Timeline of the West African Ebola outbreak ©John
Saeki/Adrian Leung (AFP)
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For the first time since the West African Ebola
outbreak began over a year ago, a clinical trial with a candidate treatment has
yielded "encouraging" results, researchers announced Thursday. The trial with 80 patients in Guinea resulted in fewer
deaths and faster recovery rates, the French government and medical research
agency Inserm said of tests with the Japanese-manufactured anti-viral drug
favipiravir.
No scientific trial data has been made public, but the
outcome was said to offer "hope" for tackling the haemorrhagic fever
virus that has infected 22,495 people and killed 8,981 in the worst Ebola
outbreak in history, according to the latest World Health Organization tally.
"Encouraging results of the trial... will be
submitted shortly to a scientific journal for publication," Inserm said in
a statement to AFP.
So far 22,495 people have been infected with the Ebola
virus across nine countries, resulting in 8,981 deaths ©Francisco Leong
(AFP/File)
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The French presidency said in a separate statement the
trial showed "a reduction in the number of deaths among adults and
teenagers, with slower virus multiplication. Recovery is accelerated".
- 'Important step forward' -
The head of France's Ebola Task Force, Jean-Francois
Delfraissy, and Inserm head Yves Levy briefed President Francois Hollande and
government officials on Wednesday, it added, and described the results as
"an important step forward".
Inserm is in charge of the trial at a treatment centre
in Gueckedou in the east of Guinea -- one of the three countries, with Liberia
and Sierra Leone, hardest hit by the outbreak.
The trial, which started on December 17, was conducted
with Guinean researchers and authorities, non-government organizations, the
French Red Cross and aid group Doctors Without Borders (MSF).
It is the largest clinical trial yet with a candidate
Ebola treatment, the French statement said.
Favipiravir, also known as Avigan, is developed by
Toyama Chemical, a subsidiary of Fujifilm Holdings.
Inserm said the scientific results will be made public
once they have been officially reviewed and validated by the scientific
community, which could happen by month's end.
- Emergency treatment -
The drug has already been administered as an emergency
treatment to patients evacuated from West Africa to Europe, though this was not
part of an official trial.
It has commercial authorization in Japan as a flu
medicine, and large doses can be made quickly available -- an advantage over
other experimental treatments, like ZMapp, of which stocks are limited.
The Japanese company said last year it had sufficient
reserves for more than 20,000 people.
The Elysee said the results gave rise to
"hope", but cautioned they have to be confirmed with a larger group
of trial patients.
"These early results open new avenues for access
to treatment in the fight against this disease," it said.
MSF said in December that "if favipiravir is
shown to be safe and effective, it will be made accessible to Ebola patients in
other Ebola treatment centres through advancing the trial to the next phase.
"This means that after approval from national
authorities and independent ethics committees more Ebola positive patients in
West Africa will be placed on the treatment."
There is as yet no licenced vaccine or treatment for
Ebola.
The WHO gave the green light last August for
experimental treatment to be used in the current crisis, and several candidate
drugs are being fast-tracked through the normally years-long trial process.
Ebola, one of the deadliest viruses known to man, is
spread through direct contact with the bodily fluids of an infected person
showing symptoms such as fever or vomiting.
People caring for the sick or handling corpses are at
highest risk, and the disease is best contained by limiting exposure through
patient isolation and safe burials.
A sharp drop in new cases in recent weeks gave rise to
optimism that the worst was over, but the WHO on Wednesday reported the first
rise for 2015 in the weekly number of cases in all three countries.
A trial with another candidate treatment,
brincidofovir, was halted in Liberia Tuesday.
The trial's funder, the Wellcome Trust research
charity, cited dropping patient numbers and said there was "no realistic
prospect of the trial enrolling sufficient patients to be able to reach a
conclusion about the efficacy of the drug."
The first large-scale trials with two Ebola vaccines
started in Liberia on Monday.
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