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Results of a randomized, double-blind, placebo-controlled clinical trial in adult patients with acute respiratory viral infection

https://doi.org/10.18093/0869-0189-2019-29-3-302-310

Abstract

The aim of this study was to investigate efficacy and safety of released-active antibodies against interferon-gamma, CD4-receptor, and histamine in adult patients with acute respiratory viral infection (ARVI).

Methods. This multicenter, randomized, double-blind, placebo-controlled clinical trial in parallel groups was carried out in 2011 – 2012. Data of 161 ambulatory patients from 4 centers at Russian Federation were included in the analysis. The patients' age was 18 to 60 years. Patients with ARVI signs duration ≤ 48 hours were enrolled in the study. The patients were randomly assigned for the treatment with released-active antibodies against IFN-γ, CD4-receptor, and histamine (the active treatment group; n = 76), or placebo (placebo group; n = 85) for 5 days at 1:1 ratio. The randomization was made using the block randomization method. The treatment efficacy was evaluated according to number of patients with normal body temperature (≤ 37.0 °C) over 5 days of the treatment. Additionally, we evaluated the need in antipyretics, duration and severity of clinical symptoms and complications.

Results. During the treatment period, the number of patients with normal body temperature was higher in the active treatment group. Additionally, patients of this group needed antipyretics less often compared to the placebo group. Deterioration and complicated course of the disease were not registered in the active treatment group compared to the placebo group.

Conclusion. The results of this multicenter, randomized, double-blind, placebo-controlled clinical trial in parallel groups demonstrated therapeutic efficacy and safety of released-active antibodies against IFN-γ, CD4-receptor, and histamine in adult patients with acute respiratory viral infection. 

About the Authors

E. P. Sel’kova
G.N.Gabrichevskiy Moscow Research Institute of Epidemiology and Microbiology, Federal Service for Supervision of Consumer Rights Protection and Human Welfare
Russian Federation

Doctor of Medicine, Professor, Deputy Director for Disease Control and Prevention,

ul. Admirala Makarova 10, Moscow, 125212



M. P. Kostinov
I.I.Mechnikov Federal Research Institute of Vaccines and Sera, Russian Academy of Science; I.M.Sechenov First Moscow State Medical University (Sechenov University), Healthcare Ministry of Russia
Russian Federation

Doctor of Medicine, Professor, Head of Laboratory of Preventive Vaccination and Immune Therapy of Allergic Diseases, Malyy Kazennyy per. 5A, Moscow, 105064;

Professor at Department of Epidemiology, Institute of Postgraduate Medical Training, ul. Trubetskaya 8, build. 2, Moscow, 119991



B. Ya. Bart
N.I.Pirogov Federal Russian National Research Medical University, Healthcare Ministry of Russia
Russian Federation

Doctor of Medicine, Professor, Department of Outpatient Therapy,

ul. Ostrovityanova 1, Moscow, 117997



A. V. Aver’yanov
Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia
Russian Federation

Doctor of Medicine, Professor, Department of Internal Medicine,

Orekhovyy bul'var 28, Moscow, 115682



D. V. Petrov
Yaroslavl' State Medical University, Healthcare Ministry of Russia
Russian Federation

Candidate of Medicine, Associate Professor, Department of Outpatient Therapy, Laboratory Diagnostics and Medical Biochemistry,

ul. Revolyutsionnaya 5, Yaroslavl', 150000



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Review

For citations:


Sel’kova E.P., Kostinov M.P., Bart B.Ya., Aver’yanov A.V., Petrov D.V. Results of a randomized, double-blind, placebo-controlled clinical trial in adult patients with acute respiratory viral infection. PULMONOLOGIYA. 2019;29(3):302-310. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-3-302-310

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)