用于治疗COVID-19的法维皮拉维尔
Pritish Korula1, Hanna Alexander2, Jisha Sara John2
1Division of Critical Care Medicine, Christian Medical College, Vellore, India.
The Cochrane database of systematic reviews
|February 5, 2024
概括
由于低确定性证据,法维皮拉维尔治疗2019年新冠病毒病 (COVID-19) 的疗效仍然不确定. 虽然它可能会增加不良事件,但严重的副作用与对照组相比并没有显著不同.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 临床试验 临床试验
背景情况:
- 由SARS-CoV-2引起的COVID-19大流行,给全球健康带来了持续的挑战.
- 费维皮拉维尔已被提议作为一种潜在的COVID-19治疗方法,但其确定的作用仍在调查中.
- 随机对照试验 (RCT) 已经评估了favipiravir,但缺乏关于其有效性和安全性的确证据.
研究的目的:
- 评估法维皮拉维尔与没有治疗,支持性护理或其他抗病毒治疗在急性COVID-19患者中的效果.
- 综合RCT关于法维皮拉维尔在COVID-19治疗中的有效性和安全性的证据.
- 评估法维皮拉维尔对死亡率,疾病进展和不良事件的影响.
主要方法:
- 系统搜索多个数据库,包括Cochrane COVID-19研究注册表,MEDLINE和Embase,一直持续到2023年7月18日.
- 包括25个RCT,涉及5750名成年参与者患有COVID-19,主要患有轻度至中度疾病.
- 用标准的Cochrane方法收集和分析数据,并采用GRADE方法来评估证据的确定性.
主要成果:
- 关于法维皮拉维尔对全因死亡率和进入侵入性机械通风的进展的影响的证据确定性非常低.
- 费维皮拉维尔在住院率或临床改善时间方面几乎没有差异.
- 在使用法维皮拉维尔时,观察到不良事件的总体增加 (低确定性证据),但严重的不良事件并没有显著不同.
结论:
- 目前的低至非常低的确定性证据表明,无论疾病的严重程度如何,关于法维皮拉维尔在治疗COVID-19中的有效性存在不确定性.
- 费维皮拉维尔治疗可能与整体不良事件的发病率增加有关.
- 没有足够的证据来确定favipiravir在COVID-19管理中的明确作用.
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