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干扰素-β 类方案治疗 COVID-19 患者的临床疗效和安全性:一项随机对照试验的系统评价和荟萃分析。

Clinical efficacy and safety of interferon-β-containing regimens in the treatment of patients with COVID-19: a systematic review and meta-analysis of randomized controlled trials.

机构信息

Institute of Biotechnology and Chemical Engineering, I-Shou University, Kaohsiung, Taiwan.

Department of Pharmacy, E-Da Hospital, Kaohsiung, Taiwan.

出版信息

Expert Rev Anti Infect Ther. 2022 May;20(5):741-747. doi: 10.1080/14787210.2022.2004118. Epub 2021 Nov 18.

Abstract

OBJECTIVE

The aim of this systematic review and meta-analysis of randomized controlled trials(RCTs) was to investigate the efficacy of interferon (IFN)-β-containing regimens in treating patients with COVID-19.

METHODS

PubMed, Embase, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov were searched from inception to 17 July 2021. RCTs comparing the clinical efficacy and safety of IFN-β-containing regimens (study group) to other antiviral treatment options or placebo (control group) in treating patients with COVID-19 were included.

RESULTS

Eight RCTs were included. No significant difference in the 28-day all-cause mortality rate was observed between the study and control groups (OR, 0.74; 95% CI, 0.44-1.24;  = 51%). The study groups had a lower rate of intensive care unit (ICU) admissions than the control groups (OR 0.58, 95% CI 0.36-0.95;  = 0%). Furthermore, INF-β was not associated with an increased risk of any adverse event (AE) or serious AE when compared with the control group.

CONCLUSIONS

IFN-β does not appear to provide an increased survival benefit in hospitalized patients with COVID-19 but may help reduce the risk of ICU admission. Moreover, IFN-β is a safe agent for use in the treatment of COVID-19.

摘要

目的

本系统评价和荟萃分析的目的是评估包含干扰素(IFN)-β的方案治疗 COVID-19 患者的疗效。

方法

从建库到 2021 年 7 月 17 日,我们检索了 PubMed、Embase、Cochrane 对照试验中心注册库和 ClinicalTrials.gov。纳入比较 IFN-β 方案(研究组)与其他抗病毒治疗选择或安慰剂(对照组)治疗 COVID-19 患者的临床疗效和安全性的随机对照试验。

结果

纳入了 8 项 RCT。研究组与对照组在 28 天全因死亡率方面无显著差异(OR,0.74;95%CI,0.44-1.24;  = 51%)。与对照组相比,研究组 ICU 入院率较低(OR 0.58,95%CI 0.36-0.95;  = 0%)。此外,与对照组相比,INF-β 不会增加任何不良事件(AE)或严重 AE 的风险。

结论

IFN-β 似乎不能为 COVID-19 住院患者提供生存获益的增加,但可能有助于降低 ICU 入院的风险。此外,IFN-β 是 COVID-19 治疗的一种安全药物。

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