IMU-838联合Oseltamivir治疗中重度COVID-19的II期临床试验:首位患者已入组

2020-07-27 Allan MedSci原创

IMU-838已成功证明了其对重症急性呼吸综合征冠状病毒2(SARS-CoV-2)的临床前活性。

Immunic是一家临床阶段的生物制药公司,Immunic今日宣布已开始选择性口服DHODH抑制剂IMU-838联合神经氨酸酶抑制剂Oseltamivir(Tamiflu)治疗中重度COVID-19的II期临床试验(ONIC试验)。ONIC试验是一项前瞻性、随机、平行分组、开放标签的IIb期研究。

IMU-838已成功证明了其对重症急性呼吸综合征冠状病毒2(SARS-CoV-2)的临床前活性。IMU-838能够抑制SARS-CoV-2病毒的复制。此外,IMU-838的药代动力学、安全性和耐受性均良好。

英国胃肠病学会主席Ramesh Arasaradnam教授评论说:“最新的研究强调,临床前模型显示抗病毒药物和DHODH抑制剂之间的强大协同作用。我们相信,在英国已获许可的药物Oseltamivir与IMU-838的结合可能提供了一种有前途的方法用于治疗严重的病毒感染,包括中晚期COVID-19患者”。

二氢乳清酸脱氢酶(DHODH)是由人类16号染色体上的DHODH基因编码的酶。由该基因编码的酶在嘧啶的从头合成(de novo synthesis)中催化第四步酶促步骤,即泛醌介导的二氢乳清酸氧化为乳清酸。该蛋白是位于线粒体内膜(IMM)外表面的线粒体蛋白。

 

原始出处:

https://www.firstwordpharma.com/node/1743602?tsid=4

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  5. [GetPortalCommentsPageByObjectIdResponse(id=2038339, encodeId=cb5e203833916, content=<a href='/topic/show?id=77dc10129e89' target=_blank style='color:#2F92EE;'>#首位患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101297, encryptionId=77dc10129e89, topicName=首位患者)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLGtr9t89oicQdQSIeKmOQic1weIWfibJ7H24XnT8ic9wiaUMTnXByenuwicOj8Jib42ibHXNptnuiaKthhiaVw/132, createdBy=ac342500190, createdName=ms7524819409032184, createdTime=Thu Nov 19 12:14:07 CST 2020, time=2020-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1931520, encodeId=5307193152017, content=<a href='/topic/show?id=a3d89601f2' target=_blank style='color:#2F92EE;'>#II期临床试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9601, encryptionId=a3d89601f2, topicName=II期临床试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Dec 10 22:14:07 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2088815, encodeId=6756208881580, content=<a href='/topic/show?id=53961018913' target=_blank style='color:#2F92EE;'>#I期临床试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10189, encryptionId=53961018913, topicName=I期临床试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45b2276, createdName=839640778, createdTime=Fri Nov 27 11:14:07 CST 2020, time=2020-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1653061, encodeId=b6df165306160, content=<a href='/topic/show?id=5b011018e07' target=_blank style='color:#2F92EE;'>#I期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10187, encryptionId=5b011018e07, topicName=I期临床)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fc1f24335670, createdName=医生2402, createdTime=Tue Jun 01 16:14:07 CST 2021, time=2021-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806333, encodeId=6386806333be, content=期待期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/41C3A62A59564EB65D498614621E966F/100, createdBy=539f1963836, createdName=武亚晶, createdTime=Wed Aug 05 15:52:54 CST 2020, time=2020-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1524842, encodeId=89401524842a9, content=<a href='/topic/show?id=4ba395994d' target=_blank style='color:#2F92EE;'>#II期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9599, encryptionId=4ba395994d, topicName=II期临床)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=139811614978, createdName=guihongzh, createdTime=Wed Jul 29 12:14:07 CST 2020, time=2020-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=804802, encodeId=82ac804802c3, content=期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200727/7bb72bd6ef034fbab8532b2870d918b9/e2001f456ec94a43adb08b38101220b8.jpg, createdBy=d7055192198, createdName=ms6487490578077260, createdTime=Mon Jul 27 22:02:22 CST 2020, time=2020-07-27, status=1, ipAttribution=)]
    2020-08-05 武亚晶

