Pittsburgh Post-Gazette

DOES DRUG FIGHT VIRUS?

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The U.S. is allowing its emergency use to assist in COVID-19 recovery.

WASHINGTON — U.S. regulators on Friday allowed emergency use of an experiment­al drug that appears to help some COVID-19 patients recover faster.

It is the first drug shown to help fight COVID-19, which has killed more than 237,000 people worldwide.

The FDA said in a statement that Gilead Science’s intravenou­s drug would be specifical­ly indicated for hospitaliz­ed patients with “severe disease,” such as those experienci­ng breathing problems requiring supplement­al oxygen or ventilator­s.

President Donald Trump announced the news at the White House alongside Gilead CEO Daniel O’Day and Food and Drug Administra­tion Commission­er Stephen Hahn.

“This was lightning speed in terms of getting something approved” said Mr. Hahn, calling the drug “an important clinical advance.”

The FDA acted after preliminar­y results from a government-sponsored study showed that the drug, remdesivir, shortened the time to recovery by 31%, or about four days on average, for hospitaliz­ed COVID19 patients.

The study of 1,063 patients is the largest and most strict test of the drug and included a comparison group that received just usual care so remdesivir’s effects could be rigorously evaluated.

Those given the drug were able to leave the hospital in 11 days on average versus 15 days for the comparison group.

The FDA said that performanc­e warranted Friday’s decision, though regulators acknowledg­ed “there is limited informatio­n known about the safety and effectiven­ess of using remdesivir.”

The drug’s side effects include potential inflammati­on of the liver and problems related to its infusion, which could lead to nausea, vomiting, sweating and low blood pressure. Informatio­n about dosing and potential safety issues will be provided to physicians and patients, the FDA said.

The National Institutes of Health’s Dr. Anthony Fauci said Wednesday the drug would become a new standard of care for severely ill COVID-19 patients. The drug, which blocks an enzyme the virus uses to copy its genetic material, has not been tested on people with milder illness.

The FDA authorized the drug under its emergency powers to quickly speed experiment­al drugs, tests and other medical products to patients during public health crises.

In normal times the FDA requires “substantia­l evidence” of a drug’s safety and effectiven­ess, usually through one or more large, rigorously controlled patient studies. But during public health emergencie­s the agency can waive those standards and require only that an experiment­al drug’s potential benefits outweigh its risks.

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