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Table 4 Summary of previous studies of RDV adverse effects (select) in pediatric patients

From: Adverse effects of remdesivir for the treatment of acute COVID-19 in the pediatric population: a retrospective observational study

 

Mendez-Echevarria et al. (2020) [20]

Goldman et al. (2021) [16]

CARAVAN study, interim results (2022) [14]

Manabe et al. (2022) [18]

Jugulete et al. (2023) [19]

Samuel et al. (2023) [15]

Methodology and study sample

Multicenter observational study of children < 16 y/o approved for compassionate-use RDV during March 2020

Multicenter observational study of children < 18 y/o approved for compassionate-use RDV from March to April 2020

Multicenter, phase 2/3 single arm, open-label study of children < 18 y/o

Single-center, retrospective observational study of patients ≤ 19 y/o with mild-severe COVID-19 from February to June 2020

Single-center, retrospective cohort study of patients < 18 y/o with mild-severe COVID-19 who received RDV vs. symptomatic treatment alone† from July 2020 to September 2022

Single-center, retrospective observational study of patients < 18 y/o with severe COVID-19 from October 2020 to February 2022

Country

Spain

International (USA, Spain, UK, Italy, France, Germany)

International (USA, Spain, UK, Italy)

Japan

Romania

USA

Sample size (n)

8

77

53

20

126

48

Patients on invasive respiratory support at baseline

4 (50)

39 (51)

12 (23)

0

0

0

Maximum duration of RDV (days)

10

10

10

10

10

5

Adverse event, n (%)

      

 Hypotension

0

-

-

0

-

-

 Hypertension

0

1 (1)

4 (8)

0

-

26 (54)

 Bradycardia

0

1 (1)

3 (6)

0

-

6 (13)

 Acute kidney injury

0

1 (1)

6 (11)

0

0

0

 AST increased

0

4 (5)

-

4 (20)

78 (62)*

0*

 ALT increased

0

5 (7)

4 (8)*

3 (15)

68 (54)*

0*

 Serious AE

0

12 (16)**

0

0

0

0

 Discontinued RDV

0

5

2

0

0

-

  1. RDV remdesivir, AST aspartate aminotransferase, ALT alanine aminotransferase, AE adverse effect
  2. *Defined as > 5 Ă— upper limit of normal
  3. **Majority of serious AEs were attributed to COVID-19 or comorbidities
  4. †Study is limited by the lack of inclusion criteria to delineate which patients received RDV vs. symptomatic treatment alone