美国国立卫生研究院(NIH)进行瑞德西韦联合干扰素β-1a治疗COVID-19的临床试验

2020-08-07 Allan MedSci原创

美国国立卫生研究院(NIH)已开始进行一项随机对照临床试验,以评估抗病毒药物瑞德西韦联合免疫调节剂干扰素β-1a治疗COVID-19的安全性和有效性(ACTT 3研究)。

美国国立卫生研究院(NIH)已开始进行一项随机对照临床试验,以评估抗病毒药物瑞德西韦联合免疫调节剂干扰素β-1a治疗COVID-19的安全性和有效性(ACTT 3研究)。ACTT 3研究预计将在美国和其他国家多达100个地点招募1000多名COVID-19住院患者。美国国立卫生研究院的国家过敏和传染病研究所(NIAID)赞助了该试验。

ACTT于2020年2月21日开始评估瑞德西韦,这是一种由吉利德科学公司发现和开发的研究性广谱抗病毒药物。对ACTT数据的初步分析发现,与接受安慰剂的患者相比,接受瑞德西韦的患者的恢复时间具有统计学意义上的显著缩短。这些结果已于5月22日发布。

干扰素β-1a是德国默克公司生产的药物,已在美国和其他90多个国家/地区获得批准用于治疗多发性硬化症。干扰素β-1a与干扰素β的天然蛋白质具有相同的氨基酸序列,这是一类称为1型干扰素的蛋白质。受感染的细胞通常会产生1型干扰素,以帮助免疫系统抵抗病原体,尤其是病毒。干扰素β具有抗病毒和抗炎特性。

实验室研究表明,感染SARS-CoV-2(引起COVID-19的病毒)的某些人会抑制正常的干扰素反应。在实验室中,1型干扰素可以抑制SARS-CoV-2和两种密切相关的病毒,即SARS-CoV和MERS-CoV。此外,两项小型随机对照试验表明,干扰素β治疗可能会使COVID-19患者受益。尚未在大型随机对照试验中评估干扰素β-1a和瑞德西韦联合治疗COVID-19的作用。

 

原始出处:

https://www.firstwordpharma.com/node/1747143?tsid=4

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    2020-08-09 宋威
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    2020-08-07 ms6000001113694287

    好文章

    0

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    2020-08-07 拔管小王子

    😁

    0

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拓展阅读

WHO推荐用于新冠重症救治的巴瑞替尼,你至少需要知道这4点!

1、具有住院高危因素的患者:强烈推荐使用(奈玛特韦片/利托那韦);弱推荐使用(莫努匹韦)(瑞德西韦)。2、重型或危重型患者:强烈推荐使用糖皮质激素、IL-6受体阻断剂、巴瑞替尼,而且这三种药物可以联用

NEJM:BQ.1.1和XBB对小分子抗新冠病毒药物仍然敏感

新冠病毒BQ.1.1 和 XBB 对目前已知上市的单抗类药物全部耐药,但是,对小分子抗新冠病毒药物是否敏感呢?最新一期《新英格兰杂志》上报道了相关研究。

FDA宣布:准瑞德西韦用于治疗28天以上幼童的新冠病毒感染的治疗!

美国时间4月25日,食品暨药物管理局(FDA)首次正式批准,吉利德医药公司(Gilead)生产的COVID-19(2019冠状病毒疾病)治疗药物瑞德西韦(Remdesivir)可用于出生28天以上的幼

Infection:瑞德西韦在 COVID-19 住院患者中的疗效和安全性分析

瑞德西韦(Remdesivir),是一种核苷类似物,具有抗病毒活性,后来经批准可用于新冠肺炎的治疗。

NEJM:瑞德西韦治疗可预防Covid-19门诊患者病情进展

在Covid-19进展风险较高的非住院患者中,瑞德西韦治疗3天的安全性可接受,与安慰剂相比,住院或死亡风险降低了87%。

NEJM:早期瑞德西韦治疗可使新冠肺炎患者住院风险降低87%

对于存在重症高风险因素的非住院新冠肺炎患者,3天的瑞德西韦治疗方案可有效降低患者住院风险,较安慰剂相比,风险下降了87%。