Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Evaluation of Type I Interferon Treatment in Hospitalized COVID-19 Patients: A Retrospective Cohort Study

Version 1 : Received: 22 May 2024 / Approved: 23 May 2024 / Online: 23 May 2024 (12:34:29 CEST)

How to cite: Tat, V. Y.; Huang, P.; Khanipov, K.; Tat, N. Y.; Tseng, C.-T. K.; Golovko, G. Evaluation of Type I Interferon Treatment in Hospitalized COVID-19 Patients: A Retrospective Cohort Study. Preprints 2024, 2024051544. https://doi.org/10.20944/preprints202405.1544.v1 Tat, V. Y.; Huang, P.; Khanipov, K.; Tat, N. Y.; Tseng, C.-T. K.; Golovko, G. Evaluation of Type I Interferon Treatment in Hospitalized COVID-19 Patients: A Retrospective Cohort Study. Preprints 2024, 2024051544. https://doi.org/10.20944/preprints202405.1544.v1

Abstract

Coronavirus disease 2019 (COVID-19) continues to cause morbidity and mortality worldwide; therefore, effective treatments remain crucial to controlling it. As interferon-alpha (IFN-α) and -beta (β) have been proposed as COVID-19 treatments, we sought to assess their effectiveness on respiratory, cardiovascular, neurological, and psychiatric signs and symptoms, as well as PASC and death, in hospitalized COVID-19 patients without multiple sclerosis (MS). Using a federated data research network (TriNetX), we performed a retrospective cohort study of hospitalized COVID-19 patients without MS who received IFN-α or -β treatment, comparing them to a similar cohort who did not receive treatment. Following propensity score-matched analyses, we demonstrate that hospitalized COVID-19 patients who were treated with IFN-α or -β had significantly higher odds of death. In contrast, there was no significant difference in any other outcomes between 1-30 days or 1 day to anytime afterward. Overall, hospitalized COVID-19 patients without MS who were treated with IFN-α or -β had similar short- and long-term sequelae (except for mortality) as those who did not receive treatment. The potential benefits of utilizing IFN-α or -β treatment as therapeutics remain to be realized, and our research highlights the need to explore repurposing drugs for COVID-19 using real-world evidence.

Keywords

COVID-19; Interferons; Treatments; Sequelae

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

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