Glenmark Pharmaceuticals appears to have stolen a march over its
peers after it received regulatory clearance in India for and launched
its version of favipiravir, the antiviral currently being evaluated as
part of treatment options for COVID-19 in several countries including
Japan.To get more news about
259793-96-9, wisepowder official website is the best place for you.
Glenmark’s product, to be sold as FabiFlu, has received emergency use
authorization in India for the treatment of mild to moderate COVID-19,
the disease caused by the coronavirus. The manufacturing and marketing
go-ahead was granted as part of an accelerated approval process, which
takes into account disease severity, rarity and the availability of
alternative treatments, the firm explained in a presentation. Patients
will be required to provide informed consent before initiation of
treatment.
Glenmark said the approval terms also require the company to submit
updated safety and efficacy data to India’s drug regulator on “a
periodic basis. Further, we will be submitting postmarketing
surveillance of the first 1,000 patients who access the drug. The CDSCO
[Central Drugs Standard Control Organization] has given us three months
to submit a final clinical trial report, which we expect to complete in
about four weeks from now,” Glenmark told Generics Bulletin sister
publication Scrip.
Glenmark’s chair and managing director Glenn Saldanha noted that since
FabiFlu is orally administered, it serves as a more convenient treatment
option over other intravenously administered medications. “Glenmark
will work closely with the government and medical community to make
FabiFlu quickly accessible to patients across the country,” Saldanha
added.
The product, which acts as an RNA polymerase inhibitor, is available as a
200mg tablet and priced at INR3,500 ($45.90) for a pack of 34 tablets.
While pricing may appear rational, some industry experts said that
treatment entails a significant pill burden, given the day-one dose
requirement of 1,800mg twice-daily and then 800mg twice-daily from day
two onwards, for a maximum 14 days.
“This would imply 18 tablets are to be taken on day one, and that’s a
challenge, but higher-dose tablets may be on the anvil,” one expert told
Scrip.Glenmark has been conducting Phase III trials with favipiravir as
a monotherapy option for COVID-19. The study evaluated efficacy and
safety plus standard of care versus standard of care alone in mild to
moderate disease and involved 150 patients at 11 sites across India.
On how the clinical improvement/recovery rate in the study compared to
other global trials, the Mumbai-based firm said that, globally, COVID-19
patients treated with favipiravir have shown positive outcomes such as
reduced clinical symptoms and quicker disease recovery within one week.
“Glenmark’s clinical trial findings are in line with global data, with
most patients showing clinical improvements within the first seven days
of treatment initiation,” the company said.
There is significant global development activity around favipiravir for
COVID-19 and Glenmark highlighted that around 18 clinical trials
involving over 3,000 subjects are underway in countries including India,
the US, Canada, Italy, China, France and the UK.
As Glenmark Pharmaceuticals launched antiviral drug Favipiravir for the
treatment of mild to moderate COVID-19 cases, medical experts on
Saturday cautioned against seeing it as a "magic bullet" to treat the
deadly virus but said it will be helpful as it can be orally
administered and reduce viral load.To get more news about
259793-96-9, wisepowder official website is the best place for you.
They said the drug's real efficacy would be known in the coming months.
Glenmark Pharmaceuticals said it has launched antiviral drug
Favipiravir, under the brand name FabiFlu, for the treatment of patients
with mild to moderate COVID-19 at a price of about Rs 103 per
tablet.FabiFlu is the first oral Favipiravir-approved medication in
India for the treatment of COVID-19, it said in a statement.
"This drug was already being used in Japan for influenza. They have been
using it in COVID-19 patients also. Even China was using it and Russia
had also given permission in May to use it. Antiviral drugs like
Remdesivir and Favipiravir are not specific to COVID-19 but were being
used for influenza," said Dr Vikas Maurya, Director, Department of
Pulmonology and Sleep Disorders, Fortis Hospital, Shalimar Bagh.
He said studies found that there was some benefit of Favipiravir in
COVID-19 treatment and that is why it has now been launched in India as
well.Dr Maurya said with COVID-19 cases rising, the launching of the
drug comes as a relief.
"It is not a magic bullet as it is not the only thing we have to give.
This is not a specific drug made for COVID-19 and has been found to be
useful, but how much it will be useful we will have to see. Real
efficacy will be known when administered on a large scale," he told PTI.
"Best thing is that it is an oral drug, while Ramdesiver is an
intravenous drug. It (Favipiravir) can be even taken at home. So even if
it is giving some benefit, it will be quite useful," Dr Maurya said.
Noted city-based lung surgeon Dr Arvind Kumar said he does not believe
that any of these antiviral drugs like Remdisiver or Favipiravir will be
game changers.
"If at all ''game changer'' can be used, it is for dexamethasone which
has shown a significant reduction in mortality and is available
cheaply," he said.There are so many medications available and
Favipiravir will also help some patients, added Dr Kumar, who works at
Sir Ganga Ram Hospital.
The Favipiravir drug will be available as a 200 mg tablet at a maximum
retail price of Rs 3,500 for a strip of 34 tablets, Glenmark
Pharmaceuticals said.It is a prescription-based medication with
recommended dose being 1,800 mg twice daily on day one, followed by 800
mg twice daily up to day 14, it added.The tablets are being produced by
the company at its Baddi facility in Himachal Pradesh. The drug will be
available both through hospitals and the retail channel, Glenmark said.
Fujifilm is ramping up production of its antiviral treatment
favipiravir, one of many approved drugs being tested as a possible
treatment for COVID-19. Phase III clinical trials are ongoing in Japan,
and the government has ordered 2 million treatment courses. In the US,
Fujifilm started Phase II trials earlier this month.To get more news
about
Favipiravir, wisepowder official website is the best place for you.
Favipiravir, which Fujifilm sells under the brand name Avigan, has been
approved in Japan since 2014 to treat influenza and other viral strains
that don’t respond to other drugs. “Avigan tablets are expected to have
efficacy against infection with the new coronavirus in view of its
characteristic mechanism of action,” says a Fujifilm
spokesperson,although the company has yet to present evidence of
efficacy.
The Japanese government stated its preference for Avigan to be made in
Japan using domestically produced materials. Toyama Chemical, the
Fujifilm subsidiary that developed Avigan, will fulfill part of its
requirement for a key intermediate, diethyl malonate, from the chemical
producer Denka. The firm will restart a plant in Niigata Prefecture that
it had closed in 2017 because of global oversupply of the material. The
facility was not dismantled and should be able to resume full
operations in late May, according to a Denka spokesperson.In addition,
Fujifilm will boost production of intermediates at its Wako Pure
Chemical subsidiary and establish partnerships with other raw material
suppliers.
Fujifilm expects to complete small Phase III trials in Japan, involving
100 people, in June. In the US, Phase II trials with 50 people will be
conducted at Brigham and Women’s Hospital, Massachusetts General
Hospital, and the University of Massachusetts Medical School. Italy and
China launched clinical trials of the antiviral in March.
According to the Fujifilm spokesperson, human trials so far have not
uncovered any adverse reactions. The drug has not been tested on
pregnant women, however, because preclinical studies indicated possible
harm to fetuses.
Like Gilead Sciences’ remdesivir, another antiviral being tested against
COVID-19, favipiravir is a selective inhibitor of the RNA polymerase
involved in viral replication. Animal studies showed that it’s effective
against influenza as well as West Nile virus, yellow fever,
foot-and-mouth disease, and other viruses, Fujifilm says.
The firm notes that thus far the Japanese government is the only group
that has ordered large quantities of favipiravir to use against
COVID-19. The World Health Organization did not include favipiravir
among the four existing drugs it is testing against the disease in a
multinational trial.
Introduction An outbreak of severe acute respiratory syndrome
coronavirus-2 (SARS-CoV-2) was reported in Wuhan, China in mid-December
2019, and declared a pandemic by the World Health Organization (WHO) on
March 11, 2020. Due to the unknown nature of the disease and the lack of
specific drugs, several potential treatments were used for patients.
This systematic review and meta-analysis will evaluate studies of the
effects of Favipiravir in COVID-19 pneumonia. Methods and analysis We
will search electronic databases including LitCovid hub, PubMed, Scopus,
ISI web of Sciences, Cochrane, and Embase using keywords related to
COVID-19 and Favipiravir. To get more news about
Favipiravir, wisepowder official website is the best place for you.
We will search the reference lists of all included studies and reviews.
We will also search for clinical trial registries, such as
clinicaltrial.gov for the ongoing clinical trials. Two investigators
(MAZ and SH) will independently screen titles, abstracts, and full-text
of included studies based on eligibility criteria. These investigators
will also independently extract data and appraise the quality of
studies. All potential discrepancies will be resolved through
consultation with the third reviewer. Data synthesis will be conducted
using the Review Manager software (version 5.3) or CMA (version 2).
Statistical heterogeneity will be assessed using a standard I2 test. A
funnel plot, Egger test, and Begg test will be used for asymmetry to
explore possible publication bias. Ethics and dissemination The findings
of this systematic review with proportional meta-analysis will help to
identify the safety and efficacy of Favipiravir for COVID-19 patients.
