Another way to bury HCQ.

(Thank you, Pres. Trump!)

FDA OKs Remdesivir, First Drug for COVID-19— Approval comes a week after
> WHO trial showed no survival benefit
>
> by Ian Ingram <https://www.medpagetoday.com/people/ii1250/ian-ingram>,
> Deputy Managing Editor, MedPage Today  October 22, 2020
>

https://www.medpagetoday.com/infectiousdisease/covid19/89281

>
> The FDA approved remdesivir (Veklury) on Thursday
> <https://www.fda.gov/news-events/press-announcements/fda-approves-first-treatment-covid-19>
>  for
> treating hospitalized COVID-19 patients, a first for the disease that
> started a global pandemic.
>
> Remdesivir, an antiviral that works by limiting SARS-CoV-2 replication, is
> indicated for hospitalized patients age 12 and up (and at least 40 kg [88.2
> lbs]). Previously, the intravenous drug was solely available under an
> emergency use authorization (EUA) from the agency.
>
> FDA also announced a new EUA for remdesivir in hospitalized kids age 12
> and older weighing at least 3.5 kg (7.7 lbs) but less than 40 kg, and in
> kids under age 12 weighing at least 3.5 kg.
>
> The news comes exactly a week after a major international trial led by the
> World Health Organization (WHO) found no survival improvement
> <https://www.medpagetoday.com/infectiousdisease/covid19/89167> for
> hospitalized COVID-19 patients treated with the drug, and no improvement in
> time to recovery.
>
> Approval was based on three randomized trials, including the National
> Institutes of Health-led ACTT-1 trial
> <https://www.medpagetoday.com/infectiousdisease/covid19/86670>, a phase
> III trial that showed that patients with mild, moderate, and severe disease
> who were treated with up to 10 days of remdesivir recovered a median 5 days
> quicker than those on placebo (10 vs 15 days; rate ratio [RR] 1.29, 95% CI
> 1.12-1.49, *P*<0.001), and a median 7 days quicker in those requiring
> oxygen at baseline (11 vs 18 days; RR 1.31, 95% CI 1.12-1.52).
>
> Fewer patients on oxygen at baseline progressed to mechanical ventilation
> or extracorporeal membrane oxygenation with remdesivir (13% vs 23%), and a
> trend toward lower day-29 mortality was observed with the drug (11.4% vs
> 15.2%; HR 0.73, 95% CI 0.52-1.03).
>
> "The approval of Veklury marks an important milestone in efforts to help
> address the pandemic by offering an effective treatment that helps patients
> recover faster and, in turn, helps preserve scarce healthcare resources,"
> ACTT-1 investigator Barry Zingman, MD, of the Albert Einstein College of
> Medicine and Montefiore Medical Center in New York City, said in a press
> release
> <https://www.gilead.com/news-and-press/press-room/press-releases/2020/10/us-food-and-drug-administration-approves-gileads-antiviral-veklury-remdesivir-for-treatment-of-covid19>
>  from
> drugmaker Gilead Sciences.
>
> "The availability of a rigorously tested treatment that can significantly
> speed recovery and offers other benefits such as lower rates of progression
> to mechanical ventilation, provides hospitalized patients and their
> families important hope and offers healthcare providers a critical tool as
> they care for patients in need," added Zingman.
>
> "Today's approval is supported by data from multiple clinical trials that
> the agency has rigorously assessed and represents an important scientific
> milestone in the COVID-19 pandemic," said FDA Commissioner Stephen Hahn,
> MD, in the agency's announcement.
>
> Other trials that supported approval showed that a 5-day course of the
> drug was roughly equivalent to a 10-day course
> <https://www.medpagetoday.com/infectiousdisease/covid19/86710>, and that some
> clinical benefit was also seen in patients hospitalized with moderate
> illness <https://www.medpagetoday.com/infectiousdisease/covid19/88216>.
>
> Remdesivir is contraindicated in those allergic to the drug or any of its
> components. Adverse events that were more common with the drug versus
> placebo included nausea and increased liver enzymes, but FDA listed other
> possible side effects that included allergic reactions, low blood oxygen
> level, fever, shortness of breath, wheezing, swelling, rash, nausea,
> sweating, and shivering.
>
---

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