The Atlanta Journal-Constitution

Remdesivir fifirst drug OK’d to treat COVID- 19

FDA gave approval after study found it cut recovery time by 5 days.

- By Marilynn Marchione

U.S. regulators Thursday approved the fifirst drug to treat COVID- 19: remdesivir, an antiviral medicine given through an IV for patients needing hospitaliz­ation.

The drug, which California­based Gilead Sciences Inc. is calling Veklury, cut the time to recovery by fifive days — from 15 days to 10 on average — in a large study led by the U.S. National Institutes of Health.

It had been authorized for use on an emergency basis since spring, and now becomes the fifirst drug to win full Food and Drug Administra­tion approval for treatingCO­VID- 19. President Donald Trump received it when he was sickened earlier this month.

Veklury is approved for people at least 12 years old and weighing at least 88 pounds who need hospitaliz­ation for their coronaviru­s infection. For patients younger than 12, the FDA will still allow the drug’s use in certain cases under its previous emergency authorizat­ion.

The drug works by inhibiting a substance the virus uses tomake copies of itself. Certain tests are required before starting patients on it. And the label warns against using it with the malaria drug hydroxy chloroquin­e, because that can curb its effectiven­ess.

“We now have enough knowledge and a growing set of tools to help fifight COVID- 19,” Gilead’s chief medical offifficer, Dr. Merdad Parsey, said in a statement.

The drug is either approved or has temporary authorizat­ion in about 50 countries, he noted.

Its price has been controvers­ial, given that no studies have found it improves survival. Last week, a large study led by the World Health Organizati­on found the drug did not help hospitaliz­ed COVID- 19 patients, but that study did not include a placebo group and was less rigorous than previous ones that found a benefifit.

Gilead charges $ 2,340for a typical treatment course for people covered by government health programs in the United States and other developed countries, and $ 3,120 for patients with private insurance. The amount patients pay out of pocket depends on insurance, income and other factors.

Only one treatment — steroids such as dexamethas­one — has been shown so far to cut the risk of dying of COVID- 19. The FDA also has given emergency authorizat­ion to using the blood of survivors and two companies are currently seeking similar authorizat­ion for experiment­al antibody drugs.

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