Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
SBMU Taskforce on the COVIFERON Study, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Med Virol. 2022 Apr;94(4):1488-1493. doi: 10.1002/jmv.27475. Epub 2021 Nov 30.
Interferons are an essential part of the innate immune system and have antiviral and immunomodulatory functions. We studied the effects of interferon β-1a on the outcomes of severe cases of coronavirus disease 2019 (COVID-19). This retrospective study was conducted on hospitalized COVID-19 patients in Loghman-Hakim hospital from February 20, 2020 to April 20, 2020, Tehran, Iran. Patients were selected from two groups, the first group received interferon β-1a in addition to the standard treatment regimen, and the second group received standard care. The clinical progression of two groups during their hospital admission was compared. We studied a total number of 395 hospitalized COVID-19 patients. Out of this number, 111 patients (33.5%) died (31.3% of the interferon β-1a group and 34.1% of the control group). The mortality rate indicated no statistically significant difference between groups (p-value = 0.348), however for patients who were hospitalized for more than a week, the rate of mortality was lower in the interferon β-1a group (p-value = 0.014). The median hospital stay was statistically longer for patients treated by interferon β-1a (p-value < 0.001). The results of this study showed that interferon β-1a can improve the outcomes of hospitalized patients with severe COVID-19, but more adequately-powered randomized controlled trials should be conducted.
干扰素是先天免疫系统的重要组成部分,具有抗病毒和免疫调节功能。我们研究了干扰素 β-1a 对 2019 年冠状病毒病(COVID-19)重症病例结局的影响。这项回顾性研究于 2020 年 2 月 20 日至 4 月 20 日在伊朗德黑兰的 Loghman-Hakim 医院对住院的 COVID-19 患者进行。患者分为两组,第一组在标准治疗方案的基础上接受干扰素 β-1a 治疗,第二组接受标准护理。比较两组患者住院期间的临床进展情况。我们共研究了 395 例住院 COVID-19 患者。其中 111 例(33.5%)死亡(干扰素 β-1a 组为 31.3%,对照组为 34.1%)。两组死亡率无统计学差异(p 值=0.348),但住院时间超过一周的患者中,干扰素 β-1a 组死亡率较低(p 值=0.014)。接受干扰素 β-1a 治疗的患者住院时间中位数明显延长(p 值<0.001)。本研究结果表明,干扰素 β-1a 可改善住院重症 COVID-19 患者的结局,但需要开展更多设计合理的随机对照试验。