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NIAID reports preliminary data from SIGA’s Mpox treatment study

The US branch of the National Institutes of Health (NIH), the National Institute of Allergy and Infectious Diseases (NIAID), has published initial results of the PALM 007 clinical trial with tecovirimat from SIGA Technologies for the treatment of monkeypox virus (Mpox).

The placebo-controlled, randomized, double-blind study evaluated the safety and efficacy of oral tecovirimat combined with standard of care (SOC).

Patients from the Democratic Republic of Congo (DRC) were randomly assigned 1:1 to receive either oral tecovirimat plus SOC or placebo plus SOC for 14 days.

NIAID found that the study did not meet its primary endpoint of a statistically significant improvement in time to lesion healing within 28 days of randomization.

However, significant improvement was observed in patients who started treatment within seven days of symptom onset and in patients with severe disease.

In the study, tecovirimat also showed a safety profile comparable to placebo. These results are consistent with various other studies in healthy volunteers.

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Diem Nguyen, CEO of SIGA Technologies, said: “We are very encouraged by the results of the PALM 007 study, which demonstrated that tecovirimat is safe and offers potential benefit to important patient populations with Mpox disease, particularly those with severe disease and those who sought early treatment. As with other acute viral infections, patients benefit most when antiviral treatment is administered as soon as possible after infection.

“The failure to meet the primary endpoint is not entirely unexpected, given that the population studied was hospitalized and received a high level of supportive care during the treatment period, and that many did not present for treatment until more than a week after the onset of their illness.”