9 research outputs found
Evaluation of artemisinin-based combination therapy (ACT) to uncomplicated falciparum malaria patients in Purworejo District, Central Java, Indonesia
- Publication venue
- 'Journal of the Medical Sciences (Berkala Ilmu Kedokteran)'
- Publication date
- 01/06/2016
- Field of study
Get PDFArtemisinin-based Combination Therapy (ACT) to treat uncomplicated Plasmodiumfalciparum malaria has been applied in Purworejo District, Central Java, Indonesia, since2004. However evaluation of the two ACT regimens used ie: Artesunate Amodiaquine(AAQ) and Dihydroartemisinin-Piperaquine (DHP) co-administered with Primaquine (PQ)has not been performed. This study aims to evaluate the efficacy and side effects ofAAQ+PQ and DHP+PQ treatment in uncomplicated falciparum malaria in Purworejo. Inthis descriptive and observational study, 46 Pf infected patients who fullfill the inclusionand exclusion criterias were recruited from December 2010 to August 2011. StandardACT treatment were given to the patients followed by WHO drug efficacy evaluation for28 days. The clinical symptoms and adverse events was also evaluated over the course ofthe treatment. From all recruited subjects, 37 patients received DHP+PQ and 9 patientsreceived AAQ+PQ. On the DHP+PQ treated patient, all subjects were free of asexualand sexual parasites by Day-3 while on AAQ+PQ treated patient, this parasite clearancewas achieved faster as early as on D-2 at the latest. On the otherhand, the disappearanceof fever was also last longer in DHP+PQ treated patient which in one patient last onD-14, while in AAQ+PQ treated patient, the symptom of fever dissappeared by D-2at the latest. No Early or Late Treatment Failures were found on either DHP+PQ orAAQ+PQ treatment as well as clinical and parasitological failures. However, the presenceof adverse events cause by both drugs should not be ignored to ensure drug compliance
Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial
- Author
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- Zinyemba V.
- Zipitis C.
- Zmierczak A.
- Zubir A.
- Zuha R.
- Zuhra N.
- Zulaikha R.
- Zulfikar S.
- Zullo C.
- Zuriaga-Alvaro A.
- Zuurbier W.
- Zyengi S.
- Publication venue
- 'Elsevier BV'
- Publication date
- 29/05/2021
- Field of study
Get PDFBackground:
Many patients with COVID-19 have been treated with plasma containing anti-SARS-CoV-2 antibodies. We aimed to evaluate the safety and efficacy of convalescent plasma therapy in patients admitted to hospital with COVID-19.
Methods:
This randomised, controlled, open-label, platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]) is assessing several possible treatments in patients hospitalised with COVID-19 in the UK. The trial is underway at 177 NHS hospitals from across the UK. Eligible and consenting patients were randomly assigned (1:1) to receive either usual care alone (usual care group) or usual care plus high-titre convalescent plasma (convalescent plasma group). The primary outcome was 28-day mortality, analysed on an intention-to-treat basis. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.
Findings:
Between May 28, 2020, and Jan 15, 2021, 11558 (71%) of 16287 patients enrolled in RECOVERY were eligible to receive convalescent plasma and were assigned to either the convalescent plasma group or the usual care group. There was no significant difference in 28-day mortality between the two groups: 1399 (24%) of 5795 patients in the convalescent plasma group and 1408 (24%) of 5763 patients in the usual care group died within 28 days (rate ratio 1·00, 95% CI 0·93–1·07; p=0·95). The 28-day mortality rate ratio was similar in all prespecified subgroups of patients, including in those patients without detectable SARS-CoV-2 antibodies at randomisation. Allocation to convalescent plasma had no significant effect on the proportion of patients discharged from hospital within 28 days (3832 [66%] patients in the convalescent plasma group vs 3822 [66%] patients in the usual care group; rate ratio 0·99, 95% CI 0·94–1·03; p=0·57). Among those not on invasive mechanical ventilation at randomisation, there was no significant difference in the proportion of patients meeting the composite endpoint of progression to invasive mechanical ventilation or death (1568 [29%] of 5493 patients in the convalescent plasma group vs 1568 [29%] of 5448 patients in the usual care group; rate ratio 0·99, 95% CI 0·93–1·05; p=0·79).
Interpretation:
In patients hospitalised with COVID-19, high-titre convalescent plasma did not improve survival or other prespecified clinical outcomes.
