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   <dc:title>Plitidepsin in adult patients with COVID-19 requiring hospital admission : A long-term follow-up analysis</dc:title>
   <dc:creator>Varona, Jose F.</dc:creator>
   <dc:creator>Landete, Pedro</dc:creator>
   <dc:creator>Paredes, Roger</dc:creator>
   <dc:creator>Vates, Roberto</dc:creator>
   <dc:creator>Torralba, Miguel</dc:creator>
   <dc:creator>Guisado-Vasco, Pablo</dc:creator>
   <dc:creator>Porras, Lourdes</dc:creator>
   <dc:creator>Munoz, Patricia</dc:creator>
   <dc:creator>Gijon, Paloma</dc:creator>
   <dc:creator>Ancochea, Julio</dc:creator>
   <dc:creator>Saiz, Elena</dc:creator>
   <dc:creator>Meira, Fernanda</dc:creator>
   <dc:creator>Jimeno, Jose M..</dc:creator>
   <dc:creator>Lopez-Martin, Jose A.</dc:creator>
   <dc:creator>Estrada, Vicente</dc:creator>
   <dc:creator>Universitat Autònoma de Barcelona</dc:creator>
   <dc:subject>Plitidepsin</dc:subject>
   <dc:subject>COVID-19</dc:subject>
   <dc:subject>SARS-CoV-2</dc:subject>
   <dc:subject>Long COVID</dc:subject>
   <dc:subject>Post-COVID-19 complications</dc:subject>
   <dcterms:abstract>The APLICOV-PC study assessed the safety and preliminary efficacy of plitidepsin in hospitalized adult patients with COVID-19. In this follow-up study (E-APLICOV), the incidence of post-COVID-19 morbidity was evaluated and any long-term complications were characterized. Between January 18 and March 16, 2022, 34 of the 45 adult patients who received therapy with plitidepsin in the APLICOV-PC study were enrolled in E-APLICOV (median time from plitidepsin first dose to E-APLICOV enrollment, 16.8 months [range, 15.2-19.5 months]). All patients were functionally autonomous with regard to daily living (Barthel index: 100) and had normal physical examinations. From the APLICOV-PC date of discharge to the date of the extension visit, neither Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5) grade 3-4 complications nor QT prolongation or significant electrocardiogram (EKG) abnormalities were reported. Five (14.7%) patients had another COVID-19 episode after initial discharge from APLICOV-PC, and in 2 patients (5.9%), previously unreported chest X-ray findings were documented. Spirometry and lung-diffusion tests were normal in 29 (85.3%) and 27 (79.4%) patients, respectively, and 3 patients needed additional oxygen supplementation after initial hospital discharge. None of these patients required subsequent hospital readmission for disease-related complications. In conclusion, plitidepsin has demonstrated a favorable long-term safety profile in adult patients hospitalized for COVID-19. With the constraints of a low sample size and a lack of control, the rate of post-COVID-19 complications after treatment with plitidepsin is in the low range of published reports. (ClinicalTrials.gov Identifier: NCT05121740;).</dcterms:abstract>
   <dcterms:issued>2023</dcterms:issued>
   <dc:type>Article</dc:type>
   <dc:relation>Frontiers in cellular and infection microbiology ; Vol. 13 (february 2023)</dc:relation>
   <dc:rights>open access</dc:rights>
   <dc:rights>Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.</dc:rights>
   <dc:rights>https://creativecommons.org/licenses/by/4.0/</dc:rights>
   <dc:publisher/>
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