route used in our study, is the most effective for improving depressive symptoms and preventing postoperative depression, though it may carry a higher risk of dizziness [7]" Ref #7: mice study!
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
4. Detected in about 30Minutes. I assume that many more oddities will occur when taking a closer look. @floriannaudet.bsky.social @ianhussey.mmmdata.io
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
5. This is the p-value for the comparison of depression between esketamine and placebo at t3: 0.0000000000000000008 SMD = 3.77 (95% CI 2.88 to 4.67)
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Martin Plöderl @ploederl.bsky.social · 03/09/2026
6. "The trial protocol was prospectively registered with the Chinese Clinical Trial Registry" versus "An additional limitation of this study is the retrospective trial registration.when in fact it was done retrospectively"
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Jack Wilkinson @jdwilko.bsky.social · 03/09/2026
Research is so much more difficult when you care about research integrity. This is why it will never be a priority for most researchers. Researchers benefit from lax standards.
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Florian Naudet @floriannaudet.bsky.social · 27/08/2026
Peer review of the day: Is it possible that researchers pooled the baseline characteristics of clinical trials, thinking they were actually analyzing the efficacy of a treatment. and, on top of that, pooled the primary publication of a trial together with its secondary publications? Answer: YES
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Journal of Clinical Epidemiology @jclinepi.bsky.social · 24/08/2026
Choice of estimands and estimators affected the interpretation of results for some outcomes in a cluster-randomised trial (RESTORE) due to informative cluster size - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
jclinepi.com
Choice of estimands and estimators affected the interpretation of results for some outcomes in a cluster-randomised trial (RESTORE) due to informative cluster size
In cluster-randomised trials (CRTs), different estimands can be targeted, such as the individual- or cluster-average effect. These two estimands can differ in magnitude when outcomes or treatment effe...
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
After unblinding, outcome data for nine patients were modified in a way that changed the result to statistical significance. These altered findings were subsequently published and submitted to regulators, and the ADVOCATE publication was retracted on June 29, 2026.
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
According to the FDA, the original blinded analysis failed to demonstrate a statistically significant benefit, with a two-sided p value of 0.1025.
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
While post-marketing reports of potentially serious liver toxicity contributed to these decisions, the case is particularly striking because the pivotal phase III ADVOCATE trial, on which the drug's approval relied, was found to contain falsified data.
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
In April 2026, the US Food and Drug Administration (FDA) proposed withdrawing avacopan from the US market, followed in June by a similar proposal from the European Medicines Agency (EMA).
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
A new editorial (in French) published in La Revue de Médecine Interne by Alexandre Terré, Marie-France Mamzer and I, examines the avacopan (Tavneos®) case and the serious questions it raises about the integrity and oversight of clinical research. authors.elsevier.com/c/1nfgAubUqz...
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Florian Naudet @floriannaudet.bsky.social · 24/08/2026
🚨 New preprint on nepotistic editors 🚨 How frequently do journal editors publish research articles in the journals they oversee? Our new preprint led by the great Cedric Lemarchand provides some interesting data from biomedical research. www.medrxiv.org/content/10.6...
medrxiv.org
Editors and research articles: a retrospective study of self-publication in biomedical research
Objective In 2021, a large-scale survey highlighted that in a subset of biomedical journals, a few authors –often serving on the editorial board– published disproportionately and experienced shorter a...
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Florian Naudet @floriannaudet.bsky.social · 15/08/2026
Non pas d idée. Pour Fresh, j’ai juste aidé au brainstorming. Je ne suis pas directement impliqué. Mais tu peux leur demander, ils te diront. Ils savent sûrement.
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Florian Naudet @floriannaudet.bsky.social · 13/08/2026
New paper published in JCE: « The Erosion of Proof in Paradigm Transitions: The Rise of Narrative Rationality in Health Technology Assessment. » Lega JC, Gougeon A, Michal C, Provencher S, Naudet F, Falissard B, Chevrette C, Boussageon R jclinepi.com/retrieve/pii...
jclinepi.com
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Martin Plöderl @ploederl.bsky.social · 13/08/2026
🚨 1. Can changed trial characteristics explain fluoxetine's loss of efficacy for pediatric depression? New paper by @floriannaudet.bsky.social @richlyus.bsky.social and me is out. It is a secondary meta-regression on an already existing meta-analysis. Why was this important? ->
sciencedirect.com
Can fluoxetine’s diminished efficacy in pediatric depression be explained by study sites, baseline severity, age, and psychological interventions? A secondary exploratory meta-regression.
Fluoxetine’s efficacy estimates in pediatric depression trials have declined to the range of placebo equivalence. We investigated whether changes in t…
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Peer Review Congress #PRC11 Coming 2029! @peerreviewcongress.bsky.social · 12/08/2026
OSF is Changing! Starting Nov 16, 2026, no new projects or child components of existing projects can be created on OSF After Feb 19, 2027, all public and private OSF projects will become read-only Learn more at www.cos.io/osf-changes @cos.io @briannosek.bsky.social
cos.io
OSF Changes | Center for Open Science
We are preparing substantial changes to OSF that will reduce its functionality, focus OSF on its unique strengths, and move toward an integrated model with complementary services. As part of that shif...
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Greater clarity and standardisation, particularly among public sponsors, could improve transparency and facilitate responsible data reuse, while remaining compatible with GDPR requirements.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Private sponsors tend to provide more detailed and operationally explicit documentation, whereas public sponsors often articulate high-level commitments without trial-specific guidance.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Conclusion: Clinical trial data sharing governance in the EU shows a marked sectoral imbalance among the top sponsors.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Across sectors, General Data Protection Regulation compliance, data protection, and legal safeguards were emphasised, while operational aspects such as dataset readiness, review criteria, and downstream responsibilities varied widely. Overall response rate to sponsor verification was 37.5%.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Public sponsors more frequently referenced data management and sharing plans, but these were heterogeneous in scope and often embedded within broader institutional governance documents rather than tailored to clinical trials.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Results: Among 40 sponsors, private sponsors were substantially more likely than public sponsors to make trial-specific data sharing policies and data use agreements publicly accessible, often via established data sharing platforms.
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Florian Naudet @floriannaudet.bsky.social · 11/08/2026
Quantitative data were summarised descriptively, and a non-interpretive descriptive content analysis was conducted to characterise recurring policy elements and areas of heterogeneity.
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