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The efficacy of curcumin-piperine co-supplementation on clinical symptoms, duration, severity, and inflammatory factors in COVID-19 outpatients: a randomized double-blind, placebo-controlled trial

Jun 2022  
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Recovery, all symptoms.. 26% Improvement Relative Risk Recovery, dyspnea -125% Recovery, ague -433% Recovery, weakness 73% Recovery, muscular pain 40% Recovery, headache 38% Recovery, sore throat -71% Recovery, sputum cough 12% Recovery, dry cough 0% Curcumin  Askari et al.  EARLY TREATMENT  DB RCT Is early treatment with curcumin beneficial for COVID-19? Double-blind RCT 26 patients in Iran (November 2020 - April 2021) Improved recovery with curcumin (not stat. sig., p=0.26) c19early.org Askari et al., Trials, June 2022 Favorscurcumin Favorscontrol 0 0.5 1 1.5 2+
Curcumin for COVID-19
15th treatment shown to reduce risk in February 2021, now with p = 0.0000000096 from 27 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Small RCT 46 outpatients in Iran, 23 treated with curcimin-piperine, showing no significant difference in recovery. 1000mg curcumin and 10mg piperine/day for 14 days.
This is the 14th of 21 COVID-19 RCTs for curcumin, which collectively show efficacy with p=0.0000022.
This is the 19th of 27 COVID-19 controlled studies for curcumin, which collectively show efficacy with p=0.0000000096 (1 in 104 million).
risk of no recovery, 26.5% lower, RR 0.74, p = 0.26, treatment 13, control 13, all symptoms combined.
risk of no recovery, 125.0% higher, RR 2.25, p = 0.58, treatment 3 of 8 (37.5%), control 1 of 6 (16.7%), dyspnea.
risk of no recovery, 433.3% higher, RR 5.33, p = 0.19, treatment 2 of 6 (33.3%), control 0 of 7 (0.0%), continuity correction due to zero event (with reciprocal of the contrasting arm), ague.
risk of no recovery, 72.9% lower, RR 0.27, p = 0.04, treatment 2 of 12 (16.7%), control 8 of 13 (61.5%), NNT 2.2, weakness.
risk of no recovery, 40.0% lower, RR 0.60, p = 0.42, treatment 3 of 10 (30.0%), control 7 of 14 (50.0%), NNT 5.0, muscular pain.
risk of no recovery, 38.5% lower, RR 0.62, p = 0.65, treatment 4 of 13 (30.8%), control 4 of 8 (50.0%), NNT 5.2, headache.
risk of no recovery, 71.4% higher, RR 1.71, p = 1.00, treatment 2 of 7 (28.6%), control 1 of 6 (16.7%), sore throat.
risk of no recovery, 12.5% lower, RR 0.88, p = 1.00, treatment 1 of 8 (12.5%), control 1 of 7 (14.3%), NNT 56, sputum cough.
risk of no recovery, no change, RR 1.00, p = 1.00, treatment 3 of 13 (23.1%), control 3 of 13 (23.1%), dry cough.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Askari et al., 6 Jun 2022, Double Blind Randomized Controlled Trial, placebo-controlled, Iran, peer-reviewed, 11 authors, study period November 2020 - April 2021, trial IRCT20121216011763N46. Contact: baghrerniya@nutr.mui.ac.ir (corresponding author).
This PaperCurcuminAll
The efficacy of curcumin-piperine co-supplementation on clinical symptoms, duration, severity, and inflammatory factors in COVID-19 outpatients: a randomized double-blind, placebo-controlled trial
Gholamreza Askari, Amirhossein Sahebkar, Davood Soleimani, Atena Mahdavi, Sahar Rafiee, Muhammed Majeed, Farzin Khorvash, Bijan Iraj, Mahshid Elyasi, Mohammad Hossein Rouhani, Mohammad Bagherniya
Trials, doi:10.1186/s13063-022-06375-w
Background: COVID-19 pandemic has made the disease a major global problem by creating a significant burden on health, economic, and social status. To date, there are no effective and approved medications for this disease. Curcumin as an anti-inflammatory agent can have a positive effect on the control of COVID-19 complications. This study aimed to assess the efficacy of curcumin-piperine supplementation on clinical symptoms, duration, severity, and inflammatory factors in patients with COVID-19. Methods: Forty-six outpatients with COVID-19 disease were randomly allocated to receive two capsules of curcumin-piperine; each capsule contained 500 mg curcumin plus 5 mg piperine or placebo for 14 days. Results: Mean changes in complete blood count, liver enzymes, blood glucose levels, lipid parameters, kidney function, and c-reactive protein (CRP) were not significantly different between the two groups. There was a significant improvement in health status, including dry cough, sputum cough, ague, sore throat, weakness, muscular pain, headache, and dyspnea at week 2 in both curcumin-piperine and placebo groups (P value < 0.05); however, the improvement in weakness was more in the curcumin-piperine group than with placebo group (P value 025). Conclusion: The present study results showed that curcumin-piperine co-supplementation in outpatients with COVID-19 could significantly reduce weakness. However, in this study, curcumin-piperine co-supplementation could not significantly affect the other indices, including biochemical and clinical indices.
