Scientists declare Ebola drug Zmapp is 100% effective at treating monkeys with the deadly disease.
All 18 rhesus macaques treated with the drug made 'complete recovery'
Animals were cured
even when given the drug five days after infection
Monkeys not given the experimental drug quickly fell seriously ill and
died
ZMapp is blend of three lab-made antibodies designed to neutralise the
virus
Two U.S. doctors given the drug after contracting Ebola later
recovered
Experts warned today the disease is mutating rapidly
Hopes of a breakthrough in the fight against Ebola have been raised by the 100 per cent successful treatment of monkeys with the deadly disease.
The experimental drug ZMapp
cured the animals even when administered five days after infection, while they
were displaying severe symptoms.
All 18 rhesus macaques made a
complete recovery, in contrast to three other untreated monkeys that quickly
fell seriously ill and died.
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Nicotiana benthamiana, the plant from which ZMapp is derived. New research shows the experimental drug ZMapp cured the monkeys even when administered five days after infection
ZMapp is a blend of three
laboratory-made antibodies designed to neutralise the virus.
Two U.S. doctors given the drug
after they were infected with Ebola while working in Liberia subsequently
recovered.
But it is not known whether
they were saved by the drug or just lucky. About 45 per cent of those infected
in the current outbreak have survived without treatment.
At least two other patients
treated with ZMapp have died, possibly because help got to them too late.
The new research, published in
a special report on Nature journal's website, provides hard evidence that the
drug works and can be highly effective.
A team of scientists led by Dr
Gary Kobinger, from the Public Health Agency of Canada, wrote: 'ZMapp exceeds
the efficacy of any other therapeutics described so far, and results warrant
further development of this cocktail for clinical use ...
'We hope that initial safety
testing in humans will be undertaken soon, preferably within the next few
months, to enable the compassionate use of ZMapp as soon as possible.'
The news follows a warning from
the World Health Organisation (WHO) that the Ebola outbreak in West Africa
could eventually claim more than 20,000 victims.
Latest figures show 1,552
deaths from the 3,069 cases reported so far.
A Liberian health worker spraying disinfectant outside a house before entering and removing the body of a man believed to have died from the Ebola virus in Monrovia. Latest figures show 1,552 deaths from the 3,069 cases reported so far
ZMapp is being used to treat William Pooley (left) the first Briton to contract the virus while working as a nurse at a remote health centre in Sierra Leone and (right) Dr Abraham Borbor, was being treated with ZMapp but lost his battle with Ebola this week. He was the deputy chief medical doctor at the country's largest hospital
Ebola, belonging to the family of 'filoviruses', ranks alongside Marburg virus as one of the world's deadliest infections.
Fatality rates in previous outbreaks have been as high as 90 per cent.
It kills by overwhelming the
immune system and sending the body into shock as blood pressure drops to
dangerous levels.
Currently there are is no
approved vaccine or post-exposure treatment. Management of the Ebola outbreak
in Africa has been confined to palliative care and physical attempts to prevent
transmission.
The development of ZMapp and
its success in treating advanced stages of Ebola infection was described as a
'monumental achievement' by Professor Thomas Geisbert, from the University of
Texas, writing in Nature.
He added: 'The next crucial
step will be to formally assess its safety and effectiveness. Testing the latter
is clearly difficult, because intentional infection of human subjects in
clinical trials is not possible.'
EBOLA VIRUS IS 'MUTATING RAPIDLY,' EXPERTS WARN
Researchers claim the Ebola
virus disease (EVD) is rapidly and continually mutating, making it harder to
diagnose and treat.
A study of the initial patients
diagnosed with the virus in Sierra Leone revealed almost 400 genetic
modifications.
And it could be detrimental not
only to current treatments, but also to future vaccines that are in the works.
The team of researchers, led by
the Broad Institute in Massachusetts and Harvard University, analysed more than
99 Ebola virus genomes.
These were collected from 78
patients diagnosed with Ebola in Sierra Leona in the first 24 days of the
outbreak.
