Peramivir

(Rapivab®)

Rapivab®

Drug updated on 11/1/2024

Dosage FormInjection (intravenous: 200 mg/20 mL [10 mg/mL])
Drug ClassInfluenza virus neuraminidase inhibitors (NAI)
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of acute uncomplicated influenza in patients 6 months and older who have been symptomatic for no more than two days.

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Summary
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  • This summary is based on the review of nine systematic review(s)/meta-analysis(es). [1-9]
  • Peramivir demonstrated a significant reduction in time to alleviation of symptoms (TTAS) when compared to laninamivir (mean difference = -17.68 hours; 95% CI (confidence interval): -34.05 to -1.32) and also showed shorter TTAS compared to other neuraminidase inhibitors (mean difference = -11.214 hours; 95% CI: -19.119 to -3.310). However, no significant difference was observed in TTAS when peramivir was compared directly to oseltamivir.
  • Peramivir was associated with a reduced duration of hospitalization by -1.73 days (95% CI: -3.33 to -0.13) for seasonal influenza compared to placebo or standard care, and it also decreased the time to resumption of usual activities by -43.5 hours (95% CI: -72.8 to -14.2) in young and middle-aged adults.
  • Peramivir demonstrated a comparable safety profile to other neuraminidase inhibitors (NAIs), with no significant differences in adverse events (AEs) or serious adverse events (SAEs) relative to oseltamivir, zanamivir, and laninamivir; for AEs, the relative risk (RR) was 1.023 (95% CI: 0.717 to 1.460), and for SAEs, RR was 1.068 (95% CI: 0.702 to 1.625).
  • There is no population types or subgroups information available in the reviewed studies.

Product Monograph / Prescribing Information

Document TitleYearSource
Rapivab (peramivir) Prescribing Information.2024BioCryst Pharmaceuticals, Inc., Durham, NC

Systematic Reviews / Meta-Analyses

Document TitleYearSource
Antivirals for treatment of severe influenza: a systematic review and network meta-analysis of randomised controlled trials2024Lancet
Efficacy of Pharmacotherapy for Seasonal Influenza in Young and Middle-aged Adults: A Systematic Review and Network Meta-analysis2024Internal Medicine (Tokyo, Japan)
Efficacy and safety of single-dose antiviral drugs for influenza treatment: A systematic review and network meta-analysis2022Journal of Medical Virology
Comparative effectiveness of neuraminidase inhibitors in patients with influenza: A systematic review and network meta-analysis2022Journal of Infection and Chemotherapy
Comparison of Antiviral Agents for Seasonal Influenza Outcomes in Healthy Adults and Children: A Systematic Review and Network Meta-analysis2021JAMA Network Open
Comparing intravenous peramivir with oral oseltamivir for patients with influenza: a meta-analysis of randomized controlled trials2021Expert Review of Anti-Infective Therapy
Efficacy and safety of baloxavir marboxil versus neuraminidase inhibitors in the treatment of influenza virus infection in high-risk and uncomplicated patients - a Bayesian network meta-analysis2021Current Medical Research and Opinion
Alternative Regimens of Neuraminidase Inhibitors for Therapy of Hospitalized Adults with Influenza: A Systematic Review of Randomized Controlled Trials2020Advances in Therapy
A Meta-Analysis Comparing the Efficacy and Safety of Peramivir with Other Neuraminidase Inhibitors for Influenza Treatment2020Medicina (Kaunas, Lithuania)

Clinical Practice Guidelines

Document TitleYearSource
2020-2021 AMMI Canada guidance on the use of antiviral drugs for influenza in the setting of co-circulation of seasonal influenza and SARS-CoV-2 viruses in Canada.2020Journal of the Association of Medical Microbiology and Infectious Disease Canada