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Sager P, Kaiser A, Schumann S, Ludescher B, Niedermaier M, Schmidt I, Och K, Dings C, Lehr T, Brysch W. Efficacy and safety of MP1032 plus standard-of-care compared to standard-of-care in hospitalised patients with COVID-19: a multicentre, randomised double-blind, placebo-controlled phase 2a trial. THE LANCET REGIONAL HEALTH. EUROPE 2024; 37:100810. [PMID: 38076629 PMCID: PMC10704330 DOI: 10.1016/j.lanepe.2023.100810] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 11/17/2023] [Accepted: 11/20/2023] [Indexed: 06/27/2024]
Abstract
BACKGROUND SARS-CoV-2 infections still have a significant impact on the global population. The existing vaccinations have contributed to reducing the severe disease courses, decreasing hospitalisations, and lowering the mortality rate. However, due to the variability of COVID-19 symptoms, the emergence of new variants and the uneven global distribution of vaccines there is still a great need for new therapy options. One promising approach is provided by host-directed therapies. We assessed here the efficacy and safety of MP1032, a host-directed anti-viral/anti-inflammatory drug in hospitalised patients with moderate to severe COVID-19. METHODS In a randomised, double-blind, placebo-controlled, Phase IIa study, patients were randomised 2:1 to receive either 300 mg MP032 bid + Standard-of-Care (SoC) or placebo bid + SoC for 28 days. Eligible patients were ≥18 years old, tested positive for SARS-CoV-2, and had moderate to severe COVID-19 symptoms. The study spanned 20 sites in six countries (Bulgaria, France, Hungary, Italy, Romania, Spain), assessing disease progression according the NIAID scale as the primary outcome on day 14. Secondary objectives included disease progression (day 28), disease resolution (days 14 and 28), mortality rate, COVID-19 related parameters and safety. Exposure-response analyses were performed, linking MP1032 to COVID-19 biomarkers (eGFR, D-dimer). FINDINGS 132 patients were enrolled to receive MP1032 + SoC (n = 87) or placebo + SoC (n = 45). The patients were all white or Caucasian with a mean (median) age of 60.5 (63) years. Overall, only 10 patients were vaccinated, 5 in each group. No significant risk difference of disease progression could be detected between groups on both day 14 (9.8% MP1032 vs. 11.6% placebo) and day 28 with MH common risk differences of -0.276% (95% CI, -11.634 to 11.081; p = 0.962) and 1.722% (95% CI, -4.576 to 8.019; p = 0.592), respectively.The treatment with MP1032 + SoC was safe and well-tolerated. Overall, 182 TEAEs including 10 SAEs were reported in 53.5% (46/86) of patients of the verum group and in 57.8% (26/45) of patients of the placebo group; the SAEs occurred in 5.8% (5/86) and 6.7% (3/45) of verum and placebo patients, respectively. None of the SAEs was considered as related. INTERPRETATION Despite the study's limitation in size and the variation in concurrent SoCs, these findings warrant further investigation of MP1032 as a host-directed anti-viral drug candidate. FUNDING The study was funded by the COVID-19 Horizon Europe work programme and MetrioPharm AG.
