Evidence map›Paper›PMID 31541242›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Effect of Oral Oseltamivir on Virological Outcomes in Low-risk Adults With Influenza: A Randomized Clinical Trial.

John H Beigel, Weerawat Manosuthi, Joy Beeler, Yajing Bao, Melanie Hoppers, Kiat Ruxrungtham, Richard L Beasley, Michael Ison, Anchalee Avihingsanon, Marcelo H Losso and 7 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01314911 (A Randomized Double-Blind Study Comparing Oseltamivir Versus Placebo for the Treatment of Influenza in Low Risk Adults), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
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.

NCT01314911 nacompletednot on this map

A Randomized Double-Blind Study Comparing Oseltamivir Versus Placebo for the Treatment of Influenza in Low Risk Adults

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2011 to 2017Enrolled716ConditionsInfluenza, HumanArmsOseltamivir, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Staying InformED: Top emergency Medicine pharmacotherapy articles of 2020.The American journal of emergency medicine · 2021
    Review
  6. Comparison of antiviral effect for mild-to-moderate COVID-19 cases between lopinavir/ritonavir versus hydroxychloroquine: A nationwide propensity score-matched cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
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

17 authors at 10 institutions in 3 countries.

John H BeigelNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
Weerawat ManosuthiBamrasnaradura Infectious Diseases Institute, Department of Disease Control, Nonthaburi, Thailand.
Joy BeelerLeidos Biomedical Research, Inc, Frederick, Maryland.
Yajing BaoHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Melanie HoppersClinical Research Solutions, Jackson, Tennessee.
Kiat RuxrungthamDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, and Center for Biostatistics in AIDS Research, Human Immunodeficiency Virus Netherlands Australia Thailand Research Collaboration, Thai Red Cross AIDS Research Center, Bangkok, Thailand.
Richard L BeasleyHealth Concepts, Rapid City, South Dakota.
Michael IsonDepartment of Medicine, Northwestern University, Chicago, Illinois.
Anchalee AvihingsanonDepartment of Medicine, Faculty of Medicine, Chulalongkorn University, and Center for Biostatistics in AIDS Research, Human Immunodeficiency Virus Netherlands Australia Thailand Research Collaboration, Thai Red Cross AIDS Research Center, Bangkok, Thailand.
Marcelo H LossoImmunocompromised Service, Hospital General De Agudos J. M. Ramos Mejía, Buenos Aires, Argentina.
Nicholas LangloisSocial & Scientific Systems, Inc, Silver Spring, Maryland.
Justin HoopesAVR Laboratories LLC, Logan, Utah; and.
H Clifford LaneNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
H Preston HolleyLeidos Biomedical Research, Inc, Frederick, Maryland.
Christopher A MyersOperational Infectious Diseases, Naval Health Research Center, San Diego, California.
Michael D HughesHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Richard T DaveyHarvard T.H. Chan School of Public Health, Boston, Massachusetts.
Harvard University · USChulalongkorn University · THLeidos (United States) · USNational Institutes of Health · USClinical Research Solutions · USDepartment of Disease Control · THHospital Ramos Mejía · ARNaval Health Research Center · USNorthwestern University · USSocial and Scientific Systems (United States) · US

Funding

Influenza and Emerging Infectious DiseasesZIAAI000984 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DAVEY, RICHARD · 2009 to 2025
$44.1M
Pathogenesis, Treatment and Prevention of Emerging Infectious DiseasesZIAAI000936 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LANE, CLIFFORD · 2009 to 2025
$6.4M
CCR NIH HHS HHSN261200800001CNCI NIH HHS HHSN261200800001ENCI NIH HHS HHSN261201500003CNCI NIH HHS HHSN261201500003I
6 · The paper itself

Abstract

backgroundDuration of viral shedding is a determinant of infectivity and transmissibility, but few data exist about oseltamivir's ability to alter viral shedding.

methodsFrom January 2012 through October 2017, a randomized, double-blinded multicenter clinical trial was conducted in adults aged 18-64 years at 42 sites in Thailand, the United States, and Argentina. Participants with influenza A or B and without risk factors for complications of influenza were screened for the study. Eligible participants were randomized to receive oseltamivir 75 mg or placebo twice daily for 5 days. The primary endpoint was the percentage of participants with virus detectable by polymerase chain reaction in nasopharyngeal swab at day 3.

resultsOf 716 adults screened for the study, 558 were randomized, and 501 were confirmed to have influenza. Forty-six participants in the pilot study were excluded, and 449 of the 455 participants in the population for the primary analysis had day 3 viral shedding results. Ninety-nine (45.0%) of 220 participants in the oseltamivir arm had virus detected at day 3 compared with 131 (57.2%) of 229 participants in the placebo arm (absolute difference of -12.2% [-21.4%, -3.0%], P =; .010). The median time to alleviation of symptoms was 79.0 hours for the oseltamivir arm and 84.0 hours for the placebo arm (P =; .34) in those with confirmed influenza infection.

conclusionsOseltamivir decreased viral shedding in this low-risk population. However, in the population enrolled in this study, it did not significantly decrease the time to resolution of clinical symptoms. CLINICAL TRIALS REGISTRATION: NCT01314911.

Indexed as

Antiviral AgentsInfluenza, HumanAdolescentAdultArgentinaDouble-Blind MethodHumansMiddle AgedOseltamivirPilot ProjectsThailandTreatment OutcomeYoung AdultAntiviral AgentsOseltamivirinfluenza-like illnessrespiratory virusviral shedding

Identifiers

PMID31541242
PMCPMC7245154
OpenAlexW2965878321

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.