Evidence mapPaperPMID 42558939Full record

ArticleTherapeutic advances in infectious disease

Ensitrelvir in hospitalized patients with COVID-19 who were moderately to severely immunocompromised: a single-center cohort study.

Masaya Yamato, Masahiro Kinoshita, Yuki Yoshida, Yudai Yamamoto, Rie Izuhara, Takuhiro Sonoyama

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Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Masaya YamatoDepartment of General Internal Medicine and Infectious Diseases, Rinku General Medical Center, Izumisano, Japan.
Masahiro KinoshitaMedical Affairs Department, Shionogi & Co., Ltd., Grand Green Osaka South Building Park Tower, 5-54 Ofuka-Cho, Kita-Ku, Osaka 530-0011, Japan.ORCID https://orcid.org/0009-0007-1789-3641
Yuki YoshidaData Science Department, Shionogi & Co., Ltd., Osaka, Japan.
Yudai YamamotoDepartment of General Internal Medicine and Infectious Diseases, Rinku General Medical Center, Izumisano, Japan.
Rie IzuharaPharmaceutical Department, Rinku General Medical Center, Izumisano, Japan.
Takuhiro SonoyamaMedical Science Department, Shionogi & Co., Ltd., Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunocompromised patients have a risk of severe COVID-19. Objectives: To describe the outcomes of ensitrelvir in hospitalized immunocompromised patients with COVID-19, with remdesivir as a reference. Design: Single-center retrospective cohort study. Methods: We analyzed patients with moderate/severe immunodeficiency who received ensitrelvir or remdesivir as initial therapy. The primary outcome was 28-day all-cause mortality; secondary outcomes were time to discharge and viral clearance. Exploratory analyses used inverse probability of treatment weighting (IPTW) based on propensity scores and Cox proportional-hazards models. Results: Among 56 patients (22 ensitrelvir; 34 remdesivir), 28-day mortality was 4.5% versus 8.8%, respectively. Time to discharge and viral clearance were similar. IPTW-adjusted 28-day mortality was 4.2% with ensitrelvir and 10.7% with remdesivir (hazard ratio 0.39; 95% CI 0.04-3.64). Conclusion: In this small, single-center exploratory cohort, ensitrelvir was associated with low mortality, although comparison with remdesivir should be interpreted cautiously given treatment selection, treatment switching, and limited sample size.

Indexed as

COVID-19ensitrelvirhospital stayimmunodeficiencymortalityoral administrationremdesivirvirus clearance

Identifiers

PMID42558939
PMCPMC13438334

What Socratic holds

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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.