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United States Medicine

A Pill To Treat Covid-19? The US Is Betting on It 203

The U.S. government spent more than $18 billion last year funding drugmakers to make a Covid vaccine, an effort that led to at least five highly effective shots in record time. Now it's pouring more than $3 billion on a neglected area of research: developing pills to fight the virus early in the course of infection, potentially saving many lives in the years to come. From a report: The new program, announced on Thursday by the Department of Health and Human Services, will speed up the clinical trials of a few promising drug candidates. If all goes well, some of those first pills could be ready by the end of the year. The Antiviral Program for Pandemics will also support research on entirely new drugs -- not just for the coronavirus, but for viruses that could cause future pandemics. A number of other viruses, including influenza, H.I.V. and hepatitis C, can be treated with a simple pill. But despite more than a year of research, no such pill exists to treat someone with a coronavirus infection before it wreaks havoc. Operation Warp Speed, the Trump administration's program for accelerating Covid-19 research, invested far more money in the development of vaccines than of treatments, a gap that the new program will try to fill.

Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and a key backer of the program, said he looked forward to a time when Covid-19 patients could pick up antiviral pills from a pharmacy as soon as they tested positive for the coronavirus or develop Covid-19 symptoms. "I wake up in the morning, I don't feel very well, my sense of smell and taste go away, I get a sore throat," Dr. Fauci said in an interview. "I call up my doctor and I say, 'I have Covid and I need a prescription.'" Dr. Fauci's support for research on antiviral pills stems from his own experience fighting AIDS three decades ago. In the 1990s, his institute conducted research that led to some of the first antiviral pills for H.I.V., "protease inhibitors" that block an essential virus protein and can keep the virus at bay for a lifetime.
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A Pill To Treat Covid-19? The US Is Betting on It

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  • Whatever form still will not stop people saying stuff like this [youtu.be].

  • by vivian ( 156520 ) on Saturday June 19, 2021 @07:19AM (#61501080)

    The holy grail for the pharmaceutical industry is to develop treatments rather than permanent cures or preventions - they would rather have a repeat customer base that has to keep buying a pill every month to keep horror disease at bay rather than wipe out the disease with a permanent cure or vaccine.

    Look at the plight of AIDS sufferers - decades of research and the pharma industry has created treatments that let someone keep clinging to life as long as they keep buying the pills, but still no vaccine available which could prevent the spread of the disease in the first place, or cures which get rid of the disease permanently.

    Once it becomes possible to create temporary treatments rather than permanent cures, then of course research will focus on this and not on cures, because the industry is set up for profit first, most beneficial health outcome second.

    • by gtall ( 79522 ) on Saturday June 19, 2021 @07:41AM (#61501112)

      Ya, vaccine research is easy. I'll bet you could whack together an AIDS vaccine in no time.

      • So EASY people can't get their facts right on YouTube or other social media.

      • by vivian ( 156520 ) on Saturday June 19, 2021 @08:40AM (#61501228)

        I know a lot of money has been spent on vaccines, and it is incredibly difficult to develop them, but there seems to be a lot more effort spent on treatments.
        This paper seems to sum it up well.
        https://www.ncbi.nlm.nih.gov/p... [nih.gov]

        Investment by manufacturers in research and development of vaccines is relatively low compared with that
        of pharmaceuticals. If current evaluation technologies favour drugs over vaccines, then the vaccines market
        becomes relatively less attractive to manufacturers.

        It is hard to believe in the benevolence of the industry when I read stories like companies pushing up insulin prices because they can, even though it was first developed in 1920's and with tax payer funding at that.
        Other drug prescription costs have also increased hugely - at a much higher rate than inflation.
        I see ads on TV telling me to "soldier on" with my cough or cold instead of staying home and avoiding infecting the rest of the office. Hardly what you would call great medical advice.
        The industry spends significantly more on marketing than it does on research - and I was astonished at how much direct to public advertising there is on TV - ask you doctor about xyz for your heart condition etc. The right drug should be selected based on your doctor's advice, based on its scientific and medical merits, not based on slick advertising.

        I am extremely fortunate in that I don't have any kind of condition that requires regular medication - but I dread the day that I do get told by my doctor I need to start taking statins for the rest of my life or something like that.
        Better have a salad for lunch and go for another walk.

        • by JonnyCalcutta ( 524825 ) on Saturday June 19, 2021 @09:37AM (#61501352)

          and I was astonished at how much direct to public advertising there is on TV

          Not where I live. Advertising prescription medicines direct to the public is illegal.

          The right drug should be selected based on your doctor's advice, based on its scientific and medical merits, not based on slick advertising.

          Along with universal healthcare. You just need to move country.

          • and I was astonished at how much direct to public advertising there is on TV

            Not where I live. Advertising prescription medicines direct to the public is illegal.

            We really screwed up when we allowed drugs and lawyers to put ads on television.

