Remdesivir for COVID-19: challenges of underpowered studies.
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This article is published in The Lancet.The article was published on 2020-05-16 and is currently open access. It has received 77 citations till now. The article focuses on the topics: Betacoronavirus & Pneumonia.read more
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Journal ArticleDOI
Remdesivir for 5 or 10 Days in Patients with Severe Covid-19.
Jason D Goldman,David C. Lye,David S.C. Hui,Kristen M. Marks,Raffaele Bruno,Rocio Montejano,Christoph D. Spinner,Massimo Galli,Mi Young Ahn,Ronald Nahass,Yao Shen Chen,Devi SenGupta,Robert H. Hyland,Anu Osinusi,Huyen Cao,Christiana Blair,Xuelian Wei,Anuj Gaggar,Diana M. Brainard,William J. Towner,Jose Muñoz,Kathleen M. Mullane,Francisco M. Marty,Karen T. Tashima,George A. Diaz,Aruna Subramanian +25 more
TL;DR: In patients with severe Covid-19 not requiring mechanical ventilation, a randomized, open-label, phase 3 trial involving hospitalized patients with confirmed SARS-CoV-2 infection, oxygen saturation of 94% or less while they were breathing ambient air, and radiologic evidence of pneumonia, the magnitude of benefit cannot be determined.
Journal ArticleDOI
Remdesivir and its antiviral activity against COVID-19: A systematic review.
Andri Frediansyah,Andri Frediansyah,Firzan Nainu,Kuldeep Dhama,Mudatsir Mudatsir,Harapan Harapan +5 more
TL;DR: Although remdesivir has been used as a compassionate drug for treating COVID-19 patients, it has only moderate efficacy and more efficacy assessments are urgently warranted in clinical trials.
Journal ArticleDOI
Remdesivir in COVID-19: A critical review of pharmacology, pre-clinical and clinical studies.
TL;DR: Initial compassionate use of remdesivir has shown a fairly good result, but difficult to quantify, in the absence of control arm, and newer randomized controlled studies that have recently become available showed a mixed result.
Journal ArticleDOI
Remdesivir for Severe COVID-19 versus a Cohort Receiving Standard of Care.
Susan Olender,Katherine K. Perez,Alan S. Go,Bindu Balani,Eboni G. Price-Haywood,Nirav Shah,Su Wang,Theresa L. Walunas,Shobha Swaminathan,Jihad Slim,BumSik Chin,Stéphane De Wit,Shamim M Ali,Alex Soriano Viladomiu,Philip A. Robinson,Robert L. Gottlieb,Tak Yin Owen Tsang,I-Heng Lee,Richard Haubrich,Anand P Chokkalingam,Lanjia Lin,Lijie Zhong,B Nebiyou Bekele,Robertino Mera-Giler,Joel E. Gallant,Lindsey E Smith,Anu Osinusi,Diana M. Brainard,Hao Hu,Chloé Phulpin,Holly Edgar,Helena Diaz-Cuervo,Jose I Bernardino +32 more
TL;DR: In this comparative analysis, by day 14, remdesivir was associated with significantly greater recovery and 62% reduced odds of death versus standard-of-care treatment in patients with severe COVID-19.
Journal ArticleDOI
Targeting SARS-CoV-2 Proteases and Polymerase for COVID-19 Treatment: State of the Art and Future Opportunities.
TL;DR: An exhaustive comparative analysis of SARS-CoV-2 proteases and RdRp with respect to other coronavirus homologues is provided, and the most promising inhibitors of these proteins reported so far are highlighted, including the possible strategies for their further development.
References
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First Case of 2019 Novel Coronavirus in the United States.
Michelle Holshue,Chas DeBolt,Scott Lindquist,Kathy H Lofy,John Wiesman,Hollianne Bruce,Christopher Spitters,Keith M. Marzilli Ericson,Sara Wilkerson,Ahmet Tural,George Diaz,Amanda C. Cohn,LeAnne Fox,Anita Patel,Susan I. Gerber,Lindsay Kim,Suxiang Tong,Xiaoyan Lu,Steve Lindstrom,Mark A. Pallansch,William C. Weldon,Holly M. Biggs,Timothy M. Uyeki,Satish K. Pillai +23 more
TL;DR: This case highlights the importance of close coordination between clinicians and public health authorities at the local, state, and federal levels, as well as the need for rapid dissemination of clinical information related to the care of patients with this emerging infection.
Journal ArticleDOI
A Trial of Lopinavir-Ritonavir in Adults Hospitalized with Severe Covid-19.
