Its not something we would look at seriously for real life patients. If there are no options maybe we will consider it when we grasping for options (which we did at the start of covid-19).
Even when we see proper trials vs placebo we still dont look at it that too seriously. What we really want to see is RCT vs the gold standard or a combination of different drugs with a placebo.
We dont deny their usefulness as tools of medical science but we have to be careful what we apply to a patient.
For example a rep can approach me with drug X and say it controls blood pressure better than placebo by 10%. To me that means nothing, I can get a patient to achieve that without drug therapy and simple lifestyle modifications.
But if the rep comes and says we have drug X ands its shown 10% more effective than drug Y (the gold standard) then you can start considering it. Even then you still wouldnt switch the patient from drug Y if they tolerate it well and its working.
Obviously its not so simple but in terms of understanding and in application, the level of evidence varies depending on the situation its applied to. So in silico has its uses but its too weak to use to recommend you dosing an entire population with a drug.
Perfectly acceptable, BUT that was NOT the question I asked of buka001 who used a stupid attempt to discredit the technique. In-silico evidence on its own is obviously NOT the complete and final answer but the start of a process, which normally results in follow-ups, in vitro, then in-vivo, then ex-vivo and animal studies and the human trials.
Yet quite often big pharma will skip some of the steps when it suits them. Presumably, the evidence gained is sometimes convincing enough to allow them to do so.
The issue I am raising is total and automatic rejection by the detractors of IVM of evidence that is gained through a recognised research method just because it re-inforces their own bias.
Yet those same guys WILL accept an in-silico study to claim something does not work, even IF that study says that there should be more work done to confirm the result
It is about the principle and the validity of the proper scientific methodology used.
There can never be a reasonable debate about this subject in the presence of all these stupidly ignorant comments flowing out of the idiot fringe on this thread. There will never be any recognition of evidence either way.