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All Studies   Meta Analysis    Recent:   

Randomized double-blind placebo-controlled proof-of-concept trial of resveratrol for outpatient treatment of mild coronavirus disease (COVID-19)

McCreary et al., Scientific Reports, doi:10.1038/s41598-022-13920-9, NCT04400890
Jun 2022  
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Hospitalization 67% Improvement Relative Risk ER visits 43% Pneumonia 50% Pulmonary embolism 0% Resveratrol  McCreary et al.  EARLY TREATMENT  DB RCT Is early treatment with resveratrol beneficial for COVID-19? Double-blind RCT 100 patients in the USA (September - December 2020) Lower progression with resveratrol (not stat. sig., p=0.52) c19early.org McCreary et al., Scientific Reports, Jun 2022 Favorsresveratrol Favorscontrol 0 0.5 1 1.5 2+
RCT 100 outpatients in the USA, showing lower hospitalization and progression with resveratrol, without statistical significance.
risk of hospitalization, 66.7% lower, RR 0.33, p = 0.62, treatment 1 of 50 (2.0%), control 3 of 50 (6.0%), NNT 25, day 21.
ER visits, 42.9% lower, RR 0.57, p = 0.52, treatment 4 of 50 (8.0%), control 7 of 50 (14.0%), NNT 17, ER visits, day 21.
pneumonia, 50.0% lower, RR 0.50, p = 0.36, treatment 4 of 50 (8.0%), control 8 of 50 (16.0%), NNT 12, pneumonia, day 21.
pulmonary embolism, no change, RR 1.00, p = 1.00, treatment 1 of 50 (2.0%), control 1 of 50 (2.0%), pulmonary embolism, day 21.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
McCreary et al., 29 Jun 2022, Double Blind Randomized Controlled Trial, placebo-controlled, USA, peer-reviewed, survey, 3 authors, study period 13 September, 2020 - 11 December, 2020, average treatment delay 4.6 days, trial NCT04400890 (history). Contact: mccreary.14@osu.edu.
This PaperResveratrolAll
Randomized double-blind placebo-controlled proof-of-concept trial of resveratrol for outpatient treatment of mild coronavirus disease (COVID-19)
Marvin R Mccreary, Patrick M Schnell, Dale A Rhoda
Scientific Reports, doi:10.1038/s41598-022-13920-9
Resveratrol is a polyphenol that has been well studied and has demonstrated anti-viral and antiinflammatory properties that might mitigate the effects of COVID-19. Outpatients (N = 105) were recruited from central Ohio in late 2020. Participants were randomly assigned to receive placebo or resveratrol. Both groups received a single dose of Vitamin D3 which was used as an adjunct. The primary outcome measure was hospitalization within 21 days of symptom onset; secondary measures were ER visits, incidence of pneumonia, and incidence of pulmonary embolism. Five patients chose not to participate after randomization. Twenty-one-day outcome was determined of all one hundred participants (mean [SD] age 55.6 [8.8] years; 61% female). There were no clinically significant adverse events attributed to resveratrol. Outpatients in this phase 2 study treated with resveratrol had a lower incidence compared to placebo of: hospitalization (2% vs. 6%, RR 0.33, 95% CI 0.04-3.10), COVID-19 related ER visits (8% vs. 14%, RR 0.57, 95% CI 0.18-1.83), and pneumonia (8% vs. 16%, RR 0.5, 95% CI 0.16-1.55). One patient (2%) in each group developed pulmonary embolism (RR 1.00, 95% CI: 0.06-15.55). This underpowered study was limited by small sample size and low incidence of primary adverse events consequently the results are statistically similar between treatment arms. A larger trial could determine efficacy.
Author contributions M.M.: conceptualization, methodology, software, writing original draft, supervision. P.S.: statistical analysis, writing original statistical protocol. D.R.: statistical analysis, writing -review and editing. All authors reviewed the manuscript. Competing interests The authors declare no competing interests.
