Study explorer (study characteristics and results) method abbreviations pdf   xlsx

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Study Ref. Design studied treatmentcontrol treatmentpatientsstudy risk of biassample sizes Results

COVID 19 hospitalized meta-analysis

Patel
 
ACTRN12620000454976
zincplaceboCOVID 19 hospitalizedhigh
15/18 inconclusive
    Tolouian bromhexinestandard of careCOVID 19 hospitalizedhigh
    59/52 no results
      Abdulamir
       
      NCT04753619
      RCTniclosamidestandard of careCOVID 19 hospitalizedsome concern
      75/75 inconclusive
        Ader (lopinavir/ritonavir plus interferon)
         
        NCT04315948
        RCTlopinavir/ritonavir plus interferon ß-1astandard of careCOVID 19 hospitalizedsome concern
        145/148 safety concern
        • statistically significant 30 % decrease in clinical improvement,clinical improvement (time to event analysis only) with a moderate degree of certainty due to some concern in risk of bias
        • statistically significant 86 % increase in serious adverse events with a moderate degree of certainty due to some concern in risk of bias
        • statistically significant 3.4-fold increase in arrhythmia with a moderate degree of certainty due to some concern in risk of bias
        • statistically significant 5.6-fold increase in elevated liver enzymes with a moderate degree of certainty due to some concern in risk of bias
        DisCoVeRy (remdesivir)
         
        NCT04315948
        RCTremdesivirstandard of careCOVID 19 hospitalizedsome concern
        429/428 no results
          Gaitan-Duarte (Rosuvastatin plus colchicine plus emtricitabine/tenofovir)
           
          NCT04359095
          RCTEmtricitabine/tenofovir plus colchicine plus rosuvastatinstandard of careCOVID 19 hospitalizedsome concern
          163/162 suggested
          • inconclusive 38 % decrease in deaths,death D28 (PE) with a moderate degree of certainty due to some concern in risk of bias
          • suggested 30 % decrease in mechanical ventilation with a moderate degree of certainty due to some concern in risk of bias
          Mahajan RCTremdesivirstandard of careCOVID 19 hospitalizedsome concern
          41/41 inconclusive
            Mobarak (DISCOVER)
             
            IRCT20200624047908N1
            RCTsofosbuvir and daclatasvirplaceboCOVID 19 hospitalizedNA
            541/542 inconclusive
            • inconclusive 1 % increase in hospital discharge (PE)
            Mobarak S (DISCOVER)
             
            IRCT20200624047908N
            RCTsofosbuvir and daclatasvirplaceboCOVID 19 hospitalizedsome concern
            541/542 inconclusive
            • inconclusive 3 % decrease in recovery (PE) with a moderate degree of certainty due to some concern in risk of bias
            Sali RCTsofosbuvirlopinavir/ritonavirCOVID 19 hospitalizedhigh
            22/32 inconclusive
              Ansarin
               
              IRCT202003117046797N
              RCTbromhexinestandard of careCOVID 19 hospitalizedhigh
              39/39 suggested
              • inconclusive 91 % decrease in deaths (PE) but with a low degree of certainty due to high risk of bias
              • suggested 91 % decrease in mechanical ventilation (PE) but with a low degree of certainty due to high risk of bias
              • suggested 86 % decrease in ICU admission (PE) but with a low degree of certainty due to high risk of bias
              Duke university HCQ-AZI
               
              NCT04335552
              RCThydroxychloroquine plus macrolidesstandard of careCOVID 19 hospitalizedNA
              -/- inconclusive
                Gonzalez (IVER)
                 
                NCT04391127
                RCTivermectinplaceboCOVID 19 hospitalizedsome concern
                36/37 inconclusive
                  Lou Y
                   
                  ChiCTR2000029544
                  RCTbaloxavir marboxilstandard of careCOVID 19 hospitalizedsome concern
                  10/10 inconclusive
                  • inconclusive 88 % decrease in viral clearance by day 14 (PE) with a moderate degree of certainty due to some concern in risk of bias
                  NIH NIAID ACTT-1
                   
