Cautious Optimism About ZMapp Trial

The Ebola drug increased survival in a small study, but the effect was not statistically significant.

Written byBob Grant
| 2 min read

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PLOS PATHOGENS, THOMAS W. GEISBERTThe monoclonal antibody drug that contributed to saving the lives of two American aid workers who were infected with Ebola during the 2014 epidemic in West Africa has shown only the slightest glimmer of promise in a small clinical study. The researchers who conducted the trial presented the results on Tuesday (February 23) at the Conference on Retroviruses and Opportunistic Infections, and The New York Times was among the first news outlets to report the findings.

Researchers tested ZMapp, which is manufactured by San Diego–based Mapp Biopharmaceutical, amid the 2014 Ebola outbreak and had hoped to enroll 200 patients in the randomized controlled trial. But as the epidemic waned, the study totaled only 72 people—from Guinea, Liberia, Sierra Leone, and the United States.

Of the 71 patients considered in the final analysis (one was “lost to follow up,” according to the researchers), 36 got ZMapp in addition to standard treatment, including the administration of intravenous fluids and oxygen; 35 received only the standard treatment. Eight people died in the ZMapp group, and 13 died in the control arm—22 percent mortality rate versus 37 percent, respectively. Study coleader Richard Davey of the National Institute of Allergy and Infectious Diseases told attendees of ...

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  • From 2017 to 2022, Bob Grant was Editor in Chief of The Scientist, where he started in 2007 as a Staff Writer. Before joining the team, he worked as a reporter at Audubon and earned a master’s degree in science journalism from New York University. In his previous life, he pursued a career in science, getting a bachelor’s degree in wildlife biology from Montana State University and a master’s degree in marine biology from the College of Charleston in South Carolina. Bob edited Reading Frames and other sections of the magazine.

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