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RECOVER: Phase 2 Randomized, Double-Blind Trial TREating Hospitalized Patients With COVID-19 With Camostat MesilatE, a TMPRSS2 Inhibitor

Bryce et al., NCT04470544, RECOVER, NCT04470544
Mar 2024  
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Mortality 25% Improvement Relative Risk Camostat  RECOVER  LATE TREATMENT  DB RCT Is late treatment with camostat beneficial for COVID-19? Double-blind RCT 100 patients in the USA Trial underpowered to detect differences c19early.org Bryce et al., NCT04470544, March 2024 Favorscamostat Favorscontrol 0 0.5 1 1.5 2+
RCT 100 patients showing no significant difference with camostat. Results are currently unclear—different mortality numbers were provided for all-cause mortality and mortality rate (2/50 vs. 3/46 for the treatment group at 28 days, with the 28 day all-cause mortality result removed in an updated submission). The main outcome measures appear to be different due to only including patients that submitted day 28 outcome data.
risk of death, 25.0% lower, RR 0.75, p = 1.00, treatment 3 of 50 (6.0%), control 4 of 50 (8.0%), NNT 50, day 56.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Bryce et al., 28 Mar 2024, Double Blind Randomized Controlled Trial, placebo-controlled, USA, preprint, 1 author, trial NCT04470544 (history) (RECOVER). Contact: Nguyen.Vy@mayo.edu, ClinicalResearch@tmcaz.com, Vimoktayon.Torsak@mayo.edu, Pecenka.Stacey@mayo.edu.
This PaperCamostatAll
Late treatment
is less effective
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