Evidence map›Paper›PMID 39592013›Full record

ArticleJournal of the Royal Society, Interface2024

Within-host dynamics of antiviral treatment with remdesivir for SARS-CoV-2 infection.

Lea Schuh, Peter V Markov, Ioanna Voulgaridi, Zacharoula Bogogiannidou, Varvara A Mouchtouri, Christos Hadjichristodoulou, Nikolaos I Stilianakis

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Lea SchuhJoint Research Centre (JRC), European Commission, Ispra, Italy.ORCID 0000-0002-3721-7532
Peter V MarkovJoint Research Centre (JRC), European Commission, Ispra, Italy.
Ioanna VoulgaridiLaboratory of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece.
Zacharoula BogogiannidouLaboratory of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece.
Varvara A MouchtouriLaboratory of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece.
Christos HadjichristodoulouLaboratory of Hygiene and Epidemiology, University of Thessaly, Larissa, Greece.
Nikolaos I StilianakisJoint Research Centre (JRC), European Commission, Ispra, Italy.ORCID 0000-0002-3808-265X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness of antiviral treatment with remdesivir against COVID-19 has been investigated in clinical trials suggesting earlier recovery. However, this effect seems to be rather modest. In this study, we tracked the clinical course of SARS-CoV-2 infections in 369 COVID-19 individuals across a spectrum of illness severities, including both untreated individuals and individuals who received antiviral treatment with remdesivir. Moreover, using a process-based mathematical model, we quantified and analysed the within-host infection dynamics of a total of 88 individuals, of which 69 were untreated and 19 antiviral-treated individuals. For untreated individuals, we found that those hospitalized exhibit lower levels of early immune response and higher cumulative viral loads than those who were not. For treated individuals, we found that those who died were on average hospitalized later after symptom onset than those who survived, underscoring the importance of early medical intervention for severe COVID-19. Finally, our model estimates a rather limited antiviral activity of remdesivir. Our results provide valuable insights into the clinical course of COVID-19 during antiviral treatment with remdesivir and suggest the need for alternative treatment regimens.

Indexed as

Adenosine MonophosphateAlanineAntiviral AgentsCOVID-19COVID-19 Drug TreatmentSARS-CoV-2AdultAgedFemaleHumansMaleMiddle AgedModels, TheoreticalViral LoadAdenosine MonophosphateAlanineAntiviral Agentsremdesivirantiviral treatmentCOVID-19infectious disease modellingmechanistic modelviral kinetics

Identifiers

PMID39592013
PMCPMC11597410

What OpenQuestion holds

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Registered trials

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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.