Authors' contributions Study design: GA, AS, BI, MHR, and MB. Data gathering: DS, AM, SR, FK, and ME. Statistical analysis: GA, DS, BI, MHR, and MB. Drafting the manuscript: GA, AS, AM, SR, MM, ME, and MB. The authors read and approved the final manuscript before submission. Declarations Ethics approval and consent to participate This trial was accepted by the ethics committee of the Isfahan University of Medical Sciences, with the ethical code: IR.MUI.MED.REC.1399.049. In this study, we only reported the data obtained from COVID-19 outpatients. This trial was conducted in accordance with the principles of the Declaration of Helsinki. All patients were informed regarding the objectives and procedures of the trial, who then provided written informed consent. Consent for publication Not applicable. Competing interests MM is the funder of the Sami-Sabinsa Group. The other authors have nothing to disclose. Author details 1 Food Security Research Center, Isfahan University of Medical Sciences, PO Box: 00983137922110, Isfahan, Iran. 2 Anesthesia and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. 3 Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. 4 Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. 5 Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad,..
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To date, there are no ' 'effective and approved medications for this disease. Curcumin as an anti-inflammatory agent ' 'can have a positive effect on the control of COVID-19 complications. This study aimed to ' 'assess the efficacy of curcumin-piperine supplementation on clinical symptoms, duration, ' 'severity, and inflammatory factors in patients with COVID-19.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Methods</jats:title>\n' ' <jats:p>Forty-six outpatients with COVID-19 disease were randomly allocated ' 'to receive two capsules of curcumin-piperine; each capsule contained 500 mg curcumin plus 5 ' 'mg piperine or placebo for 14 days.</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Results</jats:title>\n' ' <jats:p>Mean changes in complete blood count, liver enzymes, blood glucose ' 'levels, lipid parameters, kidney function, and c-reactive protein (CRP) were not ' 'significantly different between the two groups. There was a significant improvement in health ' 'status, including dry cough, sputum cough, ague, sore throat, weakness, muscular pain, ' 'headache, and dyspnea at week 2 in both curcumin-piperine and placebo groups ' '(<jats:italic>P</jats:italic> value &lt; 0.05); however, the improvement in weakness was more ' 'in the curcumin-piperine group than with placebo group (<jats:italic>P</jats:italic> value ' '025).</jats:p>\n' ' </jats:sec><jats:sec>\n' ' <jats:title>Conclusion</jats:title>\n' ' <jats:p>The present study results showed that curcumin-piperine ' 'co-supplementation in outpatients with COVID-19 could significantly reduce weakness. 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' 'https://doi.org/10.3389/fphar.2021.675287.', 'journal-title': 'Front Pharmacol'}, { 'key': '6375_CR42', 'doi-asserted-by': 'publisher', 'first-page': '673217', 'DOI': '10.3389/fncel.2021.673217', 'volume': '15', 'author': 'A Sfera', 'year': '2021', 'unstructured': 'Sfera A, Osorio C, Del Campo CMZM, Pereida S, Maurer S, Maldonado JC, et ' 'al. Endothelial senescence and chronic fatigue syndrome, a COVID-19 ' 'based hypothesis. Front Cell Neurosci. 