Rapid review and meta-analysis of adverse events associated with molnupiravir in patients with COVID-19.
Br J Clin Pharmacol
; 88(10): 4403-4411, 2022 10.
Article
in English
| MEDLINE | ID: covidwho-1909336
ABSTRACT
AIMS:
The aim of this study was to evaluate the safety profile of molnupiravir in COVID-19 patients.METHODS:
PubMed, Cochrane Library, medRxive and Google Scholar were searched for articles published up to April 25, 2022. Meta-analysis was performed using Comprehensive Meta-Analysis software.RESULTS:
Four trials involving 2241 patients met the inclusion criteria. No significant difference was observed between molnupiravir at 200, 400 and 800 mg compared with placebo (200 mg risk ratio [RR] = 0.97; 95% confidence interval [CI] 0.78-1.20; P = .80; 400 mg RR = 0.81; 95% CI 0.64-1.02; P = .07; 800 mg RR = 0.94; 95% CI 0.83-1.06; P = .36) for any adverse events (AEs); at 200, 400 and 800 mg compared with placebo (200 mg RR = 0.81; 95% CI 0.41-1.63; P = .57; 400 mg RR = 0.82; 95% CI 0.41-1.61; P = .56; 800 mg RR = 0.80; 95% CI 0.59-1.08; P = .15) for serious adverse events; at 200, 400 and 800 mg compared with placebo (200 mg RR = 1.74; 95% CI 0.48-6.30; P = .39; 400 mg RR = 1.07; 95% CI 0.28-4.09; P = .91; 800 mg RR = 0.47; 95% CI 0.17-1.28; P = .14) for AEs leading to death; and at 200, 400 and 800 mg compared with placebo (200 mg RR = 1.50; 95% CI 0.26-8.55; P = .64; 400 mg RR = 0.99; 95% CI 0.17-5.68; P = .99; 800 mg RR = 0.61; 95% CI 0.31-1.23; P = .17) for treatment discontinuation due to AEs.CONCLUSION:
This meta-analysis showed that the use of three doses of molnupiravir (200, 400 and 800 mg) is safe for COVID-19 patients. Further research is needed to confirm the present findings.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19 Drug Treatment
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
/
Reviews
Topics:
Vaccines
Limits:
Humans
Language:
English
Journal:
Br J Clin Pharmacol
Year:
2022
Document Type:
Article
Affiliation country:
Bcp.15449
Similar
MEDLINE
...
LILACS
LIS