The fragmented COVID-19 therapeutics research landscape: a living systematic review of clinical trial registrations evaluating priority pharmacological interventions. Article Swipe
Alistair R.D. McLean
,
Sumayyah Rashan
,
Lien Tran
,
Lorenzo Arena
,
AbdulAzeez Lawal
,
Brittany Maguire
,
Sandra Adele
,
Emilia Antonio
,
Matthew Brack
,
Fiona Caldwell
,
Verena I. Carrara
,
Reema Charles
,
Barbara Wanjiru Citarella
,
Terrence Epie
,
Vitalis Fambombi Feteh
,
Kalynn Kennon
,
Gerald Jamberi Makuka
,
Roland Cheofor Ngu
,
Amen-Patrick Nwosu
,
Sopuruchukwu Obiesie
,
Chinwe Ogbonnaa-Njoku
,
Parvesh Paul
,
Caitlin Richmond
,
Sauman Singh-Phulgenda
,
Samantha Strudwick
,
Carina S.B. Tyrrell
,
Kasia Stepniewska
,
Nathalie Strub‐Wourgaft
,
Nicholas J. White
,
Philippe J. Guérin
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.12688/wellcomeopenres.17284.1
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.12688/wellcomeopenres.17284.1
Background: Many available medicines have been evaluated as potential repurposed treatments for coronavirus disease 2019 (COVID-19). We summarise the registered study landscape for 32 priority pharmacological treatments identified following consultation with external experts of the COVID-19 Clinical Research Coalition. Methods: All eligible trial registry records identified by systematic searches of the World Health Organisation International Clinical Trials Registry Platform as of 26th May 2021 were reviewed and extracted. A descriptive summary of study characteristics was performed. Results: We identified 1,314 registered studies that included at least one of the 32 priority pharmacological interventions. The majority (1,043, 79%) were randomised controlled trials (RCTs). The sample size of the RCTs identified was typically small (median (25th, 75th percentile) sample size = 140 patients (70, 383)), i.e. individually powered only to show very large effects. The most extensively evaluated medicine was hydroxychloroquine (418 registered studies). Other widely studied interventions were convalescent plasma (n=208), ritonavir (n=189) usually combined with lopinavir (n=181), and azithromycin (n=147). Very few RCTs planned to recruit participants in low-income countries (n=14; 1.3%). A minority of studies (348, 26%) indicated a willingness to share individual participant data. The living systematic review data are available at https://iddo.cognitive.city Conclusions: There are many registered studies planning to evaluate available medicines as potential repurposed treatments of COVID-19. Most of these planned studies are small, and therefore substantially underpowered for most relevant endpoints. Very few are large enough to have any chance of providing enough convincing evidence to change policies and practices. The sharing of individual participant data (IPD) from these studies would allow pooled IPD meta-analyses which could generate definitive conclusions, but most registered studies did not indicate that they were willing to share their data.
Related Topics
Concepts
Psychological intervention
Coronavirus disease 2019 (COVID-19)
Systematic review
Medicine
Clinical trial
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
2019-20 coronavirus outbreak
MEDLINE
Nursing
Virology
Biology
Pathology
Disease
Biochemistry
Infectious disease (medical specialty)
Outbreak
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.12688/wellcomeopenres.17284.1
- OA Status
- gold
- Cited By
- 9
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4206932673
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4206932673Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.12688/wellcomeopenres.17284.1Digital Object Identifier
- Title
-
The fragmented COVID-19 therapeutics research landscape: a living systematic review of clinical trial registrations evaluating priority pharmacological interventions.Work title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-01-25Full publication date if available
- Authors
-
Alistair R.D. McLean, Sumayyah Rashan, Lien Tran, Lorenzo Arena, AbdulAzeez Lawal, Brittany Maguire, Sandra Adele, Emilia Antonio, Matthew Brack, Fiona Caldwell, Verena I. Carrara, Reema Charles, Barbara Wanjiru Citarella, Terrence Epie, Vitalis Fambombi Feteh, Kalynn Kennon, Gerald Jamberi Makuka, Roland Cheofor Ngu, Amen-Patrick Nwosu, Sopuruchukwu Obiesie, Chinwe Ogbonnaa-Njoku, Parvesh Paul, Caitlin Richmond, Sauman Singh-Phulgenda, Samantha Strudwick, Carina S.B. Tyrrell, Kasia Stepniewska, Nathalie Strub‐Wourgaft, Nicholas J. White, Philippe J. GuérinList of authors in order
- Landing page
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https://doi.org/10.12688/wellcomeopenres.17284.1Publisher landing page
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://doi.org/10.12688/wellcomeopenres.17284.1Direct OA link when available
- Concepts
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Psychological intervention, Coronavirus disease 2019 (COVID-19), Systematic review, Medicine, Clinical trial, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), 2019-20 coronavirus outbreak, MEDLINE, Nursing, Virology, Biology, Pathology, Disease, Biochemistry, Infectious disease (medical specialty), OutbreakTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 4, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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18Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.75<ns5:sup>th</ns5:sup> | 114 |
| abstract_inverted_index.(25<ns5:sup>th</ns5:sup>, | 113 |
| abstract_inverted_index.Coalition.</ns5:p><ns5:p> | 38 |
| abstract_inverted_index.performed.</ns5:p><ns5:p> | 75 |
| abstract_inverted_index.<ns5:bold>Methods:</ns5:bold> | 39 |
| abstract_inverted_index.<ns5:bold>Results:</ns5:bold> | 76 |
| abstract_inverted_index.<ns5:bold>Conclusions:</ns5:bold> | 198 |
| abstract_inverted_index.<ns5:p><ns5:bold>Background:</ns5:bold> | 0 |
| abstract_inverted_index.xmlns:ns6="http://www.w3.org/1999/xlink" | 195 |
| abstract_inverted_index.ns6:href="https://iddo.cognitive.city/cognitive/welcome">https://iddo.cognitive.city</ns5:ext-link></ns5:p><ns5:p> | 197 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5002458341 |
| countries_distinct_count | 6 |
| institutions_distinct_count | 30 |
| corresponding_institution_ids | https://openalex.org/I25399158, https://openalex.org/I4210126604, https://openalex.org/I4210155930 |
| citation_normalized_percentile.value | 0.88723127 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |