Статья

Virus susceptibility and clinical effectiveness of anti-influenza drugs during the 2010-2011 influenza season in Russia

I. Leneva, E. Burtseva, S. Yatsyshina, I. Fedyakina, E. Kirillova, E. Selkova, E. Osipova, V. Maleev,
2021

Background: Antiviral drugs are critical adjuncts to influenza vaccination. This study determined the in vitro susceptibilities of influenza A and B viruses isolated in the 2010-2011 season in Russia to the neuraminidase inhibitor oseltamivir and the hemagglutinin fusion inhibitor umifenovir and clinical efficacy of this antiviral drugs in this season. Methods: The antiviral potency of these drugs against A(H1N1)pdm09 virus in mice was assessed. Importantly, the clinical effectiveness of oseltamivir and umifenovir was evaluated in a retrospective study conducted in 26 regions of Russia. Results: All tested viruses (n= 36) were susceptible to oseltamivir and umifenovir in vitro. Oseltamivir (10. mg/kg/day) and umifenovir (60 mg/kg/day) significantly increased the survival of mice challenged with A/California/04/2009 (H1N1)pdm09 virus (p< 0.05). Influenza infection was laboratory-confirmed in 442 patients among 1462 patients hospitalized with acute respiratory infections. The treatment of influenza-infected patients within 48 h of symptom onset with oseltamivir and umifenovir was associated with a significant decrease in the duration of illness (2-3 days) and symptoms (p< 0.001). Pneumonia was observed in none of the patients treated with oseltamivir and in 0.3% of the patients treated with umifenovir, compared to 23.7% of patients who did not receive antiviral therapy (p< 0.001). Conclusions: This study provided experimental and clinical evidence of the efficacy of oseltamivir and umifenovir against influenza viruses, representatives of which have continued to circulate in post-pandemic seasons. © 2016 The Authors.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • I. Leneva
    I. Mechnikov Research Institute of Vaccines and Sera of the Russian Academy of Science, 5a Kazenny per., Moscow, 105064, Russian Federation
  • E. Burtseva
    D.I. Ivanovsky Institute of Virology, Ministry of Health of the Russian Federation, Moscow, Russian Federation
  • S. Yatsyshina
    Central Research Institute for Epidemiology, Rospotrebnadzor of the Russian Federation, Moscow, Russian Federation
  • I. Fedyakina
    Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology Rospotrebnadzor, Moscow, Russian Federation
  • E. Kirillova
  • E. Selkova
  • E. Osipova
  • V. Maleev
Название журнала
  • International Journal of Infectious Diseases
Том
  • 43
Страницы
  • 77-84
Ключевые слова
  • 4 acetamido 5 amino 3 (1 ethylpropoxy) 1 cyclohexene 1 carboxylic acid; arbidol; oseltamivir; antivirus agent; arbidol; enzyme inhibitor; indole derivative; oseltamivir; sialidase; 2009 H1N1 influenza; adult; amino acid substitution; animal cell; animal experiment; animal model; antiviral resistance; antiviral susceptibility; antiviral therapy; Article; case control study; clinical effectiveness; controlled study; cross resistance; disease duration; drug efficacy; drug potency; female; human; IC50; in vitro study; influenza A (H3N2); Influenza A virus (H1N1); Influenza A virus (H3N2); influenza B; Influenza B virus; major clinical study; male; morning dosage; mouse; nonhuman; observational study; retrospective study; Russian Federation; viral respiratory tract infection; virus isolation; virus pneumonia; virus replication; animal; antagonists and inhibitors; Bagg albino mouse; cell line; dog; drug effects; Influenza A virus (H1N1); Influenza, Human; middle aged; treatment outcome; virology; young adult; Adult; Animals; Antiviral Agents; Cell Line; Dogs; Enzyme Inhibitors; Female; Humans; Indoles; Influenza A Virus, H1N1 Subtype; Influenza, Human; Male; Mice; Mice, Inbred BALB C; Middle Aged; Neuraminidase; Oseltamivir; Retrospective Studies; Russia; Treatment Outcome; Young Adult
Издатель
  • Elsevier B.V.
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus