Evidence map›Paper›PMID 40844222›Full record

ReviewEuropean journal of clinical investigation2025

Role of remdesivir for the treatment of COVID-19 in patients with hematologic malignancy-A narrative review and expert opinion.

Malgorzata Mikulska, Matteo Bassetti, Alessandro Busca, Valeria Cento, Maddalena Giannella, Michele Bartoletti

Abstract readReview
In one paragraph

Review in European journal of clinical investigation, 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. 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

6 authors.

Malgorzata MikulskaDipartimento di Scienze Della Salute (DISSAL), Università di Genova, Genoa, Italy.ORCID https://orcid.org/0000-0002-5535-4602
Matteo BassettiDipartimento di Scienze Della Salute (DISSAL), Università di Genova, Genoa, Italy.
Alessandro BuscaSS Trapianto Allogenico Cellule Staminali, AOU Città Della Salute e Della Scienza, Torino, Italy.
Valeria CentoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Maddalena GiannellaInfectious Diseases Unit, IRCSS AOU di Bologna, Bologna, Italy.
Michele BartolettiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.

Funding

Gilead Sciences Srl Italy
6 · The paper itself

Abstract

backgroundCOVID-19 remains a potentially severe condition for immunocompromised individuals, such as patients with hematologic malignancy. These patients are at increased risk of progressing to severe-critical or prolonged COVID-19. Prompt treatment with antivirals has proven effective in preventing disease progression and is recommended by current guidelines. We discuss here the position of remdesivir in the management of onco-hematologic patients infected with SARS-CoV-2 and strategies for its use.

methodsNarrative review of current evidence regarding remdesivir in the treatment of COVID-19 in patients with hematologic malignancy.

resultsPatients with non-severe COVID-19 should receive remdesivir as soon as possible after diagnosis, and within 7 days from symptom onset. A 3-day treatment duration is recommended. In patients at high risk of developing severe COVID-19 - patients with B-cell depletion and recipients of allogeneic HSCT or CAR T cell therapy or bispecific antibodies - treatment may be prolonged and/or combined with other COVID-19 therapeutics. Patients with severe COVID-19 requiring supplemental oxygen should receive remdesivir as soon as possible, preferentially for 10 days. In those at high risk of progressing to critical COVID-19, combination of remdesivir with other COVID-19 therapeutics can be considered. In case of relapse or persisting symptoms, remdesivir treatment can be prolonged and/or repeated or combined with other COVID-19 therapeutics.

conclusionsEvidence from clinical trials and real-world studies shows that remdesivir is a valid option for the treatment of SARS-CoV-2-infected onco-hematologic patients, across a wide spectrum of COVID-19 severity. The drawback of remdesivir-intravenous administration mode-is counterbalanced by good tolerability, negligible drug-drug interactions and a high barrier to virus resistance.

Indexed as

Adenosine MonophosphateAlanineAntiviral AgentsCOVID-19 Drug TreatmentHematologic NeoplasmsCOVID-19Hematopoietic Stem Cell TransplantationHumansImmunocompromised HostOxygen Inhalation TherapySARS-CoV-2Adenosine MonophosphateAlanineAntiviral Agentsremdesivirantiviral agentCOVID‐19hematologic malignancyimmunocompromisedremdesivirSARS‐CoV‐2

Identifiers

PMID40844222
PMCPMC12621293

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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.