RE: Hibiscus up and running soon ?5 May 2021 13:29
From the Faron website .
In the trial, Traumakine will be used prior to the current practice of corticosteroid treatment, to prevent systemic inflammatory response syndrome (SIRS) and ARDS, to improve clinical condition and reduce patient death
From which my take is that they expect EVERY patient to be given corticosteroids during the trial anyway , as its part of standard care now , and they can't get away from that fact . It's just that in their trial , Traumakine gets first dibs , then after the 6 days its back to standard care . That way , they get data on Traumakine in what will be a real world setting .
Dex has shown to be effective in these sort of patients ( ie needing hospitalisation ) . Not so much for those that don't need respiratory assistance .
Faron have always said they didn't mind the use of steroids , just not at the same time , and I assume , preferably after .
So they are obviously confident enough with the science that they are prepared to throw Traumakine into this trial , knowing that the Interferon will show good data , and that any steroid use afterwards will not adversely affect the Traumakine patient , in fact they seem to think it will actually be complimentary and bolster the results in our favour .
Otherwise it would have been simpler to just run a Calibre type trial with no steroids at all .
Worth noting that this trial will get the serious end of the Covid patients , not the mild ones , so mortality is a possibility , and Faron obviously feel that running Traumakine and then steroids will give the best patient outcome .
Below is the data from RECOVERY last year for steroids .
It shows that although effective - dex isn't a wonder drug - plenty of patients still dying despite taking them .
So definitely room for Faron to show added value by putting IFN Beta1a in first .
Dexamethasone reduced deaths by one-third in ventilated patients (rate ratio 0.65 [95% confidence interval 0.48 to 0.88]; p=0.0003) and by one fifth in other patients receiving oxygen only (0.80 [0.67 to 0.96]; p=0.0021). There was no benefit among those patients who did not require respiratory support (1.22 [0.86 to 1.75]; p=0.14).
Based on these results, 1 death would be prevented by treatment of around 8 ventilated patients or around 25 patients requiring oxygen alone.