                  NCT04280705
                  RCTremdesivirplaceboCOVID 19 hospitalizedsome concern
                  541/521 suggested
                  • suggested 45 % decrease in deaths,deaths (time to event analysis only) with a moderate degree of certainty due to some concern in risk of bias
                  • suggested 29 % increase in clinical improvement,clinical improvement (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                  • suggested 35 % increase in clinical improvement (28-day) with a moderate degree of certainty due to some concern in risk of bias
                  Nojomi
                   
                  IRCT20180725040596N2
                  RCTumifenovir (arbidol)lopinavir/ritonavirCOVID 19 hospitalizedsome concern
                  50/50 inconclusive
                    Nojomi
                     
                    IRCT20180725040596N2
                    RCTlopinavir/ritonavirumifenovir (arbidol)COVID 19 hospitalizedsome concern
                    50/50 inconclusive
                      RECOVERY
                       
                      NCT04381936
                      RCTlopinavir/ritonavirstandard of careCOVID 19 hospitalizedsome concern
                      1616/3424 inconclusive
                      • inconclusive 3 % increase in deaths (PE) with a moderate degree of certainty due to some concern in risk of bias
                      the trial Steering Committee concluded that there is no beneficial effect of lopinavir-ritonavir in patients hospitalised with COVID-19 and closed randomisation to that treatment arm
                      RECOVERY (AZI, Horby)
                       
                      NCT04381936
                      RCTazithromycinstandard of careCOVID 19 hospitalizedsome concern
                      2582/5181 inconclusive
                      • inconclusive 3 % decrease in deaths,deaths (time to event analysis only),death D28 (PE) with a moderate degree of certainty due to some concern in risk of bias
                      Sadeghi
                       
                      IRCT20200128046294N2
                      RCTsofosbuvir and daclatasvirstandard of careCOVID 19 hospitalizedsome concern
                      35/35 suggested
                      • suggested 2.6-fold increase in clinical improvement (14-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                      Sekhavati
                       
                      IRCT20200415047092N1
                      RCTazithromycinstandard of careCOVID 19 hospitalizedsome concern
                      56/55 inconclusive
                      • inconclusive 51 % decrease in deaths (PE) with a moderate degree of certainty due to some concern in risk of bias
                      SOLIDARITY (lopi/rito)
                       
                      NCT04315948
                      RCTlopinavir/ritonavirstandard of careCOVID 19 hospitalizedsome concern
                      1399/1372 inconclusive
                      • inconclusive 0 % increase in deaths (PE) with a moderate degree of certainty due to some concern in risk of bias
                      SOLIDARITY (remdesivir)
                       
                      NCT04315948
                      RCTremdesivirstandard of careCOVID 19 hospitalizedsome concern
                      2750/2725 inconclusive
                      • inconclusive 5 % decrease in deaths,deaths (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                      Yakoot
                       
                      DRKS00022203
                      RCTsofosbuvir and daclatasvirstandard of careCOVID 19 hospitalizedsome concern
                      44/45 suggested
                      • suggested 60 % increase in recovery (PE) with a moderate degree of certainty due to some concern in risk of bias
                      Rodriguez-Molinero OBSazithromycincontrolCOVID 19 hospitalizedNA
                      -/- inconclusive
                        Our study did not find a benefit associated with the use of azithromycin in terms of respiratory function (SAFI)
                        Arshad (HCQ AZ) OBShydroxychloroquine plus macrolidescontrolCOVID 19 hospitalizedcritical
                        783/409 suggested
                        • suggested 71 % decrease in deaths,deaths (time to event analysis only) but with a very low degree of certainty due to critical risk of bias
                        Chen_arbidol OBSumifenovir (arbidol)standard of careCOVID 19 hospitalizedcritical
                        37/121 inconclusive
                          Chen_lopi_rito OBSlopinavir/ritonavirstandard of careCOVID 19 hospitalizedcritical
                          60/121 inconclusive
                            Davido
                             
