Effect of Tenofovir Alafenamide Fumarate on the outcomes of hospitalized COVID-19 patients: a prospective, block-balanced, open-label, randomized controlled trial.

IF 2.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY
Nazanin Yazdan Pouri, Zahra Shokati Eshkiki, Afshin Talebi, Bahman Cheraghian, Fatemeh Ahmadi, Niloofar Neisi, Ali Akbar Shayesteh
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引用次数: 0

Abstract

Background: The global effort to cure COVID-19 is still ongoing. Thus, a prospective, block-balanced, open-label, randomized controlled trial was conducted to evaluate how Tenofovir Alafenamide Fumarate affects hospitalized COVID-19 patients' outcomes.

Methods: The intervention and control groups of 60 hospitalized COVID-19 patients were randomly allocated. Along with normal medication, the intervention group received 25 mg of tenofovir orally daily for seven days. The control group got normal therapy, including remdesivir and corticosteroids. ICU hospitalization duration, laboratory data, fever, dyspnea, arterial blood oxygen saturation with and without an oxygen face mask, mechanical ventilation, and mortality were the outcomes.

Results: Sixty of 236 eligible patients between September 2020 and February 2021 were enrolled. The intervention group had a mean age (±SD) of 61.33 (±13.09) years and the control group 60.03 (±18.03). Sixteen (53.3%) intervention patients and 15 (50.0%) control patients were males. The intervention group had fewer mechanical ventilation and ICU days. Tenofovir Alafenamide Fumarate did not improve fever, dyspnea, oxygen saturation with or without a face mask or nasal cannula, or laboratory data including WBC, ESR, CRP, AST, ALT, AlkP, total and direct bilirubin, in COVID-19 patients.

Conclusion: According to this pilot trial, Tenofovir Alafenamide Fumarate, along with conventional treatment, significantly reduced mechanical ventilation and ICU stay in COVID-19 patients. Further thorough research is necessary to verify this conclusion.

富马酸替诺福韦阿拉非那酰胺对 COVID-19 住院患者疗效的影响:一项前瞻性、分块平衡、开放标签、随机对照试验。
背景:全球仍在努力治愈 COVID-19。因此,我们开展了一项前瞻性、整群平衡、开放标签、随机对照试验,以评估富马酸替诺福韦-阿拉非那胺对COVID-19住院患者疗效的影响:方法:将 60 名 COVID-19 住院患者随机分配为干预组和对照组。干预组在接受常规药物治疗的同时,每天口服 25 毫克替诺福韦,连续七天。对照组接受常规治疗,包括雷米替韦和皮质类固醇。重症监护室的住院时间、实验室数据、发热、呼吸困难、戴或不戴氧气面罩时的动脉血氧饱和度、机械通气和死亡率均为研究结果:2020 年 9 月至 2021 年 2 月期间,236 名符合条件的患者中有 60 人被纳入干预组。干预组的平均年龄(±SD)为 61.33(±13.09)岁,对照组为 60.03(±18.03)岁。16名(53.3%)干预组患者为男性,15名(50.0%)对照组患者为男性。干预组的机械通气和重症监护室天数较少。COVID-19患者的发热、呼吸困难、使用或不使用面罩或鼻插管时的血氧饱和度以及实验室数据(包括白细胞、血沉、CRP、AST、ALT、AlkP、总胆红素和直接胆红素)均未得到改善:根据这项试点试验,富马酸替诺福韦-阿拉非那胺与常规治疗一起使用,可显著减少 COVID-19 患者的机械通气时间和重症监护室住院时间。要验证这一结论,还需要进一步的深入研究。
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来源期刊
BMC Pharmacology & Toxicology
BMC Pharmacology & Toxicology PHARMACOLOGY & PHARMACYTOXICOLOGY&nb-TOXICOLOGY
CiteScore
4.80
自引率
0.00%
发文量
87
审稿时长
12 weeks
期刊介绍: BMC Pharmacology and Toxicology is an open access, peer-reviewed journal that considers articles on all aspects of chemically defined therapeutic and toxic agents. The journal welcomes submissions from all fields of experimental and clinical pharmacology including clinical trials and toxicology.
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