Evidence map›Paper›PMID 32725382›Full record

SynthesisClinical pharmacokinetics2020

Pharmacokinetics/Pharmacodynamics of Antiviral Agents Used to Treat SARS-CoV-2 and Their Potential Interaction with Drugs and Other Supportive Measures: A Comprehensive Review by the PK/PD of Anti-Infectives Study Group of the European Society of Antimicrobial Agents.

Markus Zeitlinger, Birgit C P Koch, Roger Bruggemann, Pieter De Cock, Timothy Felton, Maya Hites, Jennifer Le, Sonia Luque, Alasdair P MacGowan, Deborah J E Marriott and 9 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical pharmacokinetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Scoping insight on antiviral drugs against COVID-19.Arabian journal of chemistry · 2021
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. 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

19 authors at 15 institutions in 10 countries.

Markus ZeitlingerDepartment of Clinical Pharmacology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. markus.zeitlinger@meduniwien.ac.at.ORCID http://orcid.org/0000-0001-5500-5878
Birgit C P KochHospital Pharmacy, Erasmus MC, Rotterdam, The Netherlands.
Roger BruggemannRadboud University Medical Center, Nijmegen, The Netherlands.
Pieter De CockDepartment of Pharmacy 2, Heymans Institute of Pharmacology, Ghent University Hospital, Ghent University, Ghent, Belgium.
Timothy FeltonDivision of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Maya HitesClinic of Infectious Diseases, CUB-Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Jennifer LeSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, San Diego, CA, USA.
Sonia LuquePharmacy Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain.
Alasdair P MacGowanBristol Centre for Antimicrobial Research and Evaluation, Infection Sciences, Severn Pathology Partnership, North Bristol NHS Trust, Southmead Hospital, Westbury-On-Trym, Bristol, UK.
Deborah J E MarriottSt. Vincent's Hospital, Darlinghurst, NSW, Australia.
Anouk E MullerHaaglandenMC, The Hague and ErasmusMC, Rotterdam, The Netherlands.
Kristina NadrahDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.
David L PatersonUniversity of Queensland Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Joseph F StandingInfection, Inflammation and Immunity, Great Ormond Street Institute of Child Health, University College London, London, UK.
João P TellesDepartment of Infectious Diseases, AC Camargo Cancer Center, São Paulo, SP, Brazil.
Michael Wölfl-DuchekDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Michael ThyInfectious Diseases Department and Intensive Care Unit, Hospital Bichat, Paris, France.
Jason A RobertsUniversity of Queensland Centre for Clinical Research, Faculty of Medicine and Centre for Translational Anti-Infective Pharmacodynamics, School of Pharmacy, The University of Queensland, Brisbane, QLD, Australia. j.roberts2@uq.edu.au.
PK/PD of Anti-Infectives Study Group (EPASG) of the European Society of Clinical Microbiology, Infectious Diseases (ESCMID)
Erasmus MC · NLMedical University of Vienna · ATThe University of Queensland · AUAC Camargo Hospital · BRGhent University Hospital · BEGreat Ormond Street Hospital · GBNorth Bristol NHS Trust · GBParc de Salut · ESRadboud University Nijmegen · NLUniversité Libre de Bruxelles · BEUniversité Paris Cité · FRUniversity of California San Diego · USUniversity of Ljubljana · SIUniversity of Manchester · GBUNSW Sydney · AU

Funding

Medical Research Council MR/M008665/1
6 · The paper itself

Abstract

There is an urgent need to identify optimal antiviral therapies for COVID-19 caused by SARS-CoV-2. We have conducted a rapid and comprehensive review of relevant pharmacological evidence, focusing on (1) the pharmacokinetics (PK) of potential antiviral therapies; (2) coronavirus-specific pharmacodynamics (PD); (3) PK and PD interactions between proposed combination therapies; (4) pharmacology of major supportive therapies; and (5) anticipated drug-drug interactions (DDIs). We found promising in vitro evidence for remdesivir, (hydroxy)chloroquine and favipiravir against SARS-CoV-2; potential clinical benefit in SARS-CoV-2 with remdesivir, the combination of lopinavir/ritonavir (LPV/r) plus ribavirin; and strong evidence for LPV/r plus ribavirin against Middle East Respiratory Syndrome (MERS) for post-exposure prophylaxis in healthcare workers. Despite these emerging data, robust controlled clinical trials assessing patient-centred outcomes remain imperative and clinical data have already reduced expectations with regard to some drugs. Any therapy should be used with caution in the light of potential drug interactions and the uncertainty of optimal doses for treating mild versus serious infections.

Indexed as

AnalgesicsAnticoagulantsAntiviral AgentsBetacoronavirusCoronavirus InfectionsCOVID-19Dose-Response Relationship, DrugDrug InteractionsExtracorporeal Membrane OxygenationHumansHypnotics and SedativesPandemicsPneumonia, ViralRenal Replacement TherapySARS-CoV-2Therapeutic Index, DrugAnalgesicsAnticoagulantsAntiviral AgentsHypnotics and Sedatives

Identifiers

PMID32725382
PMCPMC7385074
OpenAlexW3015708777

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.