Drug Interactions With Nirmatrelvir-Ritonavir in Older Adults Using Multiple Medications

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Abstract

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  1. SciScore for 10.1101/2022.03.01.22271254: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Ethicsnot detected.
    Sex as a biological variablenot detected.
    Randomization12] For this COVID-SAFER: Nirmatrelvir-ritonavir study, we analyzed data from the 5698 patient cluster randomized MedSafer trial, which ran from August 2017 to January 2020.[
    Blindingnot detected.
    Power Analysisnot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    The software applies a ruleset for the identification of PIMs which includes common recommendations from expert groups.[
    PIMs
    suggested: (PiMS, RRID:SCR_011816)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations of this study are the theoretical nature of the “drug exposure” to only one treatment for COVID-19; however, with millions of courses of nirmitrelvir-ritonavir purchased worldwide, it is expected to be a common exposure. This analysis could also be replicated for other promising potential outpatient treatments, such as fluvoxamine, which also has several DDIs.[29] We also focused this paper on PIMs; however, the majority of interacting medications were not PIMs. We have provided medication management guidance for many of these medications elsewhere.[12] It is also important to recognize that stopping PIMs requires clinical judgment when formulating a deprescribing plan. The strength of this study is the large sample size of representative community dwelling older adults with polypharmacy who are at high risk of severe COVID-19 complications; arguably, one of the populations most likely to benefit from treatment with nirmatrevir-ritonavir.

    Results from TrialIdentifier: We found the following clinical trial numbers in your paper:

    IdentifierStatusTitle
    NCT04960202Active, not recruitingEPIC-HR: Study of Oral PF-07321332/Ritonavir Compared With P…


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.