Evidence map›Paper›PMID 31924756›Full record

ArticleNature communications2020

Comparative therapeutic efficacy of remdesivir and combination lopinavir, ritonavir, and interferon beta against MERS-CoV.

Timothy P Sheahan, Amy C Sims, Sarah R Leist, Alexandra Schäfer, John Won, Ariane J Brown, Stephanie A Montgomery, Alison Hogg, Darius Babusis, Michael O Clarke and 9 more

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 913 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
913citing papers in PubMed, 7 pooled it
43.8field-weighted citation impact, top 1% 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.

NCT04361526 naunknown statusnot on this map

Pilot Study on Cytokine Filtration in COVID-19 ARDS (CytokCOVID19)

TypeinterventionalSponsorManuel CastellàRan2020 to 2020Enrolled40ConditionsCoronavirus Infection, Acute Respiratory Distress Syndrome, COVIDArmsCytokine Adsorption
NCT04365725 completednot on this map

Multicenter, Retrospective Study of the Effects of Remdesivir in the Treatment of Severe Covid-19 Infections.

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2020Enrolled84ConditionsCOVID-19ArmsRemdesivir
NCT04420260 nacompletednot on this mapstarted 2021, after this paper: background citation

Scheme of Primary Prevention of Infection by COVID-19, in Workers: Phase II Controlled Clinical Trial, to be Carried Out in Medellín-Antioquia

TypeinterventionalSponsorUnidad de Investigación Genética MolecularRan2021 to 2021Enrolled152ConditionsCOVIDArmsGroup A: oropharygeal spray and immunostimulant emulsion, Group D:Placebo oropharyngeal spray + Placebo taken PO
NCT04596839 phase2completednot on this map

Antiviral Activity and Safety of Remdesivir in Bangladeshi Patients With Severe Coronavirus Disease (COVID-19): An Open Label, Multi-Center, Randomized Controlled Trial

TypeinterventionalSponsorDr. Md. Alimur RezaRan2020 to 2021Enrolled60ConditionsCovid19ArmsRemdesivir, Standard of Care
NCT04610541 phase3unknown statusnot on this map

Open-label Study to Assess the Safety of REMdesivir-HU as Eligible Novel therapY for Moderate and Severe Covid-19 Patients

TypeinterventionalSponsorUniversity of PecsRan2020 to 2021Enrolled2,000ConditionsSARS-CoV-2 InfectionArmsRemdesivir-HU
3 · Its place in the literature

Who cites it

913 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,802 citations in OpenAlex.

  1. Pooled it
  2. Remdesivir for the treatment of COVID-19.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Psychotropic drug repurposing for COVID-19: A Systematic Review and Meta-Analysis.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2023
    Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Remdesivir in COVID-19: pros and cons.Frontiers in pharmacology · 2026
    Review
  18. Article
  19. Review
  20. Article

853 more citing papers are in PubMed but not listed here.

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

19 authors at 3 institutions in 1 country.

Timothy P SheahanDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. sheahan@email.unc.edu.ORCID http://orcid.org/0000-0001-9181-2183
Amy C SimsDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sarah R LeistDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Alexandra SchäferDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
John WonDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ariane J BrownDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Stephanie A MontgomeryDepartment of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-8012-5302
Alison HoggGilead Sciences, Inc, Foster City, CA, USA.
Darius BabusisGilead Sciences, Inc, Foster City, CA, USA.ORCID http://orcid.org/0000-0001-5599-1671
Michael O ClarkeGilead Sciences, Inc, Foster City, CA, USA.
Jamie E SpahnGilead Sciences, Inc, Foster City, CA, USA.
Laura BauerGilead Sciences, Inc, Foster City, CA, USA.
Scott SellersGilead Sciences, Inc, Foster City, CA, USA.
Danielle PorterGilead Sciences, Inc, Foster City, CA, USA.
Joy Y FengGilead Sciences, Inc, Foster City, CA, USA.
Tomas CihlarGilead Sciences, Inc, Foster City, CA, USA.
Robert JordanGilead Sciences, Inc, Foster City, CA, USA.
Mark R DenisonDepartment of Pediatrics-Infectious Diseases, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-2655-0900
Ralph S BaricDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. rbaric@email.unc.edu.
Gilead Sciences (United States) · USUniversity of North Carolina at Chapel Hill · USVanderbilt University Medical Center · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Screening CoreU19AI109680 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WHITLEY, RICHARD J. · 2014 to 2018
$34.9M
Targeting the MEKK2-ERK5 Signaling Node in Triple Negative Breast CancerU54CA156733 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LINNAN, LAURA A · 2010 to 2020
$9.7M
Broad-spectrum antiviral GS-5734 to treat MERS-CoV and related emerging CoVR01AI132178 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BARIC, RALPH S, SHEAHAN, TIMOTHY PATRICK · 2017 to 2021
$7.0M
Determinants of Coronavirus Fidelity in Replication and PathogenesisR01AI108197 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARIC, RALPH S, DENISON, MARK R · 2013 to 2022
$6.5M
NCI NIH HHS P30 CA016086NCI NIH HHS U54 CA156733NIAID NIH HHS R01 AI108197NIAID NIH HHS R01 AI132178NIAID NIH HHS U19 AI109680NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

Middle East respiratory syndrome coronavirus (MERS-CoV) is the causative agent of a severe respiratory disease associated with more than 2468 human infections and over 851 deaths in 27 countries since 2012. There are no approved treatments for MERS-CoV infection although a combination of lopinavir, ritonavir and interferon beta (LPV/RTV-IFNb) is currently being evaluated in humans in the Kingdom of Saudi Arabia. Here, we show that remdesivir (RDV) and IFNb have superior antiviral activity to LPV and RTV in vitro. In mice, both prophylactic and therapeutic RDV improve pulmonary function and reduce lung viral loads and severe lung pathology. In contrast, prophylactic LPV/RTV-IFNb slightly reduces viral loads without impacting other disease parameters. Therapeutic LPV/RTV-IFNb improves pulmonary function but does not reduce virus replication or severe lung pathology. Thus, we provide in vivo evidence of the potential for RDV to treat MERS-CoV infections.

Indexed as

Adenosine MonophosphateAlanineAnimalsAntiviral AgentsCarboxylesteraseCoronavirus InfectionsDrug CombinationsDrug DevelopmentFemaleHumansInterferon-betaLopinavirLung InjuryMaleMiceMice, KnockoutAdenosine MonophosphateAlanineAntiviral AgentsCarboxylesteraseCes1c protein, mouseDrug CombinationsInterferon-betaLopinavirlopinavir-ritonavir drug combinationremdesivirRitonavir

Identifiers

PMID31924756
PMCPMC6954302
OpenAlexW3000413850

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.