Evidence map›Paper›PMID 38578027›Full record

Observational studyImmunity, inflammation and disease2024

Nirmatrelvir and ritonavir combination against COVID-19 caused by omicron BA.2.2 in the elderly: A single-center large observational study.

Can Chen, Ranyi Li, Shuliang Xing, Lei Cao, Yue Qu, Qianzhou Lv, Xiaoyu Li, Zhangzhang Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Immunity, inflammation and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Observational
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.

Can ChenDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.
Ranyi LiDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.
Shuliang XingScience and Education Office, Shanghai Geriatric Medical Center, Shanghai, China.
Lei CaoMedical Administration Office, Zhongshan Hospital, Fudan University, Shanghai, China.
Yue QuDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Clayton, Australia.
Qianzhou LvDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.
Xiaoyu LiDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.
Zhangzhang ChenDepartment of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0009-0009-9468-7782
Sun Yat-sen University · CNShanghai Medical Information Center · CNThe Alfred Hospital · AU

Funding

Shanghai Key Clinical Specialty Construction Project shslczdzk06504
6 · The paper itself

Abstract

backgroundSince coronavirus 2019 (COVID-19) swept the world, a variety of novel therapeutic and prevention strategies have been developed, among which nirmatrelvir-ritonavir is highly recommended. We intended to assess the effectiveness and safety of nirmatrelvir-ritonavir in the elderly mild-to-moderate COVID-19 population caused by the omicron BA.2.2 variant in real-world settings.

methodsAn observational study was conducted retrospectively to review the outcomes of mild-to-moderate COVID-19 patients admitted between April 26 and June 30, 2022. Patients' baseline characteristics were collected and assessed. Participants in the intervention group were administered nirmatrelvir-ritonavir in addition to standard care, whereas those in the control group only received standard care. The primary outcome was the duration between the initial positive reverse-transcription polymerase chain reaction (RT-PCR) test and the subsequent conversion to a negative result.

resultsThe analysis included 324 patients who were administered nirmatrelvir-ritonavir and an equal number of control patients. The patient characteristics in both groups were evenly matched. The average duration from the initial positive RT-PCR to negative conversion was similar in both groups (16.2 ± 5.0 vs. 16.1 ± 6.3 days, p = .83). Control patients exhibited slower conversion in comparison to patients who received nirmatrelvir-ritonavir treatment within 10 days of symptom onset.

conclusionsThese findings suggest that administering nirmatrelvir-ritonavir within 10 days of symptom onset could potentially reduce the time it takes for SARS-CoV-2-infected patients to negative RT-PCR results, thereby expanding the current usage guidelines for nirmatrelvir-ritonavir.

Indexed as

COVID-19RitonavirAgedCOVID-19 Drug TreatmentHumansRetrospective StudiesSARS-CoV-2RitonavirCOVID‐19nirmatrelvir–ritonavirobservational study

Identifiers

PMID38578027
PMCPMC10996376
OpenAlexW4393992544

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.