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0 0.5 1 1.5 2+ Hospitalization 46% Improvement Relative Risk Improvement, D14 46% Improvement, D10 52% Improvement, D5 25% Viral clearance, D14 59% Viral clearance, D10 81% Viral clearance, D5 78% c19mp.com Tippabhotla et al. Molnupiravir for COVID-19 RCT EARLY Favors molnupiravir Favors control
Tippabhotla, 1,220 patient molnupiravir early treatment RCT: 46% lower hospitalization [p=0.26], 46% better improvement [p<0.0001], and 59% improved viral clearance [p<0.0001] https://c19p.org/tippabhotla
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Efficacy and Safety of Molnupiravir for the Treatment of Non-Hospitalized Adults With Mild COVID-19: A Randomized, Open-Label, Parallel-Group Phase 3 Trial
Tippabhotla et al., SSRN Electronic Journal, doi:10.2139/ssrn.4042673
24 Feb 2022    Source   PDF   Share   Tweet
RCT 1,220 patients in India, showing lower risk of hospitalization and improved recovery with treatment. CTRI/2021/07/034588.
Concerns have been raised that the mutagenic mechanism of action may create dangerous variants or cause cancer [Hadj Hassine, Swanstrom].
risk of hospitalization, 46.2% lower, RR 0.54, p = 0.26, treatment 7 of 610 (1.1%), control 13 of 610 (2.1%), NNT 102, day 28.
risk of no improvement, 46.4% lower, RR 0.54, p < 0.001, treatment 67 of 610 (11.0%), control 125 of 610 (20.5%), NNT 11, day 14.
risk of no improvement, 52.3% lower, RR 0.48, p < 0.001, treatment 199 of 610 (32.6%), control 417 of 610 (68.4%), NNT 2.8, day 10.
risk of no improvement, 24.8% lower, RR 0.75, p < 0.001, treatment 433 of 610 (71.0%), control 576 of 610 (94.4%), NNT 4.3, day 5.
risk of no viral clearance, 59.2% lower, RR 0.41, p < 0.001, treatment 42 of 610 (6.9%), control 103 of 610 (16.9%), NNT 10.0, day 14.
risk of no viral clearance, 81.0% lower, RR 0.19, p < 0.001, treatment 62 of 610 (10.2%), control 327 of 610 (53.6%), NNT 2.3, day 10.
risk of no viral clearance, 77.6% lower, RR 0.22, p < 0.001, treatment 113 of 610 (18.5%), control 505 of 610 (82.8%), NNT 1.6, day 5.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Tippabhotla et al., 2/24/2022, Randomized Controlled Trial, India, peer-reviewed, 5 authors, study period 1 July, 2021 - 24 August, 2021, average treatment delay 3.0 days.
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