A five-day course of the antiviral drug remdesivir sped recovery in moderately ill patients with pneumonia from Covid-19, drugmaker Gilead Sciences announced in a statement Monday.
It’s more evidence that the drug can help patients, however outside experts are not calling this a “game changer” quite yet.
Coronavirus patients who were hospitalized, but not sick enough to need oxygen from a ventilator, were more likely to recover after a five-day course of remdesivir than those given the current standard of care alone, Gilead said.
The results from the Phase III clinical trial on the drug have not yet been published in a peer-reviewed medical journal. Gilead said it plans to submit the full data for publication in the coming weeks.
“With the latest data announced today, we now have three randomized, controlled clinical trials demonstrating that remdesivir improved clinical outcomes by several different measures,” Dr. Merdad Parsey, chief medical officer for Gilead Sciences, said in a company statement.
Gilead originally studied remdesivir as a potential treatment for Ebola, but lab experiments suggested it might be active against coronavirus.
The US Food and Drug Administration has not approved any treatment for Covid-19 – but in early May, the FDA issued an emergency use authorization for remdesivir for use as a treatment for the sickest hospitalized Covid-19 patients.
Remdesivir is approved to treat Covid-19 in Japan, but is considered an investigational treatment for Covid-19 elsewhere in the world, Gilead noted.
“With the additional data we have in hand today, we will continue to pursue research opportunities to evaluate patient outcomes and potentially benefit more patients with remdesivir,” Parsey said.
“These include extending treatment earlier in the course of disease, combination studies with other therapies for the most critically ill patients, pediatric studies and the development of alternate formulations,” Parsey said. “We will continue to share emerging data with regulatory authorities as we work together to help address the needs of patients around the world.”
Some improvement with five-day course of treatment, early data suggest
For the new study, led and funded by Gilead, researchers randomly assigned 600 patients to receive either the current standard of care for Covid-19; a five-day course of remdesivir in addition to the current standard of care; or 10 days of the drug plus care. The recovery of each patient was tracked and examined using a scale.
Moderately ill Covid-19 patients who received a five-day course of remdesivir were more likely to have clinical improvement after 11 days compared to those who received traditional standard of care alone, Gilead said. However, while patients who received a 10-day course of the drug improved, the results were not statistically significant, suggesting just five days of treatment may be enough to help patients recover. The full data still needs to be released.
Gilead said that within 11 days, 134 of the 191 patients given a five-course of remdesivir showed at least two points of improvement on the tracking scale, and no one died. And 126 of the 193 patients who were given a 10-day course showed at least two points of improvement on the scale, but two died. Among the 200 patients who received only the standard of care, 121 showed at least two points of improvement and four died.
The most common side effects of remdesivir in the study were nausea, diarrhea and headaches.