    期待期待

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  7. [GetPortalCommentsPageByObjectIdResponse(id=2038339, encodeId=cb5e203833916, content=<a href='/topic/show?id=77dc10129e89' target=_blank style='color:#2F92EE;'>#首位患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101297, encryptionId=77dc10129e89, topicName=首位患者)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTLGtr9t89oicQdQSIeKmOQic1weIWfibJ7H24XnT8ic9wiaUMTnXByenuwicOj8Jib42ibHXNptnuiaKthhiaVw/132, createdBy=ac342500190, createdName=ms7524819409032184, createdTime=Thu Nov 19 12:14:07 CST 2020, time=2020-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1931520, encodeId=5307193152017, content=<a href='/topic/show?id=a3d89601f2' target=_blank style='color:#2F92EE;'>#II期临床试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9601, encryptionId=a3d89601f2, topicName=II期临床试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39a0295, createdName=kksonne, createdTime=Thu Dec 10 22:14:07 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2088815, encodeId=6756208881580, content=<a href='/topic/show?id=53961018913' target=_blank style='color:#2F92EE;'>#I期临床试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10189, encryptionId=53961018913, topicName=I期临床试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45b2276, createdName=839640778, createdTime=Fri Nov 27 11:14:07 CST 2020, time=2020-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1653061, encodeId=b6df165306160, content=<a href='/topic/show?id=5b011018e07' target=_blank style='color:#2F92EE;'>#I期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10187, encryptionId=5b011018e07, topicName=I期临床)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fc1f24335670, createdName=医生2402, createdTime=Tue Jun 01 16:14:07 CST 2021, time=2021-06-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806333, encodeId=6386806333be, content=期待期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/41C3A62A59564EB65D498614621E966F/100, createdBy=539f1963836, createdName=武亚晶, createdTime=Wed Aug 05 15:52:54 CST 2020, time=2020-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1524842, encodeId=89401524842a9, content=<a href='/topic/show?id=4ba395994d' target=_blank style='color:#2F92EE;'>#II期临床#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9599, encryptionId=4ba395994d, topicName=II期临床)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=139811614978, createdName=guihongzh, createdTime=Wed Jul 29 12:14:07 CST 2020, time=2020-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=804802, encodeId=82ac804802c3, content=期待, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200727/7bb72bd6ef034fbab8532b2870d918b9/e2001f456ec94a43adb08b38101220b8.jpg, createdBy=d7055192198, createdName=ms6487490578077260, createdTime=Mon Jul 27 22:02:22 CST 2020, time=2020-07-27, status=1, ipAttribution=)]
    2020-07-27 ms6487490578077260

    期待

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由于一些国家的实验室测试能力有限,COVID-19案例的真实数量可能被低估。因此,发现一个具有高的预测价值的症状在诊断和隔离策略中是非常有帮助的。

medRxiv:警惕!日本研究发现,清肺排毒汤会导致促炎细胞因子水平上调!

导言:在没有有效的新冠肺炎疫苗的情况下,中医药开辟蹊径,取得阶段性进展。而中药中一位“猛将”,清肺排毒汤,也因在山西等4个省份试点后明确指出总有效率达90%以上而闻名。近日,日

Sci Immun:IFN-1有望成为治疗重症新冠肺炎的“靶点新星”

据美国有线电视新闻网(CNN)7月11日报道,美国疾病控制与预防中心更新了针对公共卫生官员和数学建模研究员的指南。该指南估计,“40%的新冠病毒(SARS-CoV-2)感染者没有症状&rd

COVID-19候选疫苗mRNA-1273的III临床试验:规模将继续扩大

临床阶段生物技术公司Moderna是信使RNA(mRNA)治疗剂和疫苗的先驱,Moderna今日宣布对BARDA(生物医学高级研究与开发管理局)追加高达4.72亿美元的额外投资,以支持后期临床开发。

拓展阅读

Front Med:COVID-19住院患者Casirivimab/imdevimab失败预测评分的开发和验证

Casirivimab和imdevimab是两种非竞争性、高亲和力的人IgG1抗COVID-19单克隆抗体,它们特异性结合COVID-19病毒刺突糖蛋白的受体结合域,从而阻断病毒进入宿主细胞。

Biomedicines:2型糖尿病住院患者COVID-19的长期预后

在T2D合并COVID-19患者中,随访观察到住院死亡率、卒中和心血管住院率增加。

Cureus:2型糖尿病状态、糖尿病并发症严重程度指数评分及其与COVID-19严重程度的关系

与非糖尿病患者相比,我们样本中的糖尿病患者发生COVID-19不良临床结果和住院死亡率的几率更高。

Lancet Infect Dis:口服VV116用于治疗轻中度COVID-19成人患者的有效性和安全性评价

目前,治疗COVID-19的医疗需求仍未得到满足,新型抗病毒药物-VV116可用于治疗轻中度COVID-19成人患者,能够显著缩短临床症状持续时间,与其他药物较少发生药物间相互作用,且安全性良好。

论文解读|Yihua Wang教授团队新研究揭示了揭示COVID-19对肺癌治疗和研究的深远影响

该文章揭示了此次大流行对肺癌治疗、临床试验、研究活动的影响。

JAMA Intern Med:COVID-19相关急性肾损伤与长期肾脏结果

与患有其他疾病相关AKI的患者相比,COVID-AKI住院幸存者的MAKE发生率、长期肾功能下降和死亡率均显著较低。