Table 2.

Cardiac and Serious Adverse Events in the Modified Intention-to-Treat Population Between Remdesivir Group and Control Group

Remdesivir (n = 410)Control (n = 423)HR (95% CI) [P Value]HRa (95% CI) [P Value]
N Patients (%)Event Rate (95% CI)N Patients (%)Event Rate (95% CI)
Any cardiac adverse events46 (11.2)0.076 (.062–.089)48 (11.3)0.075 (.061–.089)1.0 (.6–1.5) [.95]1.0 (.7–1.5) [.98]
Any serious cardiac adverse eventsb27 (6.6)0.043 (.036–.050)21 (5.0)0.042 (.034–.049)1.3 (.7–2.3) [.30]1.3 (.8–2.4) [.32]
Any nonserious cardiac adverse eventsc23 (5.6)0.039 (.031–.049)30 (7.1)0.040 (.031–.049)0.8 (.5–1.3) [.38]0.7 (.4–1.4) [.39]
 Grades 1–214 (3.4)0.031 (.025–.039)25 (5.9)0.032 (.025–.039)0.6 (.3–1.1) [.10]0.6 (.3–1.1) [.10]
 Grades 3–48 (2.0)0.010 (.007–.013)6 (1.4)0.009 (.007–.013)1.8 (.6–5.5) [.26]1.9 (.6–5.6) [.25]
Subclasses of cardiac events
Any arrhythmic events39 (9.5)0.062 (.050–.075)40 (9.5)0.062 (.049–.074)1.1 (.6–1.6) [.74]1.1 (.7–1.7) [.68]
  Any serious arrhythmic events23 (5.6)0.033 (.026–.041)14 (3.3)0.032 (.024–.039)1.7 (.8–3.3) [.10]1.7 (.9–3.3) [.11]
   Atrial fibrillation9 (2.2)6 (1.4)
   Bradycardia3 (0.7)2 (0.5)
   Tachycardia4 (1.0)2 (0.5)
   Ventricular tachycardia0 (0.0)2 (0.5)
   Arrhythmia not specified7 (1.7)2 (0.5)
  Any nonserious arrhythmic events
   Grades 1–213 (3.2)0.027 (.022–.033)24 (5.7)0.028 (.022–.034)0.6 (.3–1.2) [.16]0.6 (.3–1.2) [.17]
   Grades 3–47 (1.7)0.009 (.007–.012)5 (1.2)0.009 (.007–.012)1.4 (.4–4.5) [.52]1.5 (.5–4.6) [.51]
Any non-arrhythmic events10 (2.4)0.018 (.014–.021)12 (2.8)0.018 (.014–.021)0.8 (.3–1.9) [.70]0.9 (.4–2.0) [.71]
Any serious adverse events154 (37.6)0.380 (.342–.408)145 (34.3)0.372 (.339–.405)1.2 (.9–1.4) [.20]1.2 (.9–1.5) [.21]
Remdesivir (n = 410)Control (n = 423)HR (95% CI) [P Value]HRa (95% CI) [P Value]
N Patients (%)Event Rate (95% CI)N Patients (%)Event Rate (95% CI)
Any cardiac adverse events46 (11.2)0.076 (.062–.089)48 (11.3)0.075 (.061–.089)1.0 (.6–1.5) [.95]1.0 (.7–1.5) [.98]
Any serious cardiac adverse eventsb27 (6.6)0.043 (.036–.050)21 (5.0)0.042 (.034–.049)1.3 (.7–2.3) [.30]1.3 (.8–2.4) [.32]
Any nonserious cardiac adverse eventsc23 (5.6)0.039 (.031–.049)30 (7.1)0.040 (.031–.049)0.8 (.5–1.3) [.38]0.7 (.4–1.4) [.39]
 Grades 1–214 (3.4)0.031 (.025–.039)25 (5.9)0.032 (.025–.039)0.6 (.3–1.1) [.10]0.6 (.3–1.1) [.10]
 Grades 3–48 (2.0)0.010 (.007–.013)6 (1.4)0.009 (.007–.013)1.8 (.6–5.5) [.26]1.9 (.6–5.6) [.25]
Subclasses of cardiac events
Any arrhythmic events39 (9.5)0.062 (.050–.075)40 (9.5)0.062 (.049–.074)1.1 (.6–1.6) [.74]1.1 (.7–1.7) [.68]
  Any serious arrhythmic events23 (5.6)0.033 (.026–.041)14 (3.3)0.032 (.024–.039)1.7 (.8–3.3) [.10]1.7 (.9–3.3) [.11]
   Atrial fibrillation9 (2.2)6 (1.4)
   Bradycardia3 (0.7)2 (0.5)
   Tachycardia4 (1.0)2 (0.5)
   Ventricular tachycardia0 (0.0)2 (0.5)
   Arrhythmia not specified7 (1.7)2 (0.5)
  Any nonserious arrhythmic events
   Grades 1–213 (3.2)0.027 (.022–.033)24 (5.7)0.028 (.022–.034)0.6 (.3–1.2) [.16]0.6 (.3–1.2) [.17]
   Grades 3–47 (1.7)0.009 (.007–.012)5 (1.2)0.009 (.007–.012)1.4 (.4–4.5) [.52]1.5 (.5–4.6) [.51]
Any non-arrhythmic events10 (2.4)0.018 (.014–.021)12 (2.8)0.018 (.014–.021)0.8 (.3–1.9) [.70]0.9 (.4–2.0) [.71]
Any serious adverse events154 (37.6)0.380 (.342–.408)145 (34.3)0.372 (.339–.405)1.2 (.9–1.4) [.20]1.2 (.9–1.5) [.21]

