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$0 $1,000 $2,000+ -25+% 0% 25% 50% Treatment cost (US$) Efficacy vs. cost for COVID-19 treatments Donidalorsen -151% >$2,000 Glenzocimab -60% >$2,000 Olokizumab -50% >$2,000 PPIs -46% BMS mAbs -36% >$2,000 Acetaminophen -28% Lufotrelvir >$2,000 Trimodulin >$2,000 Losartan Sargramostim >$2,000 Cannabidiol Vitamin B9 Conv. Plasma $5,000 Sarilumab >$2,000 Remdesivir $3,120 Acebilustat >$2,000 Ibuprofen Aspirin Molnupiravir mutagenic/teratogenic Favipiravir Paxlovid Famotidine Amubarvimab/r.. Vitamin C NAC Vilobelimab $6,350 Sotrovimab $2,100 Colchicine Budesonide Probiotics HCQ Zinc Metformin Sleep Antiandro.. Nitric Oxide Azvudine Bebtelovimab Vitamin A Vitamin D Sunlight H. Peroxide Exercise Fluvox. H1RAs Curcumin Tixagevimab/c.. N. Sativa NaHCO₃ Casirivimab/i.. $2,100 Melatonin Ensovibep >$2,000 Bamlanivimab/e.. pH+ Quercetin Diet PVP-I Thermotherapy Ivermectin Regdanvimab $2,100 Lifestyle / free No prescription Prescription required High-cost Lowerrisk Higherrisk c19early.org October 2024 COVID-19 involves the interplay of 50+ host/viral proteins/factors, modulated by many treatments. 0.6% of 8,000+proposed treatments show efficacy with ≥3 studies.Protocols combine treatments, none are 100% effective.c19early analyzes over 4,800 studies for 98 treatments.
Home   Post   Share   @CovidAnalysis   General studies not related to specific treatments or studies for treatments not covered in detail. Submit updates/corrections. Summary.
Oct 10
Nguyen et al., JAMA, doi:10.1001/jama.2024.17681 Payments by Drug and Medical Device Manufacturers to US Peer Reviewers of Major Medical Journals
Analysis of payments by drug and medical device manufacturers to US physician peer reviewers of 4 major medical journals from 2020-2022. Authors found that 59% of 1,962 eligible reviewers received industry payments totaling over $US1 bill..
Sep 24
Joseph et al., Advanced Materials, doi:10.1002/adma.202406348 Toward a Radically Simple Multi-Modal Nasal Spray for Preventing Respiratory Infections
In Vitro and mouse study showing benefit with PCANS (Pathogen Capture and Neutralizing Spray) in reducing viral load in respiratory infections. Authors demonstrate that PCANS effectively neutralizes both enveloped viruses (SARS-CoV-2, Inf..
Sep 21
Trender et al., eClinicalMedicine, doi:10.1016/j.eclinm.2024.102842 Changes in memory and cognition during the SARS-CoV-2 human challenge study
Human challenge study inoculating 34 patients with SARS-CoV-2 and showing significantly lower cognitive scores in infected patients that persisted for at least a year. The differences were greatest for memory and executive functions. Resu..
Aug 28
Ryu et al., Nature, doi:10.1038/s41586-024-07873-4 Fibrin drives thromboinflammation and neuropathology in COVID-19
In Vitro and mouse study showing that fibrin drives thromboinflammation and neuropathology in COVID-19. Fibrin binds to the SARS-CoV-2 spike protein, forming proinflammatory blood clots that promote oxidative stress and macrophage activat..
Aug 15
Reis et al., The American Journal of Clinical Nutrition, doi:10.1016/j.ajcnut.2024.06.016 Effect of spirulina on risk of hospitalization among patients with COVID-19: the TOGETHER randomized trial
24% higher progression (p=0.29). RCT 1,126 patients in Brazil showing no significant differences with low dose spirulina. The dose used was 7.6 times lower than the dose used by [Aghasadeghi] which shows significantly lower mortality.