Knowledge gained from this research will also assist physicians in
selecting better treatment options and developing a guideline in this
field.
All relevant ethical guidelines have been followed; any necessary IRB
and/or ethics committee approvals have been obtained and details of the
IRB/oversight body are included in the manuscript.
I understand that all clinical trials and any other prospective
interventional studies must be registered with an ICMJE-approved
registry, such as ClinicalTrials.gov. I confirm that any such study
reported in the manuscript has been registered and the trial
registration ID is provided (note: if posting a prospective study
registered retrospectively, please provide a statement in the trial ID
field explaining why the study was not registered in advance).
I have followed all appropriate research reporting guidelines and
uploaded the relevant EQUATOR Network research reporting checklist(s)
and other pertinent material as supplementary files, if applicable.
Today I'm going to be talking to Armand Balboni, MD, PhD, chief
executive officer of Appili Therapeutics, about favipiravir, a potential
COVID-19 treatment for elderly and long-term care populations.To get
more news about
Favipiravir, wisepowder official website is the best place for you.
A recent analysis showed a surge in prescription pills for
hydroxychloroquine and chloroquine, likely due to off-label prescribing.
The JAMA study analyzed prescription patterns and found that
hydroxychloroquine/chloroquine fills increased by 1977% since last year.
States are slowly easing their barriers to pharmacists-provided COVID-19
testing. In early April, the US Department of Health and Human Services
(HHS) authorized licensed pharmacists to order and administer COVID-19
tests approved by the FDA. By mid-May, about two-thirds of states had
adjusted regulations for pharmacists-provided testing, but just a
handful of pharmacies have managed to navigate the maze of federal,
state, and supply-chain practicalities.
The company was founded in 2015 as a singly focused company, and the
idea was to tackle infectious diseases in a way that others don't or
can't. What we do is we look for unmet need first. So, is there a
disease out there in the infectious disease world where folks are not
able to readily find a solution, and we really try and match programs
then with the disease, and we do that in a way that's agnostic to where
something was created. And I think that's what's a little bit different
here. We're all scientists, either by training, or experience, or both.
We don't necessarily make the things in-house. Instead, we go and find
solutions to problems, which means that we have antifungals, 2
antibiotics, and now an antiviral program. For me, the daily mission is
one of trying to keep the team moving forward with the portfolio of
products which really touches on a number of really important diseases. I
like to say that we're a socially conscious biotech. We both do good
and we do well, and I know people roll their eyes when they hear that
you need to be a socially conscious biotech company. But we really are.
We really try and find those tough problems and then we really relish
the challenge to go find solutions.
So that's specifically looking at the antiviral program that we have
been working with Fujifilm Toyama Chemical. It's a drug called
favipiravir. It's a broad-spectrum antiviral. The long-term-care
setting, as many of us have seen and know, even though the pandemic has
not been going on for really that long, has disproportionately affected
those in the long-term-care setting-the elderly. It doesn't mean that
others can't get it, but we see a particular real serious problem there,
and in fact, in many places, including Ontario, where our first
clinical trial is being run for favipiravir in the long-term-care
setting, 80% of the morbidity and mortality has been associated with the
elderly, and so that that is really an unmet need, and it really fits
into our wheelhouse.
I think the other reason we're focusing on that group is just the
properties of the of the drug. Favipiravir is particularly well-suited
for that population based on its properties, which are: it's oral, it's a
tablet, unlike remdesivir, which is injected in an IV. And also, in the
elderly, even when a vaccine becomes available, and we all certainly
hope one will and I'm confident there will be one, the elderly don't
necessarily respond to vaccines in the same way that everyone else does.
Their immune system tends to be a bit more challenged. We think that
there will be a place for this drug. And then finally, we focused on
this group because nobody else was. We have the only randomized control
trial, looking at this population for prophylaxis, meaning we're giving
it soon-after infection as soon as possible, very early on in course of
the disease. And, you know, it’s the only trial in the world to look at
this really important population. So for all those reasons, we thought
that it was a good fit for us.
It has been reported that EGT dosage of up to 30 mg/day for adults
and 20 mg per day for children has no genotoxicity by EFSA panel
report.To get more news about l-ergothioneine supplements, wisepowder official website is the best place for you.
In a human study, l-ergothioneine 5 mg and 25 mg/day dosage for 7 days were found to have no adverse effects.
L-Ergothioneine (EGT) Research
L-Ergothioneine (EGT) became a popular focus of study when it was
discovered in red blood cells of animals in 1928. Due to its
accumulation in the erythrocytes and its natural antioxidant properties,
ERGO was proposed as a possible therapeutic treatment for red blood
cell disorders which were predisposed to oxidative damage.
