Vidcast: https://youtu.be/wrNvC96y3a4
The media has been heralding the development of molnupiravir, an oral anti-viral agent developed by Merck and Ridgeback Biotherapeutics, that reduced the incidence of hospitalization and death for CoVid patients by about 50%. Let’s look at the fine print about this drug.
The 50% number comes from a Merck phase 3 randomized, controlled, double-blind multi-site global trial of molnupiravir which was stopped at the 90% recruitment level due to “compelling results.” Those participating had positive CoVid PCR tests, mild-to-moderate infections, at least one complicating risk factor such as obesity, diabetes, or older age and began the drug within 5 days of symptom onset.
This orally administered drug inhibits viral replication by causing local mutations in the viral RNA. While those in the study did not have any worrisome short-term adverse effects, details of side effects of the drug have not been released and there is the possibility that molnupiravir could mutate a patient’s DNA with catastrophic results. For this reason, those in the trial were warned to abstain from sex and to use contraception.
This drug was previously tried in hospitalized CoVid patients without a significant clinical benefit. It does seem to work earlier in the infection cycle, but there may well be a limited number of days after infection during which it will benefit a patient. And when it is of use, there is only a 50-50 chance you will be helped.
This drug may turn out to be safe and useful, but for now buyer beware. If it is proven useful, it will be added to drugs such as monoclonal antibody cocktails and Remdesivir for early disease and dexamethasone and tocilizumab for later disease. The best defense, though, is prevention with a CoVid vaccine…. so get vaccinated.
https://www.merck.com/news/merck-and-ridgebacks-investigational-oral-antiviral-molnupiravir-reduced-the-risk-of-hospitalization-or-death-by-approximately-50-percent-compared-to-placebo-for-patients-with-mild-or-moderat/
https://www.sciencemediacentre.org/expert-reaction-to-interim-analysis-of-oral-antiviral-molnupiravir/
#molnupiravir #CoVid #mutagenesis