Evidence map›Paper›PMID 36603821›Full record

ArticleInfection & chemotherapy2023

An Open Label Randomized Controlled Trial of Ivermectin Plus Favipiravir-Based Standard of Care

Phahol Sarojvisut, Anucha Apisarnthanarak, Kittiya Jantarathaneewat, Ornnicha Sathitakorn, Thanus Pienthong, Chatchai Mingmalairak, David K Warren, David J Weber

Open access · goldAbstract read
In one paragraph

Article in Infection & chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
0.3field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Favipiravir for treating COVID-19.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. 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 at 3 institutions in 2 countries.

Phahol SarojvisutDepartment of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0001-5152-1752
Anucha ApisarnthanarakDepartment of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0001-6390-9519
Kittiya JantarathaneewatResearch Group in Infectious Diseases Epidemiology and Prevention, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0001-9428-6131
Ornnicha SathitakornDepartment of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0002-2347-6074
Thanus PienthongDepartment of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0001-6859-9118
Chatchai MingmalairakDepartment of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0001-8596-5378
David K WarrenDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.ORCID https://orcid.org/0000-0001-8679-8241
David J WeberGillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0002-8824-1110
Thammasat University · THUniversity of North Carolina at Chapel Hill · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of ivermectin in the treatment of moderate coronavirus disease 2019 (COVID-19) is controversial. We performed an open label randomized controlled trial to evaluate the role of ivermectin plus favipiravir-based standard of care versus favipiravir-based standard of care for the treatment of moderate COVID-19 infection. MATERIALS AND

methodsAn open-label randomized control trial was performed at Thammasat Field Hospital and Thammasat University Hospital from October 1st, 2021 to May 31st, 2022. Patients with moderate COVID-19 infections were randomized to the intervention (ivermectin plus favipiravir-based standard of care) or control group (favipiravir-based standard of care alone). Patients were followed up to 21 days. The primary outcome was the improvement in World Health Organization (WHO) category ordinal scale by 2 points. Secondary outcomes included duration of illness, development of severe COVID-19, and adverse reactions.

resultsThere were 157 patients in the intervention and 160 patients in the control group. Characteristics, underlying diseases, and risk factors for severe COVID-19 were comparable in both groups. Improvement in the WHO-category ordinal scale by 2 points was achieved in 98.7% of the intervention group and in 99.4% of the control group (relative risk [RR]: 0.487; 95% confidence interval [CI]: 0.044-5.430). The median illness duration was 5.0 days (range, 3 - 28 days) in intervention group versus 5.2 days (range, 3 - 28 days) in control group (

conclusionIn this study ivermectin plus standard of care was not associated with improvement in the WHO-category ordinal scale, reduced illness duration, or development of severe COVID-19 in moderately ill COVID-19 patients.

trial registrationClinicaltrials.gov Identifier: TCTR20220427005.

Indexed as

COVID-19FavipiravirIvermectinThailandTreatment

Identifiers

PMID36603821
PMCPMC10079435
OpenAlexW4313121933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.