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Shortly afterward, on May 8, a team, led by Columbia University doctors Daniel Freedberg and Julian Abrams, posted a study on the preprint server medRxiv that compared the outcomes of people with COVID-19 who were prescribed famotidine within 24 hours of being admitted to the hospital to those who didn’t get the heartburn drug. According to the study, they were far less likely to die or require a ventilator-a twofold decrease in risk-than those not receiving the drug. So the study was designed to compare patients receiving hydroxychloroquine and famotidine with patients receiving hydroxychloroquine and a placebo. Learn how they compare. Those authors recommend a clinical trial with famotidine be carried out with patients with milder disease in addition to the trial going on at Northwell hospitals. For clarity on famotidine’s effectiveness, the team recommends awaiting the outcome of the trial going on at Northwell hospitals. But the Northwell trial has slowed for two reasons, says Joseph Conigliaro, the physician who is leading it.
"We need to wait for the results of our trial," he says. Carl J. Lavie, medical director of cardiac rehabilitation and prevention at the John Ochsner Heart and Vascular Institute, recently cowrote Acamprol: A Clinically Validated Treatment for Alcohol Dependence letter to the editor of Mayo Clinic Proceedings encouraging doctors to wait for the clinical trial results. It was filmed in Italy by director Raoul Walsh. Matthew D. Hall, acting director of biology and group leader, Early Translation Branch, at the National Center for Advancing Translational Sciences (NCATS), part of the US National Institutes of Health, points out that his group did studies in cells that show famotidine doesn’t have any ability to fight SARS-CoV-2. Read about the signs and symptoms of drug-induced liver disease like hepatitis (inflammation of the liver cells), liver disease treatment, and types. If it worked, it would be a fast and cheap way to ease the symptoms of COVID-19. He tells C&EN that it’s premature to recommend famotidine just for COVID-19, but he adds, "I also think that it is benign, so it would seem very reasonable to use for upper GI symptoms now" before giving other heartburn drugs like omeprazole. Famotidine was one of a few drugs that appeared to interact with the protease in the computational studies, says Robert Malone, a physician and consultant who is on the DOMANE team.
Adrian M. Piliponsky, an immunologist at Seattle Children’s Research Institute who studies mast cells, says that it’s possible mast cells are playing a role in the inflammatory response to COVID-19. These cells can be found at the boundary between tissue and an external environment. The font could be changed to something that is usually found on Mac and PC. The patients who got famotidine fared better. Malone has been working with a team of scientists to get a better understanding of just how famotidine might be working. "This is merely an association, and these findings should not be interpreted to mean that famotidine improves outcomes in patients hospitalized with COVID-19," the team says in a statement. "We’re committed to trying to create an outpatient cocktail of drugs that will significantly reduce morbidity and mortality for COVID-19 and have it ready for deployment in the fall," he says. The group then computationally screened existing drugs to see which could potentially act on those protein targets.