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Affiliation(s)
- Petra Sager
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
| | - Astrid Kaiser
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
| | - Sara Schumann
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
| | - Beate Ludescher
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
| | | | - Ivo Schmidt
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
| | - Katharina Och
- Saarmetrics GmbH, Starterzentrum 1, Universität des Saarlandes, 66123, Saarbrücken, Germany
- Department of Clinical Pharmacy, Saarland University, 66123, Saarbrücken, Germany
| | - Christiane Dings
- Saarmetrics GmbH, Starterzentrum 1, Universität des Saarlandes, 66123, Saarbrücken, Germany
- Department of Clinical Pharmacy, Saarland University, 66123, Saarbrücken, Germany
| | - Thorsten Lehr
- Saarmetrics GmbH, Starterzentrum 1, Universität des Saarlandes, 66123, Saarbrücken, Germany
- Department of Clinical Pharmacy, Saarland University, 66123, Saarbrücken, Germany
| | - Wolfgang Brysch
- MetrioPharm Deutschland GmbH, Am Borsigturm 100, 13507, Berlin, Germany
- MetrioPharm AG, Europaallee 41, Zurich 8004, Switzerland
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Balan AK, Kannan R, Muralikumar V, Annam V, Murugesan SB, Sekhar MM, Medasani R. A randomized, placebo controlled, double blinded, parallel group clinical study to evaluate the efficacy and safety of AEV01 along with standard care for elderly patients with mild COVID-19. J Ayurveda Integr Med 2024; 15:100860. [PMID: 38320447 PMCID: PMC10945437 DOI: 10.1016/j.jaim.2023.100860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 11/21/2023] [Accepted: 12/05/2023] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND While several drugs are in the pipeline for treatment of various grades of COVID-19 disease, none of them have shown promise until now. Medicinal plants are crucial in developing and developed countries for their primary and basic health needs owing to better tolerability, superior compatibility with human body and having lesser side effects. OBJECTIVE To test adjuvant effect of AEV01, a patented herbal extract of kutki (Picrorhiza kurroa), in mild COVID19 in elderly patients at risk of complications and aging immunity. METHODS A prospective, phase 3, randomized, multicentric, placebo controlled double blinded parallel group interventional trial was conducted in elderly patients aged above 50 years diagnosed as COVID-19 with mild symptoms. 70 patients were randomized into two groups to receive AEV01 capsule (100 mg) and placebo respectively thrice daily for 30 days along with standard care of treatment as per national (WHO/ICMR) guidelines in both the groups. Clinical improvement timelines and corresponding scores using 8-point ordinal scale and NEWS were assessed for efficacy and safety of AEV01 in COVID-19 patients. RESULTS AEV01 group showed a significant improvement (p = 0.0001) in the normalization of the SpO2 rate and relief from cough. There was also significant difference in time to recovery, with patients in the AEV01 drug treated group recovering in 4.5 days as compared to Placebo in 9.1 days. ESR, LDH, serum ferritin, Neutrophil-Lymphocyte ratio (NLR), TNF- alpha, IL-6 and CD4 cell counts, which are considered as prognostic markers in COVID-19 infected patients, showed a significant improvement in patients treated with AEV01. The AEV01 drug treated group showed significant clinical improvement in the 8-point ordinal scale severity rating and National Early Warning Score (NEW) Score from day 3 onwards which continued up to end of study. CONCLUSION AEV01 has shown a significant improvement in clinical and laboratory parameters. There was also reduction in the progression of the COVID-19 disease in unvaccinated elderly patients from mild to moderate when treated at an earlier stage.
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Affiliation(s)
- Aravinda Kumar Balan
- Department of Pharmacology, Pondicherry Institute of Medical Sciences, Pondicherry, India
| | - Ramesh Kannan
- Department of Pharmacology, Government Vellore Medical College, Vellore, India
| | | | - Vamseedhar Annam
- Department of Pathology, Raja Rajeswari Medical College & Hospital, Bengaluru, India
| | - Sakthi Balan Murugesan
- Department of Pharmacology, Sri Venkateshwaraa Medical College Hospital and Research Centre, India
