Olumiant (baricitinib) vs Lagevrio (molnupiravir)
Olumiant (baricitinib) vs Lagevrio (molnupiravir)
Olumiant (baricitinib) is an oral Janus kinase (JAK) inhibitor that is primarily used to treat moderate to severe rheumatoid arthritis and has also been authorized for emergency use to treat COVID-19 in hospitalized adults requiring supplemental oxygen. Lagevrio (molnupiravir), on the other hand, is an oral antiviral medication specifically designed to treat mild to moderate COVID-19 in adults who are at risk for developing severe illness and for whom alternative COVID-19 treatment options are not accessible or clinically appropriate. When deciding between these medications, it is important to consider the specific condition being treated, as Olumiant is not primarily an antiviral drug and is used in a different context compared to Lagevrio, which is targeted at early-stage COVID-19 to prevent disease progression.
Difference between Olumiant and Lagevrio
Metric | Olumiant (baricitinib) | Lagevrio (molnupiravir) |
---|---|---|
Generic name | Baricitinib | Molnupiravir |
Indications | Rheumatoid arthritis, COVID-19 (under Emergency Use Authorization) | Treatment of mild to moderate COVID-19 in adults with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death |
Mechanism of action | Janus kinase (JAK) inhibitor, which interferes with the JAK-STAT signaling pathway that plays a role in the immune response | Oral antiviral that induces viral mutagenesis by incorporating into viral RNA and causing an accumulation of errors in the viral genome leading to a decrease in replication |
Brand names | Olumiant | Lagevrio |
Administrative route | Oral | Oral |
Side effects | Upper respiratory tract infections, nausea, headache, high blood pressure | Diarrhea, nausea, dizziness |
Contraindications | Severe renal impairment, active serious infections, hypersensitivity to baricitinib | Hypersensitivity to molnupiravir, risk of fetal harm when administered to pregnant individuals |
Drug class | Janus kinase inhibitor | Antiviral |
Manufacturer | Eli Lilly and Company | Merck & Co. (known as MSD outside the US and Canada) |
Efficacy
Efficacy of Olumiant (Baricitinib) for COVID-19
Olumiant (baricitinib) is an oral medication that was originally approved for the treatment of moderate to severe rheumatoid arthritis. However, during the COVID-19 pandemic, it has been repurposed and granted an Emergency Use Authorization (EUA) by the U.S. Food and Drug Administration (FDA) for the treatment of COVID-19 in certain hospitalized adults and pediatric patients. The efficacy of baricitinib in treating COVID-19 stems from its anti-inflammatory properties as a Janus kinase (JAK) inhibitor, which can modulate the immune response that is often overactive in severe cases of COVID-19.
Studies have shown that when used in combination with the antiviral drug remdesivir, baricitinib can reduce recovery time and improve clinical outcomes in hospitalized patients with COVID-19. The ACTT-2 trial, a randomized, double-blind, placebo-controlled study, demonstrated that the combination of baricitinib and remdesivir was superior to remdesivir alone in reducing recovery time and accelerating improvement in clinical status among hospitalized patients with COVID-19, particularly among those receiving high-flow oxygen or non-invasive ventilation.
Efficacy of Lagevrio (Molnupiravir) for COVID-19
Lagevrio (molnupiravir) is an antiviral medication that has been authorized for emergency use by the FDA for the treatment of mild to moderate COVID-19 in adults who are at risk for progressing to severe COVID-19 and/or hospitalization. Molnupiravir works by introducing errors into the SARS-CoV-2 virus's RNA, ultimately inhibiting its ability to replicate. This mechanism of action is thought to help reduce the viral load in patients, thereby potentially mitigating the severity of the disease.
The efficacy of molnupiravir was evaluated in a clinical trial known as MOVe-OUT, which was a phase 3, randomized, placebo-controlled study. The results indicated that molnupiravir reduced the risk of hospitalization or death by approximately 30% among patients with mild to moderate COVID-19 who were at risk for severe disease. However, it is important to note that subsequent analyses and real-world data are required to fully understand the long-term efficacy and safety profile of molnupiravir, as well as its role in the evolving landscape of COVID-19 treatment, particularly with the emergence of new variants of the virus.
Regulatory Agency Approvals
Olumiant
Lagevrio
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