Evidence map›Paper›PMID 34020215›Full record

SynthesisJournal of infection and public health2021

Efficacy and safety of lopinavir-ritonavir in COVID-19: A systematic review of randomized controlled trials.

Tejas K Patel, Parvati B Patel, Manish Barvaliya, Manoj Kumar Saurabh, Hira Lal Bhalla, Prem Parkash Khosla

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of infection and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Shedding Light on Dark Chemical Matter: The Discovery of a SARS-CoV-2 MInternational journal of molecular sciences · 2024
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Paxlovid (Nirmatrelvir/Ritonavir): A new approach to Covid-19 therapy?Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  13. Article
  14. Article
  15. The Role of Cyclodextrins in COVID-19 Therapy-A Literature Review.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Review
  18. Review
  19. COVID-19-Associated Liver Injury.Hepatic medicine : evidence and research · 2023
    Review
  20. 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

6 authors at 5 institutions in 1 country.

Tejas K PatelDepartment of Pharmacology, All India Institute of Medical Sciences, Gorakhpur Gorakhpur, Uttar Pradesh 273008, India. Electronic address: dr.tkp2006@yahoo.co.in.
Parvati B PatelDepartment of Pharmacology, GMERS Medical College, Gotri, Vadodara, Gujarat 390021, India.
Manish BarvaliyaDepartment of Pharmacology,Government Medical College, Bhavnagar, 364001 Gujarat, India.
Manoj Kumar SaurabhDepartment of Pharmacology, All India Institute of Medical Sciences, Deoghar, Jharkhand 814142, India.
Hira Lal BhallaDepartment of Pharmacology, All India Institute of Medical Sciences, Gorakhpur Gorakhpur, Uttar Pradesh 273008, India.
Prem Parkash KhoslaDepartment of Pharmacology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana 133207, India.
Baba Raghav Das Medical College · INAll India Institute of Medical Sciences, Deoghar · INGovernment Medical College Bhavnagar · INMaharishi Markandeshwar University, Mullana · INSir Sayajirao General Hospital Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLopinavir-ritonavir is a repurposed drug for coronavirus disease-2019 (COVID-19). In this study, a pooled effect of lopinavir-ritonavir on mortality, virological cure, radiological improvement and safety profile in COVID-19 patients has been evaluated.

methodsThe databases were searched for comparative randomized controlled studies evaluating the efficacy and/or safety of lopinavir-ritonavir in COVID-19 patients. The mortality outcome was pooled as a risk difference (RD) with 95% CI. The virological cure, radiological improvement and adverse events were pooled as risk ratio (RR) with 95% CI. All outcomes were pooled using the Mantle-Hanzle method random effect model. The heterogeneity was assessed using the I

resultsOut of 82 full text assessed, seven studies were included in the analysis. The included studies had five different control interventions: supportive care (n=4), umifenovir (arbidol) (n=2), navaferon (recombinant anti-tumour and anti-virus protein) (n=1), lopinavir-ritonavir+novaferon (n=1) and lopinavir-ritonavir+interferon beta 1b+ribavirin (n=1). Lopinavir-ritonavir group did not show significant difference in mortality [RD: 0.00 (95% CI: -0.01, 0.02), I

conclusionThere is no benefit of the addition of lopinavir-ritonavir to the standard care in COVID-19 patients.

Indexed as

COVID-19 Drug TreatmentRitonavirAntiviral AgentsHumansLopinavirRandomized Controlled Trials as TopicSARS-CoV-2Antiviral AgentsLopinavirRitonavirCOVID-19LopinavirMeta-analysisRitonavirSafetyVirological cure

Identifiers

PMID34020215
PMCPMC8056786
OpenAlexW3153676716

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.