Their findings, reported in the
journal Science, could have important implications for rapid field diagnostic
tests.
The team found more than 300
genetic changes that make the 2014 Ebola virus genomes distinct from the viral
genomes tied to previous Ebola outbreaks.
They also found variations in
the genome sequence indicating that, from the samples analysed, the outbreak
started from a single introduction into humans, subsequently spreading from
person to person over many months.
The treated monkeys were exposed
to a lethal level of Ebola virus before receiving three doses of ZMapp starting
three, four and five days after infection.
The treatment reversed Ebola
symptoms including excessive bleeding, rashes, and liver damage.
Three weeks after they were
infected, no trace of the virus could be detected in the animals' blood.
Untreated monkeys all succumbed
to the virus by day eight after infection.
One drawback of the research
was that it used a version of the virus different from the Guinea strain
responsible for the current outbreak, which was not available at the time.
But the scientists went on to
show that ZMapp blocks replication of the Guinea strain in laboratory tests.
Dr Alain Kohl, from the Medical
Research Council/University of Glasgow Centre for Virus Research, said: 'What
needs to be done next is assess against how many strains and species of the
virus it can act.
Clinical trials in humans are
not possible so some questions will go unanswered. At present too few people
have received the drug to allow conclusions about efficacy and treatment
timings, though in emergency situations it is at least one potentially useful
option.'
David Evans, Professor of
Virology at the University of Warwick, said: 'All animals survived and had
undetectable viral loads 21 days post-infection. This is an extremely
encouraging result for a virus which has an incubation period of two to 21 days
in humans and for which no vaccine exists.
'These results do not prove
that the healthcare workers who received ZMapp and recovered did so due to the
therapy. Others who also received ZMapp succumbed to the virus.
'Distinguishing between
correlation and causation will require analysis of the clinical data on viral
loads before and after therapy was administered. Nevertheless, the results are
encouraging.'
Professor Martin Hibberd, from
the London School of Hygiene & Tropical Medicine, said: 'This looks to be a
very well designed study with better than expected results, which give great
hope for future clinical trials.
'I hope the team can receive
sufficient funding to undertake these clinical trials straight away as this is
by far the most advanced potential treatment option available to my
knowledge.'
ARE
YOU AT RISK OF CATCHING THE INCURABLE, DEADLY DISEASE
Ebola is a severe, often fatal
illness, with a death rate of up to 90 per cent.The illness affects humans as
well as primates, including monkeys, gorillas and chimpanzees.
How do people become infected
with the virus?
Ebola is transmitted through
close contact with the blood, secretions, organs or other bodily fluids of
infected animals.
In Africa infection in humans
has happened as a result of contact with chimpanzees, gorillas, fruit bats,
monkeys, forest antelope and porcupines found ill or dead in the rainforest.
Once a person becomes infected,
the virus can spread through contact with a sufferer's blood, urine, saliva,
stools and semen. A person can also become infected if broken skin comes into
contact with a victim's soiled clothing, bed linen or used needles.
Men who have recovered from the
disease, can still spread the virus to their partner through their semen for
seven weeks after recovery.
Who is most at risk?
Those at risk during an
outbreak include:
·
health
workers
·
family
members or others in close contact with infected people
·
mourners
with direct contact with the bodies of deceased victims
·
hunters
in contact with dead animals
What are the typical signs and
symptoms?
Sudden onset of fever, intense
weakness, muscle pain, headache and sore throat. That is followed by vomiting,
diarrhoea, rash, impaired kidney and liver function and internal and external
bleeding.
The incubation period is
between two and 21 days. A person will become contagious once they start to
show symptoms.
When should you seek medical
care?
If a person is in an area
affected by the outbreak, or has been in contact with a person known or
suspected to have Ebola, they should seek medical help immediately.
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