Evidence map›Paper›PMID 36362773›Full record

ArticleJournal of clinical medicine2022

Remdesivir for Patients Hospitalized with COVID-19 Severe Pneumonia: A National Cohort Study (Remdeco-19).

Jeremie Zerbit, Marion Detroit, Sylvie Chevret, Frederic Pene, Charles-Edouard Luyt, Jade Ghosn, Frederic Eyvrard, Guillaume Martin-Blondel, Benjamine Sarton, Raphael Clere-Jehl and 23 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04365725 (Multicenter, Retrospective Study of the Effects of Remdesivir in the Treatment of Severe Covid-19 Infections.), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04365725 completednot on this map

Multicenter, Retrospective Study of the Effects of Remdesivir in the Treatment of Severe Covid-19 Infections.

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2020Enrolled84ConditionsCOVID-19ArmsRemdesivir
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

33 authors.

Jeremie ZerbitDepartment of Pharmacy, Hospital at Home, University Hospitals of Paris, 75014 Paris, France.
Marion DetroitDepartment of Pharmacy, University Hospital of Besançon, 25056 Besançon, France.
Sylvie ChevretDepartment of Biostatistics, Saint-Louis Hospital, AP-HP, Universite Paris Diderot, INSERM S717, 75010 Paris, France.
Frederic PeneInstitut Cochin, Université de Paris, INSERM U1016, CNRS UMR 8104, 75014 Paris, France.
Charles-Edouard LuytMédecine Intensive Réanimation, Institut de Cardiologie, Hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France.
Jade GhosnInfectious Diseases Department, Bichat-Claude Bernard University Hospital, AP-HP, 75018 Paris, France.
Frederic EyvrardPharmacy Department, Toulouse University Hospital, 31300 Toulouse, France.ORCID 0000-0001-5726-8815
Guillaume Martin-BlondelDepartment of Infectious and Tropical Diseases, Toulouse University Hospital, 31300 Toulouse, France.
Benjamine SartonCritical Care Unit, University Teaching Hospital of Purpan, Place du Dr Baylac, 31300 Toulouse, France.
Raphael Clere-JehlService de Médecine Intensive-Réanimation, Hôpital de Hautepierre, Hôpitaux Universitaire de Strasbourg, 67091 Strasbourg, France.
Pierre MoineIntensive Care Unit, Raymond Poincaré Hospital, AP-HP, 92033 Garches, France.
Amelie CransacDepartment of Pharmacy, Dijon University Hospital, 21231 Dijon, France.ORCID 0000-0003-1836-2619
Pascal AndreuDepartment of Intensive Care, Dijon Bourgogne University Hospital, 21231 Dijon, France.
Marie LabruyèreDepartment of Intensive Care, Dijon Bourgogne University Hospital, 21231 Dijon, France.
Laetitia AlbertiniPharmacy Department, Montfermeil Hospital, 93047 Montfermeil, France.
Jean-François HuonClinical Pharmacy Unit, CHU de Nantes, 44000 Nantes, France.ORCID 0000-0002-8738-4419
Pauline RogePharmacie, CHRU Brest, Hôpital de La Cavale Blanche, 29200 Brest, France.
Lise BernardDépartement de Pharmacie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.ORCID 0000-0002-1159-0048
Magali Farines-RaffoulCentre de Recherche Clinique, Centre Hospitalier Annecy Genevois, 74000 Annecy, France.
Maxime VillietDépartement de Pharmacie, Centre Hospitalier Universitaire de Montpellier, 34000 Montpellier, France.
Arnaud VenetDepartment of Pharmacy, Pellegrin Hospital, 33000 Bordeaux, France.
Louis Marie DumontMedical Intensive Care Unit, Louis-Mourier Hospital, AP-HP, 92025 Colombes, France.
Jean-Daniel KaiserPharmacy Department, Hôpitaux Civils de Colmar, 68026 Colmar, France.
Claire ChapuisUnités Pharmacie Clinique et Médecine Intensive-Réanimation, Centre Hospitalier Universitaire de Grenoble Alpes, 38000 Grenoble, France.
François GoehringerDepartment of Infectious Diseases, University Hospital of Nancy, 54000 Nancy, France.
François BarbierMédecine Intensive-Réanimation, Centre Hospitalier Régional d'Orléans, 45000 Orléans, France.
Stephane DesjardinsDépartement de Pharmacie, Centre Hospitalier Sud Francilien, 91100 Corbeil-Essonnes, France.
Younes BenzidiCritical Care Center, Ajaccio Hospital, 20000 Ajaccio, France.
Nora AbbasDepartment of Clinical Pharmacy, Cochin Hospital, AP-HP, 75014 Paris, France.
Corinne GuerinDepartment of Clinical Pharmacy, Cochin Hospital, AP-HP, 75014 Paris, France.
Rui BatistaDepartment of Clinical Pharmacy, Cochin Hospital, AP-HP, 75014 Paris, France.
Jean-François LlitjosService de Médecine Intensive et Réanimation, Hôpital Cochin, AP-HP, 75014 Paris, France.
Marie KroemerDepartment of Pharmacy, University Hospital of Besançon, 25056 Besançon, France.

Funding

APHP COVID-19 research grant from APHP center (mecenat collecte crise covid).
6 · The paper itself

Abstract

backgroundGiven the rapidly evolving pandemic of COVID-19 in 2020, authorities focused on the repurposing of available drugs to develop timely and cost-effective therapeutic strategies. Evidence suggested the potential utility of remdesivir in the framework of an early access program. REMDECO-19 is a multicenter national cohort study assessing the ability of remdesivir to improve the outcome of patients hospitalized with COVID-19.

methodsWe conducted a retrospective real-life study that included all patients from the early access program of remdesivir in France. The primary endpoint was the clinical course evolution of critically ill and hospitalized COVID-19 patients treated with remdesivir. Secondary endpoints were the SOFA score evolution within 29 days following the admission and mortality at 29 and 90 days.

resultsEighty-five patients were enrolled in 22 sites from January to April 2020. The median WHO and SOFA scores were respectively reduced by two and six points between days 1 and 29. Improvement in the WHO-CPS and the SOFA score were observed in 83.5% and 79.3% of patients, respectively, from day 10. However, there was no effect of remdesivir on the 90-day survival based on the control cohort for hospitalized COVID-19 patients with invasive ventilation.

conclusionsSOFA score appeared to be an attractive approach to assess remdesivir efficacy and stratify its utilization or not in critically ill patients with COVID-19. This study brings a new clinical benchmark for therapeutic decision making and supports the use of remdesivir for some hospitalized COVID-19 patients.

Indexed as

COVID-19pneumoniaremdesivirSARS-CoV-2survival

Identifiers

PMID36362773
PMCPMC9654065

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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.