AVIFAVIR for Treatment of Patients With Moderate Coronavirus Disease 2019 (COVID-19): Interim Results of a Phase II/III Multicenter Randomized Clinical Trial
Andrey A Ivashchenko, Kirill A Dmitriev, Natalia V Vostokova, Valeria N Azarova, Andrew A Blinow, Alina N Egorova, Ivan G Gordeev, Alexey P Ilin, Ruben N Karapetian, Dmitry V Kravchenko, Nikita V Lomakin, Elena A Merkulova, Natalia A Papazova, Elena P Pavlikova, Nikolay P Savchuk, Elena N Simakina, Tagir A Sitdekov, Elena A Smolyarchuk, Elena G Tikhomolova, Elena V Yakubova, Alexandre V Ivachtchenko, Andrey A Ivashchenko, Kirill A Dmitriev, Natalia V Vostokova, Valeria N Azarova, Andrew A Blinow, Alina N Egorova, Ivan G Gordeev, Alexey P Ilin, Ruben N Karapetian, Dmitry V Kravchenko, Nikita V Lomakin, Elena A Merkulova, Natalia A Papazova, Elena P Pavlikova, Nikolay P Savchuk, Elena N Simakina, Tagir A Sitdekov, Elena A Smolyarchuk, Elena G Tikhomolova, Elena V Yakubova, Alexandre V Ivachtchenko
Abstract
In May 2020 the Russian Ministry of Health granted fast-track marketing authorization to RNA polymerase inhibitor AVIFAVIR (favipiravir) for the treatment of COVID-19 patients. In the pilot stage of Phase II/III clinical trial, AVIFAVIR enabled SARS-CoV-2 viral clearance in 62.5% of patients within 4 days, and was safe and well-tolerated. Clinical Trials Registration. NCT04434248.
Keywords: AVIFAVIR; COVID-19; SARS-CoV-2; favipiravir.
© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America.
Figures
References
- Sisay M. Available evidence and ongoing clinical trials of remdesivir: could it be a promising therapeutic option for COVID-19? Front Pharmacol 2020; 11:791.
- Avigan Tablet 200 mg. Report on the Deliberation Results. Evaluation and Licensing Division, Pharmaceutical and Food Safety Bureau. Ministry of Health, Labour and Welfare. March 4, 2014, Pharmaceuticals and Medical Devices Agency, January 23, 2014. Available at: .
- Wang M, Cao R, Zhang L, et al. . Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro. Cell Res 2020; 30:269–71.
- Cai Q, Yang M, Liu D, et al. . Experimental treatment with favipiravir for COVID-19: an open-label control study. Engineering 2020. Journal Pre-proofs. doi:10.1016/j.eng.2020.03.007
- WHO R&D Blueprint COVID 19 Experimental Treatments. COVID Classification of treatment types. 2020. Available at: .
- WHO R&D Blueprint novel Coronavirus COVID-19 Therapeutic Trial Synopsis. Accessed 18 February 2020, Geneva, Switzerland. Available at: .
- Interim guidelines. Prevention, diagnostics and treatment of a new coronavirus infection (COVID-19), MOH of the Russian Federation. Version 6 from 28 April 2020. Available at: .
- A’Hern RP. Sample size tables for exact single-stage phase II designs. Stat Med 2001; 20:859–66.
- Pilkington V, Pepperrell T, Hill A. A review of the safety of favipiravir–a potential treatment in the COVID-19 pandemic? J Virus Erad 2020; 6:45–51.
Source: PubMed