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Comparison of amantadine and rimantadine for prevention of type A (Russian) influenza

Identifieur interne : 002737 ( Main/Exploration ); précédent : 002736; suivant : 002738

Comparison of amantadine and rimantadine for prevention of type A (Russian) influenza

Auteurs : John M. Quarles [États-Unis] ; Robert B. Couch [États-Unis] ; Thomas R. Cate [États-Unis] ; Claude B. Goswick [États-Unis]

Source :

RBID : ISTEX:DE5B997D573CCF4E84D3F040D3FE3F6424B4C192

English descriptors

Abstract

Abstract: The efficacies of 200 mg daily doses of amantadine and of rimantadine for prevention of infection and illness due to influenza A/USSR/77 (H1N1) virus were compared in a double-blind, placebo-controlled study on a college campus. Frequencies of symptoms that might have been side effects of the drugs were not significantly different from those in placebo recipients. Analyses indicated that the trial was initiated late in the epidemic and that an age-related protective effect against A/USSR virus existed; seroconversion frequencies were 52 139 (37%) among 18–19-year-olds, 33 130 (25%) among 20–21-year-olds, and 5 39 (12.8%) among 22–24-year-olds. Among initially antibody-negative (<1 : 4 in complement fixing and neutralizing tests and <1 : 8 in hemagglutination inhibition tests) 18–19-year-old students, amantadine was associated with significantly fewer seroconversions (P = 0.01) and both less infection and milder illness than occurred in placebo recipients (P<0.05). Although rimantadine was not accompanied by reduction in frequency of seroconversions in the same age group, illness frequency and severity among seroconverters were significantly reduced when compared to placebo recipients (P<0.01). Amantadine and rimantadine appear suitable for use in young adults. Although other studies have suggested greater effectiveness of rimantadine than of amantadine against influenza, no evidence for this was seen in the present study which used both drugs at the same dose.

Url:
DOI: 10.1016/0166-3542(81)90003-6


Affiliations:


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<div type="abstract" xml:lang="en">Abstract: The efficacies of 200 mg daily doses of amantadine and of rimantadine for prevention of infection and illness due to influenza A/USSR/77 (H1N1) virus were compared in a double-blind, placebo-controlled study on a college campus. Frequencies of symptoms that might have been side effects of the drugs were not significantly different from those in placebo recipients. Analyses indicated that the trial was initiated late in the epidemic and that an age-related protective effect against A/USSR virus existed; seroconversion frequencies were 52 139 (37%) among 18–19-year-olds, 33 130 (25%) among 20–21-year-olds, and 5 39 (12.8%) among 22–24-year-olds. Among initially antibody-negative (<1 : 4 in complement fixing and neutralizing tests and <1 : 8 in hemagglutination inhibition tests) 18–19-year-old students, amantadine was associated with significantly fewer seroconversions (P = 0.01) and both less infection and milder illness than occurred in placebo recipients (P<0.05). Although rimantadine was not accompanied by reduction in frequency of seroconversions in the same age group, illness frequency and severity among seroconverters were significantly reduced when compared to placebo recipients (P<0.01). Amantadine and rimantadine appear suitable for use in young adults. Although other studies have suggested greater effectiveness of rimantadine than of amantadine against influenza, no evidence for this was seen in the present study which used both drugs at the same dose.</div>
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