Many
advances in research of EGT have been achieved in recent years including
the identification of a highly specific transporter in higher organisms
and humans and also better understanding of its distribution. Although,
the true physiological role of EGT is yet to be fully determined, EGT
has been shown to possess numerous antioxidant and cytoprotective
effects in vitro and a few in vivo, including free radical scavenger
activity, radio protective properties, anti-inflammatory actions and
protection against UV radiation or neuronal injuries.
L-ergothioneine (EGT) is a naturally occurring sulfur-containing amino
acid only biosynthesized by fungi and mycobacteria in the soil. It is
avidly taken up from the diet by humans and other animals through a
transporter, OCTN1. Ergothioneine then accumulates to high levels in
certain tissues undergoing relatively high levels of oxidative stress,
such as erythrocytes, airway epithelium, liver, and kidneys.To get more
news about
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Ergothioneine is not rapidly metabolised, or excreted in urine and is
present in many, if not all, human tissues and body fluids. It is a
stable antioxidant molecule and does not degrade at high temperature and
high pH.
While mushrooms are the richest dietary source of ergothioneine, other
ergothioneine rich foods include black beans, red meat and oats.
Mushrooms are also a good dietary source of glutathione which together
with ergothioneine are excellent dietary antioxidants. However,
ergothioneine mushroom species show variations in the levels of these
antioxidants.
Conjugated linoleic acid (CLA) can be referred to a group of positional
and geometric isomers of linoleic acid. Naturally, the most abundant
isomer is cis-9, trans-11 (c9, t11), while in supplement forms CLA is
typically sold as an equal mix of the 2 predominant isomers c9, t11 and
t10, c12.To get more news about
Conjugated Linoleic Acid (CLA), wisepowder official website is the best place for you.
In animal studies, CLA has been found to reduce body fat in several
ways. In several studies involving mice, it was found to reduce food
intake, increase fat burning, stimulate fat breakdown and inhibit fat
production.
In humans, CLA has also been found to cause a significant fat loss.
However, the fat burning potential of CLA is much stronger in animals
than in humans. Research shows that conjugated linoleic acid weight loss
is only modest in humans.
It was found that trans-10, cis-12 CLA attenuates human adipocyte TG
content and differentiation. CLA act to reduce adiposity through
modulating properties in the lipid metabolism. The action of conjugated
linoleic acid on the lipid metabolism is associated with the inhibition
of the entry of glucose into the adipocytes.
A review of studies published shows that conjugated linoleic acid for
weight loss, taken at a dose of 3.2 grams per day, produces a minor loss
in body fat (average 0.05kg) compared to a placebo.
In a study it was found that supplementation of a CLA mixture in
overweight and obese people (3 to 4 g/day for 24 weeks) decreased body
fat mass and increased lean body mass.
It’s worth noting that some people experience better results than others
due to factors including: CLA isomer combination versus individual
isomers, CLA dose and duration of treatment, gender, weight, age and
metabolic status of the subjects.
One of the possible potential mechanisms by which CLA reduces body fat
mass may be that it decreases energy intake or increases energy
expenditure.
One study demonstrated that mice supplemented with a CLA mixture for
four weeks reduced their food intake and experienced liver function
improvements, although studies haven’t proved this same effect yet in
humans.
Yes, PEA provides numerous Weight loss benefits. We have discussed some of the benefits below.To get more news about
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i. Palmitoylethanolamide(PEA) prevents against pain and inflammation during and after a weight loss workout
Obesity causes the appearance of an inflammatory process that may be
initiated even after a moderate weight gain. Palmitoylethanolamide acts
as an endogenous lipid that has shown numerous anti-inflammatory
properties.
A research study was carried out to investigate the anti-inflammatory
effect of Palmitoylethanolamide supplement on human adipocytes. The
study demonstrated that PEA inhibits the LPS stimulated secretion of
TNF-alpha by human adipocytes. It was also proved that
Palmitoylethanolamide showed a great anti-inflammatory activity as the
chemical can completely stop the high increase in the levels of
TNF-alpha in the serum which had been treated with a high dose of LPS.
Scientists found out that when PEA binds to PPAR-α, the receptor is
stimulated and this enhances the ability of your body to regulate
breakdown of fats, weight management, anti-inflammatory activity, and
pain-relieving responses. Because of its lack of toxicity, PEA proved to
be very efficient in the prevention against obesity-associated insulin
resistance.
