The effect of combination treatment with casirivimab and imdevimab versus standard antiviral therapy on clinical outcomes in hospitalized COVID-19 patients DOI Creative Commons
Sahar K. Hegazy, Ahmed H. Hassan

Deleted Journal, Год журнала: 2024, Номер 1(1)

Опубликована: Окт. 14, 2024

Abstract Background The Coronavirus Disease of 2019 (COVID-19) pandemic motivated research efforts to address this catastrophe from the beginning 2020 present. year 2021 is coming an end, and several developments in pharmacotherapy for COVID-19 have occurred. In terms antiviral therapy, monoclonal antibody combinations become one type immunotherapy. Remdesivir favipiravir are two medications typically used treat COVID-19. Paxlovid (nirmatrelvir plus ritonavir) molnupiravir other agents purpose study was compare effects antibodies (casirivimab imdevimab), remdesivir, on swab results hospitalized patients with at discharge. Methods This a phase IV non-randomized controlled trial (< 300 as sample size) no comparison placebo. study, 265 confirmed by polymerase chain reaction (PCR) indications medication were into three groups ratio (1:2:2): REGN3048-3051 (group A), remdesivir B), C). A nonrandomized single-blind design used. study's provided Hospital Mansoura University. Following ethical approval, conducted approximately 6 months. Results Compared favipiravir, casirivimab imdevimab cause less hepatotoxicity, renal impairment, more negative tested antivirals also had significant adverse effects. All considered safe based these findings. Conclusion result better clinical outcomes. toxicity. Trial registration : Clinicaltrials.gov, NCT05502081, 16/08/2022.

Язык: Английский

Current status of therapeutic alternatives for COVID-19: A narrative review DOI Open Access
Abdullah Tarık Aslan, Murat Akova

Infezioni in Medicina, Год журнала: 2021, Номер 29(3), С. 312 - 327

Опубликована: Сен. 1, 2021

severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection has exploded and led to a global crisis.Currently, the case numbers topped 200 million, toll of dead exceeded 4 million around world.The pathogenesis coronavirus disease 2019 (COVID-19) is driven by two processes.During first stage that lasts 5-7 days, replication SARS-CoV-2 occurs.In second stage, may progress due an exaggerated inflammatory response leading tissue damage.Therefore, it anticipated antiviral agents would be effective during early phase disease, while immunomodulator are likely more beneficial in COVID-19.This basic concept development explore several for treatment COVID-19.Currently, remdesivir only available Food Drug Administration-approved agent COVID-19.However, some other have been approved various mechanisms, including Emergency Use Authorizations, Investigational New applications, compassionate use SUMMARY or expanded access programs.In addition, variety repurposed were indications being investigated CO-VID-19 clinical trials.A myriad publications randomized controlled trials (RCTs) emerging continuously accessible as peer-reviewed, pre-print press release formats.Considering critical importance RCTs generating evidence providing further guidance on COVID-19 treatment, we herein reviewed meta-analyses.The discussion includes (hydroxychloroquine, lopinavir/ritonavir, remdesivir, favipiravir ivermectin) and, immunomodulatory drugs (corticosteroids, tocilizumab, baricitinib, IL-1 inhibitors).Other investigational therapies darunavir/cobicistat, umifenovir, sofosbuvir/daclatasvir, sofobuvir/ledipasvir, ribavirin, nitazoxanide interferon-based regimens not evaluated insufficient data efficacy safety these agents.

Язык: Английский

Процитировано

11

AGIHO guideline on evidence-based management of COVID-19 in cancer patients: 2022 update on vaccination, pharmacological prophylaxis and therapy in light of the omicron variants DOI Creative Commons
Nicola Giesen,

Elena Busch,

Enrico Schalk

и другие.

European Journal of Cancer, Год журнала: 2022, Номер 181, С. 102 - 118

Опубликована: Дек. 10, 2022

Язык: Английский

Процитировано

8

Favipiravir-based treatment for outcomes of patients with COVID-19: a systematic review and meta-analysis of randomized controlled trials DOI
Shao‐Huan Lan, Chih‐Cheng Lai, Shen-Peng Chang

и другие.

Expert Review of Clinical Pharmacology, Год журнала: 2022, Номер 15(6), С. 759 - 766

Опубликована: Май 17, 2022

This meta-analysis of randomized controlled trials (RCTs) investigated the clinical efficacy and safety favipiravir for patients with mild-to-critical COVID-19.PubMed, Web Science, Ovid Medline, Embase, Cochrane Central Register Controlled Trials were searched RCTs published before 30 October 2021. Only that compared -based antiviral regimens (study group) other alternative treatments or placebos (control in COVID-19 included.Overall, improvement rate was significantly higher study group than control at assessment conducted after 14 days (OR, 1.83; 95% CI, 1.12-2.98). The virological eradication 28 2.09; 1.15-3.78). No significant difference observed rates invasive mechanical ventilation requirement ICU admission, mortality, risk an adverse event between groups.Except within days, favipiravir-based treatment did not provide additional benefit COVID-19. Therefore, more evidence is necessary.

Язык: Английский

Процитировано

7

Influence of chronic liver diseases on the course and outcome of COVID-19 DOI Creative Commons
Nikola Mitrović,

Milos Sabanovic,

Ankica Vujović

и другие.

PLoS ONE, Год журнала: 2023, Номер 18(7), С. e0288350 - e0288350

Опубликована: Июль 14, 2023

Coronavirus disease of 2019 (COVID-19) is a global health problem. The impact chronic liver diseases on the course and outcome COVID-19 still subject research. aim this study was to show characteristics patients with diseases, establish risk factors for unfavourable outcome.

Язык: Английский

Процитировано

4

The effect of combination treatment with casirivimab and imdevimab versus standard antiviral therapy on clinical outcomes in hospitalized COVID-19 patients DOI Creative Commons
Sahar K. Hegazy, Ahmed H. Hassan

Deleted Journal, Год журнала: 2024, Номер 1(1)

Опубликована: Окт. 14, 2024

Abstract Background The Coronavirus Disease of 2019 (COVID-19) pandemic motivated research efforts to address this catastrophe from the beginning 2020 present. year 2021 is coming an end, and several developments in pharmacotherapy for COVID-19 have occurred. In terms antiviral therapy, monoclonal antibody combinations become one type immunotherapy. Remdesivir favipiravir are two medications typically used treat COVID-19. Paxlovid (nirmatrelvir plus ritonavir) molnupiravir other agents purpose study was compare effects antibodies (casirivimab imdevimab), remdesivir, on swab results hospitalized patients with at discharge. Methods This a phase IV non-randomized controlled trial (< 300 as sample size) no comparison placebo. study, 265 confirmed by polymerase chain reaction (PCR) indications medication were into three groups ratio (1:2:2): REGN3048-3051 (group A), remdesivir B), C). A nonrandomized single-blind design used. study's provided Hospital Mansoura University. Following ethical approval, conducted approximately 6 months. Results Compared favipiravir, casirivimab imdevimab cause less hepatotoxicity, renal impairment, more negative tested antivirals also had significant adverse effects. All considered safe based these findings. Conclusion result better clinical outcomes. toxicity. Trial registration : Clinicaltrials.gov, NCT05502081, 16/08/2022.

Язык: Английский

Процитировано

1