Evidence map›Paper›PMID 39610848›Full record

ArticleCHEST critical care2024

Resource Use in the Randomized Master Protocol for Immune Modulators for Treating COVID-19 (ACTIV-1 IM): A Secondary Data Analysis.

Anne M Lachiewicz, Miloni Shah, Tatyana Der, Derek Cyr, Hussein R Al-Khalidi, Christopher Lindsell, Vivek Iyer, Akram Khan, Reynold Panettieri, Adriana M Rauseo and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in CHEST critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04593940 (Randomized Master Protocol for Immune Modulators for Treating COVID-19), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04593940 phase3completednot on this map

Randomized Master Protocol for Immune Modulators for Treating COVID-19

TypeinterventionalSponsorDaniel BenjaminRan2020 to 2022Enrolled1,971ConditionsCovid19ArmsInfliximab, Abatacept, Remdesivir, cenicriviroc (closed to enrollment as of 3-Sep-2021)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Anne M LachiewiczDivision of Infectious Diseases, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0001-5229-6438
Miloni ShahDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Tatyana DerDuke University School of Medicine, Durham, NC, USA.
Derek CyrDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Hussein R Al-KhalidiDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Christopher LindsellDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Vivek IyerDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota.
Akram KhanDivision of Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, Portland, OR, USA.
Reynold PanettieriRutgers Institute for Translational Medicine and Science, New Brunswick, NJ, USA.
Adriana M RauseoDivision of Infectious Diseases, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Martin MailloSanatorio Diagnóstico S.A., Santa Fe, Argentina.
Andreas SchmidDivision of Pulmonary Disease, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Sugeet JagpalDivision of Pulmonary Disease and Critical Care Medicine, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
William G PowderlyDivision of Infectious Diseases, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Samuel A BozzetteNational Center for Advancing Translational Sciences, Bethesda, MD, USA.
ACTIV-1 IM study group members

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., BERNARD, GORDON RAPHAEL · 2016 to 2022
$177.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI BRIAN T BUCKLEY · 1988 to 2026
$47.4M
New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
NCATS NIH HHS U24 TR001608NCATS NIH HHS UL1 TR002345NCATS NIH HHS UL1 TR003017NIEHS NIH HHS P30 ES005022
6 · The paper itself

Abstract

Background: Coronavirus disease 2019 (COVID-19) pneumonia requires considerable healthcare resources. Research Objective: Examine if a single dose of infliximab or abatacept, in addition to remdesivir and steroids, decreased resource utilization among participants hospitalized with COVID-19 pneumonia. Study Design and Methods: Accelerating COVID-19 Therapeutic Interventions and Vaccines Immunomodulator (ACTIV-1 IM) master protocol was a randomized, placebo-controlled trial examining the potential benefit in time to recovery and mortality of immunomodulators infliximab, abatacept, and cenicriviroc. This observational study performs a secondary analysis of the infliximab, abatacept, and common placebo participants to examine resource utilization. Hospital days, intensive care unit days, days with supplemental oxygen, days with high flow nasal cannula or non-invasive ventilation, ventilator days, and days of extracorporeal membrane oxygenation were each examined. Proportional odds models were used to compare days alive and free of resource use over 28 days between infliximab and placebo groups and between abatacept and placebo groups. Results: Infliximab infusion, compared to placebo, was associated with greater odds of being alive and free of all interventions tested. Abatacept use was associated only with greater odds of days alive and free of hospitalization and supplemental oxygen. Interpretation: Infliximab and abatacept use were associated with decreased use of healthcare resources over 28 days compared to placebo, but the absolute differences were small. Clinical trial registration: www.clinicaltrials.gov (NCT04593940).

Indexed as

abataceptCOVID-19hospitalizationinfliximabresource utilizationsupplemental oxygenventilator

Identifiers

PMID39610848
PMCPMC11600409

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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.