<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1707</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2024-28-2-109-119</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Clinical and economic evaluation of the use of favipiravir in treatment regimens for COVID-19</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Krysanov</surname><given-names>Ivan S.</given-names></name><bio></bio><email>krysanov-ivan@mail.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Gurevich</surname><given-names>Konstantin G.</given-names></name><bio></bio><email>kgurevich@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Matveeva</surname><given-names>Natalia V.</given-names></name><bio></bio><email>matveevanatasha@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Matveev</surname><given-names>Alexander V.</given-names></name><bio></bio><email>avmcsmu@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Zaslavskaya</surname><given-names>Kira Ya.</given-names></name><bio></bio><email>kiryonok@yandex.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Krysanova</surname><given-names>Vera S.</given-names></name><bio></bio><email>krysanovavs@mgupp.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Ermakova</surname><given-names>Victoria Yu.</given-names></name><bio></bio><email>ermakova.viktoriya.yurievna@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Kurkin</surname><given-names>Denis V.</given-names></name><bio></bio><email>strannik986@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Balykova</surname><given-names>Larisa A.</given-names></name><bio></bio><email>larisabalykova@yandex.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Belyi</surname><given-names>Petr A.</given-names></name><bio></bio><email>pbely@ncpharm.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Zemskov</surname><given-names>Dmitry N.</given-names></name><bio></bio><email>dizem1978@gmail.com</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Makarova</surname><given-names>Ekaterina V.</given-names></name><bio></bio><email>rue-royal@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Russian University of Medicine, Moscow, Russia</aff><aff id="aff-2">Russian Biotechnological University, Moscow, Russia</aff><aff id="aff-3">V. I. Vernadsky Crimean Federal University, Simferopol, Russia</aff><aff id="aff-4">Russian Medical Academy of Continuing Professional Education, Moscow, Russia</aff><aff id="aff-5">National Research Mordovian State University named after N. P. Ogarev, Saransk, Russia</aff><aff id="aff-6">I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2024-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2024</year></pub-date><issue>2</issue><fpage>109</fpage><lpage>119</lpage><history><pub-date date-type="received" iso-8601-date="2025-10-15"><day>15</day><month>10</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2024,</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>Background. Currently, sufficient information has been accumulated the literature on the clinical effectiveness and safety of favipiravir in adult patients with COVID-19, including cases of its use in intensive care units and in comorbid patients. This article summarizes the latest published data from clinical studies, systematic reviews and meta-analyses, including data from real-life clinical practice. A number of studies have conducted a pharmacoeconomic evaluation of the use of favipiravir in adult patients with COVID-19. Objective. To evaluate pharmacoeconomic efficacy of the use of favipiravir in adult patients with non-severe forms of COVID-19 in a Russian hospital settings. Materials and methods. On the basis of the clinic of the Russian University of Medicine a non-interventional clinical study was performed, including 201 patients with mild COVID-19. Patients were divided into two groups: with favipiravir therapy or without it. Results. A reduction in hospitalization time by 2 days was demonstrated in patients with COVID-19 receiving favipiravir, which leads to the reduction in hospitalization costs for 1 patient in the amount of RUB 16,643.69. Conclusions. Thus, various data on the use of favipiravir for COVID-19 allow us to demonstrate pharmacoeconomic benefits, both in terms of budgetary savings and a positive impact on reducing the burden on the healthcare system and improving key medical statistics, including morbidity and mortality.</abstract><kwd-group xml:lang="en"><kwd>favipiravir</kwd><kwd>COVID-19</kwd><kwd>expenses</kwd><kwd>efficiency</kwd><kwd>safety</kwd><kwd>treatment regimens</kwd><kwd>review</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>фавипиравир</kwd><kwd>COVID-19</kwd><kwd>затраты</kwd><kwd>эффективность</kwd><kwd>безопасность</kwd><kwd>схемы лечения</kwd><kwd>обзор</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Temporary guidelines. Prevention, diagnosis and treatment of new coronavirus infection (COVID-19) 17th ed., Moscow, 2022. 260 p. (In Russ.)