Evidence map›Paper›PMID 36242741›Full record

ArticleInfectious diseases and therapy2022

Safety and Efficacy of Vidofludimus Calcium in Patients Hospitalized with COVID-19: A Double-Blind, Randomized, Placebo-Controlled, Phase 2 Trial.

Maria J G T Vehreschild, Petar Atanasov, Kateryna Yurko, Cristian Oancea, Georgi Popov, Valentina Smesnoi, Gheorghe Placinta, Hella Kohlhof, Daniel Vitt, Evelyn Peelen and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04379271 (A Prospective, Multi-Center, Randomized, Placebo-Controlled, Double-Blinded Study to Evaluate the Efficacy, Safety and Tolerability of IMU-838 as Addition to Investigator's Choice of Standard of Care Therapy, in Patients With Coronavirus Disease 19), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT04379271 phase2 / phase3completednot on this map

A Prospective, Multi-Center, Randomized, Placebo-Controlled, Double-Blinded Study to Evaluate the Efficacy, Safety and Tolerability of IMU-838 as Addition to Investigator's Choice of Standard of Care Therapy, in Patients With Coronavirus Disease 19

TypeinterventionalSponsorImmunic AGRan2020 to 2021Enrolled234ConditionsCOVID-19ArmsIMU-838, Placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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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

12 authors at 5 institutions in 4 countries.

Maria J G T VehreschildDepartment of Internal Medicine, Infectious Diseases, Medizinische Klinik II, University Hospital Frankfurt, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. maria.vehreschild@kgu.de.ORCID http://orcid.org/0000-0003-0446-3224
Petar AtanasovClinic of Internal Diseases, UMHATEM "N.I.Pirogov" EAD, 21 Gen. Totleben Blvd., 1606, Sofia, Bulgaria.ORCID http://orcid.org/0000-0001-7338-0751
Kateryna YurkoInfectious Diseases, Kharkiv National Medical University, 4 Nauki Avenue, Kharkiv, 61022, Ukraine.ORCID http://orcid.org/0000-0002-1226-5431
Cristian OanceaUniversity of Medicine and Pharmacy "Victor Babeş" Timişoara, Gh. Adam Street No 13, 300173, Timişoara, Romania.
Georgi PopovClinic of Infectious Disease, Military Medical Academy-Sofia, 3, "St. Georgi Sofiiski" Str., 1606, Sofia, Bulgaria.ORCID http://orcid.org/0000-0003-2867-1124
Valentina SmesnoiPMSI Clinical Hospital of Infectious Diseases "Toma Ciorba", Section 3, Bulevardul Ştefan Cel Mare şi Sfânt, Nr 163, 2004, Chişinău, Moldova.ORCID http://orcid.org/0000-0003-0627-2843
Gheorghe PlacintaPMSI Clinical Hospital of Infectious Diseases "Toma Ciorba", Section 4, Bulevardul Ştefan Cel Mare şi Sfânt, nr 163, 2004, Chişinău, Moldova.ORCID http://orcid.org/0000-0001-5964-1572
Hella KohlhofImmunic AG, Lochhamer Schlag 21, 82166, Gräfelfing, Germany.ORCID http://orcid.org/0000-0001-8279-5203
Daniel VittImmunic AG, Lochhamer Schlag 21, 82166, Gräfelfing, Germany.ORCID http://orcid.org/0000-0003-4741-0317
Evelyn PeelenImmunic AG, Lochhamer Schlag 21, 82166, Gräfelfing, Germany.ORCID http://orcid.org/0000-0002-9332-1801
Jelena MihajlovićImmunic AG, Lochhamer Schlag 21, 82166, Gräfelfing, Germany.ORCID http://orcid.org/0000-0002-9787-0226
Andreas R MuehlerImmunic AG, Lochhamer Schlag 21, 82166, Gräfelfing, Germany.ORCID http://orcid.org/0000-0001-5811-5976
Goethe University Frankfurt · DEKharkiv National Medical University · UAMilitary Medical Academy · BGNational Institute of Emergency Medicine "Pirogov" · BGVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVidofludimus calcium has shown anti-inflammatory effects in clinical trials of autoimmune diseases and recently demonstrated antiviral activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We performed a double-blind, randomized, placebo-controlled, phase 2 trial to evaluate the safety and efficacy of vidofludimus calcium in patients hospitalized for coronavirus disease 2019 (COVID-19) in Europe and the USA.

methodsPatients aged 18 years or older who positive for COVID-19 were randomized (1:1) to receive placebo or 45 mg vidofludimus calcium for 14 days with both groups receiving standard-of-care treatment. The primary endpoint was the need for invasive ventilation after 28 days (ClinicalTrials.gov NCT04379271; EudraCT 2020-001264-28).

resultsBetween June 12, 2020 and December 10, 2020, a total of 223 were randomized to receive either placebo (n = 112) or vidofludimus calcium (n = 111); three patients withdrew consent and were not treated. Eight (9%) patients in the placebo group and 12 (11%) patients in the vidofludimus calcium group needed invasive ventilation during the 28-day study period, which was lower than the assumed rate of 40%. Time to clinical improvement was shorter by approximately 1 day in the vidofludimus calcium group (15.0 days [90% CI 14.8-15.9]) compared to the placebo group (15.9 days [90% CI 14.9-19.9]). This effect was greatest in patients who initiated therapy within 9 days of symptom onset (3.8 days shorter in the vidofludimus calcium group). Higher trough concentrations of vidofludimus calcium were associated with quicker time to clinical recovery. The rate and timing of appearance of anti-SARS-CoV-2 antibodies were not different between groups. Serious adverse events occurred in 4 (4%) patients in the placebo group and 2 (2%) patients in the vidofludimus calcium group; treatment-emergent adverse events of increased severity related to COVID-19 occurred in 13 (12%) patients in the placebo group and 8 (7%) patients in the vidofludimus calcium group. Overall mortality was low (2%).

conclusionsThese findings support vidofludimus calcium being safe and well tolerated in patients with COVID-19.

Indexed as

COVID-19Dihydroorotate dehydrogenase inhibitorVidofludimus calcium

Identifiers

PMID36242741
PMCPMC9568890
OpenAlexW4306316568

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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.