Hindustan Times (Bathinda)

DCGI approves limited use of psoriasis injection for Covid

- Rhythma Kaul letters@hindustant­imes.com ■

THE HEALTH MINISTRY SAID THE DRUG IS ALSO CHEAPER THAN THE OTHER REPURPOSED MEDICINES APPROVED FOR COVID TREATMENT

NEW DELHI: The Drugs Controller General of India (DCGI) has approved restricted emergency use of Itolizumab injection for treating moderate to severe coronaviru­s disease (Covid-19) cases. The approval has been granted based on clinical trial data that has shown promise, officials aware of the matter said.

Itolizumab is a monoclonal antibody approved for the treatment of severe chronic plaque psoriasis. Monoclonal antibodies are lab-made proteins that act like human antibodies in the immune system and fight against foreign molecules.

The drug is manufactur­ed and marketed by Biocon for the treatment of patients with moderate to severe chronic plaque psoriasis since 2013. In a statement, the Union health ministry on Saturday said Biocon presented the phase II clinical trial results generated in Covid-19 patients to DCGI. “The results of these trials were deliberate­d in the Subject Expert Committee of DCGI’S office. Details of primary endaverage point of mortality, other key endpoints of lung function such as improvemen­t in PAO2 and O2 saturation were presented. Key inflammato­ry markers IL-6, TNF etc., were presented to have reduced significan­tly with the drug thereby preventing hyperinfla­mmation in Covid-19 patients.”

The emergency use authorisat­ion involves fulfilment of certain conditions. They include taking written consent of patients and apprising them of risks and benefits of the drug and putting a risk management plan in place. The drug is to be given only in medical institutio­ns and is not meant for sale at retail pharmacies.

The health ministry said the drug is cheaper than the other repurposed medicines approved for Covid-19 treatment. “The cost of treatment with this indigenous drug is also lesser than comparable drugs that are part of the ‘investigat­ional therapies’ indicated in the clinical management protocol for Covid-19,” it said.

The drugs approved for use in treatment in India include antivirals like remdesivir, and immunosupp­ressant tocilizuma­b, steroid dexamethas­one, and anti-malarial hyrdoxychl­oroquine.

“Itolizumab is the first novel biologic therapy to be approved anywhere in the world for treating patients with moderate to severe Covid-19 complicati­ons. Biocon has repurposed Itolizumab… for the treatment of cytokine release syndrome (CRS) in moderate to severe ARDS (acute respirator­y distress syndrome) patients due to Covid-19,” said Biocon Ltd. in a statement.

“Lok Nayak Hospital was one of the sites of the Itolizumab study wherein we used Itolizumab to treat eight patients. These patients did extremely well even with a single dose of Itolizumab…,” said Dr Suresh Kumar, medical director, Lok Nayak Hospital, in a statement.

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