Evidence map›Paper›PMID 33181328›Full record

Trial reportInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Randomized controlled open label trial on the use of favipiravir combined with inhaled interferon beta-1b in hospitalized patients with moderate to severe COVID-19 pneumonia.

Faryal Khamis, Hanan Al Naabi, Adil Al Lawati, Zaiyana Ambusaidi, Mariam Al Sharji, Umkulthum Al Barwani, Nenad Pandak, Zakariya Al Balushi, Maher Al Bahrani, Issa Al Salmi and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 7 pooled it
2.2field-weighted citation impact, top 7% 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

50 citing papers in PubMed, 7 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Favipiravir for treating COVID-19.The Cochrane database of systematic reviews · 2024
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  3. Effectiveness of favipiravir in COVID-19: a live systematic review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
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  6. Clinical efficacy of antiviral agents against coronavirus disease 2019: A systematic review of randomized controlled trials.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2021
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  17. Antiviral Therapy of COVID-19.International journal of molecular sciences · 2023
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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

11 authors at 2 institutions in 1 country.

Faryal KhamisInfection Diseases Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: khami001@gmail.com.
Hanan Al NaabiAcute Medicine Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: Hananhamed4141@gmail.com.
Adil Al LawatiAcute Medicine Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: dr.fadhlani@hotmail.com.
Zaiyana AmbusaidiAcute Medicine Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: z_ambusaidi@hotmail.com.
Mariam Al SharjiDepartment of Nursing, Royal Hospital, Muscat, Oman. Electronic address: Hoodmood7@gmail.com.
Umkulthum Al BarwaniDepartment of Pharmacy, Royal Hospital, Muscat, Oman. Electronic address: umkulthum@yahoo.com.
Nenad PandakInfection Diseases Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: npandak@gmail.com.
Zakariya Al BalushiInfection Diseases Unit, Department of Medicine, Royal Hospital, Muscat, Oman. Electronic address: zak077@gmail.com.
Maher Al BahraniDepartment of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman. Electronic address: dr.mjalbahrani@gmail.com.
Issa Al SalmiDepartment of Nephrology, Royal Hospital, Muscat, Oman. Electronic address: isa.al.salmi@gmail.com.
Ibrahim Al-ZakwaniDepartment of Pharmacology & Clinical Pharmacy, College of Medicine & Clinical Pharmacy, Sultan Qaboos University, Muscat, Oman. Electronic address: ial_zakwani@yahoo.com.
Royal Hospital · OMSultan Qaboos University Hospital · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the therapeutic effectiveness of favipiravir combined with inhaled interferon beta-1b in adult patients hospitalized with moderate to severe COVID-19 pneumonia.

methodsA randomized, open-label controlled trial of oral favipiravir in adults hospitalized with moderate to severe COVID-19 pneumonia from June 22nd 2020 to August 13th 2020 was conducted. Patients were randomly assigned to receive either a combination of favipiravir with interferon beta-1b by inhalation aerosol or hydroxychloroquine (HCQ). The outcome endpoints included improvement in inflammatory markers, lower length of hospital stay (LOS), discharges and lower overall 14-day mortality.

resultsA total of 89 patients underwent randomization with 49% (n = 44) assigned to favipiravir and 51% (n = 45) assigned HCQ. The overall mean age was 55 ± 14 years and 58% (n = 52) were males. There were no significant differences in the inflammatory biomarkers at hospital discharge between the two groups; C-reactive protein (p = 0.413), ferritin (p = 0.968), lactate dehydrogenase (p = 0.259) and interleukin 6 (p = 0.410). There were also no significant differences between the two groups with regards to the overall LOS (7 vs 7 days; p = 0.948), transfers to the ICU (18.2% vs 17.8%; p = 0.960), discharges (65.9% vs 68.9%; p = 0.764) and overall mortality (11.4% vs 13.3%; p = 0.778).

conclusionsNo differences in clinical outcomes were found between favipiravir plus inhaled interferon beta-1b and hydroxychloroquine in adults hospitalized with moderate to severe COVID-19 pneumonia.

Indexed as

COVID-19 Drug TreatmentAdministration, OralAdultAgedAmidesAntiviral AgentsCOVID-19Drug Therapy, CombinationFemaleHospitalizationHumansHydroxychloroquineInterferon beta-1bMaleMiddle AgedPyrazinesAmidesAntiviral AgentsfavipiravirHydroxychloroquineInterferon beta-1bPyrazines

Identifiers

PMID33181328
PMCPMC7833906
OpenAlexW3104688112

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.