            It has become a little concerning that antipsychotics have become mainstream.

            But yeah, video of dancing seniors or depressed women dancing and smiling while the announcer reads off a list of sometimes fatal side effects is kinda weird. And the industry now has drugs to treat the side effects like tardive dyskinesia. Next up a drug to treat the side effects of the drug to treat whatever drug caused the tardive dyskinesia.

            PRO

            • by sjames ( 1099 )

              One of the crazier ones I saw was an oral medication for toenail fungus (replacing a safe and effective topical treatment) that listed liver failure as a side effect. All so you can take a pill rather than put drops on your toenails.

              Then you have the FDA handing out exclusivity on colchicine in exchange for some ass kissing and a worthless study. Sure enough, the cost went up 2 orders of magnitude. Note: George Washington took colchicine in herbal form, so grandfathered would be an understatement.

              • One of the crazier ones I saw was an oral medication for toenail fungus (replacing a safe and effective topical treatment) that listed liver failure as a side effect. All so you can take a pill rather than put drops on your toenails.

                Kind of like when an antibiotic gets prescribed for an earache. A couple drops of 3 percent Hydrogen peroxide a few times on one day, then warm Olive oil the next. Terrible thing is the antibiotic route takes several days. Peroxide sets up a ruckus in your ear, but is as close to instantaneous as you can get

                Then you have the FDA handing out exclusivity on colchicine in exchange for some ass kissing and a worthless study. Sure enough, the cost went up 2 orders of magnitude. Note: George Washington took colchicine in herbal form, so grandfathered would be an understatement.

                That's one I'm not familiar with. Thanks, I'll have to study up on it.

      • Thats the goal for the engineering behind the Moderna vaccine.

        https://www.contagionlive.com/... [contagionlive.com]
    • I beleive the vaccine technology started as an attempt at an AIDS vaccine. I believe they are still working on it. They just retooled to fight covid.
    • Then that'll be the new anti-vaxxers argument. The one where no one wins because everyone's short-sighted just for different reasons.

      • >"Then that'll be the new anti-vaxxers argument."

        1) Some people did vaccinate and did not gain an adequate immune response.
        2) Some people did vaccinate but not in time.
        3) Some people had a bad reaction to the first injection and didn't follow up with the second.
        4) Some people can't vaccinate because they are on other treatments for other illnesses.
        5) Some people can't vaccinate because they have a weak or wiped-out immune system, or a severely over-reactive immune system.

        Development of treatments is a go

        • Think of it as another Tamiflu. Noone is opposed to Tamiflu. It helps you get over the flu faster and takes the wind out of its sails. Thats all thats being proposed. We still get a flu shot, though our current flu vaccine has some flaws.
    • by Anonymous Coward on Saturday June 19, 2021 @08:03AM (#61501168)

      While I don't disagree with your assertion that big pharma has a conflict of interest when it comes to treatment vs cures, calling out AIDS is perhaps not as clear-cut as you might think.

      Prior to AIDS, we really, really didn't understand very much about the immune system. It is precisely because of the millions upon millions of dollars from the NIH budget that went into understanding a disease that attacks the immune system that we now know so much about it. The COVID vaccines were developed so quickly in part because of the vast knowledge we have gained in the last few decades thanks to AIDS research. Because of AIDS research, we have much better cancer treatments, since cancer is fundamentally a failure of the immune system to recognize an unwanted set of cells. But, perhaps not surprisingly, it turns out to be a non-trivial issue to create a vaccine that protects against attacks on the immune system itself. There have been, I believe, dozens of attempts. Some even progressed to Phase III trials, but didn't do so well. One of the really, really challenging parts of creating a vaccine is that HIV knows exactly how and where to hide to evade detection, and how to mutate to circumvent any approach we've tried so far. HIV is an insidious pathogen.

      The American public, unfortunately, mistakenly thinks that we can do anything we put our minds to. And rightly so, given the evidence. The Manhattan Project. Apollo. Both huge programs that succeeded against immense odds and produced spectacular results. Now with COVD vaccines, we have had similar success. But, it turns out that overcoming HIV is more difficult because the systems involved are far more complex. As I've written before, biology isn't rocket science, it is harder.

    • I’m still holding out the 100 mile per gallon carburetor. Damn you big oil!

    • by XXongo ( 3986865 ) on Saturday June 19, 2021 @09:01AM (#61501274) Homepage

      Look at the plight of AIDS sufferers - decades of research and the pharma industry has created treatments that let someone keep clinging to life as long as they keep buying the pills, but still no vaccine available which could prevent the spread of the disease in the first place,

      Vaccines work by stimulating the immune system, basically telling it "here is a disease that you have already seen, you know what to do." It makes your body acts like you've had the disease already.

      So, immunization really only should work for diseases which people can get and recover from. If the result of having had the disease is not that you recover from the disease, telling your body "you've had this before"... won't do any good.

