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. 2023 Apr 8;5(3):65–73. doi: 10.37737/ace.23009

Table 2. Observational studies for molnupiravir.

Authors Participants Design Place Period Dominant strain No. of patients Vaccination status Primary outcome Reference
Suzuki, Yasuhito et al. mild-moderate COVID-19 patients with risk factors for progression to severe diseases retrospective cohort study multicenter in Fukushima, Japan January–April, 2022 omicron molnupiravir: 230
control: 690
(after propensity score matching)
vaccinated at least twice
molnupiravir: 81.7%
control: 82.2%
any deterioration
aOR 0.448, 95% CI 0.206–0.973
all-cause death
no significant difference (effect size not shown)
26
Wong, Carlos K H et al. hospitalized patients not requiring oxygen therapy on admission retrospective cohort study database of Hospital Authority, the Department of Health, and the Hong Kong Death Registry February–April, 2022 omicron molnupiravir: 1,856
control: 1,856
(after propensity score matching)
vaccinated at least twice
molnupiravirr: 6.2%
control: 9.0%
all-cause mortality
HR 0.48, 95% CI 0.40–0.59
23
Wong, Carlos K H et al. ambulatory mild to moderate Covid-19 patients with risk of progressing to severe disease retrospective cohort study public inpatient and outpatient services in Hong Kong February–June, 2022 omicron molnupiravir: 4983
control: 49234
vaccinated at least twice
molnupiravir: 16.1%
control: 33.2%
all-cause mortality
HR 0.76, 95% CI 0.61–0.95
hospitalisation
HR 0.98, 95% CI 0.89–1.06
In-hospital disease progression
HR 0.57, 95% CI 0.43–0.79
24
Wai, Abraham Ka-Chung et al. mild to moderate COVID-19 patients risk factors for progression to severe diseases retrospective cohort study database of Hospital Authority, Hong Kong February–March, 2022 omicron molnupiravir: 20,224
control: 20,057
data not available
82.6% of population vaccinated twice
28-day all-cause mortality
HR 0.31, 95% CI 0.24–0.40
25

HR = hazard ratio, CI = confidence interval, aOR = adjusted odds ratio