1. Renal and Hepatic Toxicity Analysis of Remdesivir Formulations: Does What Is on the Inside Really Count?
- Author
-
Jeffrey E Topal, Tyler W. Ackley, and Sunish Shah
- Subjects
renal failure ,medicine.medical_specialty ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,030232 urology & nephrology ,Renal function ,remdesivir ,Logistic regression ,Antiviral Agents ,Gastroenterology ,Nephrotoxicity ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Humans ,Medicine ,Pharmacology (medical) ,030212 general & internal medicine ,solution ,Pharmacology ,Alanine ,SARS-CoV-2 ,business.industry ,Acute kidney injury ,Odds ratio ,medicine.disease ,Adenosine Monophosphate ,Confidence interval ,COVID-19 Drug Treatment ,Infectious Diseases ,lyophilized ,Abnormal Liver Function Test ,business - Abstract
It has been postulated that the injectable solution formulation of remdesivir could be more nephrotoxic than the lyophilized powder since it contains twice as much sulfobutylether-β-cyclodextrin (SBECD). Therefore, we evaluated 1,000 hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who received remdesivir lyophilized powder or solution. A logistic regression model accounting for baseline confounders identified that neither the use of the injectable solution (odds ratio [OR], 1.05; 95% confidence interval [CI], 0.49 to 2.29; P = 0.901) nor a creatinine clearance of
- Published
- 2021
- Full Text
- View/download PDF