Evidence map›Paper›PMID 38296965›Full record

Trial reportNature communications2024

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial.

RECOVERY Collaborative Group, Peter W Horby, Leon Peto, Natalie Staplin, Mark Campbell, Guilherme Pessoa-Amorim, Marion Mafham, Jonathan R Emberson, Richard Stewart, Benjamin Prudon and 23 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialAdaptive Clinical Trial
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04381936 (Randomised Evaluation of COVID-19 Therapy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT04381936 phase3recruitingnot on this map

Randomised Evaluation of COVID-19 Therapy

TypeinterventionalSponsorUniversity of OxfordRan2020 to 2038Enrolled70,000ConditionsPneumoniaArmsLopinavir-Ritonavir, Corticosteroid, Hydroxychloroquine, Azithromycin, Convalescent plasma
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Immunity and Coagulation in COVID-19.International journal of molecular sciences · 2024
    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 at 20 institutions in 5 countries.

RECOVERY Collaborative Group
Peter W Horby *Pandemic Sciences Institute, Nuffield Department of Medicine, University of Oxford, Oxford, UK. recoverytrial@ndph.ox.ac.uk.ORCID 0000-0002-9822-1586
Leon Peto *Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Natalie Staplin *Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Mark CampbellNuffield Department of Population Health, University of Oxford, Oxford, UK.
Guilherme Pessoa-AmorimNuffield Department of Population Health, University of Oxford, Oxford, UK.
Marion MafhamNuffield Department of Population Health, University of Oxford, Oxford, UK.
Jonathan R EmbersonNuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0001-7792-9422
Richard StewartMilton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
Benjamin PrudonNorth Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.
Alison UrielManchester University NHS Foundation Trust, Manchester, UK.
Christopher A GreenUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0000-0002-1984-4014
Devesh J DhasmanaVictoria Hospital Kirkcaldy, NHS Fife, Kirkcaldy, UK.
Flora MaleinLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK.ORCID 0000-0002-5578-2519
Jaydip MajumdarMid Cheshire Hospitals NHS Foundation Trust, Cheshire, UK.
Paul ColliniSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0001-6696-6826
Jack ShurmerBolton NHS Foundation Trust, Bolton, UK.
Bryan YatesNorthumbria Healthcare NHS Foundation Trust, Northumberland, UK.
J Kenneth BaillieRoslin Institute, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-5258-793X
Maya H BuchCentre for Musculoskeletal Research, University of Manchester, Manchester, UK.ORCID 0000-0002-8962-5642
Jeremy DayCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-7843-6280
Saul N FaustNIHR Southampton Clinical Research Facility and Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK.ORCID 0000-0003-3410-7642
Thomas JakiUniversity of Regensburg, Regensburg, Germany.ORCID 0000-0002-1096-188X
Katie JefferyOxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-6506-2689
Edmund JuszczakSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID 0000-0001-5500-2247
Marian KnightNuffield Department of Population Health, University of Oxford, Oxford, UK.
Wei Shen LimSchool of Medicine, University of Nottingham, Nottingham, UK.
Alan MontgomerySchool of Medicine, University of Nottingham, Nottingham, UK.
Andrew MumfordSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, UK.
Kathryn RowanIntensive Care National Audit & Research Centre, London, UK.ORCID 0000-0001-8217-5602
Guy ThwaitesCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-2858-2087
Richard HaynesNuffield Department of Population Health, University of Oxford, Oxford, UK.
Martin J LandrayNuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0001-6646-827X
Manchester University NHS Foundation Trust · GBNHS Lothian · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Liverpool · GBPennine Acute Hospitals NHS Trust · GBNational Institute for Health Research · GBRoyal Free London NHS Foundation Trust · GBNorth Tees and Hartlepool NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBNottingham University Hospitals NHS Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Oxford · GBNorthumbria Healthcare NHS Foundation Trust · GBEast Kent Hospitals University NHS Foundation Trust · GBBolton NHS Foundation Trust · GBBuckinghamshire Healthcare NHS Trust · GBImperial College Healthcare NHS Trust · GBOxford University Hospitals NHS Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBMedway NHS Foundation Trust · GB

Funding

Medical Research Council MC_PC_19056Medical Research Council MC_PC_21051Wellcome TrustWellcome Trust 222406/Z/20/Z
6 · The paper itself

Abstract

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome.

Indexed as

COVID-19AdultDimethyl FumarateHospitalizationHospitalsHumansSARS-CoV-2Treatment OutcomeDimethyl Fumarate

Identifiers

PMID38296965
PMCPMC10831058
OpenAlexW4391377808

What OpenQuestion holds

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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.