Evidence map›Paper›PMID 36257950›Full record

ArticleNature communications2022

Effect of remdesivir post hospitalization for COVID-19 infection from the randomized SOLIDARITY Finland trial.

Olli P O Nevalainen, Saana Horstia, Sanna Laakkonen, Jarno Rutanen, Jussi M J Mustonen, Ilkka E J Kalliala, Hanna Ansakorpi, Hanna-Riikka Kreivi, Pauliina Kuutti, Juuso Paajanen and 12 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04978259 (Long-term Follow-up of a Randomized Multicenter Trial on Impact of Long-COVID in Hospitalized COVID-19 Patients), which is not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 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.

NCT04978259 phase4unknown statusnot on this map

Long-term Follow-up of a Randomized Multicenter Trial on Impact of Long-COVID in Hospitalized COVID-19 Patients

TypeinterventionalSponsorClinical Urology and Epidemiology Working GroupRan2021 to 2023Enrolled202ConditionsCovid19ArmsRemdesivir
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

22 authors.

Olli P O NevalainenFaculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-5665-229X
Saana HorstiaFaculty of Medicine, University of Helsinki, Helsinki, Finland.
Sanna LaakkonenFaculty of Medicine, University of Helsinki, Helsinki, Finland.
Jarno RutanenUnit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Jussi M J MustonenOccupational Health Helsinki, City of Helsinki, Helsinki, Finland.
Ilkka E J KallialaDepartment of Obstetrics and Gynaecology, Helsinki University and University Hospital Helsinki, Helsinki, Finland.ORCID 0000-0002-7664-0587
Hanna AnsakorpiResearch Unit of Clinical Neuroscience, Neurology, University of Oulu, Oulu, Finland.
Hanna-Riikka KreiviDepartment of Pulmonology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-9361-8322
Pauliina KuuttiFaculty of Medicine, University of Helsinki, Helsinki, Finland.
Juuso PaajanenDepartment of Pulmonology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-4364-2201
Seppo ParkkilaFaculty of Medicine and Health Technology, Tampere University and Fimlab Ltd., Tampere University Hospital, Tampere, Finland.
Erja-Leena PaukkeriDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland.
Markus PerolaDepartment of Public Health and Welfare, Population Health Unit, Public Health Research Team, Finnish Institute for Health and Welfare, Helsinki, Finland.
Negar PourjamalFaculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1430-3075
Andreas RennerDepartment of Pulmonology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-1414-5433
Tuomas RosbergDepartment of Pulmonology, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
Taija RutanenSuomen Covid -yhdistys ry, Helsinki, Finland.
Joni SavolainenSuomen Covid -yhdistys ry, Helsinki, Finland.
Solidarity Finland Investigators
Jari K HaukkaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0003-1450-6208
Gordon H GuyattDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Kari A O TikkinenDepartment of Urology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. kari.tikkinen@helsinki.fi.ORCID 0000-0002-1389-8214

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the first long-term follow-up of a randomized trial (NCT04978259) addressing the effects of remdesivir on recovery (primary outcome) and other patient-important outcomes one year after hospitalization resulting from COVID-19. Of the 208 patients recruited from 11 Finnish hospitals, 198 survived, of whom 181 (92%) completed follow-up. At one year, self-reported recovery occurred in 85% in remdesivir and 86% in standard of care (SoC) (RR 0.94, 95% CI 0.47-1.90). We infer no convincing difference between remdesivir and SoC in quality of life or symptom outcomes (p > 0.05). Of the 21 potential long-COVID symptoms, patients reported moderate/major bother from fatigue (26%), joint pain (22%), and problems with memory (19%) and attention/concentration (18%). In conclusion, after a one-year follow-up of hospitalized patients, one in six reported they had not recovered well from COVID-19. Our results provide no convincing evidence of remdesivir benefit, but wide confidence intervals included possible benefit and harm.

Indexed as

COVID-19 Drug TreatmentAdenosine MonophosphateAlanineAntiviral AgentsFinlandHospitalizationHumansPost-Acute COVID-19 SyndromeQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAdenosine MonophosphateAlanineAntiviral Agentsremdesivir

Identifiers

PMID36257950
PMCPMC9579198

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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.