Paxlovid 2 new studies27 Feb 2024 10:12
2 new US studies supporting wider use of Paxlovid for Covid in the US
https://news.utexas.edu/2024/02/26/increased-use-of-paxlovid-could-cut-hospitalizations-deaths-and-costs/
This one a mathematical model based on the original EUA'd trial in 2021 and on recorded viral transmission levels over 10 months in 2022.
"using Paxlovid on 20% of symptomatic COVID-19 patients during the omicron wave would have resulted in up to 850,000 fewer hospitalizations and saved up to $170 billion. Even with lower transmission levels of the virus, the researchers estimate that an expanded use of Paxlovid could save approximately 30,000 lives during an outbreak.
The second trial studied eMR of 45k patients in North Carolina. 10% received Paxlovid and showed a huge 89% efficacy against the non Paxlovid cohort.
"Paxlovid use was one of the strongest predictors of avoiding hospitalization, and only 3 patients (0.1%) in the group were hospitalized for infection. The 28-day cumulative incidence of hospitalization for people who received Paxlovid was 0.06% (95% confidence interval [CI], 0.02% to 0.17%) compared to 0.52% (95% CI, 0.46% to 0.60%) among non-recipients. "
Lots of qualifications for this general population study - Paxlovid patients twice as likely to be vaccinated - more were over 70 & fewer were black or hispanic or living in low income areas - but Paxlovid was by far the main indicator of a successful outcome at 28 days.
https://www.cidrap.umn.edu/covid-19/paxlovid-use-tied-84-lower-risk-hospital-care
Relevance here is that Paxlovid is still EUA'd here and the only outpatient antiviral still working against Covid. I managed to help my mum - who'd just recovered from Cancer - to get it, and also advised a friend's mum with COPD to ask her Irish GP about it - which she did and was prescribed.
Covid is still all around us and I know many people who've had a really tough time with it through the winter - mostly because of the long interval between boosters or previous infection. If the govt doesn't extend the boosters to the general population - or at least to those from 50 to 65 - many more younger people will have a tough time with it - and even those in vulnerable cohorts will struggle as numbers for booster uptake fall as they have done recently
Worth bearing in mind if you have a vulnerable relative.
No relevance to Synairgen in this since our ambitions in the outpatient setting came to an end - but it's worth celebrating the last man standing, and we still know that if the Sprinter deep dive can be verified there will still be a sizeable inpatient population waiting for SNG.