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0 0.5 1 1.5 2+ Mortality 97% Improvement Relative Risk Hospitalization 60% Recovery, day 30 97% primary Recovery, day 15 71% Recovery, day 10 79% Recovery, day 5 71% Recovery time 58% Favipiravir  Qadir et al.  EARLY TREATMENT Is early treatment with favipiravir beneficial for COVID-19? Prospective study of 250 patients in Iraq (June 2020 - October 2021) Lower mortality (p<0.0001) and hospitalization (p=0.0013) c19early.org Qadir et al., Int. J. Applied Sciences.., May 2022 Favors favipiravir Favors control

Efficacy of Favipiravir in the Treatment of Mild to Moderate COVID-19 Patients in Erbil: A Controlled Clinical Trial

Qadir et al., International Journal of Applied Sciences: Current and Future Research Trends, 13:1
May 2022  
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Prospective study with 125 favipiravir patients and 125 patients declining favipiravir treatment, showing lower mortality and improved recovery with treatment. All patients received vitamin C, D, and zinc. Favipiravir 3200mg day 1, followed by 600mg bid days 2-10.
risk of death, 97.1% lower, RR 0.03, p < 0.001, treatment 0 of 125 (0.0%), control 17 of 125 (13.6%), NNT 7.4, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm), day 30.
risk of hospitalization, 60.0% lower, RR 0.40, p = 0.001, treatment 14 of 125 (11.2%), control 35 of 125 (28.0%), NNT 6.0.
risk of no recovery, 97.1% lower, RR 0.03, p < 0.001, treatment 0 of 125 (0.0%), control 17 of 125 (13.6%), NNT 7.4, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm), day 30, primary outcome.
risk of no recovery, 70.8% lower, RR 0.29, p < 0.001, treatment 14 of 125 (11.2%), control 48 of 125 (38.4%), NNT 3.7, day 15.
risk of no recovery, 78.8% lower, RR 0.21, p < 0.001, treatment 14 of 125 (11.2%), control 66 of 125 (52.8%), NNT 2.4, day 10.
risk of no recovery, 70.6% lower, RR 0.29, p < 0.001, treatment 32 of 125 (25.6%), control 109 of 125 (87.2%), NNT 1.6, day 5.
recovery time, 58.1% lower, relative time 0.42, p < 0.001, treatment 125, control 125.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Qadir et al., 23 May 2022, prospective, Iraq, peer-reviewed, 3 authors, study period 22 June, 2020 - 25 October, 2021.
This PaperFavipiravirAll
International Journal of Applied Sciences: Current and Future Research Trends
Hiwa Khalid Qadir, Hama Nejm Jaff, Hemin Khalid Saber
Background and objectives: Favipiravir (FAV) is considered to have potential efficacy against the SARS-CoV-2 virus. We aimed to explore the efficacy of favipiravir in the treatment of mild and moderate cases of COVID-19 pneumonia. Methods: 250 patients of mild and moderate COVID-19 patients confirmed by reverse transcription-polymerase chain reaction (RT-PCR) were included from 22 nd of June 2020 till 25 th of October 2021, aged 18 to 90 years, 125 patients received FAV 3200 mg no day 1 followed by 600 mg twice daily (from day 2 -day 10). In another group, 125 patients did not receive favipiravir (SOC, standard of care group). They received paracetamol, vitamins D, and C plus Zinc, and azithromycin within the first 10 days of symptoms' onset. In both groups, the patients were monitored for clinical recovery on the 5 th ,10 th, 15 th days and after one month of receiving the therapeutic trials. Patients were enrolled from Rizgari Teaching Hospital, and from an outpatient respiratory private clinic. Both arms were comparable as regards demographic characteristics, severity, and comorbidities. It was a non-randomized -controlled trial. Results: On day five, the rate of clinical improvement in the FAV group (74.4%) was significantly (p < 0.001) higher than the rate in the SOC group (12.8%). On day 10, the mentioned rate was 88.8% in the FAV group compared with 47.2% in the SOC group (p < 0.001). The median time of clinical recovery was 6.5 days in the FAV group vs.
References
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Udwadia, Singh, Barkate, Patil, Rangwala et al., Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: A randomized, comparative, open-label, multicenter, phase 3 clinical trial, International Journal of Infectious Diseases
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