Bin Cao,Yeming Wang,Danning Wen,Wen Liu,Jingli Wang,Guohui Fan,Lianguo Ruan,Bin Song,Yanping Cai,Ming Wei,Xingwang Li,Jia'an Xia,Nanshan Chen,Jie Xiang,Ting Yu,Tao Bai,Xuelei Xie,Li Zhang,Caihong Li,Ye Yuan,Hua Chen,Huadong Li,Hanping Huang,Shengjing Tu,Fengyun Gong,Ying Liu,Yuan Wei,Chongya Dong,Fei Zhou,Xiaoying Gu,Jiuyang Xu,Zhibo Liu,Yi Zhang,Li Hui,Lianhan Shang,Ke Wang,Kunxia Li,Xia Zhou,Xuan Dong,Zhaohui Qu,Sixia Lu,Xujuan Hu,Shunan Ruan,Shanshan Luo,Jing Wu,Lu Peng,Fang Cheng,Lihong Pan,Jun Zou,Chunmin Jia,Juan Wang,Xia Liu,Shuzhen Wang,Xudong Wu,Qin Ge,Jing He,Haiyan Zhan,Fang Qiu,Li Guo,Chaolin Huang,Thomas Jaki,Frederick G. Hayden,Peter Horby,Dingyu Zhang,Chen Wang +64 more
TL;DR: In hospitalized adult patients with severe Covid-19, no benefit was observed with lopinavir–ritonavir treatment beyond standard care, and future trials in patients withsevere illness may help to confirm or exclude the possibility of a treatment benefit.
Journal ArticleDOI
Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial.
Yeming Wang,Yeming Wang,Dingyu Zhang,Guanhua Du,Ronghui Du,Jianping Zhao,Yang Jin,Shouzhi Fu,Ling Gao,Zhenshun Cheng,Qiaofa Lu,Yi Hu,Guangwei Luo,Ke Wang,Yang Lu,Huadong Li,Shuzhen Wang,Shunan Ruan,Chengqing Yang,Chunlin Mei,Yi Wang,Dan Ding,Feng Wu,Xin Tang,Xianzhi Ye,Yingchun Ye,Bing Liu,Jie Yang,Wen Yin,Aili Wang,Guohui Fan,Fei Zhou,Zhibo Liu,Xiaoying Gu,Jiuyang Xu,Lianhan Shang,Lianhan Shang,Yi Zhang,Lianjun Cao,Guo Tingting,Yan Wan,Hong Qin,Yushen Jiang,Thomas Jaki,Thomas Jaki,Frederick G. Hayden,Peter Horby,Bin Cao,Chen Wang +48 more
TL;DR: In this study of adult patients admitted to hospital for severe COVID-19, remdesivir was not associated with statistically significant clinical benefits, however, the numerical reduction in time to clinical improvement in those treated earlier requires confirmation in larger studies.
Journal ArticleDOI
Compassionate Use of Remdesivir for Patients with Severe Covid-19.
Jonathan Grein,Norio Ohmagari,Daniel Shin,George Diaz,Erika Asperges,Antonella Castagna,Torsten Feldt,Gary M. Green,Margaret L. Green,François-Xavier Lescure,Emanuele Nicastri,Rentaro Oda,Kikuo Yo,Eugenia Quiros-Roldan,Alex Studemeister,John Redinski,Seema Ahmed,Jorge Bernett,Daniel Chelliah,Danny Chen,Shingo Chihara,Stuart H. Cohen,Jennifer Cunningham,Antonella D’Arminio Monforte,Saad Ismail,Hideaki Kato,Giuseppe Lapadula,Erwan L’Her,Toshitaka Maeno,Sumit Majumder,Marco Massari,Marta Mora-Rillo,Yoshikazu Mutoh,Duc Nguyen,Ewa Verweij,Alexander Zoufaly,Anu Osinusi,Adam DeZure,Yang Zhao,Lijie Zhong,Anand Chokkalingam,Emon Elboudwarej,Laura Telep,Leighann Timbs,Ilana Henne,Scott Sellers,Huyen Cao,Susanna K. Tan,Lucinda Winterbourne,Polly Desai,Robertino Mera,Anuj Gaggar,Robert P. Myers,Diana M. Brainard,Richard Childs,Timothy Flanigan +55 more
TL;DR: In this cohort of patients hospitalized for severe Covid-19 who were treated with compassionate-use remdesivir, clinical improvement was observed in 36 of 53 patients, and Measurement of efficacy will require ongoing randomized, placebo-controlled trials of remdesavir therapy.
Journal ArticleDOI
Moving to a World Beyond “p < 0.05”
TL;DR: Some of you exploring this special issue of The American Statistician might be wondering if it’s a scolding from pedantic statisticians lecturing you about what not to do with p-values, without offering any real ideas of what to do about the very hard problem of separating signal from noise in data.
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