Evidence map›Paper›PMID 34983406›Full record

ArticleBMC infectious diseases2022

Safety and clinical outcomes of remdesivir in hospitalised COVID-19 patients: a retrospective analysis of active surveillance database.

Vaishali Gupte, Rashmi Hegde, Sandesh Sawant, Kabil Kalathingal, Sonali Jadhav, Rohit Malabade, Jaideep Gogtay

Abstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Trial
  2. Off-the-shelf allogeneic natural killer cells for the treatment of COVID-19.Molecular therapy. Methods & clinical development · 2024
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Efficacy of Kan JangPharmaceuticals (Basel, Switzerland) · 2023
    Article
  13. Article
  14. Severe COVID-19European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  15. Article
  16. Article
  17. Efficacy of Kan JangPharmaceuticals (Basel, Switzerland) · 2022
    Article
  18. Review
  19. Article
  20. Review
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

7 authors.

Vaishali GupteMedical Services, Cipla Ltd., Mumbai, India. dr.gupte@Cipla.com.ORCID http://orcid.org/0000-0003-4439-2416
Rashmi HegdeMedical Services, Cipla Ltd., Mumbai, India.
Sandesh SawantHead Clinical Research, Cipla Ltd., Mumbai, India.
Kabil KalathingalDrug Safety, Cipla Ltd., Mumbai, India.
Sonali JadhavMedical Services, Clinical Trial Group, Cipla Ltd., Mumbai, India.
Rohit MalabadeMedical Services, Cipla Ltd., Mumbai, India.
Jaideep GogtayGlobal Chief Medical Officer, Cipla Ltd., Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world data on safety and clinical outcomes of remdesivir in COVID-19 management is scant. We present findings of data analysis conducted for assessing the safety and clinical outcomes of remdesivir treatment for COVID-19 in India.

methodsThis retrospective analysis used data from an active surveillance programme database of hospitalised patients with COVID-19 who were receiving remdesivir.

resultsOf the 2329 patients included, 67.40% were men. Diabetes (29.69%) and hypertension (20.33%) were the most common comorbidities. At remdesivir initiation, 2272 (97.55%) patients were receiving oxygen therapy. Remdesivir was administered for 5 days in 65.38% of patients. Antibiotics (64.90%) and steroids (47.90%) were the most common concomitant medications. Remdesivir was overall well tolerated, and total 119 adverse events were reported; most common were nausea and vomiting in 45.40% and increased liver enzymes in 14.28% patients. 84% of patients were cured/improved, 6.77% died and 9.16% showed no improvement in their clinical status at data collection. Subgroup analyses showed that the mortality rate was significantly lower in patients < 60 years old than in those > 60 years old. Amongst patients on oxygen therapy, the cure/improvement rate was significantly higher in those receiving standard low-flow oxygen than in those receiving mechanical ventilation, non-invasive ventilation, or high-flow oxygen. Factors that were associated with higher mortality were age > 60 years, cardiac disease, diabetes high flow oxygen, non-invasive ventilation and mechanical ventilation.

conclusionOur analysis showed that remdesivir is well tolerated and has an acceptable safety profile. The clinical outcome of cure/improvement was 84%, with a higher improvement in patients < 60 years old and on standard low-flow oxygen.

Indexed as

COVID-19 Drug TreatmentAdenosine MonophosphateAlanineAntiviral AgentsHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2Treatment OutcomeWatchful WaitingAdenosine MonophosphateAlanineAntiviral AgentsremdesivirActive surveillanceCOVID-19RemdesivirRetrospective analysisRetrospective studies

Identifiers

PMID34983406
PMCPMC8724590

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Registered trials

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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.