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10.1089/AID.2020.0305

http://scihub22266oqcxt.onion/10.1089/AID.2020.0305
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33619997!ä!33619997

suck abstract from ncbi


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pmid33619997      AIDS+Res+Hum+Retroviruses 2021 ; 37 (4): 283-291
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  • Darunavir/Cobicistat Is Associated with Negative Outcomes in HIV-Negative Patients with Severe COVID-19 Pneumonia #MMPMID33619997
  • Milic J; Novella A; Meschiari M; Menozzi M; Santoro A; Bedini A; Cuomo G; Franceschini E; Digaetano M; Carli F; Ciusa G; Volpi S; Bacca E; Franceschi G; Yaacoub D; Rogati C; Tutone M; Burastero G; Faltoni M; Iadisernia V; Dolci G; Cossarizza A; Mussini C; Pasina L; Guaraldi G
  • AIDS Res Hum Retroviruses 2021[Apr]; 37 (4): 283-291 PMID33619997show ga
  • The aim of this study was to evaluate both positive outcomes, including reduction of respiratory support aid and duration of hospital stay, and negative ones, including mortality and a composite of invasive mechanical ventilation or death, in patients with coronavirus disease 2019 (COVID-19) pneumonia treated with or without oral darunavir/cobicistat (DRV/c, 800/150 mg/day) used in different treatment durations. The secondary objective was to evaluate the percentage of patients treated with DRV/c who were exposed to potentially severe drug-drug interactions (DDIs) and died during hospitalization. This observational retrospective study was conducted in consecutive patients with COVID-19 pneumonia admitted to a tertiary care hospital in Modena, Italy. Kaplan-Meier survival curves and Cox proportional hazards regression were used to compare patients receiving standard of care with or without DRV/c. Adjustment for key confounders was applied. Two hundred seventy-three patients (115 on DRV/c) were included, 75.8% males, mean age was 64.6 (+/-13.2) years. Clinical improvement was similar between the groups, depicted by respiratory aid switch (p > .05). The same was observed for duration of hospital stay [13.2 (+/-8.9) for DRV/c vs. 13.4 (+/-7.2) days for no-DRV/c, p = .9]. Patients on DRV/c had higher rates of mortality (25.2% vs. 10.1%, p < .0001. The rate of composite outcome of mechanical ventilation and death was higher in the DRV/c group (37.4% vs. 25.3%, p = .03). Multiple serious DDI associated with DRV/c were observed in the 19 patients who died. DRV/c should not be recommended as a treatment option for COVID-19 pneumonia outside clinical trials.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adult[MESH]
  • |Anti-HIV Agents/adverse effects/*therapeutic use[MESH]
  • |COVID-19/mortality/virology[MESH]
  • |Cobicistat/adverse effects/*therapeutic use[MESH]
  • |Darunavir/adverse effects/*therapeutic use[MESH]
  • |Drug Combinations[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]


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