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Remember when the market soared on several days in April on the Facui-touted Remdesivir study which, according to StatNews and various other unofficial sources of rumors, was a smashing success only for the optimism to fizzle as many questions emerged, and as the Gilead drug quietly faded from the public's consciousness and was replaced by various coronavirus vaccine candidates such as those made by the greatly hyped Moderna (whose insiders just can't stop selling company stock).
Meanwhile, those who were waiting for the official version of Remdesivir's effectiveness had to do so until 6pm on a Friday before a long holiday, and for good reason...
A visual representation of the outcomes is below; it shows that whereas there was a modest benefit only to patients who were receiving oxygen, the results were statistically insignificant vs placebo for patients not receiving oxygen, while in a surprising twist patients on high-flow oxygen or mechanical ventilator/ECMO did modestly better in the placebo group than those taking remdesivir. Also, the overall results showed a very modest, but not statistically significant improvement in the remdesivir group vs placebo (box A).
originally posted by: nugget1
Remdesivir costs $4,460 per course of treatment; hydroxychloroquine costs $13.00 for a months supply. Big pharma won't find or advocate any drug to treat covid that doesn't substantially increase their wealth.
originally posted by: carewemust
a reply to: 727Sky
So far, it looks like only Hydroxychloroquine-based treatments continue to show promise.
14 888 patients were in the treatment groups (1868 received chloroquine, 3783 received chloroquine with a macrolide, 3016 received hydroxychloroquine, and 6221 received hydroxychloroquine with a macrolide) and 81 144 patients were in the control group.
We were unable to confirm a benefit of hydroxychloroquine or chloroquine, when used alone or with a macrolide, on in-hospital outcomes for COVID-19. Each of these drug regimens was associated with decreased in-hospital survival and an increased frequency of ventricular arrhythmias when used for treatment of COVID-19.
originally posted by: ManFromEurope
NO at Hydroxycholorquine, and you can't get a better study:
originally posted by: carewemust
a reply to: 727Sky
So far, it looks like only Hydroxychloroquine-based treatments continue to show promise.
96 032 patients (mean age 53·8 years, 46·3% women) with COVID-19 were hospitalised during the study period and met the inclusion criteria. Of these, 14 888 patients were in the treatment groups (1868 received chloroquine, 3783 received chloroquine with a macrolide, 3016 received hydroxychloroquine, and 6221 received hydroxychloroquine with a macrolide) and 81 144 patients were in the control group. 10 698 (11·1%) patients died in hospital.
After controlling for multiple confounding factors (age, sex, race or ethnicity, body-mass index, underlying cardiovascular disease and its risk factors, diabetes, underlying lung disease, smoking, immunosuppressed condition, and baseline disease severity), when compared with mortality in the control group (9·3%), hydroxychloroquine (18·0%; hazard ratio 1·335, 95% CI 1·223–1·457), hydroxychloroquine with a macrolide (23·8%; 1·447, 1·368–1·531), chloroquine (16·4%; 1·365, 1·218–1·531), and chloroquine with a macrolide (22·2%; 1·368, 1·273–1·469) were each independently associated with an increased risk of in-hospital mortality. Compared with the control group (0·3%), hydroxychloroquine (6·1%; 2·369, 1·935–2·900), hydroxychloroquine with a macrolide (8·1%; 5·106, 4·106–5·983), chloroquine (4·3%; 3·561, 2·760–4·596), and chloroquine with a macrolide (6·5%; 4·011, 3·344–4·812) were independently associated with an increased risk of de-novo ventricular arrhythmia during hospitalisation.
Interpretation
We were unable to confirm a benefit of hydroxychloroquine or chloroquine, when used alone or with a macrolide, on in-hospital outcomes for COVID-19. Each of these drug regimens was associated with decreased in-hospital survival and an increased frequency of ventricular arrhythmias when used for treatment of COVID-19.
www.thelancet.com...(20)31180-6/fulltext
originally posted by: Daughter2
originally posted by: ManFromEurope
NO at Hydroxycholorquine, and you can't get a better study:
Actually you CAN get better studies! This wasn't a double blink study with placebos.
This was very much like the VA study - it was a look back study of hospitalized patients. You don't know if the very sick patients may have received this drug as a hail Mary type try.
The benefit of this drug maybe that it prevents serious complications but doesn't cure serious complications.
It's like giving someone dying of the flu a flu vaccine. I bet if you did that, you would conclude that vaccines aren't beneficial for the flu.
originally posted by: ManFromEurope
originally posted by: Daughter2
originally posted by: ManFromEurope
NO at Hydroxycholorquine, and you can't get a better study:
Actually you CAN get better studies! This wasn't a double blink study with placebos.
This was very much like the VA study - it was a look back study of hospitalized patients. You don't know if the very sick patients may have received this drug as a hail Mary type try.
The benefit of this drug maybe that it prevents serious complications but doesn't cure serious complications.
It's like giving someone dying of the flu a flu vaccine. I bet if you did that, you would conclude that vaccines aren't beneficial for the flu.
I would really like to know there the idea of "it might prevent complications" is coming from! - HCQ does LOWER the immun reaction of the body, which is why people with rheuma are using it to prevent flaring. How this should have the reverse reaction with COVID, I cannot understand.
Right now one of the major theories about the unusual high mortality rate is blood clogging. In Germany, many hospitals are STARTING the therapy even in light-middle cases with thromobis prophylaxis.
originally posted by: McGinty
originally posted by: carewemust
a reply to: 727Sky
So far, it looks like only Hydroxychloroquine-based treatments continue to show promise.
And perhaps the Madagascan herbal remedy, which their president says the WHO tried to bribe him $20m to contaminate:
www.abovetopsecret.com...
originally posted by: Serdgiam
a reply to: 727Sky
It seems most of these "studies" are aiming to find a single, standalone treatment. Unsurprisingly, they are finding they dont work in that context.
Its like they are setting out to prove or disprove a "miracle drug." Almost like they are trying to setup a narrative..
If Remdesivir is an effective ssRNA viral inhibitor, we should see evidence of stalled viral replication. We havent really been seeing that with it. Most chalk that up to The Virus, but it might indicate that its simply an ineffective drug in its purpose.
Further, if it doesnt have ionophore activity or the immunosuppressive properties of a drug like HCQ, patients obviously wont benefit from those effects either.