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A double-stranded DNA virus of the Orthopoxvirus family, mpox (formerly monkeypox), continues to infect people daily, following the 2022 global outbreak.1 Two clades (clade 1 and clade 2) have been identified, with the 2022 outbreak caused by a subclade of clade 2, referred to as clade 2b.2 Comparatively, clade 1 leads to a more severe disease state and greater […]

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Nikolaus Jilg, CROI 2022: Camostat is not Effective for Mild-to-moderate COVID-19 in a Phase II Trial of ACTIV-2

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Published Online: Feb 23rd 2022

The phase 2 ACTIV-2 findings (NCT30318759), investigating camostat for Mild-Moderate COVID-19 were discussed in this short interview with Dr Nikolaus Jilg (Massachusetts General Hospital, Boston, MA, USA). Camostat is a serine protease inhibitor, and prevents activation of the SARS-CoV-2 spike protein and blocks SARS-CoV-2 infection in vitro. Dr Jilg and colleagues studied the safety and antiviral and clinical efficacy of orally administered camostat in non-hospitalized adults with mild-moderate COVID-19.

The abstract entitled: ‘Camostat is not Effective for Mild-Moderate COVID-19 In A Phase II Trial of ACTIV-2’ (Abstract #105) was presented at Conference on Retroviruses and Opportunistic Infections (CROI) 2022 (Virtual), 12-16 February 2022.

Questions:

  1. What was the rationale for the use of camostat in the treatment of adults with mild-moderate COVID-19? (0:12)
  2. Could you give us a brief overview of the ACTIV-2/A5401 clinical trial? (1:19)
  3. What were the findings in terms of camostat efficacy and safety? (3:18)
  4. Why do you think camostat failed to show antiviral or clinical efficacy? (4:18)
  5. What are the implications of these findings for the evaluation of future therapies for COVID-19? (6:47)

Disclosures:  Nikolaus Jilg has nothing to disclose in relation to this video interview

Support: Interview and filming supported by Touch Medical Media. Interview conducted by Katey Gabrysch.

Filmed as a highlight of CROI 2022.

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