Evidence map›Paper›PMID 32629768›Full record

ReviewJournal of clinical medicine2020

Role of Lopinavir/Ritonavir in the Treatment of Covid-19: A Review of Current Evidence, Guideline Recommendations, and Perspectives.

Simone Meini, Alberto Pagotto, Benedetta Longo, Igor Vendramin, Davide Pecori, Carlo Tascini

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 8% 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.

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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Antivirals in COVID-19: A Focus on Pediatric Cardiac Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Drugs for COVID-19 Treatment: A New Challenge.Applied biochemistry and biotechnology · 2023
    Review
  11. Review
  12. Effect of SARS-CoV-2 infection on the liver.World journal of virology · 2023
    Review
  13. Article
  14. Observational
  15. Article
  16. Mechanisms of COVID-19-induced kidney injury and current pharmacotherapies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Simone MeiniStruttura Operativa Complessa di Medicina Interna, Azienda Unità Sanitaria Locale Toscana Centro, Ospedale Santa Maria Annunziata, 50012 Firenze, Italy.ORCID 0000-0002-8711-8305
Alberto PagottoClinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.
Benedetta LongoStruttura Operativa Complessa di Medicina Interna, Azienda Unità Sanitaria Locale Toscana Nord-Ovest, Ospedale Felice Lotti, 56025 Pontedera, Italy.
Igor VendraminDipartimento Cardiotoracico, Divisione di Cardiochirurgia, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy.
Davide PecoriClinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.
Carlo TasciniClinica di Malattie Infettive, Azienda Sanitaria Universitaria Friuli centrale, 33100 Udine, Italy.ORCID 0000-0001-9625-6024
Ospedale Santa Maria Annunziata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A life-threatening respiratory illness (COVID-19) due to severe acute respiratory syndrome (SARS)-CoV-2 coronavirus was first described in December 2019 in Wuhan (China), rapidly evolving into a pandemic. In the first phase, when the viral replication plays a pivotal pathogenetic role, antiviral drugs could be crucial in limiting viral-induced organ damage. Unfortunately, there are no specific antivirals of proven efficacy for COVID-19, and several drugs have been repurposed to face this dramatic pandemic. In this paper we review the studies evaluating lopinavir/ritonavir association (LPV/r) use in COVID-19, and previously in SARS and Middle East respiratory syndrome (MERS). We searched PubMed to identify all relevant clinical and laboratory studies published up to 15 May 2020; the guidelines on the use of LPV/r in COVID-19 were further directly searched on the website of the main international scientific societies and agencies. Available evidence is currently scarce and of low quality. The recommendations issued for COVID-19 vary from positions clearly against the use of LPV/r to other positions that are more favorable. In our opinion, despite the controversial results of an important randomized clinical trial, and some recommendations, clinicians should not abandon the use of LPV/r for the treatment of COVID-19, possibly using this drug inside a prospective randomized trial, waiting for the results of the numerous ongoing trials evaluating its efficacy.

Indexed as

COVID-19guidelinelopinavirMERSrecommendationritonavirSARS

Identifiers

PMID32629768
PMCPMC7408758
OpenAlexW3037412082

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.