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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Pharmacol+Res
2020 ; 158
(ä): 104899
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Compassionate remdesivir treatment of severe Covid-19 pneumonia in intensive care
unit (ICU) and Non-ICU patients: Clinical outcome and differences in
post-treatment hospitalisation status
#MMPMID32407959
Antinori S
; Cossu MV
; Ridolfo AL
; Rech R
; Bonazzetti C
; Pagani G
; Gubertini G
; Coen M
; Magni C
; Castelli A
; Borghi B
; Colombo R
; Giorgi R
; Angeli E
; Mileto D
; Milazzo L
; Vimercati S
; Pellicciotta M
; Corbellino M
; Torre A
; Rusconi S
; Oreni L
; Gismondo MR
; Giacomelli A
; Meroni L
; Rizzardini G
; Galli M
Pharmacol Res
2020[Aug]; 158
(ä): 104899
PMID32407959
show ga
SARS-CoV-2 is causing an increasing number of deaths worldwide because no
effective treatment is currently available. Remdesivir has shown in vitro
activity against coronaviruses and is a possible antiviral treatment for
SARS-CoV-2 infection. This prospective (compassionate), open-label study of
remdesivir, which was conducted at Luigi Sacco Hospital, Milan, Italy, between
February 23 and March 20, 2020, involved patients with SARS-CoV-2 pneumonia aged
?18 years undergoing mechanical ventilation or with an oxygen saturation level of
?94 % in air or a National Early Warning Score 2 of ?4. The primary outcome was
the change in clinical status based on a 7-category ordinal scale (1 = not
hospitalised, resuming normal daily activities; 7 = deceased). The 35 patients
enrolled from February 23 to March 20, 2020, included 18 in intensive care unit
(ICU), and 17 in our infectious diseases ward (IDW). The 10-day course of
remdesivir was completed by 22 patients (63 %) and discontinued by 13, of whom
eight (22.8 %) discontinued because of adverse events. The median follow-up was
39 days (IQR 25-44). At day 28, 14 (82.3 %) patients from IDW were discharged,
two were still hospitalized and one died (5.9 %), whereas in ICU 6 (33.3 %) were
discharged, 8 (44.4 %) patients died, three (16.7 %) were still mechanically
ventilated and one (5.6 %) was improved but still hospitalized.
Hypertransaminasemia and acute kidney injury were the most frequent severe
adverse events observed (42.8 % and 22.8 % of the cases, respectively). Our data
suggest that remdesivir can benefit patients with SARS-CoV-2 pneumonia
hospitalised outside ICU where clinical outcome was better and adverse events are
less frequently observed. Ongoing randomised controlled trials will clarify its
real efficacy and safety, who to treat, and when.
|*Betacoronavirus
[MESH]
|Acute Kidney Injury/chemically induced
[MESH]
|Adenosine Monophosphate/adverse effects/*analogs & derivatives/therapeutic use
[MESH]
|Aged
[MESH]
|Alanine/adverse effects/*analogs & derivatives/therapeutic use
[MESH]
|Antiviral Agents/adverse effects/therapeutic use
[MESH]
|COVID-19
[MESH]
|Compassionate Use Trials/*statistics & numerical data
[MESH]