Funding:
UK Research and Innovation (Medical Research Council) and National Institute of Health Research
Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/05/2021
- Field of study
Get PDFBackground:
In this study, we aimed to evaluate the effects of tocilizumab in adult patients admitted to hospital with COVID-19 with both hypoxia and systemic inflammation.
Methods:
This randomised, controlled, open-label, platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing several possible treatments in patients hospitalised with COVID-19 in the UK. Those trial participants with hypoxia (oxygen saturation <92% on air or requiring oxygen therapy) and evidence of systemic inflammation (C-reactive protein ≥75 mg/L) were eligible for random assignment in a 1:1 ratio to usual standard of care alone versus usual standard of care plus tocilizumab at a dose of 400 mg–800 mg (depending on weight) given intravenously. A second dose could be given 12–24 h later if the patient's condition had not improved. The primary outcome was 28-day mortality, assessed in the intention-to-treat population. The trial is registered with ISRCTN (50189673) and ClinicalTrials.gov (NCT04381936).
Findings:
Between April 23, 2020, and Jan 24, 2021, 4116 adults of 21 550 patients enrolled into the RECOVERY trial were included in the assessment of tocilizumab, including 3385 (82%) patients receiving systemic corticosteroids. Overall, 621 (31%) of the 2022 patients allocated tocilizumab and 729 (35%) of the 2094 patients allocated to usual care died within 28 days (rate ratio 0·85; 95% CI 0·76–0·94; p=0·0028). Consistent results were seen in all prespecified subgroups of patients, including those receiving systemic corticosteroids. Patients allocated to tocilizumab were more likely to be discharged from hospital within 28 days (57% vs 50%; rate ratio 1·22; 1·12–1·33; p<0·0001). Among those not receiving invasive mechanical ventilation at baseline, patients allocated tocilizumab were less likely to reach the composite endpoint of invasive mechanical ventilation or death (35% vs 42%; risk ratio 0·84; 95% CI 0·77–0·92; p<0·0001).
Interpretation:
In hospitalised COVID-19 patients with hypoxia and systemic inflammation, tocilizumab improved survival and other clinical outcomes. These benefits were seen regardless of the amount of respiratory support and were additional to the benefits of systemic corticosteroids.
Funding:
UK Research and Innovation (Medical Research Council) and National Institute of Health Research
Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
- Abbas M.
- Abdul Rasheed A.
- Abdul A.
- Abdul-Kadir R.
- Abdusamad K.
- Abernethy K.
- Aboelela H.
- Abouzaid M.
- Abraham M.
- Abraham T.
- Abrams J.
- Abu H.
- Abu-Arafeh A.
- Acton C.
- Adam F.
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- Addo A.
- Adedeji O.
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- Publication venue
- Springer Science and Business Media LLC
- Publication date
- 31/01/2024
- Field of study
Get PDFDimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome
Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
- Abbas M.
- Abdul Rasheed A.
- Abdul A.
- Abdul-Kadir R.
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- Central Coordinating Office (for the RECOVERY Collaborative Group)
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Get PDFDimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome
Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial
- Author
- Abani Obbina
- Abbas Ali
- Abbas Fatima
- Abbas Mustafa
- Abbasi Sadia
- Abbass Hakam
- Abbott Alfie
- Abdallah Nabeel
- Abdelaziz Ashraf
- Abdelfattah Mohamed
- Abdelqader Bushra
- Abdo David
- Abdul Rasheed Althaf
- Abdul Basir
- Abdul-Kadir Rezan
- Abdul-Raheem Rasheed
- Abdulakeem Ajibode
- Abdulle Amina
