Evidence map›Paper›PMID 34462732›Full record

ArticleiScience2021

A randomized trial of icosapent ethyl in ambulatory patients with COVID-19.

Andrew Kosmopoulos, Deepak L Bhatt, Gus Meglis, Raj Verma, Yi Pan, Adrian Quan, Hwee Teoh, Maya Verma, Lixia Jiao, Robert Wang and 22 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in iScience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04412018 (An Investigation on the Effects of Icosapent Ethyl), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT04412018 phase2completednot on this map

An Investigation on the Effects of Icosapent Ethyl (VascepaTM) on Inflammatory Biomarkers in Individuals With COVID-19 (VASCEPA-COVID-19)

TypeinterventionalSponsorCanadian Medical and Surgical Knowledge Translation Research GroupRan2020 to 2020Enrolled100ConditionsCOVID-19, Inflammatory ResponseArmsIcosapent ethyl
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  13. Inverse Association between Omega-3 Index and Severity of COVID-19: A Case-Control Study.International journal of environmental research and public health · 2022
    Article
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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

32 authors at 10 institutions in 6 countries.

Andrew KosmopoulosNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Deepak L BhattBrigham and Women's Hospital Heart and Vascular Center, Harvard Medical School, 75 Francis St., Boston, MA 02115, USA.
Gus MeglisNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Raj VermaNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Yi PanDivision of Cardiac Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Adrian QuanDivision of Cardiac Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Hwee TeohDivision of Cardiac Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Maya VermaNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Lixia JiaoAmarin Pharma Inc., Bridgewater, NJ, USA.
Robert WangAmarin Pharma Inc., Bridgewater, NJ, USA.
Rebecca A JulianoAmarin Pharma Inc., Bridgewater, NJ, USA.
Mahesh KajilNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Mikhail N KosiborodDepartment of Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.
Basel BariMarkham Health+Plex Medical Centre, Markham, ON, Canada.
Abdullahi A BerihHumber Centre for Family Health, Etobicoke, ON, Canada.
Mallory AguilarNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Antonnette EscanoNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
Andrew LeungAlpha Laboratories Inc., Toronto, ON, Canada.
Idelta CoelhoAlpha Laboratories Inc., Toronto, ON, Canada.
Makoto HibinoDivision of Cardiac Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Rafael DíazEstudios Clínicos Latino América, Instituto Cardiovascular de Rosario, Rosario, Argentina.
R Preston MasonCardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ph Gabriel StegUniversité de Paris, Assistance Publique-Hôpitaux de Paris, INSERM 1148, Paris, France.
Tabassome SimonFrench Alliance for Cardiovascular Trials (FACT), Paris, France.
Alan S GoDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Andrew P AmbrosyDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Richard ChoiRiverside Cardiology and Diagnostic Imaging; Division of Cardiology, St. Joseph's Health Centre, Unity Health Toronto, Toronto, ON, Canada.
Arthur M KushnerHumber River Hospital, Toronto, ON, Canada.
Lawrence A LeiterDivision of Endocrinology and Metabolism, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Mohammed Al-OmranDivision of Vascular Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Subodh VermaNorth York Diagnostic and Cardiac Centre, Toronto, ON, Canada.
C David MazerDepartment of Anesthesia, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
St. Michael's Hospital · CANorth York General Hospital · CAAmarin (United States) · USBrigham and Women's Hospital · USInserm · FRKaiser Permanente · USHumber River Regional Hospital · CAInstituto Cardiovascular de Rosario · ARSt Joseph's Health Centre · CAUNSW Sydney · AU

Funding

Outpatient Worsening Heart Failure in an Integrated Health Care Delivery System: An Innovative Approach to Characterizing a Novel Clinical EntityK23HL150159 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSY, ANDREW PATRICK · 2020 to 2024
$962k
NHLBI NIH HHS K23 HL150159
6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic remains a source of considerable morbidity and mortality throughout the world. Therapeutic options to reduce symptoms, inflammatory response, or disease progression are limited. This randomized open-label trial enrolled 100 ambulatory patients with symptomatic COVID-19 in Toronto, Canada. Results indicate that icosapent ethyl (8 g daily for 3 days followed by 4 g daily for 11 days) significantly reduced high-sensitivity C-reactive protein (hs-CRP) and improved symptomatology compared with patients assigned to usual care. Specifically, the primary biomarker endpoint, change in hs-CRP, was significantly reduced by 25% among treated patients (-0.5 mg/L, interquartile range [IQR] [-6.9,0.4], within-group p = 0.011). Conversely, a non-significant 5.6% reduction was observed among usual care patients (-0.1 mg/L, IQR [-3.2,1.7], within-group p = 0.51). An unadjusted between-group primary biomarker analysis was non-significant (p = 0.082). Overall, this report provides evidence of an early anti-inflammatory effect of icosapent ethyl in a modest sample, including an initial well-tolerated loading dose, in symptomatic outpatients with COVID-19. ClinicalTrials.gov Identifier: NCT04412018.

Indexed as

Health sciencesMedicine

Identifiers

PMID34462732
PMCPMC8388138
OpenAlexW3195319480

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.