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Med.'}, { 'key': '13920_CR25', 'doi-asserted-by': 'publisher', 'first-page': '1033', 'DOI': '10.1016/S0140-6736(20)30628-0', 'volume': '395', 'author': 'P Mehta', 'year': '2020', 'unstructured': 'Mehta, P. et al. COVID-19: Consider cytokine storm syndromes and ' 'immunosuppression. Lancet 395, 1033–1034 (2020).', 'journal-title': 'Lancet'}, { 'key': '13920_CR26', 'doi-asserted-by': 'publisher', 'first-page': '821', 'DOI': '10.1038/nm0805-821', 'volume': '11', 'author': 'J Nicholls', 'year': '2005', 'unstructured': 'Nicholls, J. & Peiris, M. Good ACE, bad ACE do battle in lung injury, ' 'SARS. Nat. Med. 11, 821–822 (2005).', 'journal-title': 'Nat. Med.'}, { 'key': '13920_CR27', 'doi-asserted-by': 'publisher', 'first-page': '19840', 'DOI': '10.1038/srep19840', 'volume': '6', 'author': 'H Gu', 'year': '2016', 'unstructured': 'Gu, H. et al. Angiotensin-converting enzyme 2 inhibits lung injury ' 'induced by respiratory syncytial virus. Sci. Rep. 6, 19840–19840 (2016).', 'journal-title': 'Sci. Rep.'}, { 'key': '13920_CR28', 'doi-asserted-by': 'publisher', 'first-page': '6017', 'DOI': '10.1096/fj.202000782', 'volume': '34', 'author': 'T Yan', 'year': '2020', 'unstructured': 'Yan, T., Xiao, R. & Lin, G. Angiotensin-converting enzyme 2 in severe ' 'acute respiratory syndrome coronavirus and SARS-CoV-2: A double-edged ' 'sword?. FASEB J. 34, 6017–6026 (2020).', 'journal-title': 'FASEB J.'}, { 'key': '13920_CR29', 'doi-asserted-by': 'publisher', 'first-page': '2195', 'DOI': '10.1161/ATVBAHA.117.310129', 'volume': '37', 'author': 'CS Moran', 'year': '2017', 'unstructured': 'Moran, C. S. et al. Resveratrol inhibits growth of experimental ' 'abdominal aortic aneurysm associated with upregulation of ' 'angiotensin-converting enzyme 2. Arterioscler. Thromb. Vasc. Biol. 37, ' '2195–2203 (2017).', 'journal-title': 'Arterioscler. Thromb. Vasc. Biol.'}, { 'key': '13920_CR30', 'doi-asserted-by': 'publisher', 'first-page': '112', 'DOI': '10.1038/nature03712', 'volume': '436', 'author': 'Y Imai', 'year': '2005', 'unstructured': 'Imai, Y. et al. Angiotensin-converting enzyme 2 protects from severe ' 'acute lung failure. Nature 436, 112–116 (2005).', 'journal-title': 'Nature'}, { 'key': '13920_CR31', 'doi-asserted-by': 'publisher', 'first-page': 'E830', 'DOI': '10.1152/ajpendo.00150.2020', 'volume': '318', 'author': 'JR Horne', 'year': '2020', 'unstructured': 'Horne, J. R. & Vohl, M.-C. Biological plausibility for interactions ' 'between dietary fat, resveratrol, ACE2, and SARS-CoV illness severity. ' 'Am. J. Physiol. Endocrinol. Metab. 318, E830–E833 (2020).', 'journal-title': 'Am. J. Physiol. Endocrinol. 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Ther.'}, { 'key': '13920_CR39', 'doi-asserted-by': 'publisher', 'first-page': '942', 'DOI': '10.1136/thorax.58.11.942', 'volume': '58', 'author': 'SV Culpitt', 'year': '2003', 'unstructured': 'Culpitt, S. V. et al. Inhibition by red wine extract, resveratrol, of ' 'cytokine release by alveolar macrophages in COPD. Thorax 58, 942–946 ' '(2003).', 'journal-title': 'Thorax'}, { 'key': '13920_CR40', 'doi-asserted-by': 'publisher', 'first-page': '913', 'DOI': '10.1128/JVI.02576-13', 'volume': '88', 'author': 'ML DeDiego', 'year': '2014', 'unstructured': 'DeDiego, M. L. et al. Inhibition of NF-κB-mediated inflammation in ' 'severe acute respiratory syndrome coronavirus-infected mice increases ' 'survival. J. Virol. 88, 913–924 (2014).', 'journal-title': 'J. Virol.'}, { 'key': '13920_CR41', 'doi-asserted-by': 'publisher', 'first-page': '2644', 'DOI': '10.1111/jcmm.13542', 'volume': '22', 'author': 'H Alghetaa', 'year': '2018', 'unstructured': 'Alghetaa, H. et al. Resveratrol protects mice against SEB-induced acute ' 'lung injury and mortality by miR-193a modulation that targets TGF-β ' 'signalling. J. Cell Mol. Med. 22, 2644–2655 (2018).', 'journal-title': 'J. Cell Mol. Med.'}, { 'key': '13920_CR42', 'doi-asserted-by': 'publisher', 'first-page': '130', 'DOI': '10.1016/j.biopha.2016.09.020', 'volume': '84', 'author': 'L Jiang', 'year': '2016', 'unstructured': 'Jiang, L. et al. Resveratrol ameliorates LPS-induced acute lung injury ' 'via NLRP3 inflammasome modulation. Biomed. Pharmacother. 84, 130–138 ' '(2016).', 'journal-title': 'Biomed. Pharmacother.'