Evidence map›Paper›PMID 34192469›Full record

SynthesisExpert review of anti-infective therapy2022

The use of remdesivir for the management of patients with moderate-to-severe COVID-19: a systematic review.

Kaeshaelya Thiruchelvam, Chia Siang Kow, Muhammad Abdul Hadi, Syed Shahzad Hasan

Abstract readSystematic Review
In one paragraph

Synthesis in Expert review of anti-infective therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Remdesivir for the treatment of COVID-19.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Plausible mechanism of drug resistance and side-effects of COVID-19 therapeutics: a bottleneck for its eradication.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

4 authors.

Kaeshaelya ThiruchelvamSchool of Biomedical Sciences and Pharmacy, The University of Newcastle, Callaghan, Australia.ORCID 0000-0002-3754-1690
Chia Siang KowSchool of Postgraduate Studies, International Medical University School of Medicine, Kuala Lumpur, Malaysia.ORCID 0000-0002-8186-2926
Muhammad Abdul HadiSchool of Pharmacy, Institute of Clinical Sciences, University of Birmingham, Birmingham, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0003-0108-7833
Syed Shahzad HasanSchool of Applied Sciences, University of Huddersfield, Huddersfield, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0002-4058-2215

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe systematically reviewed the evidence of published original research to determine the role of remdesivir in the management of patients with COVID-19 and a moderate-to-severe course of illness.

methodsA systematic search of articles was conducted in scientific databases, with the latest update in May 2021. This paper systematically reviewed the clinical evidence available (randomized controlled trials, compassionate use studies, and case reports) on the use of remdesivir for patients with moderate or severe COVID-19.

resultsA total of eleven studies were included: four studies based on compassionate use of remdesivir, three randomized, double-blind, placebo-controlled, multicentre trials, three randomized, open-label, phase III trials, and one case report. Clinical improvement and mortality rates in patients who used remdesivir varied across studies.

conclusionGiven the current evidence, there is insufficient data to confidently recommend the use of remdesivir alone for the treatment of adult hospitalized patients with moderate-to-severe COVID-19. However, remdesivir may be considered along with an anti-inflammatory agent in patients with pneumonia, on oxygen support, provided there is close monitoring of clinical and laboratory parameters and adverse events.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentAdenosine MonophosphateAdultAlanineClinical Trials, Phase III as TopicHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicTreatment OutcomeAdenosine MonophosphateAlanineAntiviral AgentsremdesivirAdverse eventscritically illevidence-based medicineremdesivirSARS-CoV-2

Identifiers

PMID34192469
PMCPMC8477583

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.