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. Author manuscript; available in PMC: 2023 Apr 19.
Published in final edited form as: N Engl J Med. 2023 Mar 2;388(9):792–803. doi: 10.1056/NEJMoa2208449

Table 3. Safety Outcomes.*.

Outcome Doxycycline (N = 263) Azithromycin (N = 261) Combination Therapy (N =262) All Patients (N =786) P Value
Combination Therapy vs. Doxycycline Combination Therapy vs. Azithromycin Azithromycin vs. Doxycycline
number of patients (percent)
Grade 3 or higher adverse event
     Any 21(8) 29 (11) 29 (11) 79 (10) 0.24 1.00 0.24
     Possibly treatment-related 0 0 1 (<1)§ 1 (<1) NA NA NA
Serious adverse event
     Any 30 (11) 36 (14) 31 (12) 97 (12) 0.89 0.52 0.43
     Death 27 (10) 30 (11) 31 (12) 88 (11) 0.58 1.00 0.68
     Life-threatening event 3(1) 5(2) 0 8(1) NA NA NA
     Prolongation of hospitalization 0 1 (<1) 0 1 (<1) NA NA NA
Any drug discontinuation 13(5) 17(7) 12 (5) 42 (5) 1.00 0.35 0.46
*

The safety population included all the patients who had received at least one dose of a trial drug. NA denotes not applicable.

P values were calculated with the use of Fisher’s exact test.

The investigators made the determination regarding whether an adverse event was possibly related to a trial drug.

§

One patient had altered behavior and an episode of self-limiting generalized tonic-clonic seizures, which was considered to be possibly treatment-related. The patient recovered fully and survived.

In the doxycycline group, one patient had a seizure and cardiac arrest, one had pulmonary edema, and one had severe hypotension. In the azithromycin group, three patients had respiratory failure, one patient had a cardiac arrest secondary to hypoxia, and one had hypotension, myocarditis, and acute respiratory distress syndrome.