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Oscanoa TJ, Amado-Tineo J, Ayala-García R, Mamani-Quiroz R, Matta-Pérez J, Ardiles-Melgarejo Á, Marcos-Hernández C, Taype-Huamaní W, Rojas-Guimaray J, Matos-Santiváñez S, Miranda-Chávez L, Deza-Sime A, Apolaya-Segura M, Romero-Ortuno R. Clinical features and mortality predictors of older hospitalized patients with severe COVID-19 in Lima, Perú. JOURNAL OF GERONTOLOGY AND GERIATRICS 2022. [DOI: 10.36150/2499-6564-n470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Chen X, Wang H, Ai J, Shen L, Lin K, Yuan G, Sheng X, Jin X, Deng Z, Xu J, Lu G, Chen S, Cai J, Zhang Y, Zhang H, Wang S, Zhang W, Fan C. Identification of CKD, bedridden history and cancer as higher-risk comorbidities and their impact on prognosis of hospitalized Omicron patients: a multi-center cohort study. Emerg Microbes Infect 2022; 11:2501-2509. [DOI: 10.1080/22221751.2022.2122581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Xiaohua Chen
- Department of Infectious Diseases, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
| | - Hongyu Wang
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Jingwen Ai
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Leer Shen
- Department of Infectious Diseases, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
| | - Ke Lin
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Guanmin Yuan
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Xiaohua Sheng
- Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
| | - Xia Jin
- Shanghai Jiao Tong University Affiliated Sixth People’s Hospital (Lingang District), Shanghai, China
| | - Zhifeng Deng
- Department of Neurosurgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
| | - Jie Xu
- Shanghai Jiao Tong University Affiliated Ninth People’s Hospital, Shanghai, China
| | - Guanzhu Lu
- Shanghai Jiao Tong University Affiliated Ninth People’s Hospital, Shanghai, China
| | - Shunjie Chen
- Shanghai Fouth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Jianpeng Cai
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Yi Zhang
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Haocheng Zhang
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Sen Wang
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
| | - Wenhong Zhang
- Department of Infectious Diseases, National Medical Center for Infectious Diseases, Shanghai Key Laboratory of Infectious Diseases and Biosafety Emergency Response, Huashan Hospital, Fudan University, Shanghai, China
- Huashen Institute of Microbes and Infections, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Cunyi Fan
- Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Xuhui, Shanghai, China
- Shanghai Engineering Research Center for Orthopaedic Material Innovation and Tissue Regeneration, Building 3, Langu Science and Technology Park, Lane 70, Haiji 6th Road, Shanghai
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Martins AS, Siqueira MAMTD, Flores GL, Coelho WN, Carvajal E, Aguiar-Oliveira MDL. Condições socioeconômicas e impactos da pandemia da Covid-19 na região da Sub-Bacia do Canal do Cunha, Rio de Janeiro. SAÚDE EM DEBATE 2022. [DOI: 10.1590/0103-1104202213303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O Município do Rio de Janeiro (MRJ) estava entre as cidades com altas taxas de mortalidade ao longo da pandemia de Covid-19. Neste estudo, analisamos as taxas de incidência, de mortalidade e letalidade por Covid-19 nas áreas com predominância de Aglomerados Subnormais (ASN). Foram considerados todos os 36 bairros da Sub-Bacia do Canal do Cunha (SBCC) associadas às características demográficas, socioeconômicas e epidemiológicas, com estatística espacial de Moran. A taxa de incidência nos bairros da SBCC foi de 621,5/10.000 habitantes. Complexo do Alemão, Mangueira, e Maré tiveram maiores proporções de casos e mortes. A menor incidência (33,6/10.000 habitantes) e mortalidade (8,3/10.000 habitantes), mas com maior taxa de letalidade (24,7%) foi registrada no Complexo do Alemão. Foi observado correlação negativa entre a taxa de mortalidade e a proporção de habitantes nos bairros com ASN (rho= -0,433; p=0,023). Na estatística espacial, houve correlação inversa para a incidência da Covid-19 (índice Moran, -0,155863; p=0,02). Conclui-se que incidência e mortalidade nas áreas de ASN estão significativamente relacionadas com as estruturas sociodemográficas, demandando o reforço dos sistemas de vigilância e de controle da Covid-19 em territórios de favelas. As recomendações não farmacológicas e a Atenção Primária à Saúde em favelas desempenham relevante papel na redução da transmissão, mortalidade e iniquidades em saúde.