Abbreviations: CI, confidence interval; HR, hazard ratio.

aHRs adjusted for the severity of coronavirus disease 2019 at baseline based on the Cox model.

bPer protocol, a serious adverse event was defined as an adverse event that results in death, is life threatening, requires prolongation of existing hospitalization, results in persistent or significant disability or incapacity, consists of a congenital anomaly/birth defect, or is an important medical event.

cPer protocol, the severity (intensity) of all adverse events was graded using the Division of AIDS table, corrected version 2.1 (July 2017). Some patients experienced different grades of adverse events.

Table 2.

Cardiac and Serious Adverse Events in the Modified Intention-to-Treat Population Between Remdesivir Group and Control Group

Remdesivir (n = 410)Control (n = 423)HR (95% CI) [P Value]HRa (95% CI) [P Value]
N Patients (%)Event Rate (95% CI)N Patients (%)Event Rate (95% CI)
Any cardiac adverse events46 (11.2)0.076 (.062–.089)48 (11.3)0.075 (.061–.089)1.0 (.6–1.5) [.95]1.0 (.7–1.5) [.98]
Any serious cardiac adverse eventsb27 (6.6)0.043 (.036–.050)21 (5.0)0.042 (.034–.049)1.3 (.7–2.3) [.30]1.3 (.8–2.4) [.32]
Any nonserious cardiac adverse eventsc23 (5.6)0.039 (.031–.049)30 (7.1)0.040 (.031–.049)0.8 (.5–1.3) [.38]0.7 (.4–1.4) [.39]
 Grades 1–214 (3.4)0.031 (.025–.039)25 (5.9)0.032 (.025–.039)0.6 (.3–1.1) [.10]0.6 (.3–1.1) [.10]
 Grades 3–48 (2.0)0.010 (.007–.013)6 (1.4)0.009 (.007–.013)1.8 (.6–5.5) [.26]1.9 (.6–5.6) [.25]
Subclasses of cardiac events
Any arrhythmic events39 (9.5)0.062 (.050–.075)40 (9.5)0.062 (.049–.074)1.1 (.6–1.6) [.74]1.1 (.7–1.7) [.68]
  Any serious arrhythmic events23 (5.6)0.033 (.026–.041)14 (3.3)0.032 (.024–.039)1.7 (.8–3.3) [.10]1.7 (.9–3.3) [.11]
   Atrial fibrillation9 (2.2)6 (1.4)
   Bradycardia3 (0.7)2 (0.5)
   Tachycardia4 (1.0)2 (0.5)
   Ventricular tachycardia0 (0.0)2 (0.5)
   Arrhythmia not specified7 (1.7)2 (0.5)
  Any nonserious arrhythmic events
   Grades 1–213 (3.2)0.027 (.022–.033)24 (5.7)0.028 (.022–.034)0.6 (.3–1.2) [.16]0.6 (.3–1.2) [.17]
   Grades 3–47 (1.7)0.009 (.007–.012)5 (1.2)0.009 (.007–.012)1.4 (.4–4.5) [.52]1.5 (.5–4.6) [.51]
Any non-arrhythmic events10 (2.4)0.018 (.014–.021)12 (2.8)0.018 (.014–.021)0.8 (.3–1.9) [.70]0.9 (.4–2.0) [.71]
Any serious adverse events154 (37.6)0.380 (.342–.408)145 (34.3)0.372 (.339–.405)1.2 (.9–1.4) [.20]1.2 (.9–1.5) [.21]
