Evidence map›Paper›PMID 39533001›Full record

ArticleCommunications medicine2024

The effects of remdesivir on long-term symptoms in patients hospitalised for COVID-19: a pre-specified exploratory analysis.

Thale D J Hovdun Patrick-Brown, Andreas Barratt-Due, Marius Trøseid, Anne Ma Dyrhol-Riise, Katerina Nezvalova-Henriksen, Trine Kåsine, Pål Aukrust, Inge C Olsen, NOR Solidarity consortium

Registry-linked trialAbstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04321616 (The), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04321616 phase2 / phase3unknown statusnot on this map

The (Norwegian) NOR Solidarity Multicenter Trial on the Efficacy of Different Anti-viral Drugs in SARS-CoV-2 Infected Patients

TypeinterventionalSponsorOslo University HospitalRan2020 to 2020Enrolled700ConditionsSARS-CoV Infection, COVID 19, Acute Respiratory Distress Syndrome ARDSArmsHydroxychloroquine, Remdesivir, (Standard of Care) SoC
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Thale D J Hovdun Patrick-BrownDivision for Surgery, Inflammation Medicine and Transplantation, Oslo University Hospital Rikshospitalet, Oslo, Norway. d.j.patrick-brown@medisin.uio.no.ORCID http://orcid.org/0000-0002-5002-0195
Andreas Barratt-DueDepartment of Anaesthesia and Intensive Care Medicine, Oslo University Hospital, Oslo, Norway.
Marius TrøseidInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0001-7775-3404
Anne Ma Dyrhol-RiiseInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-4009-4032
Katerina Nezvalova-HenriksenHospital Pharmacies, South-Eastern Norway Enterprise, Oslo, Norway.ORCID http://orcid.org/0000-0002-8085-4932
Trine KåsineInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Pål AukrustInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0003-0919-836X
Inge C OlsenDepartment of Research Support for Clinical Trials, Oslo University Hospital, Oslo, Norway. i.c.olsen@medisin.uio.no.ORCID http://orcid.org/0000-0001-6889-5873
NOR Solidarity consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an unmet need for treatment of long-term symptoms following COVID-19. Remdesivir is currently the only antiviral approved by the European Medicines Agency for hospitalised patients. Here, we report on the effect of remdesivir in addition to standard of care on long-term symptoms and quality of life in hospitalised patients with COVID-19 as part of the open-label randomised NOR-Solidarity trial (NCT04321616).

methodsA total of 185 patients were included in the main trial, of which 118 (60%) were randomised to either remdesivir (n = 42; 36%) or a post-hoc defined control group composed of patients who received standard of care alone or standard of care with hydroxychloroquine (n = 76; 64%). Participants were given quality of life surveys to fill out to gauge their self-reported health over time (the COPD assessment test, the EQ-5D-5L and the RAND SF-36).

resultsHere we show that after three months, patients treated with remdesivir do not show significant improvements in stated health compared to those who were not. There are self-reported symptoms of fatigue [mean remdesivir group 2.6 (standard deviation 1.5) v control 2.1 (1.6), 95% confidence interval(CI) -1.17 to 0.15, p = 0.129], shortness of breath [3.0 (1.7) v 2.1 (1.8), 95% CI -1.53 to 0.16, p = 0.110] and coughing [1.8 (1.6) v 1.2 (1.5), 95% CI -1.3 to 0.33, p = 0.237] 3 months after randomisation assessed via the COPD Assessment Test.

conclusionsOur findings indicate that treatment with remdesivir during hospitalisation does not provide any clinically relevant long-term benefit.

Identifiers

PMID39533001
PMCPMC11557865

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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.