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Research ArticleSystematic Review

Nirmatrelvir/Ritonavir Regimen for Mild/Moderately Severe COVID-19: A Rapid Review With Meta-Analysis and Trial Sequential Analysis

George N. Okoli, Nicole Askin and Rasheda Rabbani
The Annals of Family Medicine July 2024, 22 (4) 336-346; DOI: https://doi.org/10.1370/afm.3120
George N. Okoli
1George and Fay Yee Centre for Healthcare Innovation, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
2College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
MD, PhD
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  • For correspondence: george.okoli@umanitoba.ca
Nicole Askin
3Neil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, Manitoba, Canada
MLIS
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Rasheda Rabbani
1George and Fay Yee Centre for Healthcare Innovation, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
PhD
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SUPPLEMENTAL MATERIALS IN PDF FILE BELOW

Supplemental Appendix. Search Strategy for OVID MEDLINE and Epub Ahead of Print, In-Process, In-Data Review, & Other Non-Indexed Citations and Daily <January 2022 to May23, 2023>

Supplemental Table 1. Additional Characteristics of the Included RCTs

Supplemental Table 2. Risk of Bias Assessment for the Included Randomized Controlled Trials

Supplemental Table 3. Study Quality Assessment for the Included Real-World Studies

Supplemental Table 4. Grading of the Evidence for the Outcomes from Randomized Controlled Trials (RCTs) among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 1. Forest plot of nirmatrelvir/ritonavir vs no treatment/placebo for reducing worsening severity among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 2. Forest plot of nirmatrelvir/ritonavir vs no treatment/placebo for viral clearance among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 3. Forest plot of nirmatrelvir/ritonavir vs no treatment/placebo for adverse events among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 4.  Forest plot of nirmatrelvir/ritonavir vs no treatment/placebo for serious adverse events among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 5.  Forest plot of nirmatrelvir/ritonavir vs no treatment/placebo against all-cause mortality among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 6. Trial sequential analysis of nirmatrelvir/ritonavir vs no treatment/placebo for worsening COVID-19 severity among adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 7. Trial sequential analysis of nirmatrelvir/ritonavir vs no treatment/placebo for viral clearance in adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 8. Trial sequential analysis of nirmatrelvir/ritonavir vs no treatment/placebo for adverse events in adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 9. Trial sequential analysis of nirmatrelvir/ritonavir vs no treatment/placebo for serious adverse events in adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)

Supplemental Figure 10. Trial sequential analysis of nirmatrelvir/ritonavir vs no treatment/placebo for reducing all-case mortality in adults with laboratory-confirmed mild/moderately severe COVID-19 (RCTs)


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