                            NCT04453501
                            OBShydroxychloroquine plus macrolidescontrolCOVID 19 hospitalizedcritical
                            52/40 suggested
                            • suggested 55 % decrease in death or transfer to ICU but with a very low degree of certainty due to critical risk of bias
                            Lagier OBShydroxychloroquine plus macrolidescontrolCOVID 19 hospitalizedcritical
                            3119/618 suggested
                            • suggested 51 % decrease in deaths but with a very low degree of certainty due to critical risk of bias
                            • suggested 70 % decrease in clinical deterioration but with a very low degree of certainty due to critical risk of bias
                            • suggested 62 % decrease in hospitalization but with a very low degree of certainty due to critical risk of bias
                            Rosenberg OBShydroxychloroquine plus macrolidescontrolCOVID 19 hospitalizedserious
                            -/- safety concern
                            • safety concern with statistically significant 1.1-fold increase in cardiac arrest
                            • statistically significant 1.2-fold increase in arrhythmia but with a low degree of certainty due to high risk of bias
                            Rosenberg OBSazithromycincontrolCOVID 19 hospitalizedserious
                            -/- inconclusive
                              Sbidian (HCQ plus AZI) OBShydroxychloroquine plus macrolidescontrolCOVID 19 hospitalizedcritical
                              227/3792 inconclusive

                                COVID 19 all comers meta-analysis

                                Norwegian NOR study (remdesivir)
                                 
                                NCT04321616
                                RCTremdesivirstandard of careCOVID 19 all comerssome concern
                                43/58 no results
                                  Chang Chen et al.
                                   
                                  ChiCTR2000030254
                                  RCTfavipiravir umifenovir (arbidol)COVID 19 all comerssome concern
                                  120/120 inconclusive
                                  • inconclusive 48 % increase in clinical improvement,clinical improvement (7-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                  ELACOI (Standard of care)
                                   
                                  NCT04252885
                                  RCTumifenovir (arbidol)standard of careCOVID 19 all comerssome concern
                                  16/7 inconclusive
                                    jRCTs041190120
                                     
                                    jRCTs041190120
                                    RCTfavipiravir favipiravir COVID 19 all comershigh
                                    44/45 inconclusive
                                    • inconclusive 42 % increase in viral clearance ,viral clearance (time to event analysis only) (PE) but with a low degree of certainty due to high risk of bias
                                    Jun C
                                     
                                    NCT04252274
                                    RCTdarunavir cobicistatstandard of careCOVID 19 all comershigh
                                    15/15 inconclusive
                                    • inconclusive 42 % decrease in viral clearance by day 7 (PE) but with a low degree of certainty due to high risk of bias
                                    Lou (FAVIPIRAVIR)
                                     
                                    ChiCTR2000029544
                                    RCTfavipiravir standard of careCOVID 19 all comerssome concern
                                    10/10 inconclusive
                                    • inconclusive 82 % decrease in viral clearance ,viral clearance by day 14 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                    NCT04310228-FAVI (Zhao)
                                     
                                    ChiCTR2000030894
                                    RCTfavipiravir tocilizumab COVID 19 all comerssome concern
                                    -/- inconclusive
                                    • inconclusive 68 % decrease in radiologic improvement (14-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                    EPIC-SR unpublished
                                     
                                    NCT05011513
                                    RCTnirmatrelvir / ritonavir (Paxlovid)placeboCOVID 19 all comersNA
                                    -/- inconclusive
                                      Calik OBSfavipiravir hydroxychloroquineCOVID 19 all comerscritical
                                      -/- no results
                                        Magagnoli (HC AZ) OBShydroxychloroquine plus macrolidescontrolCOVID 19 all comersserious
                                        113/158 inconclusive
                                          Cai -FAVIPIRAVIR
                                           
                                          ChiCTR2000029600
                                          NRafavipiravir lopinavir/ritonavirCOVID 19 all comersNA
                                          35/45 uncontrolled
                                          • [uncontrolled] Chest CT improvement (day 14): 91.4% (32/35)
                                          Cai -FAVIPIRAVIR
                                           
                                          ChiCTR2000029600
                                          NRafavipiravir interferonCOVID 19 all comersNA
                                          35/45 uncontrolled
                                          • [uncontrolled] Chest CT improvement (day 14): 91.4% (32/35)

                                          COVID-19 mild to moderate meta-analysis

                                          I-TECH (Lim)
                                           
