Prospective Analysis of Clinicopathologic Correlates of At-Home Feline Infectious Peritonitis Treatment Using GS-441524.

IF 3.3 3区 医学 Q2 MICROBIOLOGY
Kelly Larson, Emma Hart, Rosa Negash, Wendy Novicoff, Nicole Jacque, Samantha Evans
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Abstract

Feline Infectious Peritonitis (FIP) is caused by a systemic feline coronavirus (FCoV). Prior to June 2024, compounded FIP treatment was unavailable for prescription by veterinarians in the United States, leading to many cat owners obtaining treatment through unlicensed "black market" sources. We hypothesized that clinicopathologic data could provide insight on prognostic indicators for the treatment of FIP with GS-441524. This study used data gathered via surveys from 126 cat owners who used "black market" GS-441524 for their cats. We compared bloodwork parameters over twelve weeks of treatment. None of the clinicopathologic correlates, when analyzed via two-sample t-tests, produced statistically significant results between cured, deceased, and relapsed groups. Within cats considered cured, it was observed that hematocrit (HCT) and white blood cell (WBC) values were within normal limits by the 2-6-week period. Cats who died during the study had lower HCT and higher WBC values within the 2-6-week period. Trends were also seen in A/G and total bilirubin (T-BIL), with deceased patients showing a higher A/G ratio and lower value than those in the cured group. Overall, these data demonstrate a lack of traditional clinicopathologic parameters which are consistently predictive of FIP therapy success. Other predictors of outcome with antiviral therapy should be pursued.

GS-441524在家中治疗猫感染性腹膜炎临床病理相关性的前瞻性分析。
猫传染性腹膜炎(FIP)是由系统性猫冠状病毒(FCoV)引起的。在2024年6月之前,美国兽医无法开具复方FIP治疗处方,导致许多猫主人通过未经许可的“黑市”来源获得治疗。我们假设临床病理数据可以为GS-441524治疗FIP提供预后指标。这项研究使用了通过对126名猫主人的调查收集的数据,他们使用“黑市”GS-441524购买他们的猫。我们比较了12周治疗期间的血检参数。当通过双样本t检验分析时,没有任何临床病理相关性在治愈组、死亡组和复发组之间产生统计学显著结果。在被认为治愈的猫中,观察到在2-6周期间,血细胞比容(HCT)和白细胞(WBC)值在正常范围内。在研究期间死亡的猫在2-6周内HCT较低,WBC值较高。A/G和总胆红素(T-BIL)也有变化趋势,死亡患者的A/G比高于治愈组,而T-BIL值低于治愈组。总的来说,这些数据表明缺乏传统的临床病理参数,这些参数一致地预测FIP治疗的成功。抗病毒治疗结果的其他预测因素应该继续研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pathogens
Pathogens Medicine-Immunology and Allergy
CiteScore
6.40
自引率
8.10%
发文量
1285
审稿时长
17.75 days
期刊介绍: Pathogens (ISSN 2076-0817) publishes reviews, regular research papers and short notes on all aspects of pathogens and pathogen-host interactions. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodical details must be provided for research articles.
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