tetano
Editor, Senior Moderator
BMC Infect Dis
. 2024 Sep 17;24(1):987.
doi: 10.1186/s12879-024-09833-9. Safety of remdesivir in the treatment of acute SARS-CoV-2 infection in pediatric patients
Brittany Player[SUP] 1 2 [/SUP], Anna R Huppler[SUP] 3 [/SUP], Amy Y Pan[SUP] 4 [/SUP], Melodee Liegl[SUP] 4 [/SUP], Peter L Havens[SUP] 3 [/SUP], Katie Ray[SUP] 5 [/SUP], Michelle Mitchell[SUP] 3 [/SUP], Kelly Graff[SUP] 3 [/SUP]
Affiliations
Background: Transaminase and creatinine elevations have been well described in adults treated with remdesivir for COVID-19. It is hypothesized that a similar safety profile exists in children with COVID-19 treated with remdesivir, but available data are limited, especially in children < 12 months. The primary aim of this study was to determine the prevalence and timing of elevations in transaminases and creatinine in children with COVID-19 who were treated with remdesivir.
Methods: This was a retrospective, observational cohort study including all pediatric patients admitted to a single, freestanding children's hospital who were positive for COVID-19 and received at least 1 dose of remdesivir between 1/1/2020 and 5/31/2022. Available baseline and peak transaminase and creatinine concentrations were evaluated. Multivariable logistic regression analysis was performed to identify risk factors for transaminase elevation.
Results: A total of 180 patients met inclusion criteria. Creatinine elevation of any grade was noted in 16% and remained elevated only in those with underlying chronic kidney disease. Transaminase elevation of any grade was noted in 58% of patients and remained elevated in only 1%. Older age and critical respiratory disease were associated with higher risk of significant transaminase elevation, whereas non-Hispanic ethnicity was strongly associated with protection against significant transaminase elevation.
Conclusions: In our cohort of hospitalized children with COVID-19 who were treated with remdesivir, most patients experienced only mild transaminitis and normal creatinine concentrations. A limited number of patients experienced laboratory abnormalities which were transient, suggesting a favorable safety profile for remdesivir use in pediatrics.
Keywords: Anti-viral; COVID-19; Children; Remdesivir; Side effects.
. 2024 Sep 17;24(1):987.
doi: 10.1186/s12879-024-09833-9. Safety of remdesivir in the treatment of acute SARS-CoV-2 infection in pediatric patients
Brittany Player[SUP] 1 2 [/SUP], Anna R Huppler[SUP] 3 [/SUP], Amy Y Pan[SUP] 4 [/SUP], Melodee Liegl[SUP] 4 [/SUP], Peter L Havens[SUP] 3 [/SUP], Katie Ray[SUP] 5 [/SUP], Michelle Mitchell[SUP] 3 [/SUP], Kelly Graff[SUP] 3 [/SUP]
Affiliations
- PMID: 39289614
- DOI: 10.1186/s12879-024-09833-9
Background: Transaminase and creatinine elevations have been well described in adults treated with remdesivir for COVID-19. It is hypothesized that a similar safety profile exists in children with COVID-19 treated with remdesivir, but available data are limited, especially in children < 12 months. The primary aim of this study was to determine the prevalence and timing of elevations in transaminases and creatinine in children with COVID-19 who were treated with remdesivir.
Methods: This was a retrospective, observational cohort study including all pediatric patients admitted to a single, freestanding children's hospital who were positive for COVID-19 and received at least 1 dose of remdesivir between 1/1/2020 and 5/31/2022. Available baseline and peak transaminase and creatinine concentrations were evaluated. Multivariable logistic regression analysis was performed to identify risk factors for transaminase elevation.
Results: A total of 180 patients met inclusion criteria. Creatinine elevation of any grade was noted in 16% and remained elevated only in those with underlying chronic kidney disease. Transaminase elevation of any grade was noted in 58% of patients and remained elevated in only 1%. Older age and critical respiratory disease were associated with higher risk of significant transaminase elevation, whereas non-Hispanic ethnicity was strongly associated with protection against significant transaminase elevation.
Conclusions: In our cohort of hospitalized children with COVID-19 who were treated with remdesivir, most patients experienced only mild transaminitis and normal creatinine concentrations. A limited number of patients experienced laboratory abnormalities which were transient, suggesting a favorable safety profile for remdesivir use in pediatrics.
Keywords: Anti-viral; COVID-19; Children; Remdesivir; Side effects.