Gustavo Monnerat
Gustavo Monnerat/LinkedIn

Gustavo Monnerat: Clinical Trials Most Likely to Shape Medical Practice in the Coming Years

Gustavo Monnerat, Deputy Editor at The Lancet, shared a post on LinkedIn:

“Nature Medicine recently published clinical trials most likely to shape medical practice in the coming years.

Among all of them, these are the ones I personally found most interesting:

A next-generation tuberculosis vaccine (M72/AS01E):

The current BCG vaccine works reasonably well in young children, but its protection fades in adolescents and adults. This large phase 3 trial, enrolling 20,000 participants across Africa and Asia, aims to prevent progression to active pulmonary TB.

Targeting inflammation in heart disease (IL-6 inhibition with ziltivekimab):

This trial moves cardiovascular prevention beyond cholesterol lowering. By targeting residual inflammatory risk, it reinforces a crucial idea of an inflammation cause.

Two approaches stood out:

  • mRNA CAR-T therapies that temporarily reprogram immune cells without permanent DNA editing
  • Prime editing of autologous stem cells, correcting genetic defects using the patient’s own cells, with early signals suggesting functional cures in rare diseases.”

Read the full article: Eleven clinical trials that will shape medicine in 2026.