Evidence map›Paper›PMID 40611781›Full record

Trial reportClinical and translational science2025

High-Frequency, At-Home Monitoring of Drug Safety and Tolerability in Clinical Trials: Results From Studies of Fluvoxamine for COVID-19 Treatment.

Eric J Lenze, Madeline Nykamp, J Philip Miller, Angela Stevens, Julia Schweiger, Torie Gettinger, Michael Yingling, Yi Zhang, Ginger E Nicol, Charles F Zorumski and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Trial
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

11 authors.

Eric J LenzeDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0002-0471-9368
Madeline NykampDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
J Philip MillerDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Angela StevensDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Julia SchweigerDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0003-3824-6164
Torie GettingerDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0001-5606-0174
Michael YinglingDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0002-0591-2725
Yi ZhangDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0002-1828-5070
Ginger E NicolDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0001-5823-6129
Charles F ZorumskiDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0002-9704-5154
Angela M ReiersenDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.ORCID 0000-0003-3203-4590

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical trials are increasingly using remote monitoring techniques at the patient's home. We conducted a secondary analysis of remote safety and tolerability monitoring from two fully-remote clinical trials that tested fluvoxamine for the acute treatment of COVID-19. Both trials assessed pulse and blood pressure daily, and one study assessed symptoms daily via Ecological Momentary Assessment. On average, patients provided data on vital signs on 93% of the study days and provided data on side effects on 81% of the study days. With respect to safety, patients taking fluvoxamine had reduced pulse rate compared to placebo, with the greatest difference-5 points-at treatment Day 4. In contrast, fluvoxamine showed little to no effect on blood pressure. With respect to tolerability, nausea was most frequent in the first 4-5 days, declining significantly thereafter, while anxiety and difficulty concentrating were uncommon with fluvoxamine compared to placebo. These findings show that remote assessment of safety and tolerability is feasible in clinical trials, and that frequent assessments can provide in-depth data on the timecourse of safety or tolerability signals.

Indexed as

COVID-19 Drug TreatmentDrug MonitoringFluvoxamineAdultAgedBlood PressureCOVID-19FemaleHumansMaleMiddle AgedSARS-CoV-2Fluvoxamine

Identifiers

PMID40611781
PMCPMC12231207

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.