Therefore, use of palmitoylethanolamide powder may be helpful to active
bodybuilders, who are looking to shed off fat, build lean muscle, and
prevent work out-induced inflammation that would cause pain during and
after heavy exercises.
ii. Palmitoylethanolamide(PEA) causes a decrease in appetite
Science suggests that fatty acid ethanolamides has a big role in the
control of feeding behavior. A study was carried out to investigate the
role of palmitoylethanolamide (one of the ethanolamides) in weight gain
and appetite regulation. Ovariectomized rats showing increased weight
gain were treated with palmitoylethanolamide (30 mg/kg sc) for five
weeks. After this, blood was collected, and adipose tissue and
hypothalamus were removed for cellular, molecular, and histological
measurements .
Researchers showed that palmitoylethanolamide (PEA) caused a remarkable
reduction in food intake, fat mass, and body weight.
Palmitoylethanolamide also transformed adipose tissue macrophages to M2
lean phenotype, associated with a decrease of inflammatory adipokines/
cytokines.
More research on human body shows that activation of PPAR- α by PEA
stimulates the feeling of satisfaction and fullness. Maintenance of a
healthy weight lowers the occurrence of inflammation and pain after
exercise. If you’re an active bodybuilder, experiencing inflammation
and pain during or after an exercise due to excess body weight, this may
lower the efficiency of your workout or discourage you from working out
as often as you’d otherwise want. Taking PEA may eliminate this
problem.
Following various documented human studies, user self-reports, user
feedbacks such as coluracetam bluelight reviews, as well as animal
tests, findings show numerous coluracetam benefits to the body, minds
and senses. Here are some of the major potential coluracetam benefits:To
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1. Working Memory improvement
A Japanese Iwate Medical University study was done on mice to
establish the influence of coluracetam supplement on the deficits of
working memory as well as reduced hippocampal acetylcholine (ACh)
content when administered acutely and chronically. The choline uptake
system of the mice has been damaged as a result of nerve toxin
administration.
The researchers found out that coluracetam nootropics increased the
release of the HACU and Ach, improving the toxin-created working memory
deficit and ACh depletion. They observed a remarkable acetylcholine
deficit reversal as a result of the administration of the supplement.
2. Improved Learning
People with health issues like Alzheimer’s disease and Schizophrenia
normally have abnormally low Acetylcholine levels. As a result, they may
experience mind-related symptoms like poor memory and learning. To
alleviate the symptoms, something has to be done to increase their
levels of acetylcholine, and this is where coluracetam comes in handy.
A Tottori University’s study from the institution’s Department of
Neuropsychiatry involved administering recreational drug PCP to inhibit
the enzyme that produces acetylcholine and then giving them Coluracetam
to see if the supplement would have any effect on the acetylcholine
level.
They eventually found out that coluracetam increased ChAT, thus
repairing the learning function deficit. As such, they concluded that
Coluracetam can be used as a therapeutic drug for those who have
learning difficulty due to Schizophrenia or Alzheimer’s disease.
3. Improved memorization and recall abilities
In case you have been experiencing difficulties in comprehending
anything you read or memorize things, coluracetam could be of great help
for you. Any authentic coluracetam psychonaut will tell you that
coluracetam can improve your short-term memory and free recall ability
remarkably.
Many users on online threads such as coluracetam bluelight reviews
indicate that their coluracetam experience included better memorization,
recall capability and reading comprehension. Also, the feedbacks
suggest that Coluracetam also boosts information retention, learning
speed and thinking ability.
4. Long-term Cognition Improvement
A Yokohama Research Center’s study notes that coluracetam changes
choline transporter regulation system, and as a result, positive
precognitive affects which last for numerous days after a dose. The
effects last for a long time even when the concentration of the
nootropic is negligible.
5. Likely to minimize depression that’s resistant to antidepressants
Coluracetam anxiety and treatment-resistant depression relief
Brain Cells Inc. conducted a double-blind randomized controlled trial
aimed at establishing coluracetam depression relief capability. The
research involved 101 101 people whose depression couldn’t get better
even after taking at least two antidepressants. The subjects were given a
coluracetam dosage of 80 mg three times per day.
After the trial period, the researchers observed that the subjects
responded positively to the supplement as the severity of their
depression symptoms had reduced significantly. Being a mood booster by
reducing the toxicity of glutamate, coluracetam supplement can be very
helpful for people with major depressive disorder (MDD).
From a study similar to the aforementioned but still by Brain Cells
Inc. but involving people with comorbid generalized anxiety disorders,
coluracetam anxiety relief capability was established. After an 80 mg
coluracetam dosage three times a day, the people who were used in the
trial had responded positively to the supplement, as their symptoms had
reduced.