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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsEarly Remdesivir Data for Covid-19 Is Finally Here
IN LATE JANUARY and early February, as the novel coronavirus that causes Covid-19 began to spread outside of China, Andre Kalil was spending more and more time inside his office at the University of Nebraska Medical Center in Omaha, on the phone and emailing with researchers at the National Institutes of Health. With no known treatments or vaccines against the deadly respiratory virus, the NIH was keen to launch a clinical trial of the most promising candidates, starting with remdesivir, a medicine developed by US-based drugmaker Gilead to treat Ebola. The NIH wanted Kalil to lead that trial.
An infectious disease physician, he was a natural choice for two reasons. One, hed worked on an unusual trial of Ebola treatments during the 201415 West African outbreak that created a new model for evaluating experimental drugs during a public health crisis. And two, he had access to UNMCs Biocontainment Unit, the largest of 10 nationally-designated centers for treating people with the worlds most infectious deadly diseases. Though the US had only a handful of Covid-19 patients at that time, sooner or later there would be more, and Kalil knew theyd probably wind up in Omaha. Were one of the few centers in the country that can receive US patients from other countries during an outbreak, so we viewed it as just a matter of time, he told WIRED in a recent interview.
Sure enough, on February 17, 13 Americans arrived jet-lagged, exhausted, and sick or suspected of having Covid-19. They had just endured a 10-hour evacuation flight from Japan on a chartered cargo jet, and before that, more than two weeks of floating quarantine aboard the doomed Diamond Princess cruise ship.
Just over a week later, three of those cruise ship patients signed up to be the first participants in the federal governments clinical trial, the first in the US to evaluate experimental Covid-19 treatments. For 10 days, they received a two-hour daily intravenous infusion of a clear liquid that contained either remdesivira molecule that impersonates the viruss genetic building blocks, disrupting its ability to replicateor a placebo of sterile saltwater solution. They didn't know which one they were getting. Their doctors didnt know either. But UNMC researchers would carefully collect measurements of how each patient fared. Later, as the disease continued to spread, they would add that information to similar data that would eventually be gathered from more than a thousand other Covid-19 patients at more than 68 hospitals in the US and 21 other countries in Europe and Asia.
https://www.wired.com/story/early-remdesivir-data-for-covid-19-is-finally-here/?utm_source=nl&utm_brand=wired&utm_mailing=WIR_Science_043020&utm_campaign=aud-dev&utm_medium=email&utm_term=WIR_Science&bxid=5be9f8cb24c17c6adf0e5d24&cndid=25394153&esrc=bounceX&source=EDT_WIR_NEWSLETTER_0_SCIENCE_ZZ
Hope this works out but the last thing we need is an early push by Dr. Trump before we know everything about this drug.