                                          NCT04920942
                                          RCTivermectincontrolCOVID-19 mild to moderatesome concern
                                          241/249 inconclusive
                                          • inconclusive 25 % increase in clinical deterioration (PE) with a moderate degree of certainty due to some concern in risk of bias
                                          Abd-Elsalam
                                           
                                          NCT04403555
                                          RCTivermectincontrolCOVID-19 mild to moderatehigh
                                          82/82 inconclusive
                                            Babalola RCTivermectinlopinavir/ritonavirCOVID-19 mild to moderatehigh
                                            21/20 no results
                                              Bukhari
                                               
                                              NCT04392713
                                              RCTivermectinstandard of careCOVID-19 mild to moderatehigh
                                              50/50 suggested
                                              • suggested 10.6-fold increase in viral clearance by day 7 but with a low degree of certainty due to high risk of bias
                                              FACCT Trial
                                               
                                              NCT04392973
                                              RCTfavipiravir standard of careCOVID-19 mild to moderatesome concern
                                              125/129 inconclusive
                                              • inconclusive 15 % decrease in clinical improvement (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                              Fontanesi
                                               
                                              NCT04348409
                                              RCTnitazoxanideplaceboCOVID-19 mild to moderateNA
                                              25/25 no results
                                                Holubar M
                                                 
                                                NCT04346628
                                                RCTfavipiravir placeboCOVID-19 mild to moderateNA
                                                75/74 inconclusive
                                                • inconclusive 24 % decrease in viral clearance ,viral clearance (time to event analysis only) (PE)
                                                Kirti
                                                 
                                                CTRI/2020/08/027225
                                                RCTivermectinplaceboCOVID-19 mild to moderatesome concern
                                                57/58 inconclusive
                                                • inconclusive 20 % decrease in viral clearance by day 7 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                Rashad A (AZI vs SoC) RCTazithromycinstandard of careCOVID-19 mild to moderatesome concern
                                                107/99 inconclusive
                                                  RIVET-COV (Mohan) (12mg and 24mg)
                                                   
                                                  CTRI/2020/06/026001
                                                  RCTivermectinplaceboCOVID-19 mild to moderatehigh
                                                  104/52 inconclusive
                                                  • inconclusive 10 % increase in viral clearance ,viral clearance by day 7 (PE) but with a low degree of certainty due to high risk of bias
                                                  Shenoy S
                                                   
                                                  NCT04529499
                                                  RCTfavipiravir placeboCOVID-19 mild to moderatehigh
                                                  175/178 inconclusive
                                                  • inconclusive 1 % decrease in clinical improvement (time to event analysis only) (PE) but with a low degree of certainty due to high risk of bias
                                                  Shinkai
                                                   
                                                  JapicCTI-205238
                                                  RCTfavipiravir placeboCOVID-19 mild to moderatesome concern
                                                  107/49 safety concern
                                                  • inconclusive 40 % increase in clinical improvement (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                  • statistically significant 18.5-fold increase in adverse events with a moderate degree of certainty due to some concern in risk of bias
                                                  Silva
                                                   
                                                  NCT04463264
                                                  RCTnitazoxanideplaceboCOVID-19 mild to moderatehigh
                                                  33/13 inconclusive
                                                    Solaymani-Dodaran
                                                     
                                                    IRCT20200318046812N1
                                                    RCTfavipiravir lopinavir/ritonavirCOVID-19 mild to moderatesome concern
                                                    193/187 inconclusive
                                                      Ahmed RCTivermectinplaceboCOVID-19 mild to moderatehigh
                                                      48/24 suggested
                                                      • suggested 3.1-fold increase in viral clearance (time to event analysis only),viral clearance by day 14 (PE) but with a low degree of certainty due to high risk of bias
                                                      Paradoxically comparison of day 7 and 14 virological clearance between ivermectin doxycycline group vs placebo was not statistically significant (HR 2.3[0.6-9.0] and 1.7[0.8-4.0])
                                                      AVIFAVIR
                                                       
