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10.1007/s12250-020-00258-7

http://scihub22266oqcxt.onion/10.1007/s12250-020-00258-7
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32696396!7371831!32696396
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suck abstract from ncbi


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pmid32696396      Virol+Sin 2020 ; 35 (6): 725-733
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  • A Small-Scale Medication of Leflunomide as a Treatment of COVID-19 in an Open-Label Blank-Controlled Clinical Trial #MMPMID32696396
  • Hu K; Wang M; Zhao Y; Zhang Y; Wang T; Zheng Z; Li X; Zeng S; Zhao D; Li H; Xu K; Lan K
  • Virol Sin 2020[Dec]; 35 (6): 725-733 PMID32696396show ga
  • We recently reported that inhibitors against human dihydroorotate dehydrogenase (DHODH) have broad-spectrum antiviral activities including their inhibitory efficacies on SARS-CoV-2 replication in infected cells. However, there are limited data from clinical studies to prove the application of DHODH inhibitors in Coronavirus disease 2019 (COVID-19) patients. In the present study, we evaluated Leflunomide, an approved DHODH inhibitor widely used as a modest immune regulator to treat autoimmune diseases, in treating COVID-19 disease with a small-scale of patients. Cases of 10 laboratory-confirmed COVID-19 patients of moderate type with obvious opacity in the lung were included. Five of the patients were treated with Leflunomide, and another five were treated as blank controls without a placebo. All the patients accepted standard supportive treatment for COVID-19. The patients given Leflunomide had a shorter viral shedding time (median of 5 days) than the controls (median of 11 days, P = 0.046). The patients given Leflunomide also showed a significant reduction in C-reactive protein levels, indicating that immunopathological inflammation was well controlled. No obvious adverse effects were observed in Leflunomide-treated patients, and they all discharged from the hospital faster than controls. This preliminary study on a small-scale compassionate use of Leflunomide provides clues for further understanding of Leflunomide as a potential antiviral drug against COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |Aged[MESH]
  • |Antiviral Agents/*administration & dosage[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19/diagnostic imaging/metabolism/virology[MESH]
  • |China[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Leflunomide/*administration & dosage[MESH]
  • |Lung/diagnostic imaging/drug effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/drug effects/physiology[MESH]
  • |Virus Replication/drug effects[MESH]


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