Trump got Regeneron's experimental antibody drug for his coronavirus symptoms. Here's what you need to know about the treatment.

[Mary B]

Trump got Regeneron's experimental antibody drug for his coronavirus symptoms. Here's what you need to know about the treatment.

adunn@businessinsider.com (Andrew Dunn,Lydia Ramsey Pflanzer) 2 hrs ago

 

 

© Provided by Business Insider President Donald Trump speaks in the Oval Office on September 17, 2020. Oliver Contreras-Pool/Getty

• President Donald Trump and First Lady Melania Trump have tested positive for the novel coronavirus.
• The White House issued a statement saying that Trump is taking Regeneron's experimental antibody drug.
• The treatment is based on the disease-fighting proteins, called antibodies, that the body makes to fight off infection.
• For more stories like this, sign up here for Business Insider's daily healthcare newsletter.

President Donald Trump received Regeneron's experimental antibody drug after testing positive for the novel coronavirus.

On Friday, the president said that he and First Lady Melania Trump tested positive for the virus and began isolating. The White House said that the president is fatigued, and The New York Times reported that he has mild, cold-like symptoms.

Trump, 74, is at an increased risk for a more serious case of COVID-19 because of his age, weight, and sex. On Friday evening, he was headed to Walter Reed National Military Medical Center, where he plans to stay for several days. White House Press Secretary Kayleigh McEnany said the decision was made "out of an abundance of caution." 

In a memo released Friday, White House physician Sean Conley said Trump has received an injection of eight grams of Regeneron's drug, which is a combination of two antibodies, called called REGN-COV2. Antibodies are disease-fighting proteins that the body makes to fight off infection.

Regeneron, a New York biotech firm, started clinical trials on June 11 for the experimental treatment, and recently reported some promising signs that the treatment can reduce help people's immune systems fight the virus and reduce the chance that they'll be hospitalized.

The physician's statement noted that Trump "remains fatigued but is in good spirits." Conley also said that the president has also been taking zinc, vitamin D, famotidine, melatonin, and a daily aspirin.

Regeneron's drug is an experimental treatment still in clinical trials, and isn't approved by the US Food and Drug Administration. On September 29, the company released a description of early results from the first 275 volunteers in the study. The company was testing the drug in patients who weren't sick enough to be hospitalized.

Read more: We're getting a slew of promising data on a new kind of coronavirus drug. Here are the 9 top drugmakers racing to develop antibody treatments for COVID-19.

Dr. Taison Bell, a critical care physician at the University of Virginia medical center trained in infectious diseases, told Business Insider that giving the drug to Trump is a reasonable decision, given the lack of drugs that work as early treatments.

"There's been a real thirst for agents we can use on people who are relatively well but high risk to prevent them from getting sick," Bell said. "I think it does make sense. Obviously it needs to be studied more, but it is one of these agents that we do have some hope for."

In a statement, Regeneron said it provided the experimental drug to Trump's doctor under a compassionate-use request, which allows sick individuals access to treatments that aren't approved.

 

http://www.msn.com/en-us/health/medical/trump-got-regenerons-experimental-antibody-drug-for-his-coronavirus-symptoms-heres-what-you-need-to-know-about-the-treatment/ar-BB19Exsi?li=BBnb7Kz&ocid=U453DHP

[Mary B]

AdChoices

 

President Trump Received Regeneron Experimental Antibody Treatment

Katie Thomas 2 hrs ago

 

 

 

 

 

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White House claims Trump's condition has not deteriorated from virus

 

 

 

 

President Trump has received a dose of an experimental antibody cocktail being developed by the drug maker Regeneron, in addition to several other drugs, including zinc, vitamin D and a heartburn treatment, according to a letter from his doctor that was released by the White House Friday afternoon.

© Adriana Zehbrauskas for The New York Times A pharmacist in Chandler, Ariz. prepares an injection during a trial for Regeneron’s antibody treatment in August.

Mr. Trump and the first lady, Melania Trump, announced early Friday morning that they had tested positive for the coronavirus. The president has a low-grade fever, nasal congestion and a cough, according to two people close to Mr. Trump.

In the letter, Mr. Trump’s doctor, Dr. Sean P. Conley, said “he completed the infusion without incident” and that he “remains fatigued but in good spirits.”

There are no approved treatments for Covid-19, but the Regeneron treatment is one of the most promising candidates, along with another antibody treatment developed by Eli Lilly. Both are being tested in patients around the country. Initial results have suggested that they can reduce the level of the virus in the body and possibly shorten hospital stays — when they are given early in the course of infection.

In an interview Friday afternoon, Regeneron’s chief executive, Dr. Leonard S. Schleifer, said Mr. Trump’s medical staff reached out to the company for permission to use the drug, and that it was cleared with the Food and Drug Administration.

“All we can say is that they asked to be able to use it, and we were happy to oblige,” he said. He said that so-called compassionate use cases — when patients are granted access to an experimental treatment outside of a clinical trial — are decided on a case-by-case basis and he is not the first patient to granted permission to use the treatment this way. “When it’s the president of the United States, of course, that gets — obviously — gets our attention.”

