Evidence map›Paper›PMID 34719115›Full record

ArticleClinical and translational science2022

Cardiovascular events and safety outcomes associated with remdesivir using a World Health Organization international pharmacovigilance database.

Se Yong Jung, Min Seo Kim, Han Li, Keum Hwa Lee, Ai Koyanagi, Marco Solmi, Andreas Kronbichler, Elena Dragioti, Kalthoum Tizaoui, Sarah Cargnin and 21 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Cardiac Adverse Events and Remdesivir in Hospitalized Patients With COVID-19: A Post Hoc Safety Analysis of the Randomized DisCoVeRy Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  3. Article
  4. Remdesivir in COVID-19: A Focus on Pediatric Cardiac Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. COVID-19 therapeutics.Clinical microbiology reviews · 2024
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Remdesivir-induced Bradycardia is not Associated with Worse Outcome in Patients with COVID-19: A Retrospective Analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Article
  19. Is It Time to Revisit Remdesivir Use for Severe COVID-19?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  20. 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

31 authors at 20 institutions in 16 countries.

Se Yong JungDivision of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-1337-563X
Min Seo KimCollege of Medicine, Korea University, Seoul, Korea.
Han LiUniversity of Florida College of Medicine, Gainesville, Florida, USA.
Keum Hwa LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-1511-9587
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain.ORCID 0000-0002-9565-5004
Marco SolmiDepartment of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada.
Andreas KronbichlerDepartment of Internal Medicine IV, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-2945-2946
Elena DragiotiDepartment of Health, Medicine and Caring Sciences, Pain and Rehabilitation Centre, Linköping University, Linköping, Sweden.
Kalthoum TizaouiLaboratory Microorganismes and Active Biomolecules, Sciences Faculty of Tunis, Tunis El Manar University, Tunis, Tunisia.
Sarah CargninDepartment of Pharmaceutical Sciences, Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, Novara, Italy.
Salvatore TerrazzinoDepartment of Pharmaceutical Sciences, Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, Novara, Italy.ORCID 0000-0002-4909-1121
Sung Hwi HongYonsei University College of Medicine, Seoul, Korea.
Ramy Abou GhaydaUrology Institute, University Hospitals and Case Western Reserve University, Cleveland, Ohio, USA.
Nam Kyun KimDepartment of Pediatrics, Emory University, Atlanta, Georgia, USA.
Seo Kyoung ChungCollege of Medicine, Ewha Womans University, Seoul, Korea.
Louis JacobResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain.ORCID 0000-0003-1071-1239
Joe-Elie SalemDepartment of Pharmacology, INSERM, CIC-1901 Paris-Est, CLIP Galilée, UNICO-GRECO Cardio-oncology Program, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France.ORCID 0000-0002-0331-3307
Dong Keon YonDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0003-1628-9948
Seung Won LeeDepartment of Data Science, Sejong University College of Software Convergence, Seoul, Korea.ORCID 0000-0001-5632-5208
Karel KostevUniversity Clinic of Marburg, Marburg, Germany.
Ah Young KimDivision of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jo Won JungDivision of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jae Young ChoiDivision of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jin Soo ShinInfectious Disease Research Center, Korea Research Institute of Chemical Technology, Daejeon, Korea.
Soon-Jung ParkStem Cell Research Institute, T&R Biofab Co. Ltd, Siheung, Korea.
Seong Woo ChoiDepartment of Physiology, Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Korea.
Kiwon BanDepartment of Biomedical Sciences, City University of Hong Kong, Hong Kong SAR, China.
Sung-Hwan MoonStem Cell Research Institute, T&R Biofab Co. Ltd, Siheung, Korea.
Yun Young GoDepartment of Infectious Diseases and Public Health, City University of Hong Kong, Hong Kong SAR, China.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-2326-1820
Lee SmithThe Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.
Yonsei University · KRCity University of Hong Kong · HKUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITAnglia Ruskin University · GBDepartment of Health · CNEmory University · USEwha Womans University · KRInnsbruck Medical University · ATInserm · FRInstitució Catalana de Recerca i Estudis Avançats · ESKorea University · KRLinköping University · SEPhilipps University of Marburg · DESejong University · KRSeoul National University · KRSeoul National University Children's Hospital · KRTunis El Manar University · TNUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity Hospitals of Cleveland · USUniversity of Florida · US

Funding

Yonsei University College of Medicine for 2021 2021-32-0049
6 · The paper itself

Abstract

On October 2020, the US Food and Drug Administration (FDA) approved remdesivir as the first drug for the treatment of coronavirus disease 2019 (COVID-19), increasing remdesivir prescriptions worldwide. However, potential cardiovascular (CV) toxicities associated with remdesivir remain unknown. We aimed to characterize the CV adverse drug reactions (ADRs) associated with remdesivir using VigiBase, an individual case safety report database of the World Health Organization (WHO). Disproportionality analyses of CV-ADRs associated with remdesivir were performed using reported odds ratios and information components. We conducted in vitro experiments using cardiomyocytes derived from human pluripotent stem cell cardiomyocytes (hPSC-CMs) to confirm cardiotoxicity of remdesivir. To distinguish drug-induced CV-ADRs from COVID-19 effects, we restricted analyses to patients with COVID-19 and found that, after adjusting for multiple confounders, cardiac arrest (adjusted odds ratio [aOR]: 1.88, 95% confidence interval [CI]: 1.08-3.29), bradycardia (aOR: 2.09, 95% CI: 1.24-3.53), and hypotension (aOR: 1.67, 95% CI: 1.03-2.73) were associated with remdesivir. In vitro data demonstrated that remdesivir reduced the cell viability of hPSC-CMs in time- and dose-dependent manners. Physicians should be aware of potential CV consequences following remdesivir use and implement adequate CV monitoring to maintain a tolerable safety margin.

Indexed as

COVID-19 Drug TreatmentPharmacovigilanceSARS-CoV-2Adenosine MonophosphateAlanineAntiviral AgentsCardiovascular DiseasesDatabases, FactualHumansMyocytes, CardiacRetrospective StudiesWorld Health OrganizationAdenosine MonophosphateAlanineAntiviral Agentsremdesivir

Identifiers

PMID34719115
PMCPMC8841455
OpenAlexW3209366683

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.