tetano
Editor, Senior Moderator
J Infect Chemother
. 2021 Feb 19;S1341-321X(21)00058-1.
doi: 10.1016/j.jiac.2021.02.018. Online ahead of print.
A retrospective analysis of clinical efficacy of ribavirin in adults hospitalized with severe COVID-19
Wei-Jing Gong[SUP] 1 [/SUP], Tao Zhou[SUP] 1 [/SUP], San-Lan Wu[SUP] 1 [/SUP], Jia-Long Ye[SUP] 1 [/SUP], Jia-Qiang Xu[SUP] 1 [/SUP], Fang Zeng[SUP] 1 [/SUP], Yu-Yong Su[SUP] 1 [/SUP], Yong Han[SUP] 1 [/SUP], Yong-Ning Lv[SUP] 1 [/SUP], Yu Zhang[SUP] 2 [/SUP], Xue-Feng Cai[SUP] 3 [/SUP]
Affiliations
Abstract
Introduction: Coronavirus disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) swept rapidly throughout the world. So far, no therapeutics have yet proven to be effective. Ribavirin was recommended for the treatment of COVID-19 in China because of its in vitro activity. However, evidence supporting its clinical use with good efficacy is still lacking.
Methods: A total of 208 confirmed severe COVID-19 patients who were hospitalized in Wuhan Union West Campus between 1 February 2020 and 10 March 2020 were enrolled in the retrospective study. Patients were divided into two groups based on the use of ribavirin. The primary endpoint was the time to clinical improvement. The secondary endpoints included mortality, survival time, time to throat swab SARS-CoV-2 nucleic acid negative conversion, and the length of hospital stay.
Results: 68 patients were treated with ribavirin while 140 not. There were no significant between-group differences in demographic characteristics, baseline laboratory test results, treatment, and distribution of ordinal scale scores at enrollment, except for coexisting diseases especially cancer (ribavirin group vs no ribavirin group, P = 0.01). Treatment with ribavirin was not associated with a difference in the time to clinical improvement (P = 0.48, HR = 0.88, 95% CI = 0.63-1.25). There were also no significant differences between-group in SARS-CoV-2 nucleic acid negative conversion, mortality, survival time, and the length of hospital stay.
Conclusions: In hospitalized adult patients with severe COVID-19, no significant benefit was observed with ribavirin treatment.
Keywords: COVID-19; Ribavirin; SARS-CoV-2.
. 2021 Feb 19;S1341-321X(21)00058-1.
doi: 10.1016/j.jiac.2021.02.018. Online ahead of print.
A retrospective analysis of clinical efficacy of ribavirin in adults hospitalized with severe COVID-19
Wei-Jing Gong[SUP] 1 [/SUP], Tao Zhou[SUP] 1 [/SUP], San-Lan Wu[SUP] 1 [/SUP], Jia-Long Ye[SUP] 1 [/SUP], Jia-Qiang Xu[SUP] 1 [/SUP], Fang Zeng[SUP] 1 [/SUP], Yu-Yong Su[SUP] 1 [/SUP], Yong Han[SUP] 1 [/SUP], Yong-Ning Lv[SUP] 1 [/SUP], Yu Zhang[SUP] 2 [/SUP], Xue-Feng Cai[SUP] 3 [/SUP]
Affiliations
- PMID: 33676844
- DOI: 10.1016/j.jiac.2021.02.018
Abstract
Introduction: Coronavirus disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) swept rapidly throughout the world. So far, no therapeutics have yet proven to be effective. Ribavirin was recommended for the treatment of COVID-19 in China because of its in vitro activity. However, evidence supporting its clinical use with good efficacy is still lacking.
Methods: A total of 208 confirmed severe COVID-19 patients who were hospitalized in Wuhan Union West Campus between 1 February 2020 and 10 March 2020 were enrolled in the retrospective study. Patients were divided into two groups based on the use of ribavirin. The primary endpoint was the time to clinical improvement. The secondary endpoints included mortality, survival time, time to throat swab SARS-CoV-2 nucleic acid negative conversion, and the length of hospital stay.
Results: 68 patients were treated with ribavirin while 140 not. There were no significant between-group differences in demographic characteristics, baseline laboratory test results, treatment, and distribution of ordinal scale scores at enrollment, except for coexisting diseases especially cancer (ribavirin group vs no ribavirin group, P = 0.01). Treatment with ribavirin was not associated with a difference in the time to clinical improvement (P = 0.48, HR = 0.88, 95% CI = 0.63-1.25). There were also no significant differences between-group in SARS-CoV-2 nucleic acid negative conversion, mortality, survival time, and the length of hospital stay.
Conclusions: In hospitalized adult patients with severe COVID-19, no significant benefit was observed with ribavirin treatment.
Keywords: COVID-19; Ribavirin; SARS-CoV-2.