コロナ経口治療薬、治験でウイルス量低減効果 米メルク
メルクは1月、新型ウイルスのワクチン候補の開発を打ち切り、治療薬2種の研究を進めていた。
そのうちの一つがリッジバックと共同開発する錠剤の「モルヌピラビル」で、メルクは、同薬を5日間服用した後で患者のウイルス量が大幅に減少したと発表した。
新薬の承認までには3段階の臨床試験があり、今回の第2a相試験は、入院していないCOVID-19有症状者202人を対象に実施された。
リッジバックによれば、安全性に懸念はなく、報告された4件の重篤な有害事象のいずれも治療薬に関連したものではないと判断された。
研究を主導した米ノースカロライナ大学のウイリアム・フィッシャー教授(医学)は、今回の臨床試験の結果に期待を示している。
メルクは1月、開発中のもう一つの経口治療薬「MK-711」について、入院中の中等症・重症患者の死亡または呼吸不全に陥るリスクが50%以上減少したことが臨床試験の暫定結果で分かったと発表していた。【翻訳編集AFPBBNews】
〔AFP=時事〕(2021/03/09-14:08)
Oral Covid treatment yields promising trial data-- drugmakers
German pharmaceutical giant Merck and a US partner reported promising results Saturday in trials of a drug administered orally to fight Covid-19, saying it helps reduce patients' viral load.
At a time where there is unmet need for antiviral treatments against SARS-CoV-2, we are encouraged by these preliminary data, said Wendy Painter, chief medical officer of the US firm, Ridgeback Biotherapeutics.
In January, Merck halted work on two Covid vaccine candidates but has pressed on with research into two products to treat the disease, including a pill-based one called molnupiravir, which it has developed with Ridgeback Biotherapeutics.
This drug caused a significant drop in patients' viral load after five days of treatment with it, Merck said at a meeting with infectious disease experts.
This Phase 2a test -- drug trials have three stages before a product can be approved -- was carried out among 202 non-hospitalized people with symptoms of Covid-19.
There was no alert in terms of safety, and of four serious adverse events that were reported, none were considered to be related to taking this drug, Ridgeback said.
Anti-viral oral drugs such as oseltamivir (Tamiflu) and zanamivir (Relenza) are sometimes prescribed for seasonal flu but researchers have yet to come up with something similar to fight the coronavirus.
The findings of this study -- a quicker decrease in viral load among individuals with early-stage Covid-19 who are treated with molnupiravir -- are promising, said William Fischer, lead investigator of the study and a professor of medicine at the University of North Carolina.
If supported by additional studies, (they) could have important public health implications, particularly as the SARS-CoV-2 virus continues to spread and evolve globally, Fischer added.
Merck is also working on another oral Covid treatment called MK-711.
Preliminary results from clinical trials with it show a more than 50 percent reduction in risk of death or respiratory trouble in patients hospitalized with moderate to severe Covid-19, the company said in January.
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