Remdesivir (n = 410)Control (n = 423)HR (95% CI) [P Value]HRa (95% CI) [P Value]
N Patients (%)Event Rate (95% CI)N Patients (%)Event Rate (95% CI)
Any cardiac adverse events46 (11.2)0.076 (.062–.089)48 (11.3)0.075 (.061–.089)1.0 (.6–1.5) [.95]1.0 (.7–1.5) [.98]
Any serious cardiac adverse eventsb27 (6.6)0.043 (.036–.050)21 (5.0)0.042 (.034–.049)1.3 (.7–2.3) [.30]1.3 (.8–2.4) [.32]
Any nonserious cardiac adverse eventsc23 (5.6)0.039 (.031–.049)30 (7.1)0.040 (.031–.049)0.8 (.5–1.3) [.38]0.7 (.4–1.4) [.39]
 Grades 1–214 (3.4)0.031 (.025–.039)25 (5.9)0.032 (.025–.039)0.6 (.3–1.1) [.10]0.6 (.3–1.1) [.10]
 Grades 3–48 (2.0)0.010 (.007–.013)6 (1.4)0.009 (.007–.013)1.8 (.6–5.5) [.26]1.9 (.6–5.6) [.25]
Subclasses of cardiac events
Any arrhythmic events39 (9.5)0.062 (.050–.075)40 (9.5)0.062 (.049–.074)1.1 (.6–1.6) [.74]1.1 (.7–1.7) [.68]
  Any serious arrhythmic events23 (5.6)0.033 (.026–.041)14 (3.3)0.032 (.024–.039)1.7 (.8–3.3) [.10]1.7 (.9–3.3) [.11]
   Atrial fibrillation9 (2.2)6 (1.4)
   Bradycardia3 (0.7)2 (0.5)
   Tachycardia4 (1.0)2 (0.5)
   Ventricular tachycardia0 (0.0)2 (0.5)
   Arrhythmia not specified7 (1.7)2 (0.5)
  Any nonserious arrhythmic events
   Grades 1–213 (3.2)0.027 (.022–.033)24 (5.7)0.028 (.022–.034)0.6 (.3–1.2) [.16]0.6 (.3–1.2) [.17]
   Grades 3–47 (1.7)0.009 (.007–.012)5 (1.2)0.009 (.007–.012)1.4 (.4–4.5) [.52]1.5 (.5–4.6) [.51]
Any non-arrhythmic events10 (2.4)0.018 (.014–.021)12 (2.8)0.018 (.014–.021)0.8 (.3–1.9) [.70]0.9 (.4–2.0) [.71]
Any serious adverse events154 (37.6)0.380 (.342–.408)145 (34.3)0.372 (.339–.405)1.2 (.9–1.4) [.20]1.2 (.9–1.5) [.21]

Abbreviations: CI, confidence interval; HR, hazard ratio.

aHRs adjusted for the severity of coronavirus disease 2019 at baseline based on the Cox model.

bPer protocol, a serious adverse event was defined as an adverse event that results in death, is life threatening, requires prolongation of existing hospitalization, results in persistent or significant disability or incapacity, consists of a congenital anomaly/birth defect, or is an important medical event.

cPer protocol, the severity (intensity) of all adverse events was graded using the Division of AIDS table, corrected version 2.1 (July 2017). Some patients experienced different grades of adverse events.

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