Treating COVID-19-Off-Label Drug Use, Compassionate Use, and Randomized Clinical Trials During Pandemics

被引:329
作者
Kalil, Andre C. [1 ]
机构
[1] Univ Nebraska, Med Ctr, Dept Internal Med, Div Infect Dis, Omaha, NE USA
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2020年 / 323卷 / 19期
关键词
CORTICOSTEROID TREATMENT;
D O I
10.1001/jama.2020.4742
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
This Viewpoint uses the absence of known effective treatment for Ebola virus disease to emphasize the costs of off-label and compassionate drug use during an infectious disease outbreak and the importance of establishing the efficacy and safety of promising drug leads in randomized trials to inform their clinical use.
引用
收藏
页码:1897 / 1898
页数:2
相关论文
共 10 条
[1]
[Anonymous], 2019, ACT TOC PRESCR INF
[2]
Corticosteroid Therapy for Critically Ill Patients with Middle East Respiratory Syndrome [J].
Arabi, Yaseen M. ;
Mandourah, Yasser ;
Al-Hameed, Fahad ;
Sindi, Anees A. ;
Almekhlafi, Ghaleb A. ;
Hussein, Mohamed A. ;
Jose, Jesna ;
Pinto, Ruxandra ;
Al-Omari, Awad ;
Kharaba, Ayman ;
Almotairi, Abdullah ;
Al Khatib, Kasim ;
Alraddadi, Basem ;
Shalhoub, Sarah ;
Abdulmomen, Ahmed ;
Qushmaq, Ismael ;
Mady, Ahmed ;
Solaiman, Othman ;
Al-Aithan, Abdulsalam M. ;
Al-Raddadi, Rajaa ;
Ragab, Ahmed ;
Balkhy, Hanan H. ;
Al Harthy, Abdulrahman ;
Deeb, Ahmad M. ;
Al Mutairi, Hanan ;
Al-Dawood, Abdulaziz ;
Merson, Laura ;
Hayden, Frederick G. ;
Fowler, Robert A. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2018, 197 (06) :757-767
[3]
Burton Thomas M., 2015, Wall Street Journal
[4]
*CLINICALTRIALS, 2020, AD COVID 19 TREATM T
[5]
A Randomized, Controlled Trial of ZMapp for Ebola Virus Infection [J].
Davey, Richard T., Jr. ;
Dodd, Lori ;
Proschan, Michael A. ;
Neaton, James ;
Nordwall, Jacquie Neuhaus ;
Koopmeiners, Joseph S. ;
Beigel, John ;
Tierney, John ;
Lane, H. Clifford ;
Fauci, Anthony S. ;
Massaquoi, Moses B. F. ;
Sahr, Foday ;
Malvy, Denis .
NEW ENGLAND JOURNAL OF MEDICINE, 2016, 375 (15) :1448-1456
[6]
Low-dose steroids for septic shock and severe sepsis: the use of Bayesian statistics to resolve clinical trial controversies [J].
Kalil, Andre C. ;
Sun, Junfeng .
INTENSIVE CARE MEDICINE, 2011, 37 (03) :420-429
[7]
Effects of early corticosteroid treatment on plasma SARS-associated Coronavirus RNA concentrations in adult patients [J].
Lee, N ;
Chan, KCA ;
Hui, DS ;
Ng, EKO ;
Wu, A ;
Chiu, RWK ;
Wong, VWS ;
Chan, PKS ;
Wong, KT ;
Wong, E ;
Cockram, CS ;
Tam, JS ;
Sung, JJY ;
Lo, YD .
JOURNAL OF CLINICAL VIROLOGY, 2004, 31 (04) :304-309
[8]
Clinical evidence does not support corticosteroid treatment for 2019-nCoV lung injury [J].
Russell, Clark D. ;
Millar, Jonathan E. ;
Baillie, J. Kenneth .
LANCET, 2020, 395 (10223) :473-475
[9]
Singapore 2019 Novel Coronavirus Outbreak Research Team, 2020, JAMA, DOI 10.1001/jama.2020.3204 32125362
[10]
Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention [J].
Wu, Zunyou ;
McGoogan, Jennifer M. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (13) :1239-1242