Outcome |
Relative effect 95%CI |
LoD |
Trt. better when |
|
I2 |
k (RCT/OBS)
|
Bayesian probability
|
Overall ROB
|
Publication bias |
Degree of certainty |
Endpoint importance |
Published MA |
efficacy endpoints 00 |
death D28 | 0.92 [0.88, 0.97] | | < 1 | | 22% | 92 studies (92/-) | 100.0 % | some concern | critical | moderate | crucial | - |
death or transfer to ICU | 0.84 [0.62, 1.13] | | < 1 | | 53% | 5 studies (5/-) | 87.2 % | some concern | serious | moderate | crucial | - |
deaths | 0.92 [0.89, 0.95] | | < 1 | | 15% | 183 studies (183/-) | 100.0 % | some concern | critical | moderate | crucial | 1 |
deaths (time to event analysis only) | 0.88 [0.81, 0.96] | | < 1 | | 42% | 37 studies (37/-) | 99.8 % | some concern | critical | moderate | crucial | - |
clinical deterioration | 0.78 [0.67, 0.91] | | < 1 | | 47% | 40 studies (40/-) | 99.9 % | some concern | low | moderate | important | - |
clinical improvement | 1.17 [1.09, 1.26] | | > 1 | | 52% | 56 studies (56/-) | 100.0 % | some concern | critical | moderate | important | - |
clinical improvement (14-day) | 1.20 [1.05, 1.36] | | > 1 | | 47% | 30 studies (30/-) | 99.7 % | some concern | low | moderate | important | - |
clinical improvement (21-day) | 1.59 [0.28, 8.93] | | > 1 | | 0% | 2 studies (2/-) | 70.1 % | some concern | not evaluable | moderate | important | - |
clinical improvement (28-day) | 1.30 [1.13, 1.50] | | > 1 | | 44% | 23 studies (23/-) | 100.0 % | some concern | critical | moderate | important | - |
clinical improvement (7-day) | 1.23 [1.05, 1.44] | | > 1 | | 48% | 20 studies (20/-) | 99.5 % | some concern | critical | moderate | important | - |
clinical improvement (time to event analysis only) | 1.16 [1.08, 1.26] | | > 1 | | 44% | 35 studies (35/-) | 100.0 % | some concern | critical | moderate | important | - |
death or ventilation | 0.92 [0.88, 0.97] | | < 1 | | 51% | 39 studies (39/-) | 100.0 % | some concern | critical | moderate | important | - |
hospital discharge | 1.04 [0.99, 1.08] | | > 1 | | 52% | 31 studies (31/-) | 94.5 % | some concern | low | moderate | important | - |
hospitalization | 1.58 [0.92, 2.70] | | < 1 | | 0% | 2 studies (2/-) | 4.8 % | some concern | not evaluable | moderate | important | - |
mechanical ventilation | 0.88 [0.81, 0.96] | | < 1 | | 29% | 61 studies (61/-) | 99.7 % | some concern | critical | moderate | important | 1 |
mechanical ventilation (time to event analysis only) | 0.79 [0.47, 1.33] | | < 1 | | 22% | 5 studies (5/-) | 81.2 % | some concern | serious | moderate | important | - |
radiologic improvement (14-day) | 1.74 [1.09, 2.79] | | > 1 | | 48% | 9 studies (9/-) | 99.0 % | some concern | not evaluable | moderate | important | - |
radiologic improvement (7-day) | 0.82 [0.07, 9.29] | | > 1 | | 66% | 4 studies (4/-) | 43.5 % | some concern | not evaluable | moderate | important | - |
viral clearance | 1.99 [1.45, 2.74] | | > 1 | | 76% | 22 studies (22/-) | 100.0 % | some concern | critical | moderate | important | - |
viral clearance (time to event analysis only) | 1.48 [1.06, 2.06] | | > 1 | | 70% | 6 studies (6/-) | 99.0 % | some concern | serious | moderate | important | - |
viral clearance by day 14 | 1.01 [0.66, 1.55] | | > 1 | | 91% | 16 studies (16/-) | 52.5 % | some concern | low | moderate | important | - |
viral clearance by day 7 | 1.21 [0.99, 1.48] | | > 1 | | 48% | 18 studies (18/-) | 96.8 % | some concern | critical | moderate | important | - |