- Abdulmumeen Abdulfatahi
- Abdulshukkoor Niyaz
- Abdusamad Kula
- Abed El Khaleq Yazeed
- Abedalla Mai
- Abeer Ul Amna Abeer Ul Amna
- Abernethy Katrina
- Abo-Leyah Hani
- Aboaba Adebanke
- Abou-Haggar Ahmed
- Abouibrahim Mahmoud
- Abraham Miriam
- Abraham Tizzy
- Abraheem Abraheem
- Abrams Judith
- Abu Hyacinth-John
- Abu-Arafeh Ahmed
- Abubacker Syed M
- Abung Akata
- Aceampong Yaa
- Achara Amaka
- Acharya Devikumar
- Acheampong Sarah
- Acheson Janet
- Acosta Andres
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- Adebiyi Ade
- Adegoke Ken
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- Ademokun Debo
- Adenwalla Sherna
- Adesemoye Oluwasegun A
- Adewunmi Emmanuel O
- Adeyemi Joyce
- Adhikary Rina
- Adkins Gabrielle
- Adnan Adnan
- Aeron-Thomas John
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- Affron Dominic
- Afnan Carmel
- Afridi Muhammad
- Aftab Zainab A
- Agarwal Meenakshi
- Agbeko Rachel
- Agbo Chris
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- Aghababaie Arameh
- Ahamed Sadiq Shafana
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- Ahmad Humayun
- Ahmad Mohammad
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- Bates Hayley
- Bates Michelle
- Bates Simon
- Batham Sally
- Batista Ana
- Batla Amit
- Batra Dushyant
- Batty Donna
- Batty Harry
- Batty Thomas
- Baughan Peter
- Baum Miranda
- Bautista Carina
- Bawa Fareha
- Bawani Fatima S
- Bax Simon
- Baxter Lydia
- Baxter Matt
- Baxter Nicola
- Baxter Zachary
- Bayes Hannah
- Baylem Charlotte
- Bayliss Lee
- Bays Eileen
- Bazari Farid
- Bazaz Rohit
- Bazli Ahmad
- Beacham Laura
- Beadles Wendy
- Beak Philip
- Beale Andy
- Beard Kirk
- Bearpark Jack
- Beaumont Karen
- Beaumont-Jewell Dawn
- Beaver Theresa
- Beavis Sarah
- Beazley Christy
- Beck Sarah
- Beckett Virginia
- Beckitt Rosie
- Beddall Heidi
- Beddows Seonaid
- Beeby Deborah
- Beech Gail
- Beecroft Michelle
- Beer Sally
- Beety Jane
- Bega Gabriela
- Begg Alison
- Begg Susan
- Beghini Sara
- Begum Ayesha
- Begum Salman
- Begum Selina
- Behan Teresa
- Beharry Jasmine
- Behrouzi Roya
- Beishon Jon
- Beith Claire
- Belcher James
- Belfield Holly
- Belfield Katherine
- Belgaumkar Ajay
- Bell Dina
- Bell Gareth
- Bell Gill
- Bell Gillian
- Bell Jennifer L
- Bell Joshua
- Bell Lauren
- Bell Louise
- Bell Nicholas
- Bell Pippa
- Bell Stephanie
- Bellamu Jennifer
- Bellamy Mary
- Bellini Arianna
- Bellis Amanda
- Bellis Fionn
- Bendall Lesley
- Benesh Naveena
- Benetti Nicola
- Benham Leonie
- Benison-Horner Guy
- Bennett Alexander
- Bennett Ann
- Bennett Caroline
- Bennett Christopher
- Bennett Gillian
- Bennett Ian
- Bennett Kristopher
- Bennett Lorraine
- Bennett Sara
- Bennion Karen
- Benson Vivienne
- Benstead Jane
- Bentley Andrew
- Bentley Dionne
- Bentley James
- Benton Ian
- Beranova Eva
- Beresford Matthew
- Bergin Colin
- Bergstrom Malin
- Bernatoniene Jolanta
- Berriman Thomas
- Berry Zoe
- Berwick Marnie
- Best Kimberley
- Bester Ans-Mari
- Beuvink Yvonne
- Bevan Emily
- Bevins Sarah
- Bewick Tom
- Bexley Andrew
- Beyatli Sonay
- Beynon Fenella
- Bhadi Arjun
- Bhagani Sanjay
- Bhakta Shiv
- Bhalla Rekha
- Bhandal Khushpreet
- Bhandal Kulbinder
- Bhandari Ashwin
- Bhandari Sangam
- Bhanot Aashutosh
- Bhanot Ravina
- Bhaskara Sruti
- Bhat Prashanth
- Bhatia Nikhil
- Bhatnagar Rahul
- Bhatt Karan
- Bhayani Janki
- Bhojwani Deepika
- Bhuiyan Salimuzzaman
- Bibby Anna
- Bibi Fatima
- Bibi Naheeda
- Bibi Salma
- Bicanic Tihana
- Bidgood Sarah
- Bigg Julie
- Biggs Sarah
- Biju Alphonsa
- Bikov Andras
- Billingham Sophie
- Billings Jessica
- Bilton Carron
- Binas Teodirico
- Binney Martin
- Binns Alice
- BinRofaie Muhammad
- Bintcliffe Oliver
- Birch Catherine
- Birch Jenny
- Birch Louann
- Birchall Janet
- Birchall Katherine
- Bird Sam
- Bird Sumedha
- Biring Charndip
- Birt Mark
- Bisa Raquel
