PMID- 35535140 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231105 IS - 1178-7074 (Print) IS - 1178-7074 (Linking) VI - 15 DP - 2022 TI - Evaluation of the Safety and Efficacy of Favipiravir in Adult Indian Patients with Mild-to-Moderate COVID-19 in a Real-World Setting. PG - 4551-4563 LID - 10.2147/IJGM.S349241 [doi] AB - PURPOSE: To evaluate the safety and efficacy of favipiravir, which is prescribed for the treatment of patients with mild-to-moderate coronavirus disease 2019 (COVID-19) in India. PATIENTS AND METHODS: This was a prospective, open-label, multicenter, single-arm postmarketing study conducted in India. Patients with mild-to-moderate COVID-19 received favipiravir (3600 mg [1800 mg orally twice daily] on the first day, followed by 800 mg orally twice daily, up to a maximum of 14 days) as a part of their treatment. The primary endpoints were to evaluate the safety of favipiravir by assessing the number of adverse events (AEs) and treatment-related AEs. The secondary endpoints were to evaluate the efficacy of favipiravir by assessing time to clinical cure, rate of clinical cure, time to pyrexia resolution, rate of oxygen requirement, and all-cause mortality. RESULTS: A total of 1083 patients were enrolled in this study from December 2020 to June 2021. Adverse events were reported in 129 patients (11.9%), 116 (10.7%) of whom had mild AEs. Dose modification or withdrawal of favipiravir treatment was reported in four patients (0.37%). The median time to clinical cure and pyrexia resolution was 7 and 4 days, respectively. A total of 1036 patients (95.8%) exhibited clinical cure by day 14. Oxygen support was required by 15 patients (1.4%). One death was reported, which was unrelated to favipiravir. CONCLUSION: In the real-world setting, favipiravir was well-tolerated, and no new safety signals were detected. CI - (c) 2022 Reddy et al. FAU - Reddy, Pavan Kumar AU - Reddy PK AD - Critical Care Medicine, Care Hospital, Hyderabad, Telangana, India. FAU - Patil, Saiprasad AU - Patil S AD - Global Medical Affairs, Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. FAU - Khobragade, Akash AU - Khobragade A AD - St. George's Hospital, Mumbai, Maharashtra, India. FAU - Balki, Akash AU - Balki A AD - Shree Hospital & Critical Care Center, Nagpur, Maharashtra, India. FAU - Raj, Aneesh AU - Raj A AD - NIMS Medicity, Trivandrum, Kerala, India. FAU - Kalikar, Mrunalini AU - Kalikar M AD - Department of Pharmacology, Government Medical College, Nagpur, Maharashtra, India. FAU - Reddy, Raghavendra AU - Reddy R AD - Renova Neelima Hospitals, Hyderabad, Telangana, India. FAU - Shinde, Ravindra AU - Shinde R AD - Respiratory Medicine, Dr Vasantrao Pawar Medical College, Nashik, Maharashtra, India. FAU - Cr, Jayanthi AU - Cr J AD - Bangalore Medical College, Bengaluru, Karnataka, India. FAU - Mutha, Abhinandan AU - Mutha A AD - Siddhi Hospital, Nasik, Maharashtra, India. FAU - Boyilla, Nagaraju AU - Boyilla N AD - Aster Prime Hospital, Hyderabad, Telangana, India. FAU - Rajadhyaksha, Girish C AU - Rajadhyaksha GC AD - Department of Medicine, BYL Medical college & Nair Hospital, Mumbai, Maharashtra, India. FAU - Karnik, Niteen AU - Karnik N AD - Department of Medicine, LT Medical College & Sion Hospital, Mumbai, Maharashtra, India. FAU - Bhagat, Sagar AU - Bhagat S AD - Global Medical Affairs, Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. FAU - Pendse, Amol AU - Pendse A AD - Clinical Research Operations, Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. FAU - Dhage, Priyanka AU - Dhage P AD - Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. FAU - Wu, Wen AU - Wu W AD - Glenmark Pharmaceuticals Ltd., Waterford, UK. FAU - Rangwala, Shabbir AU - Rangwala S AD - Clinical Research Operations, Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. FAU - Barkate, Hanmant AU - Barkate H AD - Global Medical Affairs, Glenmark Pharmaceuticals Ltd., Mumbai, Maharashtra, India. LA - eng PT - Case Reports PT - Clinical Trial DEP - 20220503 PL - New Zealand TA - Int J Gen Med JT - International journal of general medicine JID - 101515487 PMC - PMC9078344 OTO - NOTNLM OT - COVID-19 OT - SARS-CoV-2 OT - antiviral OT - coronavirus OT - favipiravir COIS- SP, SB, PD, AP, WW, SR, HB are full time employee of Glenmark Pharmaceuticals Ltd. PKR reports grants from Glenmark, during the conduct of the study. MK reports personal fees from Glenmark limited, during the conduct of the study. The authors report no other conflicts of interest in this work. EDAT- 2022/05/11 06:00 MHDA- 2022/05/11 06:01 CRDT- 2022/05/10 01:46 PHST- 2021/11/13 00:00 [received] PHST- 2022/03/09 00:00 [accepted] PHST- 2022/05/10 01:46 [entrez] PHST- 2022/05/11 06:00 [pubmed] PHST- 2022/05/11 06:01 [medline] AID - 349241 [pii] AID - 10.2147/IJGM.S349241 [doi] PST - epublish SO - Int J Gen Med. 2022 May 3;15:4551-4563. doi: 10.2147/IJGM.S349241. eCollection 2022.