Across rheumatic diseases

Oral Antiviral Treatment for Coronavirus Disease (COVID-19) in Patients With Systemic Autoimmune Rheumatic Diseases

J RheumatolPublished Retrospective cohort study

Authors' conclusion

These data show a favorable outcome and acceptable safety profile of the 2 oral antiviral therapies MP and NM/R among a high-risk SARD population.

Study context

Population
Patients with systemic autoimmune rheumatic diseases (SARDs) followed in 2 tertiary outpatient rheumatology clinics, infected with SARS-CoV-2 between February and August 2022, who received molnupiravir (MP) or NM/R52 females
Participants
74 patients
Exposure
Molnupiravir or nirmatrelvir/ritonavir in SARDs
  • MPn = 26
  • NM/Rn = 48
Outcome
Recovery at home without COVID-19-related complications
Follow-up
During
Methodological details2 tertiary outpatient rheumatology clinics
  • 2 tertiary outpatient rheumatology clinics

Main finding

As reported in the abstract

Recovered at home without COVID-19-related complications (all but 2 patients)

72

97.3%

Presumptive COVID-19 rebound progressing to severe COVID-19

2

Observational data: associations, not effects.

Safety

Common adverse events (metallic taste, gastrointestinal upset, hypertension) — NM/R
4 events

Common adverse events (metallic taste, gastrointestinal upset, hypertension)

Reported only by patients receiving NM/R; not leading to drug discontinuation

Original publication

Oral Antiviral Treatment for COVID-19 in Patients With Systemic Autoimmune Rheumatic Diseases. J Rheumatol. Published 15 December 2022. doi:10.3899/jrheum.221014

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