2021;15:673217. ' 'https://doi.org/10.3389/fncel.2021.673217.', 'journal-title': 'Front Cell Neurosci'}, { 'issue': '3278', 'key': '6375_CR43', 'doi-asserted-by': 'publisher', 'first-page': '10', 'DOI': '10.1016/S0262-4079(20)30746-6', 'volume': '246', 'author': 'C Wilson', 'year': '2020', 'unstructured': 'Wilson C. Concern coronavirus may trigger post-viral fatigue syndromes. ' 'New Sci (1971). 2020;246(3278):10. ' 'https://doi.org/10.1016/S0262-4079(20)30746-6.', 'journal-title': 'New Sci (1971)'}, { 'issue': '10', 'key': '6375_CR44', 'doi-asserted-by': 'publisher', 'first-page': '1', 'DOI': '10.1080/23744235.2021.1924397', 'volume': '53', 'author': 'SJ Yong', 'year': '2021', 'unstructured': 'Yong SJ. Long COVID or post-COVID-19 syndrome: putative pathophysiology, ' 'risk factors, and treatments. Infect Dis. 2021;53(10):1–18. ' 'https://doi.org/10.1080/23744235.2021.1924397.', 'journal-title': 'Infect Dis'}, { 'key': '6375_CR45', 'doi-asserted-by': 'publisher', 'unstructured': 'Sun Y, Zhou J, Ye K. White blood cells and severe COVID-19: a Mendelian ' 'randomization study. medRxiv. 2020:2020.10.14.20212993. ' 'https://doi.org/10.1101/2020.10.14.20212993.', 'DOI': '10.1101/2020.10.14.20212993'}, { 'key': '6375_CR46', 'unstructured': 'Sarma P. Chapter 152. Red cell indices. In: Clinical methods: the ' 'history, physical, and laboratory examinations. 3rd ed. Boston:\xa0' 'Butterworths; 1990.'}, { 'issue': 'S454', 'key': '6375_CR47', 'doi-asserted-by': 'publisher', 'first-page': '127', 'DOI': '10.1111/j.0954-6820.1966.tb01372.x', 'volume': '180', 'author': 'O Strandberg', 'year': '1966', 'unstructured': 'Strandberg O. CHAPTER VII: The influence of corticosteroid therapy on ' 'hematological values, bone marrow iron and iron absorption in patients ' 'with rheumatoid arthritis. Acta Med Scand. 1966;180(S454):127–41. ' 'https://doi.org/10.1111/j.0954-6820.1966.tb01372.x.', 'journal-title': 'Acta Med Scand'}, { 'issue': '2', 'key': '6375_CR48', 'doi-asserted-by': 'publisher', 'first-page': '106077', 'DOI': '10.1016/j.ijantimicag.2020.106077', 'volume': '56', 'author': 'F Bani-Sadr', 'year': '2020', 'unstructured': "Bani-Sadr F, Hentzien M, Pascard M, N'Guyen Y, Servettaz A, Andreoletti " 'L, et al. Corticosteroid therapy for patients with COVID-19 pneumonia: a ' 'before–after study. Int J Antimicrob Agents. 2020;56(2):106077. ' 'https://doi.org/10.1016/j.ijantimicag.2020.106077.', 'journal-title': 'Int J Antimicrob Agents'}, { 'issue': '9', 'key': '6375_CR49', 'doi-asserted-by': 'publisher', 'first-page': '416', 'DOI': '10.5694/mja2.50577', 'volume': '212', 'author': 'L Zha', 'year': '2020', 'unstructured': 'Zha L, Li S, Pan L, Tefsen B, Li Y, French N, et al. Corticosteroid ' 'treatment of patients with coronavirus disease 2019 (COVID-19). Med J ' 'Aust. 2020;212(9):416–20. https://doi.org/10.5694/mja2.50577.', 'journal-title': 'Med J Aust'}, { 'issue': '1', 'key': '6375_CR50', 'doi-asserted-by': 'publisher', 'first-page': 'e3858', 'DOI': '10.7759/cureus.3858', 'volume': '11', 'author': 'TJ Smith', 'year': '2019', 'unstructured': 'Smith TJ, Ashar BH. Iron deficiency anemia due to high-dose turmeric. ' 'Cureus. 2019;11(1):e3858. https://doi.org/10.7759/cureus.3858.', 'journal-title': 'Cureus'}, { 'key': '6375_CR51', 'doi-asserted-by': 'publisher', 'first-page': '563', 'DOI': '10.1016/j.redox.2014.01.018', 'volume': '2', 'author': 'D Chin', 'year': '2014', 'unstructured': 'Chin D, Huebbe P, Frank J, Rimbach G, Pallauf K. Curcumin may impair ' 'iron status when fed to mice for six months. Redox Biol. 2014;2:563–9. ' 'https://doi.org/10.1016/j.redox.2014.01.018.', 'journal-title': 'Redox Biol'}, { 'issue': '2', 'key': '6375_CR52', 'first-page': '370', 