- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Insights into the Main Protease of SARS-CoV-2: Thermodynamic Analysis, Structural Characterization, and the Impact of Inhibitors. (Pubmed Central) - Oct 8, 2024 The main protease (Mpro) of SARS-CoV-2 is an essential enzyme for coronaviral maturation and is the target of Paxlovid, which is currently the standard-of-care treatment for COVID-19...The overall energy landscape was obtained using variable temperature nanoelectrospray ionization (vT-nESI), thus providing quantitative evaluation of inhibitor binding on the stability of Mpro. Thermodynamic parameters extracted from van't Hoff plots revealed that the dimeric complexes containing each inhibitor showed enhanced stability through increased melting temperatures as well as overall lower average charge states, giving insight into the basis for inhibition mechanisms.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Xevudy (sotrovimab) / GSK, National Institutes of Health, Vir Biotech, National Institute of Allergy and Infectious Diseases
Retrospective data, Journal, Real-world evidence, Real-world effectiveness, Real-world: Real-world effectiveness of early anti-SARS therapy in severely immunocompromised COVID-19 outpatients during the SARS-CoV-2 omicron variant era: a propensity score-adjusted retrospective cohort study. (Pubmed Central) - Oct 7, 2024 Thermodynamic parameters extracted from van't Hoff plots revealed that the dimeric complexes containing each inhibitor showed enhanced stability through increased melting temperatures as well as overall lower average charge states, giving insight into the basis for inhibition mechanisms. Early antiviral treatment was associated with a reduced risk of COVID-19-related hospitalization in ambulatory severely immunocompromised COVID-19 patients.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: A Majority Of Americans Have No Or Low Awareness Of Paxlovid, The At-Home COVID-19 Treatment. (Pubmed Central) - Oct 7, 2024 Results suggest that Paxlovid underuse may be partly driven by a lack of effective public communication to generate awareness and knowledge about the drug, leading to low demand. As Paxlovid loses full government subsidies, further public outreach is needed to ensure that the public accesses it when needed.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Xevudy (sotrovimab) / GSK, National Institutes of Health, Vir Biotech, National Institute of Allergy and Infectious Diseases
Clinical data, Retrospective data, Journal, Monotherapy: Does early combination vs. Monotherapy improve clinical outcomes of clinically extremely vulnerable patients with COVID-19? Results from a retrospective propensity-weighted analysis. (Pubmed Central) - Oct 5, 2024 Early combination therapy showed a favourable impact on a composite outcome (including mortality, hospitalizations and access to emergency department) in severely immunocompromised hosts who were all vaccinated. However, further studies are needed to support our results.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, bebtelovimab (LY-CoV1404) / AbCellera, Eli Lilly, Lagevrio (molnupiravir) / Ridgeback Biotherap, Merck (MSD)
Journal: Reprint of: Evaluation of physicians prescribing of COVID-19 guideline-directed outpatient treatments in a primary care walk-in clinic. (Pubmed Central) - Oct 3, 2024 Nirmatrelvir-ritonavir was the most prescribed medication for the treatment of mild-to-moderate COVID-19, consistent with its position as first-line therapy and widespread accessibility. The study results will inform future educational opportunities, such as in-service presentations and handouts, that may improve the prescribing of outpatient treatment for mild-to-moderate COVID-19 moving forward.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Prolonged course of Paxlovid administration in a centenarian with COVID-19: A case report. (Pubmed Central) - Oct 2, 2024 The study results will inform future educational opportunities, such as in-service presentations and handouts, that may improve the prescribing of outpatient treatment for mild-to-moderate COVID-19 moving forward. This case suggests that Paxlovid can be used cautiously in centenarians with renal insufficiency and two courses of treatment can be considered in patients with persistent positive nucleic acid.
