COVID antiviral drug Paxlovid may not reduce hospitalisations in the vaccinated elderly

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Kches16414, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons
Kches16414, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons

Although prescriptions of the antiviral COVID-19 drug Paxlovid doubled in 2022 in Canada, there was no matching drop in hospitalisations or death rates among highly vaccinated older adults, according to a new study. Paxlovid, or nirmatrelvir-ritonavir, was previously shown in trials to reduce COVID–19–related hospitalisations among younger unvaccinated patients, but the authors say it was not known if this would also be the case for older and highly vaccinated populations. They found no significant drop in hospitalisations even though the rate of prescriptions of Paxlovid more than doubled. They say at best, the drug may reduce COVID-19–related hospitalisations by 1.3 percentage points, which is four times smaller than the benefit reported in the original trial.

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JAMA
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Organisation/s: David Geffen School of Medicine at UCLA, USA
Funder: This study was supported by the Commonwealth Fund and the National Institutes of Health/National Institute on Aging Beeson Emerging Leaders in Aging Research Career Development Award (grant K76AG064392-01A1 to Dr Mafi). This study was also supported by ICES, which is funded by an annual grant from the Ontario Ministry of Health and the Ministry of Long-Term Care. Dr Kapral holds the Sir John and Lady Eaton Chair of Medicine in the Department of Medicine at the University of Toronto.
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