Evidence map›Paper›PMID 34379337›Full record

Trial reportJournal of medical virology2021

Efficacy and safety of sofosbuvir plus daclatasvir or ravidasvir in patients with COVID-19: A randomized controlled trial.

Sherif Abbass, Ehab Kamal, Mohsen Salama, Tary Salman, Alyaa Sabry, Wael Abdel-Razek, Sherine Helmy, Ahmed Abdelgwad, Neamt Sakr, Mohamed Elgazzar and 11 more

Open access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  6. Antivirals in COVID-19: A Focus on Pediatric Cardiac Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
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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

21 authors at 3 institutions in 1 country.

Sherif AbbassNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.ORCID 0000-0002-0673-9557
Ehab KamalMedical Research Division, National Research Centre, Cairo, Egypt.ORCID 0000-0002-2242-3640
Mohsen SalamaNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Tary SalmanNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Alyaa SabryNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Wael Abdel-RazekNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Sherine HelmyPharco Corporate, Alexandria, Egypt.
Ahmed AbdelgwadNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Neamt SakrNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Mohamed ElgazzarNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Mohamed EinarMahalla Fever Hospital, Gharbia, Egypt.
Mahmoud FaroukShebin Fever Hospital, Menoufia, Egypt.
Mounir SaifMenouf Fever Hospital, Menoufia, Egypt.
Ismail ShehabMenouf Fever Hospital, Menoufia, Egypt.
Eman El-HosienyMahalla Fever Hospital, Gharbia, Egypt.
Mai MansourShebin Fever Hospital, Menoufia, Egypt.
Doaa MahdiMenouf Fever Hospital, Menoufia, Egypt.
El-Sayed TharwaNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Mostafa SalahTCD MENA, Cairo, Egypt.
Ola ElroubyPharco Corporate, Alexandria, Egypt.
Imam WakedNational Liver Institute, Shebeen El-Kom, Menoufia, Egypt.
Menoufia University · EGShebin Teaching Hospital · EGNational Research Centre · EG

Funding

Pharco Pharmaceuticals
6 · The paper itself

Abstract

Only a few treatments are approved for coronavirus disease-2019 (COVID-19) infections, with continuous debate about their clinical impact. Repurposing antiviral treatments might prove the fastest way to identify effective therapy. This trial aimed to evaluate the efficacy and safety of sofosbuvir (SOF) plus daclatasvir (DCV) or ravidasvir (RDV) added to standard care (SOC) for patients with moderate and severe COVID-19 infection. Multicentre parallel randomized controlled open-label trial. One hundred and twenty eligible patients with moderate and severe COVID-19 infection were randomized to one of the study arms. Ten days of treatment with SOF plus DCV or RDV in addition to the standard of care compared to SOC. Follow up in 7 days. Sum of the counted symptoms at 7 and 10 days, mean change in oxygen saturation level, viral negativity, and rate of intensive care unit (ICU) admission. Compared to SOC, the SOF-DCV group experienced a significantly lower sum of the counted symptoms (fever, headache, generalized aches, or respiratory distress) combined with no evidence of deterioration (ICU admission and mechanical ventilation) on Days 7 and 10 of treatment. Oxygen saturation also significantly improved among the SOF-DCV group compared to SOC starting from Day 4. The study also showed positive trends regarding the efficacy of SOF-DCV with a lower incidence of mortality. On the other hand, adding SOF-RDV to SOC did not show significant improvements in endpoints. The results support the efficacy and safety of SOF-DCV as an add-on to SOC for the treatment of moderate to severe COVID-19 infections.

Indexed as

COVID-19 Drug TreatmentAdultAntiviral AgentsBenzimidazolesCarbamatesDrug Therapy, CombinationFemaleGenotypeHumansImidazolesIntensive Care UnitsMaleMiddle AgedProspective StudiesPyrrolidinesSofosbuvirAntiviral AgentsBenzimidazolesCarbamatesdaclatasvirImidazolesPyrrolidinesravidasvirSofosbuvirValineCOVID-19daclatasvirrepurposing antiviral drugssofosbuvir

Identifiers

PMID34379337
PMCPMC8426808
OpenAlexW3190619604

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.