</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Furuta Y., Komeno T., Nakamura T. Favipiravir (T-705), a broad spectrum inhibitor of viral RNA polymerase. Proc. Jpn Acad. Ser. B Phys. Biol. Sci. 2017;93(7):449–463. DOI: 10.2183/pjab.93.027</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Shrestha D. B., Budhathoki P., Khadka S. et al. Favipiravir versus other antiviral or standard of care for COVID-19 treatment: a rapid systematic review and meta-analysis. Virol. J. 2020;17(1):141. DOI: 10.1186/s12985-020-01412-z</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Prakash A., Singh H., Kaur H. et al. Systematic review and meta-analysis of effectiveness and safety of favipiravir in the management of novel coronavirus (COVID-19) patients. Indian J. Pharmacol. 2020;52(5):414–421. DOI: 10.4103/ijp.ijp_998_20</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Manabe T., Kambayashi D., Akatsu H., Kudo K. Favipiravir for the treatment of patients with COVID-19: a systematic review and meta-analysis. BMC Infect. Dis. 2021;21(1):489. DOI: 10.1186/s12879-021-06164-x</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Hassanipour S., Arab-Zozani M., Amani B. et al. The efficacy and safety of Favipiravir in treatment of COVID-19: a systematic review and meta-analysis of clinical trials. Sci. Rep. 2021;11(1):11022. DOI: 10.1038/s41598-021-90551-6</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Özlüşen B., Kozan Ş., Akcan R. E. et al. Effectiveness of favipiravir in COVID-19: a live systematic review. Eur. J. Clin. Microbiol. Infect. Dis. 2021;40(12):2575–2583. DOI: 10.1007/s10096-021-04307-1</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Qomara W. F., Primanissa D. N., Amalia S. H. et al. Effectiveness of Remdesivir, Lopinavir/Ritonavir, and Favipiravir for COVID-19 treatment: a systematic review. Int. J. Gen. Med. 2021;14:8557–8571. DOI: 10.2147/IJGM.S332458</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Gil Martínez V., Avedillo Salas A., Santander Ballestín S. Antiviral therapeutic approaches for SARS-CoV-2 infection: a systematic review. Pharmaceuticals (Basel). 2021. Vol. 14(8):736. DOI: 10.3390/ph14080736</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Udwadia Z. F., Singh P., Barkate H. et al. Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: a randomized, comparative, open-label, multicenter, phase 3 clinical trial. Int. J. Infect. Dis. 2021;103:62–71. DOI: 10.1016/j.ijid.2020.11.142</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Balykova L. A., Radaeva O. A., Zaslavskaya K. Y. et al. Study of clinical and pathogenetic effects of anti-viral drug based on favipiravir in comorbid patients with COVID-19 at the outpatient stage of treatment. Pharmacy &amp;amp; Pharmacology. 2021;9(6):454–464. (In Russ.) DOI: 10.19163/2307-9266-2021-9-6-454-464</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Chen C., Zhang Y., Huang J. et al. Favipiravir versus Arbidol for clinical recovery rate in moderate and severe adult COVID-19 patients: a prospective, multicenter, open-label, randomized controlled clinical trial. Front Pharmacol. 2021;12:683296. DOI: 10.3389/fphar.2021.683296</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Doi Y., Hibino M., Hase R. et al. A prospective, randomized, open-label trial of early versus late favipiravir therapy in hospitalized patients with COVID-19. Antimicrob. Agents Chemother. 2020;64(12):e01897–e01920. DOI: 10.1128/AAC.01897-20</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Agrawal U., Raju R., Udwadia Z. F. Favipiravir: a new and emerging antiviral option in COVID-14. Med. J. Armed Forces India. 2020;76(4):370–376. DOI: 10.1016/j.mjafi.2020.08.004</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Ivashchenko A. A., Dmitriev K. A., Vostokova N. V. et al. Avifavir for treatment of patients with moderate Coronavirus Disease 2019 (COVID-19): interim results of a phase II/III multicenter randomized clinical trial. Clin. Infect. Dis. 2021;73(3):531–534. DOI: 10.1093/cid/ciaa1176</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Balykova L. A., Govorov A. V., Vasilyev A. O. et al. Characteristics of COVID-19 and possibilities of early causal therapy. Results of favipiravir use in clinical practice. Infectious diseases. 2020;18(3):30–40. (In Russ.) DOI: 10.20953/1729-9225-2020-3-30-40</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Balykova L. A., Pavelkina V. F., Shmyreva N. V. et al. Efficacy and safety of some etiotropic therapeutic schemes for treating patients with novel coronavirus infection (COVID-19). Pharmacy &amp;amp; Pharmacology. 2020;8(3):150–159. (In Russ.) DOI: 10.19163/2307-9266-2020-8-3-150-159</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Ruzhentsova T. A., Chukhliaev P. V., Khavkina D. A. et al. Potential for etiotropic therapy of SARSCoV-2-induced coronavirus disease in outpatients. Medical Opponent. 2020;1(9):48–58. In Russ.)</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Pilkington V., Pepperrell T., Hill A. A review of the safety of favipiravir — a potential treatment in the COVID-19 pandemic? J. Virus Erad. 2020;6(2):45–51. DOI: 10.1016/S2055-6640(20)30016-9</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Kumagai Y., Murakawa Y., Hasunuma T. et al. Lack of effect of favipiravir, a novel antiviral agent, on QT interval in healthy Japanese adults. Int. J. Clin. Pharmacol. Ther. 2015;53(10):866–874. DOI: 10.5414/CP202388</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Shiraki K., Daikoku T. Favipiravir, an anti-influenza drug against life-threatening RNA virus infections. Pharmacol. Ther. 2020;209:107512. DOI: 10.1016/j.pharmthera.2020.107512</mixed-citation></ref></ref-list></back></article>
