Evidence map›Paper›PMID 35100985›Full record

SynthesisBMC infectious diseases2022

Efficacy of antiviral therapies for COVID-19: a systematic review of randomized controlled trials.

Charan Thej Reddy Vegivinti, Kirk W Evanson, Hannah Lyons, Izzet Akosman, Averi Barrett, Nicole Hardy, Bernadette Kane, Praneeth Reddy Keesari, Yashwitha Sai Pulakurthi, Erin Sheffels and 12 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 5 pooled it
11.7field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 5 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  4. Remdesivir for the treatment of COVID-19.The Cochrane database of systematic reviews · 2023
    Pooled it
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  10. Long Covid Symptom Clusters, Correlates and Predictors in a Highly Vaccinated Australian Population in 2023.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

22 authors at 9 institutions in 3 countries.

Charan Thej Reddy VegivintiDepartment of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Pkwy S, Bronx, NY, USA.
Kirk W EvansonSuperior Medical Experts, 1425 Minnehaha Ave E, P.O. Box 6000545, St Paul, MN, 55106, USA.
Hannah LyonsNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Izzet AkosmanNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Averi BarrettNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Nicole HardyNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Bernadette KaneSuperior Medical Experts, 1425 Minnehaha Ave E, P.O. Box 6000545, St Paul, MN, 55106, USA.
Praneeth Reddy KeesariKamineni Academy of Medical Sciences and Research Center, Hyderabad, Telangana, 500068, India.
Yashwitha Sai PulakurthiKamineni Academy of Medical Sciences and Research Center, Hyderabad, Telangana, 500068, India.
Erin SheffelsSuperior Medical Experts, 1425 Minnehaha Ave E, P.O. Box 6000545, St Paul, MN, 55106, USA. erinsheffels@supedit.com.
Prasanth BalasubramanianDepartment of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Pkwy S, Bronx, NY, USA.
Richa ChibbarDepartment of Medicine, Lakeridge Health, 1 Hospital Crt, Oshawa, ON, L1G 2B9, Canada.
Spandana ChittajalluReading Hospital, 420 South 5th Avenue, West Reading, PA, 19611, USA.
Kathryn CowieNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
J KaronNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Lauren SiegelNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Ranita TarchandNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Caleb ZinnNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Nitin GuptaDepartment of Infectious Disease, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Kevin M KallmesNested Knowledge, 1430 Avon Street N, Saint Paul, MN, 55117, USA.
Kavitha SaravuDepartment of Infectious Disease, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Jillienne TouchetteSuperior Medical Experts, 1425 Minnehaha Ave E, P.O. Box 6000545, St Paul, MN, 55106, USA.
Minnesota Medical Association · USJacobi Medical Center · USKamineni Hospitals · INCornell University · USKasturba Medical College, Manipal · INLakeridge Health · CAManipal Academy of Higher Education · INOhio University · USReading Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) continues to pose a significant threat to public health worldwide. The purpose of this study was to review current evidence obtained from randomized clinical trials on the efficacy of antivirals for COVID-19 treatment.

methodsA systematic literature search was performed using PubMed to identify randomized controlled trials published up to September 4, 2021 that examined the efficacy of antivirals for COVID-19 treatment. Studies that were not randomized controlled trials or that did not include treatment of COVID-19 with approved antivirals were excluded. Risk of bias was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) method. Due to study heterogeneity, inferential statistics were not performed and data were expressed as descriptive statistics.

resultsOf the 2,284 articles retrieved, 31 (12,440 patients) articles were included. Overall, antivirals were more effective when administered early in the disease course. No antiviral treatment demonstrated efficacy at reducing COVID-19 mortality. Sofosbuvir/daclatasvir results suggested clinical improvement, although statistical power was low. Remdesivir exhibited efficacy in reducing time to recovery, but results were inconsistent across trials.

conclusionsAlthough select antivirals have exhibited efficacy to improve clinical outcomes in COVID-19 patients, none demonstrated efficacy in reducing mortality. Larger RCTs are needed to conclusively establish efficacy.

Indexed as

COVID-19 Drug TreatmentAntiviral AgentsHumansRandomized Controlled Trials as TopicSARS-CoV-2Antiviral AgentsAntiviralCOVID-19Randomized controlled trialSARS-CoV-2Systematic reviewTherapeutic

Identifiers

PMID35100985
PMCPMC8802260
OpenAlexW4210758423

What Socratic holds

Textmetadata
LicenceCC BY
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.