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A randomized controlled study of peramivir, oseltamivir and placebo in patients with mild influenza

tetano

Editor, Senior Moderator
Zhonghua Nei Ke Za Zhi. 2019 Aug 1;58(8):560-565. doi: 10.3760/cma.j.issn.0578-1426.2019.08.003.
[h=1][A randomized controlled study of peramivir, oseltamivir and placebo in patients with mild influenza].[/h] [Article in Chinese; Abstract available in Chinese from the publisher]
Fan HW[SUP]1[/SUP], Han Y[SUP]1[/SUP], Liu W[SUP]2[/SUP], Li XW[SUP]3[/SUP], Li LZ[SUP]4[/SUP], Yao HY[SUP]4[/SUP], Wang Y[SUP]4[/SUP], Su ZQ[SUP]4[/SUP], Ye WX[SUP]5[/SUP], Huang J[SUP]6[/SUP], Lu WZ[SUP]7[/SUP], Li GW[SUP]8[/SUP], Li HL[SUP]9[/SUP], Wang SY[SUP]10[/SUP], Wu H[SUP]11[/SUP], Lu QF[SUP]12[/SUP], Zhu GF[SUP]13[/SUP], Liu SM[SUP]14[/SUP], Chen G[SUP]15[/SUP], Zhang WH[SUP]16[/SUP], Li TS[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] in English, Chinese
Objectives: To evaluate the effectiveness and safety of peramivir trihydrate in patients with influenza. Methods: This was a randomized, double-blind, double-dummy, placebo and positive control, multicenter clinical trial, comparing peramivir trihydrate with oseltamivir and placebo. The inclusive criteria were 15-70 years old, onset within 48 h, positive rapid influenza antigen test, and febrile (>38℃) accompanied with at least two associated symptoms. The severe cases complicated with chronic pulmonary and cardiac diseases, malignancies, organ transplantation, hemodialysis, uncontrolled diabetes, immunocompromised status, pregnancy and coexistence of bacterium infections were excluded. All patients were randomized 2∶2∶1 to receive peramivir, oseltamivir and placebo respectively. The primary endpoint was the disease duration, the secondary endpoints included time to normal axillary temperature and normal living activities, viral response, and adverse effects. Results: Following informed consent, 133 patients were included in this study. Four patients were exclude due to missing medical records, not fitting inclusion or exclusion criteria and poor compliance. A total of 129 patients were finally analyzed, including 49 cases, 54 cases and 26 cases in peramivir group, oseltamivir group and placebo group. The median disease duration were 96 (76, 120) hours, 105 (90,124) hours, and 124 (104, 172) hours in three groups respectively (P>0.05) . The time to normal axillary temperature, normal living activities and viral response were not significantly different in three groups (P>0.05) . Conclusion: The value of antiviral therapy in patients with mild influenza needs to be further determined.


[h=4]KEYWORDS:[/h] Influenza; Oseltamivir; Peramivir

PMID: 31365976 DOI: 10.3760/cma.j.issn.0578-1426.2019.08.003
 
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