Evidence map›Paper›PMID 32817689›Full record

SynthesisPloS one2020

A systematic review of trial registry entries for randomized clinical trials investigating COVID-19 medical prevention and treatment.

Anders Peder Højer Karlsen, Sebastian Wiberg, Jens Laigaard, Casper Pedersen, Kim Zillo Rokamp, Ole Mathiesen

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Randomized controlled trials in patients with COVID-19: a systematic review and critical appraisal.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
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  4. Prophylaxis for COVID-19: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Pooled it
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  11. An update of anti-viral treatment of COVID-19Turkish journal of medical sciences · 2021
    Review
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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.

Anders Peder Højer KarlsenCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.ORCID 0000-0002-0338-3751
Sebastian WibergCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.
Jens LaigaardCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.ORCID 0000-0001-5297-3769
Casper PedersenCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.
Kim Zillo RokampCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.
Ole MathiesenCenter for Anaesthesiological Research, Department of Anaesthesiology, Zealand University Hospital, Koege, Denmark.ORCID 0000-0003-4544-0619

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify investigated interventions for COVID-19 prevention or treatment via trial registry entries on planned or ongoing randomised clinical trials. To assess these registry entries for recruitment status, planned trial size, blinding and reporting of mortality.

methodsWe identified trial registry entries systematically via the WHO International Clinical Trials Registry Platform and 33 trial registries up to June 23, 2020. We included relevant trial registry entries for randomized clinical trials investigating medical preventive, adjunct or supportive therapies and therapeutics for treatment of COVID-19. Studies with non-random and single-arm design were excluded. Trial registry entries were screened by two authors independently and data were systematically extracted.

resultsWe included 1303 trial registry entries from 71 countries investigating 381 different single interventions. Blinding was planned in 47% of trials. Sample size was >200 participants in 40% of trials and a total of 611,364 participants were planned for inclusion. Mortality was listed as an outcome in 57% of trials. Recruitment was ongoing in 54% of trials and completed in 8%. Thirty-five percent were multicenter trials. The five most frequent investigational categories were immune modulating drugs (266 trials (20%)), unconventional medicine (167 trials (13%)), antimalarial drugs (118 trials (9%)), antiviral drugs (100 trials (8%)) and respiratory adjuncts (78 trials (6%)). The five most frequently tested uni-modal interventions were: chloroquine/hydroxychloroquine (113 trials with 199,841 participants); convalescent plasma (64 trials with 11,840 participants); stem cells (51 trials with 3,370 participants); tocilizumab (19 trials with 4,139 participants) and favipiravir (19 trials with 3,210 participants).

conclusionAn extraordinary number of randomized clinical trials investigating COVID-19 management have been initiated with a multitude of medical preventive, adjunctive and treatment modalities. Blinding will be used in only 47% of trials, which may have influence on future reported treatment effects. Fifty-seven percent of all trials will assess mortality as an outcome facilitating future meta-analyses.

Indexed as

BetacoronavirusRandomized Controlled Trials as TopicRegistriesAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAntimalarialsAntiviral AgentsCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDrug Therapy, CombinationHumansHydroxychloroquineInterleukin-6Interleukin-6 InhibitorsAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAntimalarialsAntiviral AgentsHydroxychloroquineIL6 protein, humanInterleukin-6Interleukin-6 Inhibitors

Identifiers

PMID32817689
PMCPMC7444584

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.