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Tsukada N, Inamura J, Igarashi S, Sato K. Clinical outcomes of coronavirus disease 2019 and seasonal influenza in patients with hematological disorders: a retrospective study. J Rural Med 2022; 17:158-165. [PMID: 35847759 PMCID: PMC9263957 DOI: 10.2185/jrm.2021-064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 03/29/2022] [Indexed: 11/27/2022] Open
Abstract
Objective: The differences in clinical outcomes in hospitalized patients
with hematological disorders (HD) who developed either coronavirus disease 2019 (COVID-19)
or seasonal influenza (SI) are not fully understood. To examine these differences, we
retrospectively analyzed the baseline characteristics and clinical outcomes of
hospitalized patients with HD admitted from 2016 to 2021. Patients and Methods: Patients with HD who developed COVID-19 (in the past 1
year) (n=21) or SI (in the past 5 years) (n=23) in the Department of Hematology/Oncology,
Asahikawa Kosei General Hospital were evaluated. Results: The median ages of the patients with HD with either COVID-19 or SI
were 80 and 68 years, respectively (P=0.03). The groups showed no
significant differences in sex ratio, body mass index, or Eastern Cooperative Oncology
Group performance status. In the COVID-19 and SI groups, the most common primary diseases
were diffuse large B-cell lymphoma (43%) and multiple myeloma (39%), respectively. The
median numbers of days of oxygen administration (8 vs. 0 days), quarantine (25 vs. 6
days), and hospitalization (72 vs. 21 days) were significantly higher in HD patients with
COVID-19 than those in HD patients with SI (all P<0.001). The overall
90-day survival of patients with HD and COVID-19 was significantly shorter than that of
patients with HD and SI (P=0.019). Moreover, patients with HD and
COVID-19 had a higher risk of in-hospital mortality (43% vs. 9%; odds ratio, 7.50; 95%
confidence interval, 1.26–82.4; P=0.01) compared to patients with HD and
SI. Conclusion: Patients with HD and COVID-19 required longer periods of
in-hospital medical and showed poorer survival than those with SI. During the COVID-19
pandemic, hematologists should closely monitor the condition of patients with COVID-19 to
closely monitor their condition to prevent deaths.
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Affiliation(s)
- Nodoka Tsukada
- Department of Hematology/Oncology, Asahikawa Kosei General Hospital, Japan
| | - Junki Inamura
- Department of Hematology/Oncology, Asahikawa Kosei General Hospital, Japan
| | - Sho Igarashi
- Department of Hematology/Oncology, Asahikawa Kosei General Hospital, Japan
| | - Kazuya Sato
- Department of Hematology/Oncology, Asahikawa Kosei General Hospital, Japan
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Pascual-Iglesias A, Canton J, Ortega-Prieto AM, Jimenez-Guardeño JM, Regla-Nava JA. An Overview of Vaccines against SARS-CoV-2 in the COVID-19 Pandemic Era. Pathogens 2021; 10:1030. [PMID: 34451494 PMCID: PMC8402174 DOI: 10.3390/pathogens10081030] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 08/01/2021] [Accepted: 08/11/2021] [Indexed: 12/14/2022] Open
Abstract
The emergence of SARS-CoV-2 in late 2019 led to the COVID-19 pandemic all over the world. When the virus was first isolated and its genome was sequenced in the early months of 2020, the efforts to develop a vaccine began. Based on prior well-known knowledge about coronavirus, the SARS-CoV-2 spike (S) protein was selected as the main target. Currently, more than one hundred vaccines are being investigated and several of them are already authorized by medical agencies. This review summarizes and compares the current knowledge about main approaches for vaccine development, focusing on those authorized and specifically their immunogenicity, efficacy preventing severe disease, adverse side effects, protection, and ability to cope with emergent SARS-CoV-2 variants.
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Affiliation(s)
- Alejandro Pascual-Iglesias
- The Innate Immune Response Group, IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain;
- Tumor Immunology Laboratory, IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain
| | - Javier Canton
- International Institute for Defense and Security (CISDE), 41007 Sevilla, Spain;
| | - Ana Maria Ortega-Prieto
- Department of Infectious Diseases, School of Immunology & Microbial Sciences, King’s College London, London SE1 9RT, UK;
| | - Jose M. Jimenez-Guardeño
- Department of Infectious Diseases, School of Immunology & Microbial Sciences, King’s College London, London SE1 9RT, UK;
| | - Jose Angel Regla-Nava
- Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA 92037, USA
- Department of Microbiology and Pathology, University Center for Health Science (CUCS), University of Guadalajara, Guadalajara 44340, Mexico
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Urzeala C, Duclos M, Chris Ugbolue U, Bota A, Berthon M, Kulik K, Thivel D, Bagheri R, Gu Y, Baker JS, Andant N, Pereira B, Rouffiac K, Clinchamps M, Dutheil F. COVID-19 lockdown consequences on body mass index and perceived fragility related to physical activity: A worldwide cohort study. Health Expect 2021; 25:522-531. [PMID: 34105876 PMCID: PMC8239498 DOI: 10.1111/hex.13282] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 04/26/2021] [Accepted: 05/09/2021] [Indexed: 12/21/2022] Open
