一项评估“ViraCide”治疗2019冠状病毒病(COVID-19)疗效和安全性的双盲、随机、安慰剂对照研究

Mahir Abduldaim
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引用次数: 0

摘要

本研究的目的是评估ViraCide在2019冠状病毒病治疗中的安全性和有效性。方法:本研究采用随机、多中心、平行设计、安慰剂对照、双盲的临床试验,研究对象为诊断为2019冠状病毒病、症状轻微或无症状、合并症稳定的患者。118名入组受试者按1:1的比例随机分配到安慰剂治疗或ViraCide(积极治疗)。结果:研究结束时,治疗组的主要疗效指标国家早期预警评分(NEWS)和7分序数均有显著性改善(P < 0.05)。在NEWS的情况下,在第3次访问时,在ViraCide组中,74.6%的受试者得分为“0”,高于安慰剂组,而安慰剂组中只有49.2%的受试者得分下降。在7分量表中,活跃组中76.3%的受试者得分为1分,显著高于安慰剂组的47.5%。相对于阴性RT - PCR检测,临床改善所需时间在活性v/s安慰剂组也有显著差异。治疗组患者平均阴性时间为5.47天,显著低于安慰剂组的6.97天。两组的不良事件发生率和严重程度相当,活性组和安慰剂组均未发现有临床意义的不良事件。结论:从RT-PCR检测结果来看,ViraCide在轻症或无症状COVID-19患者中的应用时间缩短,NEWS和7点顺序量表及某些实验室参数均显示出临床改善。需要进一步的临床试验来评估ViraCide在管理COVID-19中的作用并确定其作用模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A double blind, randomized, placebo-controlled study to evaluate efficacy and safety of “ViraCide” in the management of Corona Virus Disease 2019 (COVID-19)
Introduction: The purpose of this study was to evaluate the safety and efficacy of ViraCide in the management of Corona Virus Disease 2019. Methodology: The study was a randomized, multi center, parallel design, placebo controlled, double blind, clinical trial in patients diagnosed with corona virus disease 2019 with mild or no symptoms and with stable co-morbidities. 118 enrolled subjects were randomized in a 1:1 ratio to either placebo treatment or ViraCide (active treatment). Result: The primary efficacy parameters of National Early Warning Score (NEWS) and 7 point ordinal showed a significantly greater improvement in the active group at the end of the study (P < 0.05). In case of NEWS, in the ViraCide group at visit 3, 74.6 % of the subjects had score of “0” which was higher than the placebo in which only 49.2% showed the reduction. In case of the 7 point ordinal scale, in the active group 76.3 % of the subjects had score of 1 which is significantly higher than that of placebo group which is only 47.5%. Time taken for clinical improvement with respect to negative RT PCR test also showed significant difference in the active v/s placebo group. The mean time taken by patients in the active group to test negative was 5.47 days which was significantly lower than placebo which was 6.97 days. The adverse events rate and severity were comparable in both the groups and no clinically significant adverse event was found in the active or placebo group. Conclusion: The use of ViraCide in mild or asymptomatic COVID-19 patients showed time frame reduction with respect to RT-PCR test, as well as clinical improvement demonstrated by NEWS and 7-point ordinal scale and certain laboratory parameters. Further clinical trials are required to evaluate role of ViraCide in managing COVID-19 and establish its mode of action.
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