Under the null hypothesis, a difference this large is still extremely unlikely for a group this small. Sometimes, counterintuitively, you don’t need a huge group.
Yeah, this is a fairly standard size for an early trial.
Trials cost money. Even if this is a lucky outlier and it turns out to be no better than the placebo in a larger trial, having a decently strong positive result can hugely improve your chances of getting the money (and interest) needed to run a larger trial.
Sure, but at that point the complaint is in either the journalism being misleading (implying it's "coming soon" in a layman's use of "coming soon"), or our outsider view into internal messaging is misunderstanding the claims (if this was written for people familiar with the field, "there's a long way to go" is safe to assume as base knowledge, which outsiders may not have).
tl;dr yeah, but everyone knows that / science journalism is terrible.
The heart of the middlebrow dismissal is the assumption that the dismisser understands a field/industry better than a person who's spent their entire adult lives studying it.