Effectiveness of Early Remdesivir Initiation in Patients with Immunocompromising Conditions Hospitalized with COVID-19 by Variant Era, Level of Immunocompromise, and Age.

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Challenge

Immunocompromised patients with COVID-19 face higher risks of progression and mortality, but the real-world effectiveness of early remdesivir initiation in this vulnerable subgroup had not been estimated using causal methods.

Solution

Target RWE researchers applied rigorous causal methods to estimate the effectiveness of early remdesivir initiation in immunocompromised patients hospitalized with COVID-19, addressing time-varying confounding using the clone-censor-weight framework.

Impact

Demonstrating real-world effectiveness of early remdesivir in immunocompromised COVID-19 patients provides Gilead with targeted post-authorization evidence for this high-priority subgroup.