- |||||||||| Comirnaty (tozinameran) / Pfizer, BioNTech, Covilo (BBIBP-CorV) / Wuhan Institute of Virology, Sinopharm
Journal: Predictors of Hospitalization in Breakthrough COVID-19 among Fully Vaccinated Individuals with Immune-Mediated Rheumatic Diseases: Data from SAFER-Study. (Pubmed Central) - Sep 29, 2024 The first booster (n = 150) was with BNT162b2 (BioNtech/Fosun Pharma/Pfizer) (63%) or ChAdOx1 (29%)...IMRD moderate/high activity (OR: 5.84; CI: 1.9-18.5; p = 0.002) and treatment with corticosteroids (OR: 2.94; CI: 1.02-8.49; p = 0.0043) were associated with higher odds of hospitalization, while increasing the number of vaccine doses was protective (OR: 0.37; CI: 0.15-0.9; p = 0.032). These findings, along with previous reassuring results about the safety of the COVID-19 vaccines, argue in favor of booster vaccination in IMRD patients.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Myrtus communis L. Essential Oil Exhibits Antiviral Activity against Coronaviruses. (Pubmed Central) - Sep 29, 2024 Artificial bacterial chromosome plasmids that expressed SARS-CoV-2 used for replicon-to determine viral replication and viral assembly/egress on HEK293T/17 cells-and virus-like particles on Huh7.5-AT cells-to determine viral entry and assembly/egress-showed no antiviral activity with MEO in comparison to Remdesivir. This study reveals the potential effectiveness of MEO as an alternative natural remedy to treat human coronaviruses and a potential antiviral agent for future coronavirus infections.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
STRATIFYING RISK FOR LONG COVID IN PATIENTS WITH IMMUNODEFICIENCY (Monitor 26; Hall A) - Sep 29, 2024 - Abstract #ACAAI2024ACAAI_1023; Our study further suggests that Paxlovid could be an effective strategy in reducing the risk of PASC among immunodeficiency patients. Future prospective studies are necessary to confirm these findings.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Enrollment closed, Enrollment change, Trial completion date, Trial primary completion date, HEOR: PROLIFIC: imPROving Quality of LIFe In the Long COVID Patient (clinicaltrials.gov) - Sep 26, 2024 P2, N=180, Active, not recruiting, Future prospective studies are necessary to confirm these findings. Recruiting --> Active, not recruiting | N=400 --> 180 | Trial completion date: Mar 2024 --> Nov 2024 | Trial primary completion date: Jan 2024 --> Nov 2024
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Identifying Veterans Who Benefit From Nirmatrelvir-Ritonavir: A Target Trial Emulation. (Pubmed Central) - Sep 26, 2024 Nirmatrelvir-ritonavir was effective in reducing 30-day hospitalization and death in older veterans, those at highest predicted risk for severe outcomes, and immunocompromised groups. Benefit was not observed in younger veterans or groups at lower predicted risk for hospitalization and death.
- |||||||||| Covilo (BBIBP-CorV) / Wuhan Institute of Virology, Sinopharm
Journal, Real-world evidence, Real-world: A real-world study of BBIBP-CorV vaccine effectiveness in a Sri Lanka rural province. (Pubmed Central) - Sep 26, 2024 Individuals who have received two doses of the BBIBP-CorV vaccine are protected against hospitalisation, severe COVID-19 disease, and death. Duration of protection against hospitalisation, severe COVID-19, and fatal COVID-19 sustained at least 121 days, with no sign of waning during that time.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Emerging SARS-CoV-2 Resistance After Antiviral Treatment. (Pubmed Central) - Sep 25, 2024 In this cohort study of 156 participants, treatment-emergent nirmatrelvir resistance mutations were commonly detected, especially in individuals who were immunosuppressed. However, these mutations were generally present at low frequencies and were transient in nature, suggesting a low risk for the spread of nirmatrelvir resistance in the community with the current variants and drug usage patterns.
