Evidence map›Paper›PMID 36087236›Full record

SynthesisIrish journal of medical science2023

Efficacy and safety of Molnupiravir in COVID-19 patients: a systematic review.

Kalpana Ramanna Mali, Madhavi Eerike, Gerard Marshall Raj, Debasis Bisoi, Rekha Priyadarshini, Gandham Ravi, Leo Francis Chaliserry, Siddharam S Janti

Abstract readSystematic Review
In one paragraph

Synthesis in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. In Vitro Analysis of SARS-CoV-2 Spike Protein and Ivermectin Interaction.International journal of molecular sciences · 2023
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
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

8 authors.

Kalpana Ramanna MaliDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.
Madhavi EerikeDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India. dr.madhavieerike@gmail.com.ORCID http://orcid.org/0000-0002-2049-8163
Gerard Marshall RajDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.ORCID http://orcid.org/0000-0001-7499-7219
Debasis BisoiDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.
Rekha PriyadarshiniDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.ORCID http://orcid.org/0000-0002-7934-4978
Gandham RaviDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.
Leo Francis ChaliserryDepartment of Pharmacology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.
Siddharam S JantiDepartment of Ophthalmology, All India Institute of Medical Sciences-Bibinagar, Hyderabad, Telangana, 508126, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMolnupiravir is an oral antiviral drug that received Emergency Use Authorization in three countries for the treatment of mild COVID-19. The aim of this systematic review was to find out the safety and efficacy of Molnupiravir in SARS-COV-2 infections.

methodsThe electronic databases such as PubMed, MedRxiv, BioRxiv, FDA, ClinicalTrials.Gov, ctri.nic.in and Google Scholar were searched for articles from January 2021 to March 2022 using the keywords such as "Molnupiravir", "COVID-19", "Oral antiviral pill", "MK-4482", "EIDD-280", "Efficacy" and "Safety". Details of published, unpublished with interim reports and ongoing studies of Molnupiravir in COVID-19 were retrieved, and a systematic review was performed.

resultsA total of 6 articles and 18 ongoing trials data were collected. Out of these, data from 4 published and 2 unpublished with interim reports were extracted. After review of these studies, it was observed that the daily dose of 1600 mg Molnupiravir for 5 days was safe and tolerable with nausea, diarrhea and headache as the common adverse effects. The results also showed significant decrease in time to viral clearance with 800 mg twice daily in mild patients and reduction in the risk of hospitalization or death by 50% in non-hospitalized COVID-19 patients.

conclusionEvidence from clinical studies showed that Molnupiravir caused significant reduction in the risk of hospitalization or death in high-risk mild COVID-19 patients. Molnupiravir was also found to be well tolerated and safe without any major adverse events on short-term use. For confirmative use of this drug in mild-to-moderate COVID-19 disease, further studies are required in vaccinated COVID-19 patients and against emerging variants.

Indexed as

COVID-19Drug-Related Side Effects and Adverse ReactionsCytidineDatabases, FactualHumansHydroxylaminesSARS-CoV-2CytidineHydroxylaminesmolnupiravirCOVID-19Emergency use authorizationMild patientsMolnupiravirOral antiviral pillSARS-COV-2

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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.