Evidence map›Paper›PMID 38468434›Full record

ArticleInfluenza and other respiratory viruses2024

Real-Life Comparison of Antivirals for SARS-CoV-2 Omicron Infection in Patients With Hematologic Malignancies.

Tommaso Francesco Aiello, Olivier Peyrony, Mariana Chumbita, Patricia Monzó, Carlos Lopera, Pedro Puerta-Alcalde, Laura Magnano, Francesc Fernández-Avilés, Genoveva Cuesta, Montse Tuset and 5 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. 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

15 authors at 4 institutions in 2 countries.

Tommaso Francesco AielloInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-4441-6318
Olivier PeyronyEmergency Department, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris, Paris, France.
Mariana ChumbitaInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Patricia MonzóInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Carlos LoperaInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Pedro Puerta-AlcaldeInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Laura MagnanoDepartment of Haematology, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
Francesc Fernández-AvilésDepartment of Haematology, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
Genoveva CuestaMicrobiology Department, Hospital Clinic, University of Barcelona, ISGLOBAL, Barcelona, Spain.
Montse TusetDepartment of Pharmacy, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
Josep MensaInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Jordi EsteveDepartment of Haematology, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
Maria Angeles MarcosDepartment of Haematology, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain.
Alex SorianoInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Carolina Garcia-VidalInfectious Diseases Department, Hospital Clinic of Barcelona-IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESDepartament de Salut · ESAssistance Publique – Hôpitaux de Paris · FRBarcelona Institute for Global Health · ES

Funding

Agència de Gestión de Ayudas Universitarias y de Investigación SGR 01324 Q5856414GFEDERInstituto de Salud Carlos III JR20/00012Instituto de Salud Carlos III PI21/00498Instituto de Salud Carlos III PI21/01640Instituto de Salud Carlos III RH RH042953La Direction de l'Assistance Publique - Hôpitaux de ParisLa Ligue Nationale contre le Cancer AAPMRC 2022/OP
6 · The paper itself

Abstract

backgroundWe aimed to describe a cohort of hematologic patients with COVID-19 treated with antivirals early.

methodsNon-interventional chart review study. Comparison of baseline characteristics and outcomes in high-risk hematologic patients treated with remdesivir between December 2021 and April 2022 versus those treated with nirmatrelvir/ritonavir between May and August 2022.

resultsEighty-three patients were analyzed. Forty-two received remdesivir, and 41 nirmatrelvir/ritonavir. Patients with remdesivir were younger, vaccinated with lower number of doses, and received prior corticosteroids less frequently and sotrovimab, hyperimmune plasma and corticosteroids more often. Viral shedding median (IQR) duration was 18 (13-23) and 11 (8-21) days in the remdesivir and nirmatrelvir/ritonavir groups, respectively (p = 0.004). Median (IQR) Ct values before treatment were similar in both groups. Within 5 days of treatment, median (IQR) Ct values were 26 (23-29) and 33 (30-37) in the remdesivir and nirmatrelvir/ritonavir groups, respectively (p < 0.0001). All patients were hospitalized for remdesivir administration and only four (9.8%) in the nirmatrelvir/ritonavir group. The overall outcomes in this cohort of COVID-19 patients with Omicron variant was good, as no patient needed oxygen or ICU admission. One patient in remdesivir group died from septic shock. No severe adverse event was recorded in both treatment groups.

conclusionsPatients with hematologic malignancies and non-severe COVID-19 who received nirmatrelvir/ritonavir experienced faster decrease in viral load and shorter viral shedding. Furthermore, besides the advantage of oral administration, nirmatrelvir/ritonavir administration reduced the need of hospital admission.

Indexed as

COVID-19Hematologic NeoplasmsLactamsLeucineNitrilesProlineAdrenal Cortex HormonesAntiviral AgentsCOVID-19 Drug TreatmentHumansRitonavirSARS-CoV-2Adrenal Cortex HormonesAntiviral AgentsLactamsLeucinenirmatrelvirNitrilesProlineRitonavirCOVID-19nirmatrelvir/ritonavirOmicronoutcomephenotypes

Identifiers

PMID38468434
PMCPMC10928260
OpenAlexW4392712228

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.