'volume': '22', 'author': 'GS Sultana', 'year': '2013', 'unstructured': 'Sultana GS, Haque SA, Sultana T, Ahmed AN. Value of red cell ' 'distribution width (RDW) and RBC indices in the detection of iron ' 'deficiency anemia. Mymensingh Med J. 2013;22(2):370–6.', 'journal-title': 'Mymensingh Med J'}, { 'issue': 'nxab009', 'key': '6375_CR53', 'doi-asserted-by': 'publisher', 'first-page': '1591', 'DOI': '10.1093/jn/nxab009', 'volume': '151', 'author': 'A Liu', 'year': '2021', 'unstructured': 'Liu A, Cong J, Wang Q, Mei Y, Peng Y, Zhou M, et al. Risk of ' 'malnutrition is common in patients with coronavirus disease 2019 ' '(COVID-19) in Wuhan, China: a cross-sectional study. J Nutr. ' '2021;151(nxab009):1591–6. https://doi.org/10.1093/jn/nxab009.', 'journal-title': 'J Nutr'}, { 'issue': '1', 'key': '6375_CR54', 'doi-asserted-by': 'publisher', 'first-page': '26', 'DOI': '10.1007/s00223-018-0470-9', 'volume': '104', 'author': 'N Hong', 'year': '2019', 'unstructured': 'Hong N, Kim CO, Youm Y, Choi JY, Kim HC, Rhee Y. Elevated red blood cell ' 'distribution width is associated with morphometric vertebral fracture in ' 'community-dwelling older adults, independent of anemia, inflammation, ' 'and nutritional status: the Korean Urban Rural Elderly (KURE) study. ' 'Calcif Tissue Int. 2019;104(1):26–33. ' 'https://doi.org/10.1007/s00223-018-0470-9.', 'journal-title': 'Calcif Tissue Int'}, { 'issue': '3', 'key': '6375_CR55', 'doi-asserted-by': 'publisher', 'first-page': '176', 'DOI': '10.15420/cfr.2019.13.1', 'volume': '5', 'author': 'A García-Escobar', 'year': '2019', 'unstructured': 'García-Escobar A, Grande Ingelmo JM. Red cell volume distribution width ' 'as another biomarker. Card Fail Rev. 2019;5(3):176–9. ' 'https://doi.org/10.15420/cfr.2019.13.1.', 'journal-title': 'Card Fail Rev'}, { 'issue': '3', 'key': '6375_CR56', 'doi-asserted-by': 'publisher', 'first-page': '351', 'DOI': '10.1111/ijlh.12082', 'volume': '35', 'author': 'J Ford', 'year': '2013', 'unstructured': 'Ford J. Red blood cell morphology. Int J Lab Hematol. 2013;35(3):351–7. ' 'https://doi.org/10.1111/ijlh.12082.', 'journal-title': 'Int J Lab Hematol'}, { 'key': '6375_CR57', 'doi-asserted-by': 'publisher', 'unstructured': 'Hu X, Chen D, Wu L, He G, Ye W. Low serum cholesterol level among ' 'patients with COVID-19 infection in Wenzhou, China. SSRN Electron J. ' '2020. https://doi.org/10.2139/ssrn.3544826.', 'DOI': '10.2139/ssrn.3544826'}, { 'key': '6375_CR58', 'unstructured': 'Feingold KR, Grunfeld C. The Effect of Inflammation and Infection on ' 'Lipids and Lipoproteins. 2022 Mar 7.'}, { 'key': '6375_CR59', 'doi-asserted-by': 'publisher', 'first-page': '22', 'DOI': '10.1016/j.metabol.2017.12.009', 'volume': '82', 'author': 'JJA Ferguson', 'year': '2018', 'unstructured': 'Ferguson JJA, Stojanovski E, MacDonald-Wicks L, Garg ML. Curcumin ' 'potentiates cholesterol-lowering effects of phytosterols in ' 'hypercholesterolaemic individuals. A randomised controlled trial. ' 'Metabolism. 2018;82:22–35. ' 'https://doi.org/10.1016/j.metabol.2017.12.009.', 'journal-title': 'Metabolism'}, { 'issue': '4', 'key': '6375_CR60', 'first-page': '201', 'volume': '40', 'author': 'I Alwi', 'year': '2008', 'unstructured': 'Alwi I, Santoso T, Suyono S, Sutrisna B, Suyatna FD, Kresno SB, et al. ' 'The effect of curcumin on lipid level in patients with acute coronary ' 'syndrome. Acta Med Indones. 