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. 2023 Aug 17;83(13):1215–1237. doi: 10.1007/s40265-023-01926-0

Table 2.

Efficacy of remdesivir in hospitalized patients with moderate or severe COVID-19 in the phase III SIMPLE trials

Endpoints SIMPLE-severe [30] SIMPLE-moderate [35]
5-day REMa (n = 200) 10-day REMa (n = 197) 5-day REMa (n = 191) 10-day REMa (n = 193) SOC (n = 200)
Clinical status at day 11 [35] or 14 [30]b (% of pts)
 1: Death 8 11 0 1 2
 2: Hospitalized, requiring IMV or ECMO 8 17 0 1 2
 3: Hospitalized, requiring NIV or high-flow O2 4 5 3 0 4
 4: Hospitalized, requiring low-flow supplemental O2 10 7 4 6 6
 5: Hospitalized, not requiring supplemental O2 but requiring ongoing medical care 6 7 20 23 23
 6: Hospitalized, not requiring supplemental O2 or ongoing medical care 4 2 4 5 4
 7: Not hospitalized 60 52 70 65 60
Clinical improvementc (% of pts)
 Day 5 16 15 32 37 33
 Day 7 36 27 56 48 47
 Day 11 58 49 70 65 61
 Day 14 64 54 76 77 68
 Day 28 NR NR 90 90 83
Recoveryd (% of pts)
 Day 5 16 14 35 38 36
 Day 7 36 26 60 49 51
 Day 11 58 49 74 68 64
 Day 14 64 54 80 79 73
 Day 28 NR NR 92 92 85

Efficacy was assessed in randomized pts who received ≥ 1 dose of REM (or for the SOC group, had the day-1 visit)

BL baseline, ECMO extracorporeal membrane oxygenation, IMV invasive mechanical ventilation, NIV non-invasive ventilation, NR not reported, O2 oxygen, pts patients, REM remdesivir, SOC standard of care

aIntravenous infusion of 200 mg on day 1 and 100 mg on subsequent days

bPrimary endpoint, measured on a 7-point ordinal scale

cDefined as improvement of ≥ 2 points from BL on a 7-point ordinal scale

dDefined as improvement from a BL score of 2–5 to a score of 6–7 [30, 35] or from a BL score of 6 to a score of 7 [35]