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Based on the ACTT-1 trial (NEJM JW Infect Dis Dec 2020 and N Engl J Med 2020; 383:1813), remdesivir was the first antiviral drug approved by the FDA as a treatment for SARS-CoV-2 infection and is recommended for treatment of hospitalized patients who require supplemental oxygen but not mechanical ventilation (NIH COVID-19 Treatment Guidelines). However, other studies, including the WHO-SOLIDARITY trial, showed no benefit of remdesivir treatment (N Engl J Med. 2021;384:497). Now, investigators in Norway report additional outcome and virologic data from an independent add-on to SOLIDARITY.
One hundred eighty-one patients participating in SOLIDARITY at 23 hospitals in Norway were randomized to remdesivir, hydroxychloroquine, or local standard o…