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Remdesivir therapy in patients with COVID-19: A systematic review and meta-analysis of randomized controlled trials.


ABSTRACT:

Purpose

To perform a systematic review and meta-analysis of randomized controlled trials that examined remdesivir treatment for COVID-19.

Materials and methods

A systematic literature search was performed using Pubmed, Embase, and ClinicalTrials.gov to identify studies published up to October 25, 2020 that examined COVID-19 treatment with remdesivir. A total of 3 randomized controlled trials that consisted of 1691 patients were included in the meta-analysis.

Results

The odds for mechanical ventilation (MV) or extracorporeal membrane oxygenation (ECMO) following treatment was significantly lower in the remdesivir group compared to the control group (OR = 0.48 [95% CI: 0.34; 0.69], p < 0.001). The odds of early (at day 14/15; OR = 1.42 [95% CI: 1.16; 1.74], p < 0.001) and late (at day 28/29; OR = 1.44 [95% CI: 1.16; 1.79], p = 0.001) hospital discharge were significantly higher in the remdesivir group compared to the control group. There was no difference in the odds for mortality in patients treated with remdesivir (OR = 0.77 [95% CI: 0.56; 1.06], p = 0.108).

Conclusions

Remdesivir attenuates disease progression, leading to lower odds of MV/ECMO and greater odds of hospital discharge for COVID-19 patients. However, remdesivir does not affect odds of mortality.

SUBMITTER: Reddy Vegivinti CT 

PROVIDER: S-EPMC7806502 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Remdesivir therapy in patients with COVID-19: A systematic review and meta-analysis of randomized controlled trials.

Reddy Vegivinti Charan Thej CT   Pederson John M JM   Saravu Kavitha K   Gupta Nitin N   Barrett Averi A   Davis Amber R AR   Kallmes Kevin M KM   Evanson Kirk W KW  

Annals of medicine and surgery (2012) 20210106


<h4>Purpose</h4>To perform a systematic review and meta-analysis of randomized controlled trials that examined remdesivir treatment for COVID-19.<h4>Materials and methods</h4>A systematic literature search was performed using Pubmed, Embase, and ClinicalTrials.gov to identify studies published up to October 25, 2020 that examined COVID-19 treatment with remdesivir. A total of 3 randomized controlled trials that consisted of 1691 patients were included in the meta-analysis.<h4>Results</h4>The odd  ...[more]

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