Selected article for: "cov activity and MERS cov"

Author: McCreary, Erin K; Pogue, Jason M
Title: Coronavirus Disease 2019 Treatment: A Review of Early and Emerging Options
  • Document date: 2020_3_23
  • ID: j0i9ozsz_39
    Snippet: Interferons (α, β) may stimulate innate antiviral responses and are expected to have in vitro activity against SARS-CoV-2, given the previously described activity demonstrated against MERS-CoV (EC 50 175 IU/mL). However, toxicities are substantial including severe cytopenias, hepatotoxicity (including fatality), neuropsychiatric events, and risk of developing fatal or life-threatening ischemia or infection, particularly when combined with ribav.....
    Document: Interferons (α, β) may stimulate innate antiviral responses and are expected to have in vitro activity against SARS-CoV-2, given the previously described activity demonstrated against MERS-CoV (EC 50 175 IU/mL). However, toxicities are substantial including severe cytopenias, hepatotoxicity (including fatality), neuropsychiatric events, and risk of developing fatal or life-threatening ischemia or infection, particularly when combined with ribavirin. This combination was not associated with improved mortality or enhanced viral clearance in a retrospective analysis of patients infected with MERS-CoV who were initiated on combination therapy within 1-3 days of ICU admission [57] . Despite the limited to poor data, Chinese guidelines recommend ribavirin 500 mg IV 2-3 times daily in combination with LPV/r or inhaled interferon-α (5 million units nebulized twice daily) as one of the "standard treatment" options for COVID-19. Various combinations of ribavirin, interferon, and other antiviral agents are currently being studied in several clinical trials.

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