Study of the effects of interferon β-1a on hospitalized patients with COVID-19: SBMU Taskforce on the COVIFERON study.
Mohammad FallahzadehMohamad A PourhoseingholiMasoud G BoroujeniSajad BesharatiMasoud MardaniMinoosh ShabaniShervin ShokouhiMahdi AmirdosaraMohammadreza HajiesmaeiliLatif GachkarBaran RoshanMasoud ZangiGolshan MirmomeniSeyed S N IrvaniIlad Alavi DarazamPublished in: Journal of medical virology (2021)
Interferons are an essential part of the innate immune system and have antiviral and immunomodulatory functions. We studied the effects of interferon β-1a on the outcomes of severe cases of coronavirus disease 2019 (COVID-19). This retrospective study was conducted on hospitalized COVID-19 patients in Loghman-Hakim hospital from February 20, 2020 to April 20, 2020, Tehran, Iran. Patients were selected from two groups, the first group received interferon β-1a in addition to the standard treatment regimen, and the second group received standard care. The clinical progression of two groups during their hospital admission was compared. We studied a total number of 395 hospitalized COVID-19 patients. Out of this number, 111 patients (33.5%) died (31.3% of the interferon β-1a group and 34.1% of the control group). The mortality rate indicated no statistically significant difference between groups (p-value = 0.348), however for patients who were hospitalized for more than a week, the rate of mortality was lower in the interferon β-1a group (p-value = 0.014). The median hospital stay was statistically longer for patients treated by interferon β-1a (p-value < 0.001). The results of this study showed that interferon β-1a can improve the outcomes of hospitalized patients with severe COVID-19, but more adequately-powered randomized controlled trials should be conducted.
Keyphrases
- chronic kidney disease
- end stage renal disease
- coronavirus disease
- dendritic cells
- sars cov
- healthcare
- randomized controlled trial
- immune response
- cardiovascular disease
- ejection fraction
- palliative care
- type diabetes
- newly diagnosed
- acute care
- risk factors
- metabolic syndrome
- systematic review
- respiratory syndrome coronavirus
- skeletal muscle
- prognostic factors
- electronic health record