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Jeff Aronson

👤 Person
32 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

Hi, yes, I'm Jeff Adamson.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

I'm a physician working in Oxford, and my specialty is clinical pharmacology, which means I'm interested in, well, anything to do with medicines, really.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

If they move, I shoot them.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

I think to understand why a drug like this might be beneficial, you need to know something about how the virus works.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And there are two major

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

Dr. Michael Gomez- Aspects of that one is how the virus gets into your cells in the first place.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And the second is once they're in your cells.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

How does it reproduce Dr. Michael Gomez- And overwhelm your body.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So for me, those are the two major points that would offer targets for drug therapy.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And the drug you want me to talk about today called remdesivir attacks the second of those.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

It potentially stops the virus reproducing in the cells.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

We only have one report now of its use in humans.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And it's a study that's been published, which was just a look-see to give it to 60 or so patients to see if they got better in any way.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And one can't really interpret the data from such a study.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

So what we are waiting for now is the results of proper trials of this medicine in humans.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

Harms are often neglected in clinical trials because people are so interested in benefits.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

But it is important to collect harms.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

What we know...

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

is from the use of this drug remdesivir in a previous viral infection with Ebola virus.

Talk Evidence
Talk Evidence covid-19 update - Remdesivir, care homes, and death data

And in that case, the incidence of adverse events, that's just bad things happening, which may or may not be due to the drug, of course,

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