Evidence map›Paper›PMID 37312588›Full record

ArticleBritish medical bulletin2023

Drug repurposing for COVID-19: current evidence from randomized controlled adaptive platform trials and living systematic reviews.

Yolanda Augustin, Henry M Staines, Thirumalaisamy P Velavan, Adeeba Kamarulzaman, Peter G Kremsner, Sanjeev Krishna

Open access · hybridAbstract read
In one paragraph

Article in British medical bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 3 institutions in 5 countries.

Yolanda AugustinInstitute of Infection and Immunity, St George's University of London, London, UK.
Henry M StainesInstitute of Infection and Immunity, St George's University of London, London, UK.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, Universitätsklinikum Tübingen, Tübingen, Germany.
Adeeba KamarulzamanFaculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Peter G KremsnerInstitute of Tropical Medicine, Universitätsklinikum Tübingen, Tübingen, Germany.
Sanjeev KrishnaInstitute of Infection and Immunity, St George's University of London, London, UK.
St George's, University of London · GBUniversitätsklinikum Tübingen · DEUniversity of Malaya · MY

Funding

Wellcome TrustWellcome Trust 204809/Z/16/Z
6 · The paper itself

Abstract

introductionThe coronavirus disease 2019 (COVID-19) pandemic resulted in a race to develop effective treatments largely through drug repurposing via adaptive platform trials on a global scale. Drug repurposing trials have focused on potential antiviral therapies aimed at preventing viral replication, anti-inflammatory agents, antithrombotic agents and immune modulators through a number of adaptive platform trials. Living systematic reviews have also enabled evidence synthesis and network meta-analysis as clinical trial data emerge globally. SOURCES OF DATA: Recent published literature. AREAS OF AGREEMENT: Corticosteroids and immunomodulators that antagonize the interleukin-6 (IL-6) receptor have been shown to play a critical role in modulating inflammation and improving clinical outcomes in hospitalized patients. Inhaled budesonide reduces the time to recovery in older patients with mild-to-moderate COVID-19 managed in the community. AREAS OF CONTROVERSY: The clinical benefit of remdesivir remains controversial with conflicting evidence from different trials. Remdesivir led to a reduction in time to clinical recovery in the ACTT-1 trial. However, the World Health Organization SOLIDARITY and DISCOVERY trial did not find a significant benefit on 28-day mortality and clinical recovery. GROWING POINTS: Other treatments currently being investigated include antidiabetic drug empagliflozin, antimalarial drug artesunate, tyrosine kinase inhibitor imatinib, immunomodulatory drug infliximab, antiviral drug favipiravir, antiparasitic drug ivermectin and antidepressant drug fluvoxamine. AREAS TIMELY FOR DEVELOPING RESEARCH: The timing of therapeutic interventions based on postulated mechanisms of action and the selection of clinically meaningful primary end points remain important considerations in the design and implementation of COVID-19 therapeutic trials.

Indexed as

COVID-19Adaptive Clinical Trials as TopicAdrenal Cortex HormonesAgedAntiviral AgentsDrug RepositioningHumansImatinib MesylateRandomized Controlled Trials as TopicSystematic Reviews as TopicAdrenal Cortex HormonesAntiviral AgentsImatinib Mesylateadaptive platform trialsCOVID-19drug repurposing

Identifiers

PMID37312588
PMCPMC10502446
OpenAlexW4380576492

What OpenQuestion holds

Textmetadata
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.