                                                      NCT04434248
                                                      RCTfavipiravir standard of careCOVID 19 hospitalized, COVID-19 mild to moderatesome concern
                                                      20/20 suggested
                                                      • suggested 2.9-fold increase in viral clearance ,viral clearance by day 7 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                      Adverse drug reactions to AVIFAVIR were reported in 7/40 (17.5%) patients, including diarrhea, nausea, vomiting, chest pain and an increase in liver transaminase levels. The adverse drug reactions were mild to moderate and caused early discontinuation of the study drug in 2/40 (5.0%) patients.
                                                      Chaccour
                                                       
                                                      NCT04390022
                                                      RCTivermectinplaceboCOVID 19 outpatients, COVID-19 mild to moderatelow
                                                      12/12 inconclusive
                                                      • inconclusive 8 % decrease in viral clearance ,viral clearance by day 7 (PE) with a high degree of certainty due to low risk of bias
                                                      Chachar
                                                       
                                                      NCT04739410
                                                      RCTivermectinstandard of careCOVID-19 mild to moderatehigh
                                                      25/25 inconclusive
                                                      • inconclusive 19 % increase in clinical improvement,clinical improvement (7-day) (PE) but with a low degree of certainty due to high risk of bias
                                                      COALITION I Covid-19 Brazil (AZI, Cavalcanti)
                                                       
                                                      NCT04322123
                                                      RCTazithromycinstandard of careCOVID-19 mild to moderatesome concern
                                                      172/159 inconclusive
                                                      • inconclusive 18 % decrease in clinical improvement,clinical improvement (14-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                      Dabbous HM
                                                       
                                                      NCT04349241
                                                      RCTfavipiravir standard of careCOVID-19 mild to moderatesome concern
                                                      50/50 inconclusive
                                                        ELACOI (Lopinavir/ritonavir)
                                                         
                                                        NCT04252885
                                                        RCTumifenovir (arbidol)lopinavir/ritonavirCOVID-19 mild to moderatesome concern
                                                        35/34 inconclusive
                                                        • inconclusive 84 % increase in viral clearance by day 14 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                        • inconclusive 8 % increase in viral clearance by day 7 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                        ELACOI (lopinavir/ritonavir)
                                                         
                                                        NCT04252885
                                                        RCTlopinavir/ritonavirstandard of careCOVID-19 mild to moderatesome concern
                                                        21/7 inconclusive
                                                          GS-US-540-5773 (Goldman)
                                                           
                                                          NCT04292899
                                                          RCTremdesivirremdesivirCOVID-19 mild to moderatesome concern
                                                          200/197 suggested
                                                          • suggested 53 % increase in clinical improvement (14-day) with a moderate degree of certainty due to some concern in risk of bias
                                                          GS-US-540-5774, 10 days
                                                           
                                                          NCT04292730
                                                          RCTremdesivirstandard of careCOVID-19 mild to moderatesome concern
                                                          197/200 safety concern
                                                          • suggested 58 % increase in clinical improvement (14-day) with a moderate degree of certainty due to some concern in risk of bias
                                                          • suggested 88 % increase in clinical improvement (28-day) with a moderate degree of certainty due to some concern in risk of bias
                                                          • statistically significant 63 % increase in adverse events with a moderate degree of certainty due to some concern in risk of bias
                                                          The primary endpoint was not met, no odds ratio is reported because the proportional odds assumption was not met
                                                          GS-US-540-5774, 5 days
                                                           
                                                          NCT04292730
                                                          RCTremdesivirstandard of careCOVID-19 mild to moderatesome concern
                                                          199/200 conclusif
                                                          • demonstrated 65 % increase in clinical improvement (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                          Hung et al.
                                                           
                                                          NCT04276688
                                                          RCTlopinavir/ritonavir, ribavirin and interferon beta-1blopinavir/ritonavirCOVID-19 mild to moderatesome concern
                                                          86/41 conclusif
                                                          • demonstrated 3.4-fold increase in viral clearance ,viral clearance (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                          • suggested 2.9-fold increase in clinical improvement,clinical improvement (time to event analysis only) with a moderate degree of certainty due to some concern in risk of bias
                                                          Khamis RCTfavipiravir plus interferonstandard of careCOVID-19 mild to moderatesome concern
                                                          44/45 inconclusive
                                                            Krolewiecki
                                                             
                                                            NCT004381884
                                                            RCTivermectinstandard of careCOVID-19 mild to moderatesome concern
                                                            30/15 inconclusive
                                                              Li T
                                                               
