Evidence map›Paper›PMID 32940880›Full record

ArticleCEN case reports2021

Efficacy of favipiravir for an end stage renal disease patient on maintenance hemodialysis infected with novel coronavirus disease 2019.

Eri Koshi, Shoji Saito, Masaki Okazaki, Yuki Toyama, Takuji Ishimoto, Tomoki Kosugi, Hiroaki Hiraiwa, Naruhiro Jingushi, Takanori Yamamoto, Masayuki Ozaki and 7 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in CEN case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.7field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Severe COVID-19: Drugs and Clinical Trials.Journal of clinical medicine · 2023
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  12. Tackling COVID-19 Using Remdesivir and Favipiravir as Therapeutic Options.Chembiochem : a European journal of chemical biology · 2021
    Review
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  14. 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 2 institutions in 1 country.

Eri KoshiDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Shoji SaitoDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. saito13@med.nagoya-u.ac.jp.ORCID 0000-0002-8235-8086
Masaki OkazakiDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Yuki ToyamaDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Takuji IshimotoDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Tomoki KosugiDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Hiroaki HiraiwaDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Naruhiro JingushiDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Takanori YamamotoDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Masayuki OzakiDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Yukari GotoDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Atsushi NumaguchiDepartment of Emergency and Critical Care Medicine, Nagoya University Hospital, Nagoya, Japan.
Yasuhiro MiyagawaDepartment of Hospital Pharmacy, Nagoya University Hospital, Nagoya, Japan.
Io KatoDepartment of Clinical Laboratory, Nagoya University Hospital, Nagoya, Japan.
Nobuyuki TetsukaDepartment of Infectious Diseases, Nagoya University Hospital, Nagoya, Japan.
Tetsuya YagiDepartment of Infectious Diseases, Nagoya University Hospital, Nagoya, Japan.
Shoichi MaruyamaDepartment of Nephrology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Nagoya University Hospital · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel coronavirus disease 2019 (COVID-19) refers to infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pathogen, and has spread to pandemic levels since its inception in December 2019. While several risk factors for severe presentation have been identified, the clinical course for end-stage renal disease (ESRD) patients on maintenance hemodialysis with COVID-19 has been unclear. Previous studies have revealed that some antiviral agents may be effective against COVID-19 in the general population, but the pharmacokinetics and pharmacodynamics of these agents in ESRD patients remain under investigation. Favipiravir, an antiviral agent developed for treatment of influenza, is one candidate treatment for COVID-19, but suitable dosages for patients with renal insufficiency are unknown. Here we provide a first report on the efficacy of favipiravir in a patient with ESRD undergoing hemodialysis. CASE PRESENTATION: The case involved a 52-year-old woman with COVID-19 who had been undergoing maintenance hemodialysis three times a week for 3 years due to diabetic nephropathy. She had initially been treated with lopinavir/ritonavir and ciclesonide for 5 days, but developed severe pneumonia requiring invasive positive-pressure ventilation. Those antiviral agents were subsequently switched to favipiravir. She recovered gradually, and after 2 weeks was extubated once the viral load of SARS-CoV-2 fell below the limit of detection. Although concentrations of several biliary enzymes were elevated, no major adverse events were observed.

conclusionFavipiravir may be an effective option for the treatment of COVID-19-infected patients with ESRD.

Indexed as

COVID-19 Drug TreatmentAmidesAntiviral AgentsCOVID-19FemaleHumansKidney Failure, ChronicMiddle AgedPandemicsPositive-Pressure RespirationPyrazinesRenal DialysisSARS-CoV-2AmidesAntiviral AgentsfavipiravirPyrazinesCOVID-19End-stage renal diseaseFavipiravirHemodialysisSARS-CoV-2

Identifiers

PMID32940880
PMCPMC7494976
OpenAlexW3087691850

What OpenQuestion holds

Textmetadata
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.