Dr. Schleifer has known Mr. Trump casually for years, having been a member of his golf club in Westchester County.

A spokeswoman for Regeneron, Hala Mirza, said that for its coronavirus treatment, “our first priority is to maintain a sufficient supply in order to conduct rigorous clinical trials,” adding, “there is limited product available for compassionate use requests that are approved under certain exceptional circumstances on a case-by-case basis.”

Eli Lilly also has ties to the Trump administration. Alex M. Azar II, the secretary of the Department of Health and Human Services, is a former executive at the company.

Although neither company’s product has been authorized for emergency use by the Food and Drug Administration, companies can grant access to their experimental treatments through compassionate use, for example, if all other options have failed and a patient might die without trying the drug.

During the pandemic, Mr. Trump has promoted a range of unproven or scientifically questionable treatments for the virus, and himself took hydroxychloroquine in the hopes that it could prevent infection. The Food and Drug Administration authorized hydroxychloroquine for emergency use this spring, then revoked its approval after concluding that the drug’s potential benefits did not outweigh the risks.

Mr. Trump has also enthusiastically endorsed the use of convalescent plasma and pushed for the F.D.A. to authorize the treatment for emergency use even though there is still not good evidence that it works. He suggested that injecting a disinfectant like bleach could help combat the virus, although later said he was joking.

Other treatments — an inexpensive steroid, dexamethasone, and remdesivir, an antiviral drug developed by Gilead — have been shown in clinical trials to help patients with Covid-19 who are sick enough to be hospitalized. Neither drug has gone through the rigorous F.D.A. approval process to determine that it is safe and effective, although dexamethasone is widely available for other uses, and remdesivir has received emergency authorization.

Dr. Conley said in his letter that in addition to the Regeneron treatment, Mr. Trump was also taking zinc, vitamin D, melatonin, a daily aspirin and famotidine, the generic name for the heartburn drug Pepcid. Some of these products, which are widely available, have been studied as treatments for Covid-19, although none have been definitively proven to work.

Mr. Trump in 2018 signed the Right to Try law, which allows patients and their doctors to directly request an experimental treatment from a company, without first seeking approval from the F.D.A., which typically approves the vast majority of such requests. The Right to Try law is rarely used, however, with most doctors and hospitals preferring to use the existing process of seeking agency approval.

Some ethics experts said it was not surprising that Mr. Trump was given an experimental drug, given that it has passed safety trials.

“Presidential medicine is and has been unique,” said Arthur L. Caplan, a professor of medical ethics at the N.Y.U. Grossman School of Medicine. “If his doctors think an intervention might be helpful, and if that judgment is confirmed by outside experts they talk to, and if things look dire or serious, then the president will get access to any and all agents.”

Other experts said that drug companies like Regeneron must now be prepared for what could be a flood of requests from the public.

“One would anticipate that providing access to the president of the United States would lead to significant requests for that experimental treatment by people who are in the same or in potentially worse medical conditions or states,” said Kenneth I. Moch, a senior adviser at the Global Health Crisis Coordination Center in Atlanta.

In 2014, Mr. Moch came under intense criticism after the company where he was chief executive, Chimerix, initially refused to provide an experimental treatment to a 7-year-old boy who was close to dying from a viral infection. After a social media campaign, the company started a new clinical trial that allowed the boy to get the treatment.

Regeneron and Eli Lilly are the furthest along of several companies and teams of researchers in developing what are known as monoclonal antibodies to fight Covid-19. Researchers identify powerful antibodies that fight infection, then manufacture them in large quantities. They are then given to sick patients, or to people who have been exposed to the virus, in the hopes that they will help boost the body’s immune response.

Antibody treatments have shown promise against other viruses, including Ebola. On Tuesday, Regeneron said that its treatment, a cocktail of two antibodies, hastened recovery time and reduced the amount of virus in the nasal cavities of a small number of volunteers in its ongoing study.

The new results were from a study of 275 volunteers who were treated after being diagnosed with Covid-19. Some received one infusion of the drug while others were given a placebo. Those who were not making their own antibodies at the start of the trial benefited the most, Regeneron reported. Their symptoms resolved in an average of 6 to 8 days, compared with 13 days in those who received the placebo.

The dose that Mr. Trump received is the higher of two doses that Regeneron is testing in its trial of outpatients with Covid-19.

In September, Eli Lilly reported that a single infusion of its monoclonal antibody markedly reduced levels of the coronavirus in newly infected patients and lowered the chances that they would need hospitalization.

Despite their early promise, monoclonal antibodies are difficult and expensive to manufacture, and some have raised questions about whether the companies will be able to make enough to meet global demand if they are proven to work.

Regeneron has been awarded more than $500 million from the federal government to develop and manufacture its product before the clinical trials have concluded. In August, the company announced it was teaming up with a larger company, Roche, to ramp up

http://www.msn.com/en-us/news/politics/president-trump-received-regeneron-experimental-antibody-treatment/ar-BB19Ed6e?li=BBnb7Kz&ocid=U453DHP

[Johnny Dinar]

This has had a good track record in early studies, hopefully it brings positive results for the president and the rest of America.