The gold standard for clinical trials of vaccines is the randomised, placebo-controlled trial. In other words, participants are randomly assigned to receive either the actual treatment or a placebo. Most people think of a placebo as an inert treatment – a sugar pill or a saline injection (for a vaccine trial) – but that’s not always the case.

Often researchers don’t mention what’s in the placebo. But it matters because it’s the difference between the effects of the actual treatment against the placebo that the researchers are looking for. Thankfully, Jeremy Howick and colleagues have published a template for reporting what’s in placebo controls. If it is widely adopted, we can get more accurate information on how beneficial and harmful treatments really are. Something that is really important right now.

Are sceptics right that plug-in hybrid cars aren’t as good for the environment as we once thought? Here’s how their emissions are measured. And here’s a look at how periods and the pill can affect athletic performance.

Clint Witchalls

Health + Medicine Editor (UK edition)

siam.pukkato/Shutterstock

Coronavirus vaccine: why it’s important to know what’s in the placebo

Jeremy Howick, University of Oxford

Researchers rarely report what's in a placebo.

Petovarga/Shutterstock

Are plug-in hybrid cars worse for environment than factory tests suggest? It depends how you drive them

Ashley Fly, Loughborough University

Drivers with long commutes who rarely charge their plug-in hybrid car are likely to emit much more CO₂ than official test figures suggest.

These effects may have the greatest impact on elite athletes. Leonard Zhukovsky/ Shutterstock

How periods and the pill affect athletic performance

Dan Gordon, Anglia Ruskin University

Some evidence shows that hormonal fluctuations throughout the menstrual cycle can both increase and decrease athletic performance.

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