Evidence map›Paper›PMID 35449996›Full record

Trial reportJournal of medicine and life2022

Efficacy of Sofosbuvir plus Ledipasvir in Egyptian patients with COVID-19 compared to standard treatment: a randomized controlled trial.

Mohamed Abdel-Salam Elgohary, Eman Medhat Hasan, Amany Ahmad Ibrahim, Mohamed Farouk Ahmed Abdelsalam, Raafat Zaher Abdel-Rahman, Ashraf Ibrahim Zaki, Mohamed Bakr Elaatar, Mohamed Thabet Elnagar, Mohamed Emam Emam, Mahmoud Moustafa Hamada and 15 more

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medicine and life, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  7. 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

25 authors at 6 institutions in 1 country.

Mohamed Abdel-Salam ElgoharyCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Eman Medhat HasanTropical Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Amany Ahmad IbrahimTropical Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed Farouk Ahmed AbdelsalamClinical Pharmacy Department, Al Galaa Military Medical Complex (GMMC), Cairo, Egypt.
Raafat Zaher Abdel-RahmanVirology Department, Central Military Laboratories, Cairo, Egypt.
Ashraf Ibrahim ZakiCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Bakr ElaatarCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Thabet ElnagarCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Emam EmamCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mahmoud Moustafa HamadaCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Taimour Mohamed Abdel-HamidCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Ahmad Samir Abdel-HafezCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Gomaa SeadawyBiological Prevention Department, Egyptian Army, Cairo, Egypt.
Ahmad Rashad FatohCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Ali ElsaiedCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Marwa Abdel-Rahman SakrCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Ahmed Omar ElkadyCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Muawad ShehataCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Osama Mohamed NawarCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Abu-Elnaga SelemCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Mohamed Saeed Abd-AalCOVID Isolation Department, Almaza Fever Hospital, Cairo, Egypt.
Hany Hafez LotfyRadiology Department, Military Medical Academy, Cairo, Egypt.
Tarek Refaat ElnagdyEgyptian Military Medical Services Department, Egyptian Army, Cairo, Egypt.
Sherine HelmyResearch & Development, PHARCO Pharmaceuticals, Alexandria, Egypt.
Magdy Amin MubarkEgyptian Military Medical Services Department, Egyptian Army, Cairo, Egypt.
Adam International Hospital · EGEgyptian Government · EGAin Shams University · EGCairo University · EGMilitary Medical Academy · EGPharos University in Alexandria · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 is a pandemic disease caused by SARS-CoV-2, which is an RNA virus similar to the hepatitis C virus (HCV) in the replication process. Sofosbuvir/ledipasvir is an approved drug to treat HCV infection. This study investigates the efficacy of Sofosbuvir/ledipasvir as a treatment for patients with moderate COVID-19 infection. This is a single-blinded parallel-randomized controlled trial. The participants were randomized equally into the intervention group that received Sofosbuvir/ledipasvir (S.L. group), and the control group received Oseltamivir, Hydroxychloroquine, and Azithromycin (OCH group). The primary outcomes were the cure rate over time and the incidence of serious adverse events. The secondary outcomes included the laboratory findings. 250 patients were divided equally into each group. Both groups were similar regarding gender, but age was higher in the S.L. group (p=0.001). In the S.L. group, 89 (71.2%) patients were cured, while only 51 (40.8%) patients were cured in the OCH group. The cure rate was significantly higher in the S.L. group (RR=1.75, p<0.001). Kaplan-Meir plot showed a considerably higher cure over time in the S.L. group (Log-rank test, p=0.032). There were no deaths in the S.L. group, but there were six deaths (4.8%) in the OCH group (RR=0.08, p=0.013). Seven patients (5.6%) in the S.L. group and six patients (4.8%) in the OCH group were admitted to the intensive care unit (ICU) (RR=1.17, P=0.776). There were no significant differences between treatment groups regarding total leukocyte and neutrophils count, lymph, and urea. Sofosbuvir/ledipasvir is suggestive of being effective in treating patients with moderate COVID-19 infection. Further studies are needed to compare Sofosbuvir/ledipasvir with new treatment protocols.

Indexed as

COVID-19 Drug TreatmentHepatitis CHepatitis C, ChronicAntiviral AgentsBenzimidazolesDrug Therapy, CombinationEgyptFluorenesGenotypeHepacivirusHumansRibavirinSARS-CoV-2SofosbuvirTreatment OutcomeUridine MonophosphateAntiviral AgentsBenzimidazolesFluorenesledipasvirRibavirinSofosbuvirUridine Monophosphateeffective curingSARS-CoV-2 infectionsofosbuvir/ledipasvir

Identifiers

PMID35449996
PMCPMC9015168
OpenAlexW4225343788

What OpenQuestion holds

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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.