Evidence map›Paper›PMID 34649223›Full record

Trial reportThe American journal of tropical medicine and hygiene2021

RETRACTED: Remdesivir Efficacy in COVID-19 Treatment: A Randomized Controlled Trial.

Sherief Abd-Elsalam, Marwa Salama, Shaimaa Soliman, Ahmed Mohamed Naguib, Ibrahim S Ibrahim, Mohamed Torky, Mohamed Samir Abd El Ghafar, Enas Abdul-Raouf M Abdul-Baki, Mohammed Elhendawy

RetractedAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in The American journal of tropical medicine and hygiene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 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

28 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Remdesivir for the treatment of COVID-19.The Cochrane database of systematic reviews · 2023
    Pooled it
  7. Pooled it
  8. Remdesivir for the treatment of COVID-19: a systematic review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
    Pooled it
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Article
  14. Re: Remdesivir for the treatment of COVID-19 by Lee et al.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  15. MMP3 in Severe COVID-19: A Biomarker or Therapeutic Target?Infectious disorders drug targets · 2023
    Article
  16. The Impact ofDiabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
  17. Review
  18. Review
  19. Article
  20. Pharmacological treatment of COVID-19: an opinion paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Sherief Abd-ElsalamDepartment of Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt.
Marwa SalamaDepartment of Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt.
Shaimaa SolimanPublic Health and Community Medicine, Menoufia University, Menoufia, Egypt.
Ahmed Mohamed NaguibDepartment of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ibrahim S IbrahimChest Department, Tanta University, Tanta, Egypt.
Mohamed TorkyChest Department, Tanta University, Tanta, Egypt.
Mohamed Samir Abd El GhafarDepartment of Anesthesia, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Enas Abdul-Raouf M Abdul-BakiSchool of Biotechnology, Badr University in Cairo, Badr City, Cairo 11829, Egypt.
Mohammed ElhendawyDepartment of Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

retracted articleTo date, no antiviral therapy has shown proven clinical effectiveness in treating patients with COVID-19. We assessed the efficacy of remdesivir in hospitalized Egyptian patients with COVID-19. Patients were randomly assigned at a 1:1 ratio to receive either remdesivir (200 mg on the first day followed by 100 mg daily for the next 9 days intravenously infused over 30-60 minutes) in addition to standard care or standard care alone. The primary outcomes were the length of hospital stay and mortality rate. The need for mechanical ventilation was assessed as a secondary outcome. Two hundred patients (100 in each group) completed the study and were included in the final analysis. The remdesivir group showed a significantly lower median duration of hospital stay (10 days) than the control group (16 days; P < 0.001). Eleven of the patients in the remdesivir group needed mechanical ventilation compared with eight patients in the control group (P = 0.469). The mortality rate was comparable between the two groups (P = 0.602). Mortality was significantly associated with older age, elevated C-reactive protein levels, elevated D-dimer, and the need for mechanical ventilation (P = 0.039, 0.003, 0.001, and < 0.001 respectively). Remdesivir had a positive influence on length of hospital stay, but it had no mortality benefit in Egyptian patients with COVID-19. Its use, in addition to standard care including dexamethasone, should be considered, particularly in low- and middle-income countries when other effective options are scarce.

Indexed as

COVID-19 Drug TreatmentAdenosine MonophosphateAlanineAntiviral AgentsHumansSARS-CoV-2Treatment OutcomeAdenosine MonophosphateAlanineAntiviral Agentsremdesivir

Identifiers

PMID34649223
PMCPMC8922517

What OpenQuestion holds

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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.