Evidence map›Paper›PMID 33355217›Full record

ArticleClinical medicine (London, England)2021

Effectiveness of early treatment of lopinavir-ritonavir in patients with severe COVID-19: a case series.

Pan Luo, Jian-Ling Zheng, Yi Liu, Lin Qiu, Xiu-Lan Liu, Hui-Ying Xue, Dong Liu, Juan Li

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 2 institutions in 1 country.

Pan LuoTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jian-Ling ZhengTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yi LiuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lin QiuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiu-Lan LiuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hui-Ying XueTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Dong LiuTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Juan LiTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China lijuan@tjh.tjmu.edu.cn.
Huazhong University of Science and Technology · CNTongji Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe inconsistent effects of lopinavir-ritonavir (LPV/r) on COVID-19 seem to be caused by the therapeutic window. In the present study, we aim to present the effects of early LPV/r treatment on patients with severe COVID-19.

methodsThe demographics, characteristics, treatments, SARS-CoV-2 test results and outcomes of 19 patients with severe COVID-19 treated with LPV/r within 12 days of onset of symptoms were retrospectively assessed.

resultsWithin 3 days of admission, three (15.79%) patients received noninvasive ventilation, and 16 (84.21%) patients received high-flow oxygen support. The median duration between the onset of symptoms and initiating LPV/r therapy was 9 (range 2-12) days. The median course of LPV/r treatment was 11 (range 7-17) days. One of the 19 patients (5.26%) died. Of the 18 patients discharged, the median hospital stay was 17 (range 11-45) days. At day 6 after LPV/r therapy was initiated, 68.42% of patients were virologically cured, increasing to 84.22% at day 12.

conclusionIn this cohort of patients with severe COVID-19 who were treated with LPV/r within 12 days of the onset of symptoms, clinical improvement was observed in 18/19 patients (94.74%). Randomised controlled trials are urgently needed to further evaluate this strategy.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2AdolescentAdultAgedAged, 80 and overCOVID-19Cytochrome P-450 CYP3A InhibitorsDrug CombinationsFemaleHumansLopinavirMaleMiddle AgedPandemicsRetrospective StudiesCytochrome P-450 CYP3A InhibitorsDrug CombinationsLopinavirRitonavirCOVID-19lopinavir–ritonavirSARS-CoV-2

Identifiers

PMID33355217
PMCPMC7850187
OpenAlexW3111661951

What OpenQuestion holds

Textmetadata
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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.