- Bishop Kilanalei
- Bishop Linda
- Bishop Lisa
- Bisnauthsing Karen
- Biswas Nibedan
- Biuk Sahar
- Blachford Karen
- Black Ethel
- Black Helen
- Black Karen
- Black Mairead
- Black Polly
- Blackgrove Hayley
- Blackledge Bethan
- Blackler Joanne
- Blackley Samantha
- Blackman Helen
- Blackmore Stuart
- Blackstock Caroline
- Blackwood Loraine
- Blakemore Francesca
- Blamey Helen
- Bland Alison
- Blane Sujata
- Blankley Simon
- Blanton Mary
- Blaxill Parry
- Blaxland Jenny
- Blaylock Katie
- Blazeby Jane
- Blears Carol
- Blencowe Natalie
- Blofield Donna
- Bloom Ben
- Bloomfield Jack
- Bloss Angela
- Bloxham Hannah
- Blundell Louise
- Blunsum Andrew
- Blunt Mark
- Blyth Ian
- Blyth Kevin
- Blythe Andrew
- Blythe Karen
- Boampoaa Marilyn
- Bobie Boniface
- Bobruk Karen
- Bodalia Pritesh
- Bodasing Neena
- Bodenham Tanya
- Bodh Sherin
- Boehmer Gabriele
- Boffito Marta
- Bohmova Kristyna
- Bokhandi Sumit
- Bokhar Maria
- Bokhari Saba
- Bokhari Sakina
- Bokhari Syed Owais
- Boles Ambrose
- Bollington Sarah
- Bolton Sam
- Bomken Charlotte
- Bond Charlotte
- Bond Hayley
- Bond Helena
- Bond Stuart
- Bond Thomas
- Bone Alice
- Boniface Georgia
- Bonnert Wendy
- Bonney Lizzy
- Boorman Leigh
- Booth Catherine
- Borbone Joanne
- Borhani Cameron
- Borman Naomi
- Borrell Rachel
- Boshir Mamu
- Bottrill Fiona
- Bough Laura
- Boughton Hayley
- Boult Zoe
- Bourke Miriam
- Bourke Stephen
- Bourne Michelle
- Bousfield Rachel
- Boustred Lucy
- Bowen Darren
- Bowen Kaye
- Bowes Alexandra
- Bowes Amy
- Bowker Philip
- Bowman Louise
- Bowman Simon
- Bowmer Rachel
- Bowring Angie
- Bowyer Geoff
- Bowyer Helen
- Boyd Carmel
- Boyd Jenny
- Boyd Laura
- Boyd Maxine
- Boyle Namoi
- Boyle Pauline
- Boyle Rosalind
- Boyles Louise
- Bozdag Osman
- Brace Leanna
- Brack David
- Brackstone Charlotte
- Bradburn Rob
- Bradder Jodie
- Bradley Barry
- Bradley Clare Jane
- Bradley Pamela
- Bradley Patrick
- Bradley Paul
- Bradley-Potts Joanne
- Bradshaw Lynne
- Bradshaw Sarah
- Bradshaw Zena
- Brady Rebecca
- Brady Shirin
- Braganza Denise
- Brailsford Suhail
- Braithwaite Jill
- Branch Marie
- Brankin-Frisby Thomas
- Brannigan Jamie
- Brassington Louise
- Brattan Sophie
- Bray Fiona
- Bray Nancy
- Brazier Angela
- Brazil Manny
- Brear Lucy
- Brear Tracy
- Brearey Stephen
- Bremner Laura
- Brend Morwenna
- Bretland Giovanna
- Brewer Chris
- Bridge Hannah
- Bridgwood Gavin
- Briggs Hayley
- Briggs Mark
- Brigham Sara
- Bright John
- Brightling Chris
- Brimfield Lutece
- Brinkworth Elaine
- Brittain-Long Robin
- Britten Vianne
- Brittin Terri
- Broad Lauren
- Broad Sarah
- Broadhurst Rosie
- Broadley Andrew
- Broadway Marie
- Brockelsby Christopher
- Brocken Megan
- Brockley Tomos
- Broderick Andrew
- Brodsky Mary
- Brogan Fiona
- Broggio David
- Brohan Liz
- Brokke Felicity
- Brolly Jacob
- Bromley David
- Brooke-Ball Hannah
- Brooker Verity
- Brookes Ceri
- Brookes Matthew
- Brooks Alison
- Brooks Karen
- Brooks Nicole
- Brooks Philip
- Brooks Rachel
- Brooks Sophie
- Broomhead Natalie
- Broughton Chloe
- Broughton Nathaniel
- Brouns Matt
- Browett Marie
- Brown Alison
- Brown Ammani
- Brown Carly
- Brown Catrin
- Brown Chloe
- Brown Elizabeth
- Brown Ellen
- Brown Heather
- Brown Janet
- Brown Louise
- Brown Niall
- Brown Pauline
- Brown Rachel
- Brown Richard
- Brown Robert
- Brown Steven
- Brown Tom
- Brown Wayne
- Browne Bria
- Browne Charlotte
- Browne Duncan
- Browne Mitchell
- Brownlee Stephen
- Brraka Alba
- Bruce David
- Bruce Johanna
- Bruce Michelle
- Brudlo Wojciech
- Brunskill Nigel
- Brunton Alan
- Brunton Margaret
- Bryan Mandy
- Bryant Meera
- Buazon April
- Buch Maya
- Buchan Julie
- Buchan Ruaridh
- Buchanan Alexis
- Buchanan Ruaridh
- Buche Danielle
- Buck Amanda
- Buckland Matthew
- Buckley Laura
- Buckley Philip
- Buckley Sarah
- Buckman Carol
