Typically you'd register a "stopping rule" before you start your trial: a good drug often will trigger the stopping rule, as it helped so much that we learned about its efficacy on a smaller N than originally planned.
There are many different stopping criteria, depending on the trial (in safety trials you'd typically stop because you've found evidence that the drug is unsafe and continuing would be unfair to the folks in the treatment group, whereas in efficacy trials after safety has been established, you'd stop because you've found evidence that the drug is effective and continuing would be unfair to the folks in the control group).
in fact there is a downside risk to continuing as well, further study might show that the early results were an outlier and the drug is not as effective as previously thought (or has some serious side effects in some situation), and then you lose all the money you've invested. But if you push it through, there is no risk of being sued since the US Government has waived any liability on the part of drug companies for these therapies.
in a game-theoretic sense there is absolutely no benefit to continuing the trials and potential downsides to doing so. Remember, for-profit companies don't care about maximizing public health, they care about maximizing revenue. Especially when you've explicitly removed all financial liability for being risky with public health.
A question to you and grandparent post: what are the things that distinguish a high quality RCT from a poor one? The number of participants, the design study, etc.? Any links/resources that discuss this would be appreciated.
edit: ok, I found a paper on this: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3429837/#:~:tex....
I am super curious now about any discussion that reveals why the WHO study was less-than-stellar, and why the original RCT was considered high-quality.