The effectiveness and safety of a polypeptide drug (Laennec) for the treatment of COVID-19
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Published:2020-08-04
Issue:6
Volume:
Page:55-63
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ISSN:1682-8658
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Container-title:Experimental and Clinical Gastroenterology
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language:
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Short-container-title:jour
Author:
Maksimov V. A.1ORCID, Torshin I. Yu.2ORCID, Chuchalin A. G.3ORCID, Tkacheva O. N.4ORCID, Strazhesko I. D.4ORCID, Gromova O. A.2ORCID
Affiliation:
1. FGBOU DPO RMAPO Ministry of Health of Russia 2. FIC IU RAS;
Center for Big Data Storage and Analysis, Moscow State University 3. FGAOU IN RNIMU them. N. I. Pirogova of the Ministry of Health of Russia 4. Russian Gerontological Scientific and Clinical Center at the Federal State Autonomous Educational Institution of Higher Education N. I. Pirogov
Abstract
Hyperferritinemia in patients with COVID-19 is associated with liver dysfunction and an increased risk of the “cytokine storm”. The polypeptide preparation Laennec (6 ml per 350 ml of 0.9% NaCl solution, iv, cap. The first 3 days, from 4 days — 6 ml per 250 ml of 0.9% NaCl solution) was used in 14 patients (age 39–86 years old, 6 men, 8 women) with a long, stagnant course of COVID-19 as a hepatoprotector and immunomodulator as part of complex therapy until a stable remission is achieved. Patients in the control group (n = 14) received only standard therapy. The use of Laennec led to positive clinical dynamics: a decrease in ferritin levels (in men by –282 mcg / l, in women by –80 mcg / l, P = 0.039), an increase in blood oxygenation to the normal range (P = 0.0029), and a decrease in the area of damage lung according to CT data (on average, —10%, P = 0.0027), an increase in the relative content of lymphocytes (+ 8%, P = 0.04), normalization of markers of liver dysfunction (AST, ALT), creatinine and systolic blood pressure (P <0.05). All patients treated with Laennec recovered within 3–15 days after the start of the drug and were discharged with a negative test for the SARS-CoV-2 virus.
Publisher
LLC Global Media Technology
Subject
Gastroenterology,Hepatology
Reference29 articles.
1. Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia.J Th romb Haemost. 2020 Apr;18(4):844–847. doi: 10.1111/jth.14768. Epub 2020 Mar 13. PMID:32073213 2. Liu C, Jiang ZC, Shao CX, Zhang HG, Yue HM, Chen ZH, Ma BY, Liu WY, Huang HH, Yang J, Wang Y, Liu HY, Xu D, Wang JT, Yang JY, Pan HQ, Zou SQ, Li FJ, Lei JQ, Li X, He Q, Gu Y, Qi XL. [Preliminary study of the relationship between novel coronavirus pneumonia and liver function damage: a multicenter study]. Zhonghua Gan Zang Bing Za Zhi. 2020 Feb 20;28(2):148–152. doi: 10.3760/cma.j.issn.1007-3418.2020.02.003. PMID:32077660 3. Gromova O. A., Torshin I. Yu. The importance of zinc in maintaining the activity of antiviral innate immunity proteins: analysis of publications on COVID-19. The Russian Journal of Preventive Medicine. 2020;23(3):125–133. DOi 10.17116/profmed202023031125. 4. Stefanyuk O. V., Lazebnik L. B. The defeat of the digestive system during infection SARS-CoV-2. Experimental and Clinical Gastroenterology.2020;175(3): 4–9. (In Russ.) DOI: 10.31146/1682-8658-ecg-175-3-4-9. 5. Jin X, Lian JS, Hu JH, Gao J, Zheng L, Zhang YM, Hao SR, Jia HY, Cai H, Zhang XL, Yu GD, Xu KJ, Wang XY, Gu JQ, Zhang SY, Ye CY, Jin CL, Lu YF, Yu X, Yu XP, Huang JR, Xu KL, Ni Q, Yu CB, Zhu B, Li YT, Liu J, Zhao H, Zhang X, Yu L, Guo YZ, Su JW, Tao JJ, Lang GJ, Wu XX, Wu WR, Qv TT, Xiang DR, Yi P, Shi D, Chen Y, Ren Y, Qiu YQ, Li LJ, Sheng J, Yang Y. Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms. Gut. 2020 Mar 24. pii: gutjnl-2020–320926. doi: 10.1136/gutjnl-2020-320926. PMID:32213556
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