- Buckmire Kathleen
- Bugg George
- Bujazia Ramadan
- Bukhari Marwan
- Bukhari Shanze
- Bulbulia Richard
- Bull Alex
- Bull Damian
- Bull Rhian
- Bull Thomas
- Bulteel Naomi
- Bumunarachchi Kasun
- Bungue-Tuble Roneleeh
- Burchett Caroline
- Burda Dorota
- Burden Christy
- Burden Thomas G
- Burgess Mika
- Burgess Paula
- Burgess Richard
- Burgess Sophia
- Burgett Paula
- Burman Adrian
- Burnard Sara
- Burnett Caroline
- Burnett John
- Burns Amanda
- Burns Amy
- Burns Collette
- Burns James
- Burns Karen
- Burns Samuel
- Burns Sarah
- Burrage Daniel
- Burrage Sadie
- Burrows Kate
- Burston Claire
- Burton Ben
- Burton Fiona
- Burton Matthew
- Busby Angela
- Butcher Deborah
- Butler Aaron
- Butler Jessica
- Butler Joanne
- Butler Joshua
- Butler Lesley
- Butler Peter
- Butler Susan
- Butt Al-Tahoor
- Butt Mohammad M
- Butt Sophia
- Butterworth Caryl
- Butterworth-Cowin Nicola
- Buttery Robert
- Buttle Tom
- Button Heather
- Buttress Daniel
- Publication venue
- 'Elsevier BV'
- Publication date
- 13/02/2021
- Field of study
Get PDFSummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication
Evaluation of artemisinin-based combination therapy (ACT) to uncomplicated falciparum malaria patients in Purworejo District, Central Java, Indonesia
- Publication venue
- 'Journal of the Medical Sciences (Berkala Ilmu Kedokteran)'
- Publication date
- 01/06/2016
- Field of study
No full textArtemisinin-based Combination Therapy (ACT) to treat uncomplicated Plasmodium
falciparum malaria has been applied in Purworejo District, Central Java, Indonesia, since
2004. However evaluation of the two ACT regimens used ie: Artesunate Amodiaquine
(AAQ) and Dihydroartemisinin-Piperaquine (DHP) co-administered with Primaquine (PQ)
has not been performed. This study aims to evaluate the efficacy and side effects of
AAQ+PQ and DHP+PQ treatment in uncomplicated falciparum malaria in Purworejo. In
this descriptive and observational study, 46 Pf infected patients who fullfill the inclusion
and exclusion criterias were recruited from December 2010 to August 2011. Standard
ACT treatment were given to the patients followed by WHO drug efficacy evaluation for
28 days. The clinical symptoms and adverse events was also evaluated over the course of
the treatment. From all recruited subjects, 37 patients received DHP+PQ and 9 patients
received AAQ+PQ. On the DHP+PQ treated patient, all subjects were free of asexual
and sexual parasites by Day-3 while on AAQ+PQ treated patient, this parasite clearance
was achieved faster as early as on D-2 at the latest. On the otherhand, the disappearance
of fever was also last longer in DHP+PQ treated patient which in one patient last on
D-14, while in AAQ+PQ treated patient, the symptom of fever dissappeared by D-2
at the latest. No Early or Late Treatment Failures were found on either DHP+PQ or
AAQ+PQ treatment as well as clinical and parasitological failures. However, the presence
of adverse events cause by both drugs should not be ignored to ensure drug compliance
Thigh-length compression stockings and DVT after stroke
- Author
- Abbas M
- Abbasi S
- Abbasi S
- Abdelaziz A
- Abdelfattah M
- Abdul B
- Abdulmumeen A
- Abdulshukkoor N
- Abdusamad K
- Aboaba A
- Abouibrahim M
- Abraham M
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- Acharya D
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- Adegoke K
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- Adeyeye E
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- Ah-Chuen J
- Ahmad M
- Ahmed I
- Ahmed I
- Ahmed L
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- Ahmed M
- Ahmed M Cecilia
- Ahmed N
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- Ahmed R
- Ahmed RA
- Ahmed S
- Ahmed S Haris
- Ail D
- Ainsley A
- Ainsworth M
- Aitken L
- Ajibode A
- Ajmi A
- Ajmi A
- Akhtar N
