Evidence map›Paper›PMID 37904658›Full record

Observational studyJournal of Korean medical science2023

Effectiveness and Adverse Events of Nirmatrelvir/Ritonavir Versus Molnupiravir for COVID-19 in Outpatient Setting: Multicenter Prospective Observational Study.

Jin Ju Park, Hyunji Kim, Yong Kyun Kim, Seung Soon Lee, Eunju Jung, Jin Seo Lee, Jacob Lee

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  8. Review
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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

7 authors at 3 institutions in 3 countries.

Jin Ju ParkDivision of Infectious Diseases, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5224-0837
Hyunji KimKorean Physician's Association, Seoul, Korea.ORCID https://orcid.org/0009-0006-6131-5198
Yong Kyun KimDivision of Infectious Diseases, Department of Internal Medicine, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.ORCID https://orcid.org/0000-0002-7935-6952
Seung Soon LeeDivision of Infectious Diseases, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0003-1797-3426
Eunju JungDivision of Infectious Diseases, Department of Internal Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.ORCID https://orcid.org/0000-0001-8058-7136
Jin Seo LeeDivision of Infectious Diseases, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-3913-6370
Jacob LeeDivision of Infectious Diseases, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. litjacob@chol.com.ORCID https://orcid.org/0000-0002-7041-065X
Hallym University Kangnam Sacred Heart Hospital · KRSacred Heart Hospital · NGKorean Political Science Association · KR

Funding

Ministry of Food and Drug Safety 22212MFDS187
6 · The paper itself

Abstract

backgroundIn this study, we aimed to compare the effectiveness and adverse reactions of nirmatrelvir/ritonavir and molnupiravir in high-risk outpatients with coronavirus disease 2019 (COVID-19).

methodsThis multicenter prospective observational study evaluated the rate of hospitalization, death, and adverse events within 28 days of oral antiviral agent prescription (molnupiravir, n = 240; nirmatrelvir/ritonavir, n = 240) to 480 nonhospitalized adult patients with COVID-19 from August 2, 2022 to March 31, 2023.

resultsPatients receiving molnupiravir had a higher prevalence of comorbidities (85.8% vs. 70.4%;

conclusionThe rates of hospitalization and death were low and not significantly different between high-risk patients who received either nirmatrelvir/ritonavir or molnupiravir. Although adverse events were more frequent with nirmatrelvir/ritonavir than with molnupiravir, none were severe. Nirmatrelvir/ritonavir can be safely used to treat COVID-19, while molnupiravir could be considered as an alternative treatment option for high-risk groups.

Indexed as

COVID-19OutpatientsAdultAntiviral AgentsCOVID-19 Drug TreatmentCytidineHumansHydroxylaminesLactamsLeucineNitrilesProlineRitonavirAntiviral AgentsCytidineHydroxylaminesLactamsLeucinemolnupiravirnirmatrelvirNitrilesProlineRitonavirCOVID-19MolnupiravirNirmatrelvir and Ritonavir Drug Combination

Identifiers

PMID37904658
PMCPMC10615643
OpenAlexW4387787847

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.