Evidence map›Paper›PMID 41051660›Full record

ArticlePulmonary therapy2025

A Retrospective Observational Study on COVID-19 Patients Receiving Treatment with Nirmatrelvir/Ritonavir (PAXLOVID).

Mariam M Murad, Stephen L Atkin, Pearl W Wasif, Alwaleed Abdulaziz Behzad, Aamal M J Abdulla Husain, Florence Lefebvre d'Hellencourt, Jean Joury, Mohamed Abdel Aziz, Hammam Haridy, Julia Spinardi and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Pulmonary therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06291831 (A Retrospective Observational Non-Interventional Study), which is not on this map. Not yet cited in PubMed.

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

NCT06291831 completednot on this map

A Retrospective Observational Non-Interventional Study (NIS) to Assess Patient Characteristics and Healthcare Resource Use (HRU) Among COVID-19 Patients With or Without Nirmatrelvir/Ritonavir (PAXLOVID™) Treatment in the Kingdom of Bahrain.

TypeobservationalSponsorPfizerRan2024 to 2024Enrolled3,011ConditionsCOVID-19Armsnirmatrelvir, ritonavir, Controls
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Mariam M MuradRoyal College of Surgeons in Ireland, Busaiteen, Bahrain. mmurad@rcsi.com.ORCID http://orcid.org/0009-0008-8006-996X
Stephen L AtkinRoyal College of Surgeons in Ireland, Busaiteen, Bahrain.
Pearl W WasifRoyal College of Surgeons in Ireland, Busaiteen, Bahrain.
Alwaleed Abdulaziz BehzadSalmanyia Medical Complex, Manama, Kingdom of Bahrain.
Aamal M J Abdulla HusainPrimary Health Care Center, Manama, Kingdom of Bahrain.
Florence Lefebvre d'HellencourtPfizer Inc, New York, USA.
Jean JouryPfizer Gulf FZ LLC, Dubai, UAE.
Mohamed Abdel AzizPfizer Gulf FZ LLC, Dubai, UAE.
Hammam HaridyPfizer Gulf FZ LLC, Dubai, UAE.
Julia SpinardiPfizer Inc, São Paulo, Brazil.
Lu WangPfizer Inc, New York, USA.
Fiona BolandData Science Centre, School of Population Health, Royal College of Surgeons, Ireland University of Medicine and Health Sciences, Dublin, Ireland.
Moe H KyawPfizer Inc, New York, USA.
Manaf Al-QahtaniBahrain Defense Force Hospital, Riffa, Kingdom of Bahrain.

Funding

Pfizer 76181715
6 · The paper itself

Abstract

introductionThis study was undertaken in COVID-19 patients treated with and without Paxlovid™ (Paxlovid) in an outpatient setting to determine hospitalization from the community.

methodsThis retrospective secondary data observational cohort study was conducted between February and November 2022. All patients diagnosed by polymerase chain reaction for COVID-19 and at risk of COVID-19 disease progression were offered Paxlovid in the outpatient setting. Potential associations between Paxlovid use and likelihood of hospitalization, antibiotic use, and other clinical outcomes were explored using regression models as appropriate (i.e., logistic, multinomial, ordinal), adjusted for World Health Organization risk classification.

resultsOf 3011 COVID-19 patients offered Paxlovid, 2005 (67%) were treated with Paxlovid and 1006 (33%) chose not to take treatment. There was no evidence of a difference between groups in terms of vaccination status, viral load, age, or gender, although more patients of Arab ethnicity chose not to take treatment (p < 0.001). There were fewer hospital admissions in the group that took Paxlovid (p < 0.001). Some evidence of a reduction in the number of hospitalizations was found when adjusted for World Health Organization risk category (adjusted odds ratio [aOR] 0.60, 95% confidence interval [CI] 0.45-0.77), and a reduction was similarly found for the number of hospitalizations among patients with readmission (aOR 0.47, 95% CI 0.26-0.84). A reduction in the odds of antibiotic use was observed in the treated group for any cause (aOR 0.80, 95% CI 0.67-0.94) and specifically for COVID-19 (aOR 0.58, 95% CI 0.44-0.77).

conclusionsPaxlovid treatment reduced hospitalization and antibiotic use, indicating its benefit in reducing severe outcomes and healthcare burden and supporting its use for reducing severe outcomes in COVID-19 patients.

trial registrationClinicalTrials.gov identifier, NCT06291831.

Indexed as

COVID-19Nirmatrelvir/ritonavirPaxlovidSARS-CoV-2

Identifiers

PMID41051660
PMCPMC12623535

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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.