      And AIDS is a weirdly tricky one, because the attack surface is the immune system. Since the immune system is what it's attacking, stimulating the immune system (if doing to means producing more CD4 cells) makes you more vulnerable, not less.

    • what the hell are you talking about?? Seriously! Lemme guess all the scientists around the world across all cultures and languages are colluding together in a smoky back room to keep away a permanent cure for HIV infections? Do you understand anything at all about medical research or how the HIV works?? Do you know what a retrovirus is? do you understand how ridiculously high mutation rates of certain viruses allow them to evade vaccines? You think they can just magically whip up a cure but the refuse t
    • by Octorian ( 14086 )

      The holy grail for the pharmaceutical industry is to develop treatments rather than permanent cures or preventions

      There actually was a relatively recent case where they did develop a cure for something that had previously been one of those chronic treat-poorly-for-life diseases. I think it was Hepatitis C, though I'm not 100% sure.

      Of course they priced this cure accordingly, charging an exorbitant price so as to compensate for the lack of a lifetime prescription.

    • We are already at the holy grail: Allergy pills.
    • Comment removed based on user account deletion
    • The holy grail for the pharmaceutical industry is to develop treatments rather than permanent cures or preventions - they would rather have a repeat customer base that has to keep buying a pill every month to keep horror disease at bay rather than wipe out the disease with a permanent cure or vaccine.

      Look at the plight of AIDS sufferers - decades of research and the pharma industry has created treatments that let someone keep clinging to life as long as they keep buying the pills, but still no vaccine available which could prevent the spread of the disease in the first place, or cures which get rid of the disease permanently.

      Once it becomes possible to create temporary treatments rather than permanent cures, then of course research will focus on this and not on cures, because the industry is set up for profit first, most beneficial health outcome second.

      Uh ... except that in this case (C19), we do have vaccines first. So ... that totally doesn't go with your narrative?

    • by sjames ( 1099 )

      Interestingly, in the '80s when treatments were very limited and AIDS was still considered terminal in a few years, I saw a research paper where extreme hyperthermia was being used to cure the disease. Admittedly it had a significant fatality rate, but it did seem to effect a cure and there was even evidence that the cured patients might have had some immunity.

      That research was suspended.

      • by q_e_t ( 5104099 )
        It looks like the research was either in the 1990s or ongoing then, e.g. https://www.tandfonline.com/do... [tandfonline.com]. That paper indicates it is/was not a cure.

        A cure for this illness is presently not in sight. Stabilization of the illness by maintaining or lowering viral load would enable patients to learn to live with their illness

  • by Black Parrot ( 19622 ) on Saturday June 19, 2021 @08:17AM (#61501186)

    Will it interfere with my 5g reception?

  • so they work on viruses instead of humans! Duh!

  • Been seeing things on Reddit and getting calls at work about N-Acetyl Cysteine supplements being "banned" by the FDA. The FDA *is* being shady about it too even though some companies would be exempt anyways. But NAC has shown some benefits in treating COVID-19.

    • By "banned" do you mean the FDA warned the makers of hangover supplements that NAC is not a dietary supplement and has been classified as a drug since 1963, then yes. You may have a different definition of "banned" than the rest of us.
      • No. That was part of it. But they are going after NAC as a supplement. Several companies have discontinued theirs and Amazon has confirmed they are removing all listings of it, even if it was never advertised inappropriately.

        • What part of "NAC is not a dietary supplement and has been classified as a drug since 1963" is not clear. If companies have been selling it as supplement, they are in for a world of legal and regulatory hurt.
  • by quonset ( 4839537 ) on Saturday June 19, 2021 @10:37AM (#61501466)

    Apparently the Delta variant of covid is both more easily transmittable and causes more severe symptoms. The CDC now considers a variant of concern [cnn.com].

    Those who choose not be vaccinated, or cannot be vaccinated for legitimate medical reasons, are most susceptible to this variant [bbc.co.uk]. When one considers that 99% of people now being infected and dying from covid aren't vaccinated [webmd.com], a little pill could do wonders. For those that listen to medical experts.

    • by tsqr ( 808554 )

      When one considers that 99% of people now being infected and dying from covid aren't vaccinated

      Thanks for providing that link so I could find out that you're shading things a more than a little bit. Actually. "...more than 99% of patients hospitalized with COVID-19 during the first four months of 2021 weren’t fully vaccinated." Hospitalized from January 1 through April 13. In a Cleveland Clinic hospital, not nationwide. Not "being infected now". I may not recall correctly, but I don't think that people under 65 and not on the "front line" were even eligible for vaccination in most areas for mos

  • It would be interesting to actually see what we get for $3 billion. I'm guessing not a thing
  • Somebody tell me why the government had to fund anything. After all the Free Market people would have you believe that they could do it all better, faster, cheaper. And all I'm hearing from them is crickets. As usual.

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