Evidence map›Paper›PMID 40164617›Full record

ArticleScientific reports2025

Efficacy and safety of azvudine versus nirmatrelvir/ritonavir in cancer patients with COVID-19.

Bohan Jia, Junyi Sun, Di Zhu, Ling Wang, Xiaobo Hu, Haiyu Wang, Guowu Qian, Donghua Zhang, Silin Li, Hong Luo and 6 more

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

16 authors.

Bohan Jia *Department of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China.
Junyi Sun *Department of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China.
Di Zhu *Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Ling Wang *Department of Clinical Laboratory, Henan Provincial Chest Hospital Affiliated of Zhengzhou University, Zhengzhou, 450008, China.
Xiaobo Hu *Department of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China.
Haiyu WangDepartment of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China.
Guowu QianDepartment of Gastrointestinal Surgery, Nanyang Central Hospital, Nanyang, 473009, China.
Donghua ZhangDepartment of Infectious Diseases, Anyang City Fifth People's Hospital, Anyang, 455000, China.
Silin LiDepartment of Respiratory and Critical Care Medicine, Fengqiu County People's Hospital, Xinxiang, 453300, China.
Hong LuoGuangshan County People's Hospital, Guangshan County, 465450, Xinyang, China.
Shixi ZhangDepartment of Infectious Diseases, Shangqiu Municipal Hospital, Shangqiu, 476000, Henan Province, China.
Guotao LiDepartment of Infectious Diseases, Luoyang Central Hospital Affiliated of Zhengzhou University, Luoyang, 471000, China.
Guangming LiDepartment of Liver Disease, The Affiliated Infectious Disease Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Hongxia LiangDepartment of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China. hxliang@zzu.edu.cn.
Zujiang YuDepartment of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China. johnyuem@zzu.edu.cn.
Zhigang RenDepartment of Infectious Diseases, State Key Laboratory of Antiviral Drugs, Pingyuan Laboratory, The First Affiliated Hospital of Zhengzhou University, #1 Jianshe East Road, Zhengzhou, 450052, China. fccrenzg@zzu.edu.cn.

Funding

National Key Research and Development Program of China 2022YFC2303100National Key Research and Development Program of China 2023YFC3043514Scientific Research and Innovation Team of The First Affiliated Hospital of Zhengzhou University QNCXTD2023002Scientific Research and Innovation Team of The First Affiliated Hospital of Zhengzhou University ZYCXTD2023002
6 · The paper itself

Abstract

Cancer significantly contributes to the unfavorable prognosis of coronavirus disease 2019 (COVID-19) patients. The efficacy and safety of azvudine and nirmatrelvir/ritonavir (Paxlovid) in cancer patients with COVID-19 remain uncertain. Therefore, we designed a comprehensive retrospective study encompassing clinical data of 32,864 hospitalized COVID-19 patients, 691 of whom were cancer patients treated with azvudine and 200 were cancer patients treated with Paxlovid. After 2:1 propensity score matching, 397 patients in the azvudine group and 199 patients in the Paxlovid group were enrolled. Cox regression analysis revealed the risk of all-cause death (HR: 1.84, 95% CI: 1.059-3.182, P = 0.030) and composite disease progression (HR: 1.70, 95% CI: 1.043-2.757, P = 0.033) were greater in the Paxlovid group than in the azvudine group. Two sensitivity analyses confirmed the robustness of our findings. The safety analysis of adverse events revealed no statistically significant differences between the two groups. In conclusion, we carried out the first analysis to compare the efficacy and safety of azvudine and Paxlovid in cancer patients with COVID-19 and demonstrated that azvudine significantly reduced the risk of all-cause death and composite disease progression among cancer patients with COVID-19 compared with Paxlovid.

Indexed as

Antiviral AgentsCOVID-19 Drug TreatmentNeoplasmsRitonavirAdultAgedCOVID-19Disease ProgressionFemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2Treatment OutcomeAntiviral AgentsRitonavirAll-cause deathAzvudineCancerComposite disease progressionCOVID-19Nirmatrelvir/ritonavir

Identifiers

PMID40164617
PMCPMC11958667

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.