                                                              NCT04273763
                                                              RCTbromhexinestandard of careCOVID-19 mild to moderatesome concern
                                                              12/6 suggested
                                                              • inconclusive 52 % decrease in clinical deterioration (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                              • suggested 9.0-fold increase in hospital discharge with a moderate degree of certainty due to some concern in risk of bias
                                                              NCT04542694
                                                               
                                                              NCT04542694
                                                              RCTfavipiravir standard of careCOVID-19 mild to moderatesome concern
                                                              100/100 suggested
                                                              • suggested 1.1-fold increase in clinical improvement,clinical improvement (7-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                              • suggested 12.0-fold increase in viral clearance with a moderate degree of certainty due to some concern in risk of bias
                                                              Ren
                                                               
                                                              ChiCTR2000029853
                                                              RCTazvudineantiviral and associated therapyCOVID-19 mild to moderatesome concern
                                                              10/10 suggested
                                                              • suggested 27.5-fold increase in viral clearance ,viral clearance by day 7 (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                              Rocco
                                                               
                                                              NCT04552483
                                                              RCTnitazoxanideplaceboCOVID-19 mild to moderatehigh
                                                              238/237 inconclusive
                                                              • inconclusive 19 % decrease in clinical improvement,clinical improvement (7-day) (PE) but with a low degree of certainty due to high risk of bias
                                                              Ruzhentsova T
                                                               
                                                              NCT04501783
                                                              RCTfavipiravir standard of careCOVID-19 mild to moderatesome concern
                                                              112/56 suggested
                                                              • suggested 63 % increase in clinical improvement,clinical improvement (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                              • inconclusive 28 % increase in viral clearance ,viral clearance (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                              • suggested 28 % increase in clinical improvement (14-day) with a moderate degree of certainty due to some concern in risk of bias
                                                              • suggested 50 % increase in clinical improvement (7-day) with a moderate degree of certainty due to some concern in risk of bias
                                                              Shahbaznejad
                                                               
                                                              IRCT20111224008507N3
                                                              RCTivermectinstandard of careCOVID-19 mild to moderatesome concern
                                                              35/38 inconclusive
                                                                Udwadia
                                                                 
                                                                CTRI/2020/05/025114
                                                                RCTfavipiravir standard of careCOVID 19 hospitalized, COVID-19 mild to moderatesome concern
                                                                75/75 safety concern
                                                                • inconclusive 37 % increase in viral clearance ,viral clearance (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                                • suggested 75 % increase in clinical improvement,clinical improvement (time to event analysis only),clinical improvement (28-day) with a moderate degree of certainty due to some concern in risk of bias
                                                                • suggested 94 % decrease in mechanical ventilation (time to event analysis only),mechanical ventilation with a moderate degree of certainty due to some concern in risk of bias
                                                                • statistically significant 5.4-fold increase in adverse events with a moderate degree of certainty due to some concern in risk of bias
                                                                Glorial F
                                                                 
                                                                NCT04343092
                                                                OBSivermectinstandard of careCOVID-19 mild to moderateNA
                                                                6/71 inconclusive
                                                                • inconclusive 10 % decrease in clinical improvement (PE)
                                                                Espitia-Hernandez NRaazithromycinstandard of careCOVID 19 outpatients, COVID-19 mild to moderateNA
                                                                28/7 uncontrolled
                                                                • [uncontrolled] negative PCR on day 10: 100.0% (28/28)
                                                                Espitia-Hernandez NRaivermectinstandard of careCOVID 19 outpatients, COVID-19 mild to moderateNA
                                                                28/7 uncontrolled
                                                                • [uncontrolled] negative PCR on day 10: 100.0% (28/28)
                                                                Spoorthi NRaivermectinplaceboCOVID 19 hospitalized, COVID-19 mild to moderateNA
                                                                50/50 uncontrolled
                                                                  Spoorthi NRadoxycyclineplaceboCOVID 19 hospitalized, COVID-19 mild to moderateNA
                                                                  50/50 uncontrolled

