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Arbidol/IFN-α2b therapy for patients with corona virus disease 2019: a retrospective multicenter cohort study
Ping Xu1, Jianping Huang2, Zhao Fan3
1Department of Respiratory and Critical Care Medicine, Peking University Shenzhen, Hospital, Shenzhen, 518036, Guangdong, China.
Insights
Arbidol and interferon alfa-2b (IFN-α2b) combination therapy may improve mild COVID-19 pneumonia absorption. This antiviral treatment did not accelerate viral clearance but showed faster pneumonia resolution compared to IFN-α2b monotherapy.
Area of Science:
- Virology
- Infectious Diseases
- Pulmonology
Background:
- COVID-19 spread is accelerating globally.
- No specific antiviral drugs are currently available for COVID-19.
- Mild COVID-19 pneumonia requires effective treatment strategies.
Purpose of the Study:
- To evaluate the efficacy of Arbidol combined with IFN-α2b versus IFN-α2b monotherapy in treating COVID-19 pneumonia.
- To compare the clinical outcomes and viral RNA duration between the two treatment groups.
Main Methods:
- Multicenter retrospective cohort study.
- Inclusion of 141 adult patients with laboratory-confirmed COVID-19 pneumonia without ventilation.
- Comparison between a combined Arbidol/IFN-α2b group and an IFN-α2b monotherapy group.
Main Results:
- Baseline characteristics were similar between groups.
- No significant difference in viral RNA duration was observed.
- Faster pneumonia absorption was noted in the combined therapy group.
Conclusions:
- Arbidol/IFN-α2b combination therapy can effectively improve mild COVID-19 pneumonia.
- The combination therapy accelerates pneumonia absorption but does not expedite viral clearance.
- Further validation in larger prospective randomized trials is recommended.
Abstract:
The spread of COVID-19 is accelerating. At present, there is no specific antiviral drugs for COVID-19 outbreak. This is a multicenter retrospective cohort study of patients with laboratory-confirmed COVID-19 infection pneumonia from 3 hospitals in Hubei and Guangdong province, 141 adults (aged ≥18 years) without ventilation were included. Combined group patients were given Arbidol and IFN-α2b, monotherapy group patients inhaled IFN-α2b for 10-14 days. Of 141 COVID-19 patients, baseline clinical and laboratory characteristics were similar between combined group and monotherapy group, that 30% of the patients leucocytes counts were below the normal range and 36.4% of the patients experienced lymphocytopenia. The duration of viral RNA of respiratory tract in the monotherapy group was not longer than that in the combined therapy group. There was no significant differences between two groups. The absorption of pneumonia in the combined group was faster than that in the monotherapy group. We inferred that Arbidol/IFN - 2 b therapy can be used as an effective method to improve the COVID-19 pneumonia of mild patients, although it helpless with accelerating the virus clearance. These results should be verified in a larger prospective randomized environment.
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