[elklindo69]

Appears that it's highly likely that Remdesivir will be the first approved treatment for clearing COVID-19 from people who are infected with the disease....





(Reuters) - The top U.S. infectious disease official said Gilead Sciences Inc’s experimental antiviral drug remdesivir will become the standard of care for COVID-19 after early clinical trial results on Wednesday showed it helped patients recover more quickly from the illness caused by the coronavirus.

Preliminary results from a U.S. government trial showing that patients given remdesivir recovered 31% faster than those given a placebo, were hailed by Dr. Anthony Fauci as “highly significant.”

“This is really quite important,” Fauci told reporters at the White House, likening it to a moment in 1986 “when we were struggling for drugs for HIV and we had nothing.”

“This will be the standard of care,” he said.

The U.S. Food and Drug Administration said it has been in discussions with Gilead (GILD.O) about making remdesivir available to patients as quickly as possible, but the agency declined to comment on any plans to grant the drug regulatory approval.

“I want them to go as quickly as they can,” President Donald Trump said, when asked if he wanted the FDA to grant emergency use authorization for remdesivir. “We want everything to be safe, but we would like to see very quick approvals, especially with things that work.”

The closely watched drug, given by intravenous infusion to hospitalized patients, has moved markets in the past few weeks following the release of data from several studies that painted a mixed picture of its effectiveness, and Fauci cautioned that the latest data still needs to be analyzed.

Gilead’s shares rose more than 5% on Wednesday to close at $83.14 and are up 27% so far this year.

Interest in remdesivir has been high as there are no approved treatments or preventive vaccines for COVID-19, and doctors are desperate for anything that might alter the course of the disease that attacks the lungs and can shut down other organs in severe cases.

Doctors have been eager for results from the NIH study because it is a large trial in which patients were randomized to treatment with the drug or a placebo without participants or doctors knowing which group they were in - the gold standard for clinical trials.

The National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health, said partial results from its 1,063-patient trial show that hospitalized COVID-19 patients given remdesivir recovered in 11 days, compared to 15 days for patients given a placebo.

The study showed a trend toward better survival for remdesivir - 8% of patients given the drug died compared with 11.6% in the placebo group - but the difference was not statistically significant so may not be due to Gilead’s drug.

The trial’s lead researcher told Reuters on Friday that full results could come by mid-May.

“The full dataset will provide more clarity on how remdesivir can best be used,” said Dr. Aneesh Mehta, a researcher on the NIH trial from Emory University School of Medicine in Atlanta.

Despite the excitement, Dr. Lawrence K. Altman, global fellow at The Wilson Center in Washington, DC, was not ready to celebrate the preliminary findings.

The new data “offers a glimmer of hope” that remdesivir has an effect against COVID-19, but more scientific analysis is needed “comparing them to other studies of the drug that have shown mixed results,” he said in a statement.

Also on Wednesday, results were published by the Lancet medical journal of a trial conducted in China that concluded remdesivir failed to improve patients’ condition or reduce the pathogen’s presence in the bloodstream. Gilead said previously that those findings were inconclusive because the study was terminated early.

“The drug seems to have antiviral activity - how much is as yet unclear,” Dr. Daniel McQuillen, an infectious disease specialist at Lahey Hospital & Medical Center in Burlington, Massachusetts, told Reuters. “Seems likely that it might need use with another antiviral agent.”

Combination antiviral treatments have proven highly effective against other diseases.

Gilead also provided data on a study in severe COVID-19 patients it has conducted in dozens of medical centers, which does not have a placebo comparison but tested the drug under five-day and 10-day regimens.

In that 397-patient trial, Gilead said clinical improvements were similar regardlesss of treatment duration, and patients treated early on with remdesivir did better than patients who were treated later in the course of infection.

Remdesivir, which previously failed as a treatment for Ebola, is being tried against COVID-19 because it is designed to disable the mechanism by which certain viruses make copies of themselves and potentially overwhelm their host’s immune system.

The company is also studying the drug in patients with less severe COVID-19, but those results are not expected until later next month.

[johnforbes]

Fauci was able to express enthusiasm about this, so perhaps that is a good sign, or perhaps he is influenced by Big Pharma, or perhaps he owns some Gilead stock?

In the lawsuit by the doctors in Nevada to remove any prescribing restriction on HCQ, they cite a 91 percent efficacy rate for HCQ and so the doctors there want HCQ as a tool.

However, there was one truth in the shoddy VA review -- i.e., that, if a patient is in cytokine storm, it is too late to prescribe HCQ.

One of the interesting aspects of this is that HCQ may actually help prevent coronavirus because, in nations where it is routinely given for malaria, the incidence of covid was low.

Or that might just have been how the cards fell.