Evidence map›Paper›PMID 34362060›Full record

ReviewJournal of clinical medicine2021

A Possible Role of Remdesivir and Plasma Therapy in the Selective Sweep and Emergence of New SARS-CoV-2 Variants.

Philippe Colson, Christian A Devaux, Jean-Christophe Lagier, Philippe Gautret, Didier Raoult

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Drugs for COVID-19 Treatment: A New Challenge.Applied biochemistry and biotechnology · 2023
    Review
  5. Article
  6. Article
  7. Control of common viral epidemics but not of SARS-CoV-2 through the application of hygiene and distancing measures.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. 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

5 authors at 2 institutions in 1 country.

Philippe ColsonIHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005 Marseille, France.ORCID 0000-0001-6285-0308
Christian A DevauxIHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005 Marseille, France.
Jean-Christophe LagierIHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005 Marseille, France.
Philippe GautretIHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005 Marseille, France.
Didier RaoultIHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005 Marseille, France.
Aix-Marseille Université · FRCentre National de la Recherche Scientifique · FR

Funding

Agence Nationale de la Recherche Méditerranée-Infection 10-IAHU-03
6 · The paper itself

Abstract

Since summer 2020, SARS-CoV-2 strains at the origin of the COVID-19 pandemic have suddenly been replaced by new SARS-CoV-2 variants, some of which are highly transmissible and spread at a high rate. These variants include the Marseille-4 lineage (Nextclade 20A.EU2) in Europe, the 20I/501Y.V1 variant first detected in the UK, the 20H/501Y.V2 variant first detected in South Africa, and the 20J/501Y.V3 variant first detected in Brazil. These variants are characterized by multiple mutations in the viral spike protein that is targeted by neutralizing antibodies elicited in response to infection or vaccine immunization. The usual coronavirus mutation rate through genetic drift alone cannot account for such rapid changes. Recent reports of the occurrence of such mutations in immunocompromised patients who received remdesivir and/or convalescent plasma or monoclonal antibodies to treat prolonged SARS-CoV-2 infections led us to hypothesize that experimental therapies that fail to cure the patients from COVID-19 could favor the emergence of immune escape SARS-CoV-2 variants. We review here the data that support this hypothesis and urge physicians and clinical trial promoters to systematically monitor viral mutations by whole-genome sequencing for patients who are administered these treatments.

Indexed as

anti-spike antibodiesCOVID-19mutantsplasma therapyremdesivirSARS-CoV-2variant

Identifiers

PMID34362060
PMCPMC8348317
OpenAlexW3185542602

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.