2008;40(4):201–10.', 'journal-title': 'Acta Med Indones'}, { 'issue': '11', 'key': '6375_CR61', 'doi-asserted-by': 'publisher', 'first-page': 'e0240784', 'DOI': '10.1371/journal.pone.0240784', 'volume': '15', 'author': 'L Townsend', 'year': '2020', 'unstructured': 'Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. ' 'Persistent fatigue following SARS-CoV-2 infection is common and ' 'independent of severity of initial infection. PLoS One. ' '2020;15(11):e0240784. https://doi.org/10.1371/journal.pone.0240784.', 'journal-title': 'PLoS One'}, { 'issue': '4', 'key': '6375_CR62', 'doi-asserted-by': 'publisher', 'first-page': '127', 'DOI': '10.1177/0036933020949253', 'volume': '65', 'author': 'A Çalıca Utku', 'year': '2020', 'unstructured': 'Çalıca Utku A, Budak G, Karabay O, Güçlü E, Okan HD, Vatan A. Main ' 'symptoms in patients presenting in the COVID-19 period. Scott Med J. ' '2020;65(4):127–32. https://doi.org/10.1177/0036933020949253.', 'journal-title': 'Scott Med J'}, { 'key': '6375_CR63', 'volume-title': 'Weakness and fatigue', 'author': 'JH Holbrook', 'year': '2011', 'unstructured': 'Holbrook JH. Weakness and fatigue; 2011.'}, { 'key': '6375_CR64', 'doi-asserted-by': 'publisher', 'first-page': '111104', 'DOI': '10.1016/j.nut.2020.111104', 'volume': '84', 'author': 'P-Y Wang', 'year': '2021', 'unstructured': 'Wang P-Y, Li Y, Wang Q. Sarcopenia: an underlying treatment target ' 'during the COVID-19 pandemic. Nutrition. 2021;84:111104. ' 'https://doi.org/10.1016/j.nut.2020.111104.', 'journal-title': 'Nutrition'}, { 'issue': '2', 'key': '6375_CR65', 'doi-asserted-by': 'publisher', 'first-page': '125', 'DOI': '10.1016/j.nut.2008.09.002', 'volume': '25', 'author': 'N Alamdari', 'year': '2009', 'unstructured': "Alamdari N, O'Neal P, Hasselgren P-O. Curcumin and muscle wasting: a new " 'role for an old drug? Nutrition. 2009;25(2):125–9. ' 'https://doi.org/10.1016/j.nut.2008.09.002.', 'journal-title': 'Nutrition'}, { 'issue': '5', 'key': '6375_CR66', 'doi-asserted-by': 'publisher', 'first-page': '1331', 'DOI': '10.1006/bbrc.2001.4497', 'volume': '281', 'author': 'CG Penner', 'year': '2001', 'unstructured': 'Penner CG, Gang G, Wray C, Fischer JE, Hasselgren P-O. The transcription ' 'factors NF-κB and AP-1 are differentially regulated in skeletal muscle ' 'during sepsis. Biochem Biophys Res Commun. 2001;281(5):1331–6. ' 'https://doi.org/10.1006/bbrc.2001.4497.', 'journal-title': 'Biochem Biophys Res Commun'}, { 'issue': '4', 'key': '6375_CR67', 'doi-asserted-by': 'publisher', 'first-page': 'R1165', 'DOI': '10.1152/ajpregu.2000.279.4.R1165', 'volume': '279', 'author': 'Y-P Li', 'year': '2000', 'unstructured': 'Li Y-P, Reid MB. NF-κB mediates the protein loss induced by TNF-α in ' 'differentiated skeletal muscle myotubes. Am J Phys Regul Integr Comp ' 'Phys. 2000;279(4):R1165–R70. ' 'https://doi.org/10.1152/ajpregu.2000.279.4.R1165.', 'journal-title': 'Am J Phys Regul Integr Comp Phys'}, { 'issue': '4', 'key': '6375_CR68', 'doi-asserted-by': 'publisher', 'first-page': '2294', 'DOI': '10.1074/jbc.M207129200', 'volume': '278', 'author': 'KJ Ladner', 'year': '2003', 'unstructured': 'Ladner KJ, Caligiuri MA, Guttridge DC. Tumor necrosis factor-regulated ' 'biphasic activation of NF-κB is required for cytokine-induced loss of ' 'skeletal muscle gene products. J Biol Chem. 2003;278(4):2294–303. ' 'https://doi.org/10.1074/jbc.M207129200.', 'journal-title': 'J Biol Chem'}, { 'issue': '2', 'key': '6375_CR69', 'doi-asserted-by': 'publisher', 'first-page': '285', 'DOI': '10.1016/j.cell.2004.09.027', 'volume': '119', 'author': 'D Cai', 'year': '2004', 'unstructured': 'Cai D, Frantz JD, Tawa NE Jr, Melendez PA, Oh B-C, Lidov HG, et al. ' 'IKKβ/NF-κB activation causes severe muscle wasting in mice. Cell. ' '2004;119(2):285–98. https://doi.org/10.1016/j.cell.2004.09.027.', 'journal-title': 'Cell'}, { 'issue': '9', 'key': '6375_CR70', 'doi-asserted-by': 'publisher', 'first-page': '1742', 'DOI': '10.1038/sj.bjc.6602165', 'volume': '91', 'author': 'S Wyke', 'year': '2004', 'unstructured': 'Wyke S, Russell ST, Tisdale MJ. Induction of proteasome expression in ' 'skeletal muscle is attenuated by inhibitors of NF-κ B activation. Br J ' 'Cancer. 