Evidence map›Paper›PMID 37243267›Full record

ArticleViruses2023

Efficacy of Sotrovimab (SOT), Molnupiravir (MOL), and Nirmatrelvir/Ritponavir (N/R) and Tolerability of Molnupiravir in Outpatients at High Risk for Severe COVID-19.

Victoria Kauer, David Totschnig, Ferdinand Waldenberger, Max Augustin, Mario Karolyi, Michelle Nägeli, Christoph Wenisch, Alexander Zoufaly

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 2 institutions in 2 countries.

Victoria KauerVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.
David TotschnigVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.ORCID 0000-0002-4721-6840
Ferdinand WaldenbergerASBÖ Arbeiter-Samariter-Bund Floridsdorf-Donaustadt, 1150 Vienna, Austria.
Max AugustinVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.
Mario KarolyiVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.
Michelle NägeliVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.ORCID 0009-0008-4993-3115
Christoph WenischVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.
Alexander ZoufalyVienna Healthcare Group, Department of Medicine IV, Klinik Favoriten, Kundratstraße 3, 1100 Vienna, Austria.
Sigmund Freud Privatuniversität Wien · ATUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main goal of this study was to assess the potential clinical impact of an outpatient administration of available antivirals including SOT, N/R, and MOL to COVID-19 patients at high risk for disease progression.

methodsWe conducted a retrospective analysis on 2606 outpatient individuals with mild to moderate COVID-19 at risk for disease progression, hospitalization, or death. After receiving either SOT (420/2606), MOL (1788/2606), or N/R (398/2606), patients were followed-up with regarding primary (hospitalization rate) and secondary (treatment and side effects) outcomes by phone.

resultA total of 2606 patients were treated at the outpatient clinic (SOT: 420; N/R: 398; MOL: 1788). 3.2% of the SOT patients (1 ICU admission), 0.8% of the MOL patients (2 ICU admissions), and none of the N/R patients were hospitalized. 14.3% of the N/R patients reported strong to severe side effects, exceeding SOT (2.6%) and MOL (5%) patients. A reduction in COVID symptoms after the treatment was experienced by 43% of patients in both the SOT and MOL groups and by 67% of patients in the N/R group, respectively. Women had a higher chance of symptom improvement with MOL (OR 1.2, 95%CI 1.0-1.5).

conclusionAll antiviral treatment options effectively prevented hospitalization in high-risk COVID-19 patients and were well tolerated. Side effects were pronounced in patients with N/R.

Indexed as

COVID-19Drug-Related Side Effects and Adverse ReactionsAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAntiviral AgentsCytidineDisease ProgressionFemaleHumansHydroxylaminesLactamsLeucineOutpatientsRetrospective StudiesAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingAntiviral AgentsCytidineHydroxylaminesLactamsLeucinemolnupiravirsotrovimabantiviral therapycoronavirusCOVID-19molnupiravirnirmatrelvir/ritonaviroutpatient treatmentSARS-CoV-2sotrovimab

Identifiers

PMID37243267
PMCPMC10224114
OpenAlexW4377041823

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.