- Akili S
- Akindolie O
- Al Balushi A
- Al-Asadi A
- Al-Hakim B
- Al-Jibury M
- Al-Rabahi A
- Al-Ramadhani B
- Al-Shamkhani W
- Al-Sheklly B
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/1994
- Field of study
Get PDFControversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease
Azithromycin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
- Abbas M
- Abbasi S
- Abbasi S
- Abdelaziz A
- Abdelfattah M
- Abdul B
- Abdulmumeen A
- Abdulshukkoor N
- Abdusamad K
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- Abouibrahim M
- Abraham M
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- Adamus M
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- Adeyeye E
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- Agyapong K Ansu
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- Wilkinson S
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- Williams A
- Williams C
- Williams C
- Williams G
- Williams J
- Williams J
- Williams J
- Williams JR
- Williams K
- Williams K Barker
- Williams M
- Williams P
- Williams S
- Williams S
- Williams T
- Williamson C
- Williamson D
- Williamson J
- Willis E
- Willis H
- Willis H
- Willis J
- Willis J
- Wilson A
- Wilson A
- Wilson A
- Wilson D
- Wilson J
- Wilson J
- Wilson K
- Wilson L
- Wilson T
- Win M
- Winder L
- Winder P
- Winn S
- Winstanley M
- Winter H
- Winter J
- Wiselka M
- Wittes J
- Wolodimeroff E
- Wong N
- Wood C
- Wood F
- Wood J
- Wood L
- Wood T
- Woodford J
- Woodhead L
- Woodland P
- Woodward Z
- Wooldridge G
- Woollen L
- Woosey D
- Wootton D
- Worton S
- Wright D
- Wright R
- Wroe C
- Wu P
- Wyness K
- Wynter I
- Xavier B
- Xia Z
- Yan M
- Yanney M
- Yasmin S
- Yates B
- Yates B
- Yates D
- Yates H
- Yein K
- Yelnoorkar F
- Yip K
- Ynter I
- Yorke J
- Youssouf S
- Yousuf A
- Yung B
- Zafar A-M
- Zaher S
- Zalewska K
- Zaman M
- Zaman S
- Zammit L
- Zammit-Mangion M
- Zdanaviciene A
- Zehnde D
- Zhixin J
- Zhu D
- Zia M
- Zin E Thant
- Zinyemba V
- Zipitis C
- Zmierczak A
- Zuhra N
- Zulaikha R
- Zullo C
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/02/2021
- Field of study
Get PDFBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatory actions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19. Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospital with COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients were randomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once per day by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatment groups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment and were twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants and local study staff were not masked to the allocated treatment, but all others involved in the trial were masked to the outcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treat population. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936. Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) were eligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was 65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomly allocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall, 561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days (rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median 10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days (rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, no significant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilation or death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24). Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or other prespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restricted to patients in whom there is a clear antimicrobial indication. Funding UK Research and Innovation (Medical Research Council) and National Institute of Health Research