2004;91(9):1742–50. https://doi.org/10.1038/sj.bjc.6602165.', 'journal-title': 'Br J Cancer'}, { 'key': '6375_CR71', 'doi-asserted-by': 'publisher', 'first-page': '1056', 'DOI': '10.3389/fphar.2021.669362', 'volume': '12', 'author': 'KS Pawar', 'year': '2021', 'unstructured': 'Pawar KS, Mastud RN, Pawar SK, Pawar SS, Bhoite RR, Bhoite RR, et al. ' 'Oral curcumin with piperine as adjuvant therapy for the treatment of ' 'COVID-19: a randomized clinical trial. Front Pharmacol. 2021;12:1056. ' 'https://doi.org/10.3389/fphar.2021.669362.', 'journal-title': 'Front Pharmacol'}], 'container-title': 'Trials', 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'https://link.springer.com/content/pdf/10.1186/s13063-022-06375-w.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://link.springer.com/article/10.1186/s13063-022-06375-w/fulltext.html', 'content-type': 'text/html', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://link.springer.com/content/pdf/10.1186/s13063-022-06375-w.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2022, 6, 6]], 'date-time': '2022-06-06T18:06:16Z', 'timestamp': 1654538776000}, 'score': 1, 'resource': { 'primary': { 'URL': 'https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-022-06375-w'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2022, 6, 6]]}, 'references-count': 71, 'journal-issue': {'issue': '1', 'published-print': {'date-parts': [[2022, 12]]}}, 'alternative-id': ['6375'], 'URL': 'http://dx.doi.org/10.1186/s13063-022-06375-w', 'relation': {}, 'ISSN': ['1745-6215'], 'subject': ['Pharmacology (medical)', 'Medicine (miscellaneous)'], 'container-title-short': 'Trials', 'published': {'date-parts': [[2022, 6, 6]]}, 'assertion': [ { 'value': '29 August 2021', 'order': 1, 'name': 'received', 'label': 'Received', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '2 May 2022', 'order': 2, 'name': 'accepted', 'label': 'Accepted', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '6 June 2022', 'order': 3, 'name': 'first_online', 'label': 'First Online', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, {'order': 1, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Declarations'}}, { 'value': 'This trial was accepted by the ethics committee of the Isfahan University of ' 'Medical Sciences, with the ethical code: IR.MUI.MED.REC.1399.049. In this ' 'study, we only reported the data obtained from COVID-19 outpatients. This trial ' 'was conducted in accordance with the principles of the Declaration of Helsinki. ' 'All patients were informed regarding the objectives and procedures of the ' 'trial, who then provided written informed consent.', 'order': 2, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Ethics approval and consent to participate'}}, { 'value': 'Not applicable.', 'order': 3, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Consent for publication'}}, { 'value': 'MM is the funder of the Sami-Sabinsa Group. The other authors have nothing to ' 'disclose.', 'order': 4, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Competing interests'}}], 'article-number': '472'}
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