Comparison of effectiveness and safety of nirmatrelvir/ritonavir versus sotrovimab for COVID-19: a systematic review and meta-analysis.

IF 4.2 2区医学 Q1 INFECTIOUS DISEASES

Expert Review of Anti-infective Therapy Pub Date : 2024-07-01 Epub Date: 2024-03-08 DOI:10.1080/14787210.2024.2326561

Behnam Amani, Bahman Amani

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引用次数: 0

Abstract

Background: This study aims to compare the effectiveness and safety of nirmatrelvir/ritonavir (Paxlovid) and sotrovimab for coronavirus disease 2019 (COVID-19).

Methods: A search was conducted on PubMed, Cochrane Library, and Web of Science to explore relevant studies from January 2021 to November 2023. The risk of bias in the included studies was assessed using the Cochrane Collaboration's tool. Data analysis was conducted using the Comprehensive Meta-Analysis software (version 3.0).

Results: Fifteen retrospective studies involving 13, 306 patients were included. The meta-analysis revealed no significant difference between the nirmatrelvir/ritonavir and sotrovimab groups in terms of mortality rate (odds ratio [OR] = 0.62, 95% confidence interval [CI]: 0.28 to 1.38), hospitalization rate (OR = 0.76, 95% CI: 0.48 to 1.22), death or hospitalization rate (OR = 0.75, 95% CI: 0.51 to 1.10), and intensive unit care admission (OR = 1.97, 95% CI: 0.38 to 10.07). In terms of safety, nirmatrelvir/ritonavir was associated with a higher incidence of adverse events (OR = 3.44, 95% CI: 1.29 to 9.17).

Conclusions: The meta-analysis showed that nirmatrelvir/ritonavir and sotrovimab have similar effectiveness in treating COVID-19 patients. However, the certainty of evidence supporting these findings is low. High-quality research is needed to better compare these interventions in COVID-19.

查看原文本刊更多论文

尼马瑞韦/利托那韦与索妥单抗治疗 COVID-19 的有效性和安全性比较：系统综述和荟萃分析。

背景：本研究旨在比较尼马瑞韦/利托那韦（帕克洛维）和索曲单抗治疗冠状病毒病2019（COVID-19）的有效性和安全性：本研究旨在比较尼马瑞韦/利托那韦（Paxlovid）和索罗维单抗治疗2019年冠状病毒病（COVID-19）的有效性和安全性：在 PubMed、Cochrane Library 和 Web of Science 上进行了检索，以探究 2021 年 1 月至 2023 年 11 月期间的相关研究。使用 Cochrane 协作工具评估了纳入研究的偏倚风险。数据分析采用综合荟萃分析软件（3.0 版）进行：结果：共纳入 15 项回顾性研究，涉及 13 306 名患者。38）、住院率（OR = 0.76，95% CI：0.48 至 1.22）、死亡或住院率（OR = 0.75，95% CI：0.51 至 1.10）和入住重症监护室（OR = 1.97，95% CI：0.38 至 10.07）。在安全性方面，尼马瑞韦/利托那韦与较高的不良事件发生率相关（OR = 3.44，95% CI：1.29 至 9.17）：荟萃分析表明，尼瑞韦酯/利托那韦和索罗单抗治疗COVID-19患者的疗效相似。然而，支持这些发现的证据的确定性较低。需要进行高质量的研究，以更好地比较这些对COVID-19的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Anti-infective Therapy 医学-药学

CiteScore

11.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Expert Review of Anti-Infective Therapy (ISSN 1478-7210) provides expert reviews on therapeutics and diagnostics in the treatment of infectious disease. Coverage includes antibiotics, drug resistance, drug therapy, infectious disease medicine, antibacterial, antimicrobial, antifungal and antiviral approaches, and diagnostic tests.