Effect of taking famotidine on hospitalized COVID-19 patients

Key Messages

This retrospective study was carried out at the Hartford Hospital in Conneticut, USA, and compared the outcomes for hospitalized COVID-19 patients taking famotidine vs. patients not taking the drug.

In total, 83 (9.5%) patients were taking famotidine. COVID-19 patients taking famotidine had a lower risk of needing ventilation and a lower risk of death in hospital.

Mathematical adjustment for age difference between patients groups did not alter the effect of famotidine use on either outcome (ventilation or death).

Patients taking famotidine also had lower levels of severe disease markers in their blood serum, including lower C-reactive protein levels (a marker of inflammation), lower median procalcitonin levels (an indicator of tissue injury), and a nonsignificant trend to lower ferritin levels (an indicator of liver damage and/or other inflammation).

American Journal of Gastroenterology

Publication Date: October 1, 2020
Peer Reviewed: Yes
Publication Type: Original | Clinical Retrospective
DOI: https://www.doi.org/10.14309/ajg.00000000000008322

Impact of Famotidine Use on Clinical Outcomes of Hospitalized Patients With COVID-19

Jeffrey F. Mather, Richard L. Seip, Raymond G. McKay

Abstract

Introduction:
To compare outcomes in patients hospitalized with coronavirus (COVID-19) receiving famotidine therapy with those not receiving famotidine.

Methods:
Retrospective, propensity-matched observational study of consecutive COVID-19-positive patients between February 24, 2020, and May 13, 2020.

Results:
Of 878 patients in the analysis, 83 (9.5%) received famotidine. In comparison to patients not treated with famotidine, patients treated with famotidine were younger (63.5 ± 15.0 vs 67.5 ± 15.8 years, P = 0.021), but did not differ with respect to baseline demographics or preexisting comorbidities. Use of famotidine was associated with a decreased risk of in-hospital mortality (odds ratio 0.37, 95% confidence interval 0.16-0.86, P = 0.021) and combined death or intubation (odds ratio 0.47, 95% confidence interval 0.23-0.96, P = 0.040). Propensity score matching to adjust for age difference between groups did not alter the effect on either outcome. In addition, patients receiving famotidine displayed lower levels of serum markers for severe disease including lower median peak C-reactive protein levels (9.4 vs 12.7 mg/dL, P = 0.002), lower median procalcitonin levels (0.16 vs 0.30 ng/mL, P = 0.004), and a nonsignificant trend to lower median mean ferritin levels (797.5 vs 964.0 ng/mL, P = 0.076). Logistic regression analysis demonstrated that famotidine was an independent predictor of both lower mortality and combined death/intubation, whereas older age, body mass index >30 kg/m, chronic kidney disease, National Early Warning Score, and higher neutrophil-lymphocyte ratio were all predictors of both adverse outcomes.

Discussion:
Famotidine use in hospitalized patients with COVID-19 is associated with a lower risk of mortality, lower risk of combined outcome of mortality and intubation, and lower levels of serum markers for severe disease in hospitalized patients with COVID-19.(Equation is included in full-text article.).