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10.1016/S0140-6736(20)31042-4

http://scihub22266oqcxt.onion/10.1016/S0140-6736(20)31042-4
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C7211500!7211500 !32401715
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suck abstract from ncbi


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pmid32401715
      Lancet 2020 ; 395 (10238 ): 1695-1704
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  • Triple combination of interferon beta-1b, lopinavir-ritonavir, and ribavirin in the treatment of patients admitted to hospital with COVID-19: an open-label, randomised, phase 2 trial #MMPMID32401715
  • Hung IF ; Lung KC ; Tso EY ; Liu R ; Chung TW ; Chu MY ; Ng YY ; Lo J ; Chan J ; Tam AR ; Shum HP ; Chan V ; Wu AK ; Sin KM ; Leung WS ; Law WL ; Lung DC ; Sin S ; Yeung P ; Yip CC ; Zhang RR ; Fung AY ; Yan EY ; Leung KH ; Ip JD ; Chu AW ; Chan WM ; Ng AC ; Lee R ; Fung K ; Yeung A ; Wu TC ; Chan JW ; Yan WW ; Chan WM ; Chan JF ; Lie AK ; Tsang OT ; Cheng VC ; Que TL ; Lau CS ; Chan KH ; To KK ; Yuen KY
  • Lancet 2020[May]; 395 (10238 ): 1695-1704 PMID32401715 show ga
  • BACKGROUND: Effective antiviral therapy is important for tackling the coronavirus disease 2019 (COVID-19) pandemic. We assessed the efficacy and safety of combined interferon beta-1b, lopinavir-ritonavir, and ribavirin for treating patients with COVID-19. METHODS: This was a multicentre, prospective, open-label, randomised, phase 2 trial in adults with COVID-19 who were admitted to six hospitals in Hong Kong. Patients were randomly assigned (2:1) to a 14-day combination of lopinavir 400 mg and ritonavir 100 mg every 12 h, ribavirin 400 mg every 12 h, and three doses of 8 million international units of interferon beta-1b on alternate days (combination group) or to 14 days of lopinavir 400 mg and ritonavir 100 mg every 12 h (control group). The primary endpoint was the time to providing a nasopharyngeal swab negative for severe acute respiratory syndrome coronavirus 2 RT-PCR, and was done in the intention-to-treat population. The study is registered with ClinicalTrials.gov, NCT04276688. FINDINGS: Between Feb 10 and March 20, 2020, 127 patients were recruited; 86 were randomly assigned to the combination group and 41 were assigned to the control group. The median number of days from symptom onset to start of study treatment was 5 days (IQR 3-7). The combination group had a significantly shorter median time from start of study treatment to negative nasopharyngeal swab (7 days [IQR 5-11]) than the control group (12 days [8-15]; hazard ratio 4·37 [95% CI 1·86-10·24], p=0·0010). Adverse events included self-limited nausea and diarrhoea with no difference between the two groups. One patient in the control group discontinued lopinavir-ritonavir because of biochemical hepatitis. No patients died during the study. INTERPRETATION: Early triple antiviral therapy was safe and superior to lopinavir-ritonavir alone in alleviating symptoms and shortening the duration of viral shedding and hospital stay in patients with mild to moderate COVID-19. Future clinical study of a double antiviral therapy with interferon beta-1b as a backbone is warranted. FUNDING: The Shaw-Foundation, Richard and Carol Yu, May Tam Mak Mei Yin, and Sanming Project of Medicine.
  • |Adult [MESH]
  • |Betacoronavirus [MESH]
  • |COVID-19 [MESH]
  • |COVID-19 Drug Treatment [MESH]
  • |Coronavirus Infections/*drug therapy [MESH]
  • |Drug Combinations [MESH]
  • |Drug Therapy, Combination [MESH]
  • |Female [MESH]
  • |Hong Kong [MESH]
  • |Hospitalization [MESH]
  • |Humans [MESH]
  • |Interferon beta-1b/*therapeutic use [MESH]
  • |Lopinavir/*therapeutic use [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pandemics [MESH]
  • |Pneumonia, Viral/*drug therapy [MESH]
  • |Ribavirin/*therapeutic use [MESH]
  • |Ritonavir/*therapeutic use [MESH]


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