}, { 'key': '13920_CR43', 'doi-asserted-by': 'publisher', 'first-page': '773', 'DOI': '10.1586/ers.10.71', 'volume': '4', 'author': 'H Chen', 'year': '2010', 'unstructured': 'Chen, H., Bai, C. & Wang, X. The value of the lipopolysaccharide-induced ' 'acute lung injury model in respiratory medicine. Expert Rev. Respir. ' 'Med. 4, 773–783 (2010).', 'journal-title': 'Expert Rev. Respir. 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Severe outcomes among patients with ' 'coronavirus disease 2019 (COVID-19)—United States, February 12–March 16, ' '2020. Morbidity Mortality Week. Rep. 69, 343 (2020).', 'DOI': '10.15585/mmwr.mm6912e2'}, { 'key': '13920_CR57', 'doi-asserted-by': 'publisher', 'first-page': '401', 'DOI': '10.1053/j.jrn.2016.06.005', 'volume': '26', 'author': 'J Saldanha', 'year': '2016', 'unstructured': 'Saldanha, J. et al. Effects of resveratrol supplementation in nrf2 and ' 'NF-κB expressions in nondialyzed chronic kidney disease patients: A ' 'randomized, double-blind, placebo-controlled, crossover clinical trial. ' 'J. Ren. Nutr. 26, 401–406 (2016).', 'journal-title': 'J. Ren. Nutr.'}, { 'key': '13920_CR58', 'unstructured': 'R Core Team. R: A language and environment for statistical computing. (R ' 'Foundation for Statistical Computing, 2020).'}, { 'key': '13920_CR59', 'unstructured': 'StataCorp. Stata Statistical Software: Release 17. 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' 'FEBS J 287, 3693–3702 (2020).', 'journal-title': 'FEBS J'}, { 'key': '13920_CR68', 'unstructured': 'Centers for Disease Control and Prevention. Influenza Antiviral ' 'Medications: Clinician Summary. ' 'https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm ' '(2021).'}, { 'key': '13920_CR69', 'doi-asserted-by': 'publisher', 'first-page': '403', 'DOI': '10.1089/ars.2007.1926', 'volume': '10', 'author': 'A Bertelli', 'year': '2008', 'unstructured': 'Bertelli, A. et al. Analgesic resveratrol?. Antioxid. Redox Signal. 10, ' '403–404 (2008).', 'journal-title': 'Antioxid. Redox Signal.'}, { 'key': '13920_CR70', 'doi-asserted-by': 'publisher', 'first-page': '1591', 'DOI': '10.3389/fimmu.2021.670955', 'volume': '12', 'author': 'GA Rossi', 'year': '2021', 'unstructured': 'Rossi, G. A., Sacco, O., Capizzi, A. & Mastromarino, P. Can ' 'resveratrol-inhaled formulations be considered potential adjunct ' 'treatments for COVID-19?. Front. Immunol. 12, 1591 (2021).', 'journal-title': 'Front. Immunol.'}], 'container-title': 'Scientific Reports', 'original-title': [], 'language': 'en', 'link': [ { 'URL': 'https://www.nature.com/articles/s41598-022-13920-9.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://www.nature.com/articles/s41598-022-13920-9', 'content-type': 'text/html', 'content-version': 'vor', 'intended-application': 'text-mining'}, { 'URL': 'https://www.nature.com/articles/s41598-022-13920-9.pdf', 'content-type': 'application/pdf', 'content-version': 'vor', 'intended-application': 'similarity-checking'}], 'deposited': { 'date-parts': [[2022, 11, 25]], 'date-time': '2022-11-25T06:41:49Z', 'timestamp': 1669358509000}, 'score': 1, 'resource': {'primary': {'URL': 'https://www.nature.com/articles/s41598-022-13920-9'}}, 'subtitle': [], 'short-title': [], 'issued': {'date-parts': [[2022, 6, 29]]}, 'references-count': 70, 'journal-issue': {'issue': '1', 'published-online': {'date-parts': [[2022, 12]]}}, 'alternative-id': ['13920'], 'URL': 'http://dx.doi.org/10.1038/s41598-022-13920-9', 'relation': {}, 'ISSN': ['2045-2322'], 'subject': ['Multidisciplinary'], 'container-title-short': 'Sci Rep', 'published': {'date-parts': [[2022, 6, 29]]}, 'assertion': [ { 'value': '31 August 2021', 'order': 1, 'name': 'received', 'label': 'Received', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '30 May 2022', 'order': 2, 'name': 'accepted', 'label': 'Accepted', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': '29 June 2022', 'order': 3, 'name': 'first_online', 'label': 'First Online', 'group': {'name': 'ArticleHistory', 'label': 'Article History'}}, { 'value': 'The authors declare no competing interests.', 'order': 1, 'name': 'Ethics', 'group': {'name': 'EthicsHeading', 'label': 'Competing interests'}}], 'article-number': '10978'}
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