                                                                    COVID-19 severe or critically meta-analysis

                                                                    Galan
                                                                     
                                                                    RBR-8h7q82
                                                                    RCTivermectinchloroquine and derivativesCOVID-19 severe or criticallysome concern
                                                                    53/115 suggested
                                                                    • inconclusive 6 % decrease in deaths,deaths (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                                    • suggested 86 % decrease in mechanical ventilation with a moderate degree of certainty due to some concern in risk of bias
                                                                    Galan
                                                                     
                                                                    RBR-8h7q82
                                                                    RCTivermectinhydroxychloroquineCOVID-19 severe or criticallysome concern
                                                                    53/115 suggested
                                                                    • inconclusive 6 % decrease in deaths,deaths (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                                    • suggested 86 % decrease in mechanical ventilation with a moderate degree of certainty due to some concern in risk of bias
                                                                    Cao
                                                                     
                                                                    ChiCTR2000029308
                                                                    RCTlopinavir/ritonavirstandard of careCOVID-19 severe or criticallysome concern
                                                                    99/100 suggested
                                                                    • inconclusive 31 % increase in clinical improvement,clinical improvement (time to event analysis only) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                                    • suggested 94 % increase in clinical improvement (14-day) with a moderate degree of certainty due to some concern in risk of bias
                                                                    CAP-China (Wang et al.)
                                                                     
                                                                    NCT04257656
                                                                    RCTremdesivirplaceboCOVID-19 severe or criticallylow
                                                                    158/79 inconclusive
                                                                    • inconclusive 23 % increase in clinical improvement,clinical improvement (time to event analysis only) (PE) with a high degree of certainty due to low risk of bias
                                                                    COALITION II Covid-19 Brazil (Furtado)
                                                                     
                                                                    NCT04321278
                                                                    RCTazithromycinstandard of careCOVID-19 severe or criticallysome concern
                                                                    214/183 safety concern
                                                                    • inconclusive 26 % decrease in clinical improvement,clinical improvement (14-day) (PE) with a moderate degree of certainty due to some concern in risk of bias
                                                                    • statistically significant 6 % decrease in clinical improvement (7-day) with a moderate degree of certainty due to some concern in risk of bias
                                                                    Okumuş
                                                                     
                                                                    NCT04646109
                                                                    RCTivermectincontrolCOVID-19 severe or criticallyhigh
                                                                    30/30 inconclusive
                                                                      REMAP-CAP (lopinavir/ritonavir only)
                                                                       
                                                                      NCT02735707
                                                                      RCTlopinavir/ritonavirstandard of careCOVID-19 severe or criticallysome concern
                                                                      268/377 safety concern
                                                                      • statistically significant 17 % decrease in hospital discharge with a moderate degree of certainty due to some concern in risk of bias
                                                                      REMAP-CAP (lopinavir/ritonavir plus hydroxychloroquine)
                                                                       
                                                                      NCT02735707
                                                                      RCTLopinavir/ritonavir plus hydroxychloroquinestandard of careCOVID-19 severe or criticallysome concern
                                                                      29/377 safety concern
                                                                      • suggested 42 % decrease in deaths,deaths (time to event analysis only) with a moderate degree of certainty due to some concern in risk of bias
                                                                      • statistically significant 37 % decrease in hospital discharge with a moderate degree of certainty due to some concern in risk of bias
                                                                      Kocayigit H OBSfavipiravir lopinavir/ritonavirCOVID-19 severe or criticallyNA
                                                                      65/42 inconclusive
                                                                        Camprubi OBSivermectinstandard of careCOVID-19 severe or criticallyNA
                                                                        13/13 inconclusive
                                                                          Eslami
                                                                           
                                                                          IRCT20200324046850N2
                                                                          NRasofosbuvir and daclatasvirribavirinCOVID-19 severe or criticallyNA
                                                                          35/27 uncontrolled
                                                                          • [uncontrolled] deaths: 5.7% (2/35)
                                                                          • [uncontrolled] recovery rate: 94.3% (33/35)

                                                                          PE: primary endpoint; (a): to be demonstrated a result must be statistically significant on a primary endpoint (with multiplicity adjustment if necessary);
                                                                          Study risk of bias assessed for the study primary endpoint(s) or the main endpoints in case of no formally defined primary endpoint(s).