Evidence map›Paper›PMID 30788508›Full record

Observational studyThe Journal of infectious diseases2019

Laboratory Findings, Compassionate Use of Favipiravir, and Outcome in Patients With Ebola Virus Disease, Guinea, 2015-A Retrospective Observational Study.

Romy Kerber, Eva Lorenz, Sophie Duraffour, Daouda Sissoko, Martin Rudolf, Anna Jaeger, Sekou Ditinn Cisse, Alseny-Modet Camara, Osvaldo Miranda, Carlos M Castro and 63 more

Abstract readObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Extracts ofPharmaceutical biology · 2023
    Article
  9. Review
  10. Article
  11. Review
  12. Therapeutic dilemmas in addressing SARS-CoV-2 infection: Favipiravir versus Remdesivir.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Evaluating case definitions for Ebola virus disease.The Lancet. Infectious diseases · 2020
    Article
  19. Favipiravir: A new and emerging antiviral option in COVID-19.Medical journal, Armed Forces India · 2020
    Review
  20. Marburg virus disease: A summary for clinicians.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

73 authors.

Romy KerberBernhard Nocht Institute for Tropical Medicine, Hamburg.
Eva LorenzBernhard Nocht Institute for Tropical Medicine, Hamburg.
Sophie DuraffourBernhard Nocht Institute for Tropical Medicine, Hamburg.
Daouda SissokoINSERM U1219, Bordeaux University, Bordeaux, France.
Martin RudolfBernhard Nocht Institute for Tropical Medicine, Hamburg.
Anna JaegerBernhard Nocht Institute for Tropical Medicine, Hamburg.
Sekou Ditinn CisseMinistry of Health Guinea, Guinea.
Alseny-Modet CamaraMinistry of Health Guinea, Guinea.
Osvaldo MirandaHospital Militar Central Dr. Carlos J. Finlay, Havana, Cuba.
Carlos M CastroHospital Militar Central Dr. Carlos J. Finlay, Havana, Cuba.
Joseph Akoi BoreEuropean Mobile Laboratory Consortium, Hamburg.
Fara Raymond KoundounoEuropean Mobile Laboratory Consortium, Hamburg.
Johanna RepitsEuropean Mobile Laboratory Consortium, Hamburg.
Babak AfroughEuropean Mobile Laboratory Consortium, Hamburg.
Beate Becker-ZiajaBernhard Nocht Institute for Tropical Medicine, Hamburg.
Julia HinzmannEuropean Mobile Laboratory Consortium, Hamburg.
Marc MertensEuropean Mobile Laboratory Consortium, Hamburg.
Ines VitorianoEuropean Mobile Laboratory Consortium, Hamburg.
Christopher Hugh LogueEuropean Mobile Laboratory Consortium, Hamburg.
Jan-Peter BöttcherEuropean Mobile Laboratory Consortium, Hamburg.
Elisa PallaschBernhard Nocht Institute for Tropical Medicine, Hamburg.
Andreas SachseEuropean Mobile Laboratory Consortium, Hamburg.
Amadou BahEuropean Mobile Laboratory Consortium, Hamburg.
Mar Cabeza-CabrerizoEuropean Mobile Laboratory Consortium, Hamburg.
Katja NitzscheEuropean Mobile Laboratory Consortium, Hamburg.
Eeva KuismaEuropean Mobile Laboratory Consortium, Hamburg.
Janine MichelEuropean Mobile Laboratory Consortium, Hamburg.
Tobias HolmBernhard Nocht Institute for Tropical Medicine, Hamburg.
Elsa Gayle ZekengEuropean Mobile Laboratory Consortium, Hamburg.
Lauren A CowleyEuropean Mobile Laboratory Consortium, Hamburg.
Isabel Garcia-DorivalEuropean Mobile Laboratory Consortium, Hamburg.
Nicole HetzeltEuropean Mobile Laboratory Consortium, Hamburg.
Jonathan Hans Josef BaumBernhard Nocht Institute for Tropical Medicine, Hamburg.
Jasmine PortmannEuropean Mobile Laboratory Consortium, Hamburg.
Lisa CarterEuropean Mobile Laboratory Consortium, Hamburg.
Rahel Lemma YenamaberhanBernhard Nocht Institute for Tropical Medicine, Hamburg.
Alvaro CaminoEuropean Mobile Laboratory Consortium, Hamburg.
Theresa EnkirchEuropean Mobile Laboratory Consortium, Hamburg.
Katrin SingethanEuropean Mobile Laboratory Consortium, Hamburg.
Sarah MeiselBernhard Nocht Institute for Tropical Medicine, Hamburg.
Antonio MazzarelliEuropean Mobile Laboratory Consortium, Hamburg.
Abigail KosgeiEuropean Mobile Laboratory Consortium, Hamburg.
Liana KafetzopoulouEuropean Mobile Laboratory Consortium, Hamburg.
Natasha Y RickettEuropean Mobile Laboratory Consortium, Hamburg.
Livia Victoria PatronoBernhard Nocht Institute for Tropical Medicine, Hamburg.
Luam GhebreghiorghisEuropean Mobile Laboratory Consortium, Hamburg.
Ulrike ArnoldEuropean Mobile Laboratory Consortium, Hamburg.
Géraldine ColinINSERM U1219, Bordeaux University, Bordeaux, France.
Sylvain JuchetINSERM U1219, Bordeaux University, Bordeaux, France.
Claire Levy MarchalINSERM U1219, Bordeaux University, Bordeaux, France.
Jacques Seraphin KolieCentre de Recherche en Santé Rurale, Maférinya, Guinea.
Abdoul Habib BeavoguiCentre de Recherche en Santé Rurale, Maférinya, Guinea.
Stephanie WurrBernhard Nocht Institute for Tropical Medicine, Hamburg.
Sabrina BockholtBernhard Nocht Institute for Tropical Medicine, Hamburg.
Ralf KrumkampBernhard Nocht Institute for Tropical Medicine, Hamburg.
Jürgen MayBernhard Nocht Institute for Tropical Medicine, Hamburg.
Kilian StoeckerEuropean Mobile Laboratory Consortium, Hamburg.
Erna FleischmannEuropean Mobile Laboratory Consortium, Hamburg.
Giuseppe IppolitoEuropean Mobile Laboratory Consortium, Hamburg.
Miles W CarrollEuropean Mobile Laboratory Consortium, Hamburg.
Lamine KoivoguiInstitut National de Santé Publique, Guinea.
N'Faly MagassoubaLaboratoire des Fièvres Hémorragiques en Guinée, Université Gamal Abdel Nasser de Conakry, Guinea.
Sakoba KeitaMinistry of Health Guinea, Guinea.
Céline GurryWorld Health Organization, Geneva, Switzerland.
Patrick DruryWorld Health Organization, Geneva, Switzerland.
Boubacar DialloWorld Health Organization, Conakry, Guinea.
Pierre FormentyWorld Health Organization, Geneva, Switzerland.
Roman WölfelEuropean Mobile Laboratory Consortium, Hamburg.
Antonino Di CaroEuropean Mobile Laboratory Consortium, Hamburg.
Martin GabrielBernhard Nocht Institute for Tropical Medicine, Hamburg.
Xavier AnglaretINSERM U1219, Bordeaux University, Bordeaux, France.
Denis MalvyINSERM U1219, Bordeaux University, Bordeaux, France.
Stephan GüntherBernhard Nocht Institute for Tropical Medicine, Hamburg.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn 2015, the laboratory at the Ebola treatment center in Coyah, Guinea, confirmed Ebola virus disease (EVD) in 286 patients. The cycle threshold (Ct) of an Ebola virus-specific reverse transcription-polymerase chain reaction assay and 13 blood chemistry parameters were measured on admission and during hospitalization. Favipiravir treatment was offered to patients with EVD on a compassionate-use basis.

