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The impact of obesity and dyslipidemia on Remdesivir effectiveness in hospitalized patients with SARS-CoV-2-related pneumonia: An observational study.
Tumminia, Andrea; Romano, Raffaella; Brugaletta, Giuseppe; Scicali, Roberto; Biondi, Giuseppina; Oliveri, Rosario; Romano, Marcello; San Lio, Paola Magnano.
  • Tumminia A; Endocrinology, Department of Clinical and Experimental Medicine, Garibaldi-Nesima Hospital, 95122 Catania, Italy. Electronic address: andreatumminia82@gmail.com.
  • Romano R; Geriatrics Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
  • Brugaletta G; Geriatrics Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
  • Scicali R; Geriatrics Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy; Department of Clinical and Experimental Medicine, University of Catania, 95100 Catania, Italy.
  • Biondi G; Pneumology Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
  • Oliveri R; Pneumology Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
  • Romano M; Geriatrics Unit, Garibaldi-Nesima Hospital, 95122 Catania, Italy.
  • San Lio PM; Department of Clinical and Experimental Medicine, University of Catania, AOU Policlinico "G. Rodolico - San Marco", 95123 Catania, Italy.
Nutr Metab Cardiovasc Dis ; 32(7): 1635-1641, 2022 07.
Article in English | MEDLINE | ID: covidwho-1914868
ABSTRACT
BACKGROUND AND

AIMS:

Remdesivir (GS-5734), an inhibitor of the viral RNA-dependent, RNA polymerase was early identified as a promising therapeutic candidate against COVID-19. Our aim was to evaluate the impact of several metabolic parameters on Remdesivir effectiveness among hospitalized COVID-19 patients. METHODS AND

RESULTS:

We conducted an observational study on patients with SARS-CoV-2-related pneumonia admitted between May 2020 and September 2021 to the COVID-19 Units of Internal Medicine, Pneumology and Intensive Care of Garibaldi Hospital, Catania, Italy, and treated with Remdesivir. The "Ordinal Scale For Clinical Improvement" was used to assess patients' clinical improvement within 28 days of hospitalization. Short-term mortality rate was also evaluated. A total of 142 patients with SARS-CoV-2-related pneumonia were studied. The prevalence of obesity (20.7% vs. 41.9%, p = 0.03), the average BMI (27.1 ± 4.4 vs. 31.1 ± 6.1, p < 0.01) and the mean LDL-C levels (78 ± 19 mg/dl vs. 103 ± 18 mg/dl, p = 0.03) were significantly lower in early-improved (EI) compared to not-improved (NI) individuals. Obesity was negatively associated to clinical improvement after Remdesivir (OR 0.48, 95%CI 0.17-0.97, p = 0.04). Both obesity (OR 2.82, 95% CI 1.05-7.71, p = 0.04) and dyslipidemia (OR 2.78, 95%CI 1.17-7.16, p = 0.03) were significantly related to patients' mortality. Dyslipidemic subjects experienced a slower clinical improvement than non-dyslipidemic ones (Long-Rank p = 0.04).

CONCLUSION:

Our study showed that unfavorable metabolic conditions such as obesity and dyslipidemia could predict a worse clinical response to Remdesivir as well as the mortality in hospitalized COVID-19 patients. Further prospective and larger-scale studies are needed to confirm these preliminary findings.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Dyslipidemias / COVID-19 Drug Treatment Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Nutr Metab Cardiovasc Dis Journal subject: Vascular Diseases / Cardiology / Nutritional Sciences / Metabolism Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Dyslipidemias / COVID-19 Drug Treatment Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Nutr Metab Cardiovasc Dis Journal subject: Vascular Diseases / Cardiology / Nutritional Sciences / Metabolism Year: 2022 Document Type: Article