- |||||||||| romlusevimab (BRII-198) / Brii Biosci, amubarvimab (BRII-196) / Brii Biosci
Retrospective data, Journal: Effect of amubarvimab-romlusevimab for treatment of severe COVID-19 in intensive care units: A retrospective cohort study. (Pubmed Central) - Sep 24, 2024 After including the above covariates, Multifactorial COX regression shows that the Amubarvimab - romlusevimab therapy(HR:0.392; CI:[0.211-0.729]; p:0.003), CRP, Lactate and PT-INR at admission are independent factors for mortality of severe COVID-19. Based on the current data, we conclude that amubarvimab-romlusevimab therapy is beneficial for patients with severe COVID-19.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Lagevrio (molnupiravir) / Ridgeback Biotherap, Merck (MSD)
Review, Journal: The Impact of Antidepressants on COVID-19 and Post-Acute COVID-19 Syndrome: A Scoping-Review Update (Pubmed Central) - Sep 23, 2024 In regions where neither vaccines nor antiviral agents currently approved for the prevention or treatment of COVID-19 are available, AD and in particular fluvoxamine would be a cost-effective alternative to protect against a severe course, even if this AD appears to have a smaller effect against COVID-19 than the currently approved antiviral agents, but with presumably better tolerability. A direct comparative clinical trial with approved antiviral agents is still pending and should be positive to further open the door for a guideline-based recommendation of fluvoxamine (or perhaps even AD) for COVID-19 or its aftermath.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: A potential allosteric inhibitor of SARS-CoV-2 main protease (Mpro) identified through metastable state analysis. (Pubmed Central) - Sep 23, 2024 Anti-COVID19 drugs, such as nirmatrelvir, have been developed targeting the SARS-CoV-2 main protease, Mpro, based on the critical requirement of its proteolytic processing of the viral polyproteins into functional proteins essential for viral replication...Finally, we tested the three compounds in vitro using a BRET-based Mpro biosensor and found that one of the compounds (ZINC4497834) inhibited the Mpro activity. We envisage that the identification of a potential allosteric inhibitor of Mpro will aid in developing improved anti-COVID-19 therapy.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
PK/PD data, Journal: Target Attainment and Population Pharmacokinetics of Nirmatrelvir/Ritonavir in Critically Ill Adult Patients. (Pubmed Central) - Sep 23, 2024 Based on our dosing simulations, the initial dosage of NIR/RIT was 300mg/100mg twice a day in critically ill patients with CrCL>45 mL/min; When CrCL in critically ill patients is between 15 and 45 mL/min, NIR/RIT is 150mg/100mg twice a day. The maintenance dose is adjusted according to CrCL and AUC of RIT, with the dosages varying between 75mg/100mg and 300mg/100mg.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Clinical, Retrospective data, Review, Journal: Paxlovid for the treatment of COVID-19: a systematic review and meta-analysis. (Pubmed Central) - Sep 20, 2024 Here we report a case of persistent COVID-19 in acute lymphoblastic leukemia (ALL) patient who successfully responded to extended course nirmatrelvir/ritonavir. Paxlovid can be considered an effective therapeutic agent for treating patients with COVID-19.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Journal: Comprehensive Analysis of Omicron Subvariants: EG.5 Rise, Vaccination Strategies, and Global Impact. (Pubmed Central) - Sep 20, 2024 In the context of the evolving variants, the FDA has granted emergency use authorization for updated COVID-19 vaccines targeting circulating strains, reflecting the adaptability of vaccination strategies to address emerging challenges. This comprehensive overview provides a nuanced understanding of the diverse Omicron subvariants, their global impact, and the ongoing efforts to combat their spread through vaccination and therapeutic interventions.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Enrollment closed, Trial completion date, Trial primary completion date: RECOVER-VITAL: Platform Protocol to Measure the Effects of Antiviral Therapies on Long COVID Symptoms (clinicaltrials.gov) - Sep 19, 2024 P2, N=964, Active, not recruiting, These treatments appeared to contribute to the improvement of protracted COVID-19. Recruiting --> Active, not recruiting | Trial completion date: Oct 2025 --> Mar 2025 | Trial primary completion date: Jul 2025 --> Dec 2024
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
