Molnupiravir Real-World Utilization in COVID-19 Patients in the Czech Republic
- PMID: 38673576
- PMCID: PMC11051211
- DOI: 10.3390/jcm13082303
Molnupiravir Real-World Utilization in COVID-19 Patients in the Czech Republic
Abstract
Background/Objectives: Molnupiravir (MOV), an oral antiviral COVID-19 treatment, was introduced in the Czech Republic in December 2021 for COVID-19 patients at a high risk of progression to severe disease requiring hospitalization. In this observational, retrospective study, we aimed to describe the characteristics and healthcare resource utilization in non-hospitalized, adult COVID-19 patients prescribed MOV in the Czech Republic between 1 January and 30 April 2022. Methods: A total of 621 patients were included and followed up with for 28 days. Results: The median age was 68.0 (20-99) years, 77.8% were overweight or obese, 14.1% smoked, and 85.7% were vaccinated. The overall cumulative incidence (95% CI) of all-cause hospitalization was 0.71 (0.37; 1.24) per 1000 person years or 1.9%, with similar rates across sexes, age groups, BMI category, multimorbidity category, polypharmacy category, and COVID-19 vaccination status. Among patients reported hospitalized, oxygen-based resources were not observed, and no deaths occurred. Conclusions: These data describe the characteristics and healthcare resource utilization in Czech MOV-treated patients whose clinical characteristics may put them at increased risk of severe disease.
Keywords: COVID-19; Czech Republic; SARS-CoV-2; molnupiravir; real-world data; treatment of COVID-19.
Conflict of interest statement
Lenka Mokrá and Matyáš Kuhn were employed by the company Institute of Biostatistics and Analyses, Ltd., Urs Arnet, Lenka Hrdličková, and Yohance Whiteside are employees of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA, and are shareholders in Merck & Co., Inc., Rahway, NJ, USA.
Similar articles
-
Real-World Utilization of Molnupiravir during the COVID-19 Omicron Surge in Israel.Epidemiologia (Basel). 2023 Aug 10;4(3):309-321. doi: 10.3390/epidemiologia4030031. Epidemiologia (Basel). 2023. PMID: 37606468 Free PMC article.
-
Molnupiravir Use Among Patients with COVID-19 in Real-World Settings: A Systematic Literature Review.Infect Dis Ther. 2024 Jun;13(6):1177-1198. doi: 10.1007/s40121-024-00976-5. Epub 2024 May 14. Infect Dis Ther. 2024. PMID: 38743192 Free PMC article. Review.
-
Clinical outcomes among COVID-19 patients initiated on molnupiravir in Denmark - A national registry study.Antivir Ther. 2025 Feb;30(1):13596535241313244. doi: 10.1177/13596535241313244. Antivir Ther. 2025. PMID: 39836400
-
Real Clinical Effectiveness of Molnupiravir Against 30-day Mortality Among 74 541 SARS-CoV-2-Positive Patients: A Nationwide Cohort Study From the Czech Republic.Open Forum Infect Dis. 2024 Nov 20;11(12):ofae685. doi: 10.1093/ofid/ofae685. eCollection 2024 Dec. Open Forum Infect Dis. 2024. PMID: 39660016 Free PMC article. Clinical Trial.
-
Clinical efficacy and safety of molnupiravir for nonhospitalized and hospitalized patients with COVID-19: A systematic review and meta-analysis of randomized control trials.J Med Virol. 2023 Mar;95(3):e28621. doi: 10.1002/jmv.28621. J Med Virol. 2023. PMID: 36846901
References
-
- WHO . WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19. WHO; Geneva, Switzerland: 2020.
-
- Statement on the Fifteenth Meeting of the IHR (2005) Emergency Committee on the COVID-19 Pandemic. [(accessed on 12 May 2023)]. Available online: https://www.who.int/news/item/05-05-2023-statement-on-the-fifteenth-meet....
-
- [(accessed on 12 May 2023)]. Available online: https://covid19.who.int/
-
- Nurchis M.C., Pascucci D., Sapienza M., Villani L., D’Ambrosio F., Castrini F., Specchia M.L., Laurenti P., Damiani G. Impact of the Burden of COVID-19 in Italy: Results of Disability-Adjusted Life Years (DALYs) and Productivity Loss. Int. J. Environ. Res. Public Health. 2020;17:4233. doi: 10.3390/ijerph17124233. - DOI - PMC - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous