Two Ebola drugs show promise amid ongoing outbreak

  • Two experimental treatments significantly improve survival rates from Ebola, according to preliminary data reported this week from a clinical trial testing the drug in the Democratic Republic of Congo, where an Ebola outbreak is ongoing.
  • Assuming that the final test results are valid, the disease — which has had an overall fatality rate of about 67% in the current outbreak in DRC — can be treated with drugs, especially if treatment is started early.

rVSV-ZEBOV-GP

  • Earlier, Merck’s preventive Ebola vaccine (rVSV-ZEBOV-GP), which has had a 97.5% efficacy, helped slow the virus’s spread, but was not able to stop the disease in its tracks.

Four drugs

  • Now, four candidate drugs — Zmapp, remdesivir, REGN-EB3 and mAb114 — have been tested in a randomised trial, which began in November last year and, as on August 9, had enrolled 681 of the target 725 patients.
  • Preliminary results, of 499 of the participants, show that two of the candidates, REGN-EB3 and mAb114, were highly effective in treating people infected with the virus. While REGN-EB3 “crossed the efficacy threshold” set for the trial, the efficacy of mAb114 was also comparable, say the results.
  • Preliminary data from the first 499 people enrolled in the study show that 29% of people given REGN-EB3 died, compared with 34% of those who received mAb114.

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