DreadPyriteRoberts | 7 points | Dec 10 2020 02:46:34

Coronavirus: The 40-year-old drug that could stop people getting sick from COVID-19 (Australia 2020-12-09) Dr. Kory wants the evidence reviewed

https://www.afr.com/policy/health-and-education/the-40-year-old-drug-that-could-stop-people-getting-sick-from-covid-19-20201209-p56m0i

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[-] DreadPyriteRoberts | 1 points | Dec 10 2020 02:51:51

Nothing new here, if you watched Dr. Kory's testimony before the Senate.

Critical care specialists in the US have called for an immediate review of a 40-year-old drug which, they say, could potentially be used on outpatients to prevent COVID-19 developing into a serious illness.

The drug, Ivermectin, is an anti-parasitic that also has anti-viral activity. Cheap and widely available, it has a good safety profile.

The jury is still out on Ivermectin, says Allen Cheng, professor of infectious diseases epidemiology at Monash and a member of Australia’s National COVID Evidence Task Force. Simon Schluter

In April, researchers at the Monash Biomedicine Discovery Institute and the Doherty Institute in Melbourne became first in the world to identify its potential against COVID-19.

The cause was taken up by the Frontline COVID-19 Critical Care Alliance in the US, which was formed to research and develop lifesaving protocols for the prevention and treatment of this disease.

In August, the alliance's appeal for recognition of the effectiveness of Ivermectin was declined.

On Tuesday, one its co-founders, Pierre Kory, appeared before a US Senate Homeland Security and governmental affairs committee, saying there was more evidence.

He reminded the hearing on Early Outpatient Treatment: An Essential Part of a COVID-19 Solution that in May, against widespread opposition, he had recommended corticosteroids be used to treat COVID-19.

“That turned out to be a lifesaving recommendation, " Associate Professor Kory told the hearing. "I am here today with a new recommendation. ”

He said four large randomised controlled trials involving more than 1500 patients had demonstrated Ivermectin’s effectiveness as a safe prophylactic agent in COVID 19, when used in early outpatient treatment.

He noted discoveries related to Invermectin had won two researchers the Nobel Prize for Physiology or Medicine in 2015.

“All I ask is for the National Institutes of Health to review our data, ” he said.

At an alliance press conference in the US last week, Professor Kory said that as vaccines would not be distributed fast enough to save lives, something was needed in the interim.

“COVID-19 is a runaway train barrelling down the tracks, and if you’re on those tracks, Ivermectin can help lift you out of harm’s way, " he said.

Paul Marik, co-founder of the alliance, said Ivemectin had been used safely by 3. 7 billion people.

Doses, not people. Could be wrong. I think it's actually over 4 billion doses. Need to reconstruct where I got that from.

It had high activity fighting the SARS-CoV-2 virus as well as the inflammation produced in all stages of COVID-19.

“It works pre-and post-exposure, the early symptoms phase and late-stage disease, " Professor Marik said.

Australia was first to identify the drug's potential against COVID-19, says Stephen Turner, head of the Department of Microbiology at Monash. Monash

In April, the Monash and Doherty study indicated Ivermectin resulted in the loss of nearly all viral material within 48 hours, with no toxicity, in non-human cells.

But in May, another study found the design of this study made it difficult to extrapolate to humans.

Ivermectin works by interfering with the life cycle of pathogens, disrupting some basic cell biology. So it needs to be used at low enough doses to minimise side effects in patients, ” says Stephen Turner, head of the Department of Microbiology at Monash.

“Now the researchers are looking at safe dosing that could still get the protective effect while limiting side effects. Their trials are under way and, until they report, the jury is still out. ”

Allen Cheng, professor of infectious diseases epidemiology at Monash and a member of Australia’s National COVID Evidence Taskforce, which keeps an eye on all the available evidence, agrees the jury is still out.

He says the taskforce currently recommends against the use of Ivermectin as treatment outside of trials and has no recommendation for its use in prevention.

“The taskforce has a list of almost 30 other treatments that have not been found to work, which reinforces that treatments need to be tested rigorously in clinical trials, " Professor Cheng says.

"Obviously, evidence is constantly changing, so if evidence emerges that Ivermectin (or any other treatment) works, these recommendations would change. ”

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