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FDA Approves First COVID-19 Treatment for Use in Children

Veklury had already been fully approved to treat people 12 years and older

TUESDAY, April 26, 2022 (HealthDay News) — The U.S. Food and Drug Administration on Tuesday approved the antiviral Veklury (remdesivir) as the first COVID-19 treatment for young children. The drug had so far only been available to this age group under a special FDA emergency use authorization order.

Now, doctors treating children younger than 12 years who are hospitalized or at home with mild-to-moderate COVID-19 but have a high risk for severe disease can readily prescribe Veklury to their young patients. Veklury had already been fully approved to treat people 12 years and older.

“As COVID-19 can cause severe illness in children, some of whom do not currently have a vaccination option, there continues to be a need for safe and effective COVID-19 treatment options for this population,” Patrizia Cavazzoni, M.D., director of the FDA Center for Drug Evaluation and Research, said in an agency news release. “Today’s approval of the first COVID-19 therapeutic for this population demonstrates the agency’s commitment to that need.”

In a press release from drug maker Gilead Sciences, one pediatric infectious disease doctor welcomed the news. “This approval means that remdesivir can potentially provide meaningful clinical improvement, by reducing disease progression and helping children recover from COVID-19 more quickly,” said Amina Ahmed, M.D., from Atrium Health-Levine Children’s Hospital in Charlotte, North Carolina. “We need proven antiviral treatment options, like remdesivir, that can help treat some of the most vulnerable in our society: children.”

The approval was based on results from a phase 3 clinical trial for adults, the FDA said, noting that the course of the disease is similar in both adult and pediatric patients. It is also supported by a phase 2/3 clinical study of 53 pediatric patients, the FDA said. Patients in that study had a confirmed COVID-19 infection ranging from mild to severe and received the medication for 10 days. Results, including safety results, were similar to those already seen in adults, the agency said.

Possible side effects of the drug, which can only be delivered via injection, include increased levels of liver enzymes, which may be a sign of liver injury, and allergic reactions, which may include changes in blood pressure and heart rate, low blood oxygen level, fever, shortness of breath, wheezing, swelling, rash, nausea, sweating, or shivering.

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