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- David L. Goldman
- Children’s Hospital at Montefiore, New York, New York;
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- Margaret L. Aldrich
- Children’s Hospital at Montefiore, New York, New York;
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- Stefan H.F. Hagmann
- Steven and Alexandra Cohen Children’s Medical Center, Northwell Health, New York, New York;
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- Alasdair Bamford
- Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom;
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- Andres Camacho-Gonzalez
- Emory University and Children’s Healthcare of Atlanta, Atlanta, Georgia;
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- Giuseppe Lapadula
- University of Milan-Bicocca, Monza, Italy;
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- Philip Lee
- Children’s Hospital at Montefiore, New York, New York;
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- Paolo Bonfanti
- University of Milan-Bicocca, Monza, Italy;
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- Christoph C. Carter
- Gilead Sciences Inc, Foster City, California; and
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- Yang Zhao
- Gilead Sciences Inc, Foster City, California; and
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- Laura Telep
- Gilead Sciences Inc, Foster City, California; and
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- Cheryl Pikora
- Gilead Sciences Inc, Foster City, California; and
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- Sarjita Naik
- Gilead Sciences Inc, Foster City, California; and
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- Neal Marshall
- Gilead Sciences Inc, Foster City, California; and
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- Ioannis Katsarolis
- Gilead Sciences Inc, Foster City, California; and
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- Moupali Das
- Gilead Sciences Inc, Foster City, California; and
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- Adam DeZure
- Gilead Sciences Inc, Foster City, California; and
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- Polly Desai
- Gilead Sciences Inc, Foster City, California; and
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- Huyen Cao
- Gilead Sciences Inc, Foster City, California; and
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- Anand P. Chokkalingam
- Gilead Sciences Inc, Foster City, California; and
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- Anu Osinusi
- Gilead Sciences Inc, Foster City, California; and
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- Diana M. Brainard
- Gilead Sciences Inc, Foster City, California; and
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- Ana Méndez-Echevarría
- Hospital La Paz, Madrid, Spain
説明
<jats:sec> <jats:title>OBJECTIVES:</jats:title> <jats:p>Remdesivir shortens time to recovery in adults with severe coronavirus disease 2019 (COVID-19), but its efficacy and safety in children are unknown. We describe outcomes in children with severe COVID-19 treated with remdesivir.</jats:p> </jats:sec> <jats:sec> <jats:title>METHODS:</jats:title> <jats:p>Seventy-seven hospitalized patients <18 years old with confirmed severe acute respiratory syndrome coronavirus 2 infection received remdesivir through a compassionate-use program between March 21 and April 22, 2020. The intended remdesivir treatment course was 10 days (200 mg on day 1 and 100 mg daily subsequently for children ≥40 kg and 5 mg/kg on day 1 and 2.5 mg/kg daily subsequently for children <40 kg, given intravenously). Clinical data through 28 days of follow-up were collected.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS:</jats:title> <jats:p>Median age was 14 years (interquartile range 7–16, range <2 months to 17 years). Seventy-nine percent of patients had ≥1 comorbid condition. At baseline, 90% of children required supplemental oxygen and 51% required invasive ventilation. By day 28 of follow-up, 88% of patients had a decreased oxygen-support requirement, 83% recovered, and 73% were discharged. Among children requiring invasive ventilation at baseline, 90% were extubated, 80% recovered, and 67% were discharged. There were 4 deaths, of which 3 were attributed to COVID-19. Remdesivir was well tolerated, with a low incidence of serious adverse events (16%). Most adverse events were related to COVID-19 or comorbid conditions. Laboratory abnormalities, including elevations in transaminase levels, were common; 61% were grades 1 or 2.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS:</jats:title> <jats:p>Among 77 children treated with remdesivir for severe COVID-19, most recovered and the rate of serious adverse events was low.</jats:p> </jats:sec>
収録刊行物
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- Pediatrics
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Pediatrics 147 (5), e2020047803-, 2021-05-01
American Academy of Pediatrics (AAP)