methodsTo reduce biases in the raw field data, we carefully selected 163 of 286 patients with EVD for a retrospective study to assess associations between potential risk factors, alterations in blood chemistry findings, favipiravir treatment, and outcome.

resultsThe case-fatality rate in favipiravir-treated patients was lower than in untreated patients (42.5% [31 of 73] vs 57.8% [52 of 90]; P = .053 by univariate analysis). In multivariate regression analysis, a higher Ct and a younger age were associated with survival (P < .001), while favipiravir treatment showed no statistically significant effect (P = .11). However, Kaplan-Meier analysis indicated a longer survival time in the favipiravir-treated group (P = .015). The study also showed characteristic changes in blood chemistry findings in patients who died, compared with survivors.

conclusionsConsistent with the JIKI trial, this retrospective study revealed a trend toward improved survival in favipiravir- treated patients; however, the effect of treatment was not statistically significant, except for its influence on survival time.

Indexed as

AdolescentAdultAmidesAntiviral AgentsChildChild, PreschoolCompassionate Use TrialsEbolavirusFemaleGuineaHemorrhagic Fever, EbolaHumansKaplan-Meier EstimateMaleMiddle AgedPyrazinesAmidesAntiviral AgentsfavipiravirPyrazinesEbola virus diseaseepidemicFavipiravirFilovirusGuineamobile laboratory

Identifiers

PMID30788508
PMCPMC6581890

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.