ICU admission | 0.85 [0.73, 0.99] | | < 1 | | 10% | 31 studies (31/-) | 98.0 % | some concern | low | moderate | non important | - |
Major thrombotic events or death | 0.80 [0.44, 1.46] | | < 1 | | 73% | 2 studies (2/-) | 76.3 % | some concern | not evaluable | moderate | non important | - |
off oxygenation | 0.98 [0.64, 1.51] | | > 1 | | 0% | 1 study (1/-) | 46.4 % | NA | not evaluable | | non important | - |
recovery | 1.09 [0.98, 1.21] | | > 1 | | 40% | 15 studies (15/-) | 95.1 % | some concern | critical | moderate | non important | - |
severe COVID-19 occurrence | 0.30 [0.07, 1.27] | | < 1 | | 0% | 1 study (1/-) | 94.9 % | NA | not evaluable | | non important | - |
safety endpoints 00 |
AE leading to drug discontinuation | 2.43 [0.79, 7.45] | | < 1 | | 0% | 1 study (1/-) | 6.0 % | NA | not evaluable | | important | - |
cardiac arrest | 1.92 [0.35, 10.49] | | < 1 | | 0% | 1 study (1/-) | 22.7 % | NA | not evaluable | | important | - |
composite safety outcome | 1.56 [0.78, 3.11] | | < 1 | | 0% | 1 study (1/-) | 10.3 % | NA | not evaluable | | important | - |
related AE (TRAE) | 1.26 [0.14, 11.07] | | < 1 | | 0% | 2 studies (2/-) | 41.9 % | some concern | not evaluable | moderate | important | - |
related SAE (TRSAE) | 1.29 [0.53, 3.11] | | < 1 | | 0% | 2 studies (2/-) | 28.9 % | some concern | not evaluable | moderate | important | - |
serious adverse events | 0.99 [0.88, 1.11] | | < 1 | | 16% | 50 studies (50/-) | 57.7 % | some concern | low | moderate | important | - |
superinfection | 0.70 [0.46, 1.07] | | < 1 | | 53% | 4 studies (4/-) | 95.0 % | low | not evaluable | high | important | - |
acute kidney injury | 1.18 [0.44, 3.18] | | < 1 | | 0% | 1 study (1/-) | 37.2 % | NA | not evaluable | | non important | - |
adverse events | 1.47 [1.23, 1.75] | | < 1 | | 54% | 42 studies (42/-) | 0.0 % | some concern | low | moderate | non important | - |
arrhythmia | 0.91 [0.72, 1.15] | | < 1 | | 0% | 3 studies (3/-) | 78.1 % | some concern | not evaluable | moderate | non important | - |
deep vein thrombosis | 0.62 [0.23, 1.64] | | < 1 | | 0% | 2 studies (2/-) | 83.1 % | some concern | not evaluable | moderate | non important | - |
elevated liver enzymes | 0.95 [0.29, 3.10] | | < 1 | | 84% | 3 studies (3/-) | 53.6 % | some concern | not evaluable | moderate | non important | - |
hyperbilirubinemia | 0.97 [0.48, 1.93] | | < 1 | | 0% | 2 studies (2/-) | 53.8 % | low | not evaluable | high | non important | - |
long QT | 2.39 [0.24, 23.87] | | < 1 | | 80% | 2 studies (2/-) | 23.0 % | some concern | not evaluable | moderate | non important | - |
Major bleeding | 1.80 [1.18, 2.75] | | < 1 | | 0% | 5 studies (5/-) | 0.3 % | some concern | serious | moderate | non important | - |
pulmonary embolism | 0.82 [0.20, 3.29] | | < 1 | | 0% | 2 studies (2/-) | 61.1 % | some concern | not evaluable | moderate | non important | - |
renal impairment | 1.26 [0.95, 1.67] | | < 1 | | 0% | 4 studies (4/-) | 5.6 % | some concern | not evaluable | moderate | non important | - |
serious adverse events (SAE), any | 0.50 [0.32, 0.79] | | < 1 | | 0% | 1 study (1/-) | 99.9 % | NA | not evaluable | | non important | - |
AE of interest endpoints 00 |
Thromboembolic events | 0.96 [0.73, 1.27] | | < 1 | | 0% | 3 studies (3/-) | 60.5 % | some concern | not evaluable | moderate | non important | - |