Abstract
Background This paper is a follow‐up study continuing the COVISTRESS network previous research regarding health‐related determinants. Objective The aim was to identify the main consequences of COVID‐19 lockdown on Body MassIndex and Perceived Fragility, related to Physical Activity (PA), for different categories of populations, worldwide. Design The study design included an online survey, during the first wave of COVID‐19 lockdown, across different world regions. Setting and participants The research was carried out on 10 121 participants from 67 countries. The recruitment of participants was achieved using snowball sampling techniques via social networks, with no exclusion criteria other than social media access. Main outcome measures Body MassIndex, Physical Activity, Perceived Fragility and risk of getting infected items were analysed. SPSS software, v20, was used. Significance was set at P < .05. Results Body MassIndex significantly increased during lockdown. For youth and young adults (18‐35 years), PA decreased by 31.25%, for adults (36‐65 years) by 26.05% and for the elderly (over 65 years) by 30.27%. There was a high level of Perceived Fragility and risk of getting infected for female participants and the elderly. Correlations between BMI, Perceived Fragility and PA were identified. Discussion and Conclusions The research results extend and confirm evidence that the elderly are more likely to be at risk, by experiencing weight gain, physical inactivity and enhanced Perceived Fragility. As a consequence, populations need to counteract the constraints imposed by the lockdown by being physically active.
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Affiliation(s)
- Constanta Urzeala
- Sports and Motor Performance Department, Faculty of Physical Education and Sports, National University of Physical Education and Sports from Bucharest, Bucharest, Romania
| | - Martine Duclos
- Department of Sport Medicine and Functional Exploration, University Hospital CHU G. Montpied, INRA, UNH, CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, France
| | - Ukadike Chris Ugbolue
- Faculty of Sports Science, Ningbo University, Ningbo, China.,School of Health and Life Sciences, Institute for Clinical Exercise & Health Science, University of the West of Scotland, South Lanarkshire, UK.,Department of Biomedical Engineering, University of Strathclyde, Glasgow, UK
| | - Aura Bota
- Department of Teaching Staff Training, Faculty of Physical Education and Sports, National University of Physical Education and Sports from Bucharest, Bucharest, Romania
| | - Mickael Berthon
- LaPSCo, Catech, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Keri Kulik
- Health and Physical Education Program, Indiana University of Pennsylvania, Bloomington, IN, USA
| | - David Thivel
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological conditions (AME2P), CRNH Auvergne, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Reza Bagheri
- Department of Exercise Physiology, University of Isfahan, Isfahan, Iran
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Julien S Baker
- Faculty of Sports Science, Ningbo University, Ningbo, China.,Department of Sport, Physical Education and Health, Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, China
| | - Nicolas Andant
- Biostatistics Unit, DRCI, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, DRCI, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Karine Rouffiac
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | | | - Maëlys Clinchamps
- Physiological and Psychosocial Stress, LaPSCo, CNRS, Preventive and Occupational Medicine, WittyFit, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Physiological and Psychosocial Stress, LaPSCo, CNRS, Preventive and Occupational Medicine, WittyFit, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Université Clermont Auvergne, Clermont-Ferrand, France
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The Three Pillars of COVID-19 Convalescent Plasma Therapy. Life (Basel) 2021; 11:life11040354. [PMID: 33919577 PMCID: PMC8073137 DOI: 10.3390/life11040354] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 03/30/2021] [Accepted: 04/14/2021] [Indexed: 12/26/2022] Open
Abstract
The new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has spread rapidly around the world in the last year causing the coronavirus disease 2019 (COVID-19), which still is a severe threat for public health. The therapeutic management of COVID-19 is challenging as, up until now, no specific and efficient pharmacological therapy has been validated. Translating the experience from previous viral epidemics, passive immunotherapy by means of plasma from individuals recovered from COVID-19 has been intensively investigated since the beginning of the pandemic. In this narrative review, we critically analyze the three factors, named “pillars”, that play a key role in determining the clinical effectiveness of this biologic therapy: the convalescent plasma, the disease (COVID-19), and the patients.
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