Enrollment closed, Trial completion date, Trial primary completion date: RECOVER-VITAL: Platform Protocol, Appendix to Measure the Effects of Paxlovid on Long COVID Symptoms (clinicaltrials.gov) - Sep 18, 2024 P2, N=964, Active, not recruiting, Active, not recruiting --> Completed Recruiting --> Active, not recruiting | Trial completion date: Oct 2025 --> Mar 2025 | Trial primary completion date: Jul 2025 --> Dec 2024
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Lagevrio (molnupiravir) / Ridgeback Biotherap, Merck (MSD)
Journal: Efficacy of late-onset antiviral treatment in immunocompromised hosts with persistent SARS-CoV-2 infection. (Pubmed Central) - Sep 18, 2024 This study supports the use of direct-acting antivirals (DAAs) for late-onset management of persistent SARS-CoV-2 infection in immunocompromised hosts. However, treatment courses likely require to be extended for maximal therapeutic benefit, calling for appropriately powered clinical trials to meet the specific needs of this patient group.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Xocova (ensitrelvir) / Shionogi
Journal: A comprehensive study of SARS-CoV-2 mfigain protease (Mpro) inhibitor-resistant mutants selected in a VSV-based system. (Pubmed Central) - Sep 17, 2024 Moreover, we showed the putative molecular mechanism of resistance based on in silico molecular modelling. These findings have implications on the development of future generation Mpro inhibitors, will help to understand SARS-CoV-2 protease inhibitor resistance mechanisms and show the relevance of specific mutations, thereby informing treatment decisions.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Lagevrio (molnupiravir) / Ridgeback Biotherap, Merck (MSD)
Preclinical, Journal: Nirmatrelvir and Molnupiravir maintain potent in vitro and in vivo antiviral activity against circulating SARS-CoV-2 Omicron subvariants. (Pubmed Central) - Sep 17, 2024 In this study, we evaluated the efficacy of nirmatrelvir (PF-07321332) and other clinically significant SARS-CoV-2 antivirals against a diverse panel of SARS-CoV-2 variants, encompassing the newly identified Omicron subvariants XBB1.5 and JN.1, using live-virus antiviral assays. Our findings demonstrate that while the last Omicron subvariants exhibited heightened pathogenicity in our animal model, nirmatrelvir and other clinically relevant antivirals consistently maintained their efficacy against all tested variants, including the XBB1.5 subvariant.
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer
66 - Clinical Tropical Medicine Debates: COVID and Cholera Vaccines (Convention Center - Room 353 (3rd Floor); In-Person-Only) - Sep 15, 2024 - Abstract #ASTMH2024ASTMH_420; This symposium will explore the use of Nirmatrelvir/ritonavir for standby treatment of COVID in international travelers and expanded use of vaccines for prevention of Cholera in a debate style format. Presenters will articulate a pro or con position around each issue followed by a panel discussion of the merits of each argument.
- |||||||||| GC376 / Anivive, Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Xocova (ensitrelvir) / Shionogi
Journal: SARS-CoV-2 Mpro inhibitor identification using a cellular gain-of-signal assay for high-throughput screening. (Pubmed Central) - Sep 15, 2024 Presenters will articulate a pro or con position around each issue followed by a panel discussion of the merits of each argument. The SARS2 main protease enzyme, Mpro (also called 3C-like protease, 3CLpro), is a bona fide drug target as evidenced by potent inhibition with nirmatrelvir and ensitrelvir, the active components of the drugs Paxlovid and Xocova, respectively...In this assay, Mpro inhibits expression of a luciferase reporter, and 8,777 small molecules were considered hits by causing a gain in luciferase activity 3x SD above the sample field activity (6.8% gain-of-signal relative to 100
- |||||||||| Paxlovid (nirmatrelvir/ritonavir) / Pfizer, Lagevrio (molnupiravir) / Ridgeback Biotherap, Merck (MSD)
Journal: Molnupiravir or nirmatrelvir-ritonavir reduce the likelihood of hospitalization and mortality in immunocompromised patients with Covid-19. (Pubmed Central) - Sep 13, 2024 The SARS2 main protease enzyme, Mpro (also called 3C-like protease, 3CLpro), is a bona fide drug target as evidenced by potent inhibition with nirmatrelvir and ensitrelvir, the active components of the drugs Paxlovid and Xocova, respectively...In this assay, Mpro inhibits expression of a luciferase reporter, and 8,777 small molecules were considered hits by causing a gain in luciferase activity 3x SD above the sample field activity (6.8% gain-of-signal relative to 100 No abstract available
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