Remdesivir therapy in patients with COVID-19: A systematic review and meta-analysis of randomized controlled trials

Charan Thej Reddy Vegivinti, John M. Pederson, Kavitha Saravu, Nitin Gupta, Averi Barrett, Amber R. Davis, Kevin M. Kallmes, Kirk W. Evanson

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose: To perform a systematic review and meta-analysis of randomized controlled trials that examined remdesivir treatment for COVID-19. Materials and methods: A systematic literature search was performed using Pubmed, Embase, and ClinicalTrials.gov to identify studies published up to October 25, 2020 that examined COVID-19 treatment with remdesivir. A total of 3 randomized controlled trials that consisted of 1691 patients were included in the meta-analysis. Results: The odds for mechanical ventilation (MV) or extracorporeal membrane oxygenation (ECMO) following treatment was significantly lower in the remdesivir group compared to the control group (OR = 0.48 [95% CI: 0.34; 0.69], p < 0.001). The odds of early (at day 14/15; OR = 1.42 [95% CI: 1.16; 1.74], p < 0.001) and late (at day 28/29; OR = 1.44 [95% CI: 1.16; 1.79], p = 0.001) hospital discharge were significantly higher in the remdesivir group compared to the control group. There was no difference in the odds for mortality in patients treated with remdesivir (OR = 0.77 [95% CI: 0.56; 1.06], p = 0.108). Conclusions: Remdesivir attenuates disease progression, leading to lower odds of MV/ECMO and greater odds of hospital discharge for COVID-19 patients. However, remdesivir does not affect odds of mortality.

Original languageEnglish
Pages (from-to)43-48
Number of pages6
JournalAnnals of Medicine and Surgery
Volume62
DOIs
Publication statusPublished - 02-2021

All Science Journal Classification (ASJC) codes

  • Surgery

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