Aug 14
Dai et al., Cells, doi:10.3390/cells13161353 The Interplay between Airway Cilia and Coronavirus Infection, Implications for Prevention and Control of Airway Viral Infections
Review of the interplay between airway cilia and coronavirus infection, and the implications for prevention and treatment of respiratory viral infections. Coronaviruses target the cilia of respiratory epithelial cells, disrupting their st..
Aug 9
Kryńska et al., International Journal of Molecular Sciences, doi:10.3390/ijms25168715 The Influence of SARS-CoV-2 Infection on the Development of Selected Neurological Diseases
Review of the influence of SARS-CoV-2 infection on the development of selected neurological diseases, including multiple sclerosis (MS), ischemic stroke (IS), and Alzheimer's disease (AD). Authors report that SARS-CoV-2 causes activation ..
Jul 24
Nazir et al., Molecular and Cellular Probes, doi:10.1016/j.mcp.2024.101973 SARS-CoV-2 replication and drug discovery
Review of SARS-CoV-2 genome replication in host cells, including viral RNA synthesis, transcription and replication, and viral inhibition target sites for antiviral drugs. Authors discuss the molecular similarities between SARS-CoV-2 and ..
Jul 24
Vashisht et al., Viruses, doi:10.3390/v16081183 Neurological Complications of COVID-19: Unraveling the Pathophysiological Underpinnings and Therapeutic Implications
Review of the neurological complications of COVID-19 and their pathophysiological underpinnings and therapeutic implications. Authors note that SARS-CoV-2 infection can lead to a range of neurological complications such as anosmia, stroke..
Jul 17
Franco-Moreno et al., Frontiers in Medicine, doi:10.3389/fmed.2024.1385833 Effect of early administration of dexamethasone in patients with COVID-19 pneumonia without acute hypoxemic respiratory failure and risk of development of acute respiratory distress syndrome: EARLY-DEX COVID-19 trial
134% higher ventilation (p=0.41), 217% higher ICU admission (p=0.46), 17% higher ARDS (p=0.81), and 3% shorter hospitalization (p=0.88). RCT 126 hospitalized COVID-19 pneumonia patients not requiring oxygen at admission, showing no significant difference in outcomes with dexamethasone treatment.
Jul 16
Goldswain et al., Genome Medicine, doi:10.1186/s13073-024-01360-1 SARS-CoV-2 population dynamics in immunocompetent individuals in a closed transmission chain shows genomic diversity over the course of infection
Longitudinal sequencing study of 16 immunocompetent individuals in a closed SARS-CoV-2 transmission chain showing genomic diversity over the course of acute infection. Amino acid substitutions were observed at both the dominant and minor ..
Jun 19
Lindeboom et al., Nature, doi:10.1038/s41586-024-07575-x Human SARS-CoV-2 challenge uncovers local and systemic response dynamics
Human SARS-CoV-2 challenge experiment, using single-cell multi-omics profiling to analyze nasopharyngeal and blood samples over time. Authors found that ciliated epithelial cells in the nasopharynx were the primary targets for productive ..
Jun 8
Panagea et al., Archives of Clinical Neuropsychology, doi:10.1093/arclin/acae042 Neurocognitive Impairment in Long COVID: A Systematic Review
Systematic review of 36 studies for post-COVID neurocognitive impairment. All studies showed persistent cognitive changes after COVID-19, with executive function, memory, attention, and processing speed being predominantly affected. Autho..
Jun 1
Hasan et al., Mymensingh Med J., 33:3 Clinico-epidemiological Characteristics of the Physician Affected with Covid-19
Survey of 151 physicians in Bangladesh, showing significant use of zinc, vitamin C, vitamin D, and ivermectin (75%, 68%, 42%, and 38% respectively).
May 31
Lu et al., eClinicalMedicine, doi:10.1016/j.eclinm.2024.102582 Efficacy and safety of GST-HG171 in adult patients with mild to moderate COVID-19: a randomised, double-blind, placebo-controlled phase 2/3 trial
13% faster recovery (p=0.03) and 25% faster viral clearance (p<0.0001). RCT 1,213 outpatients with mild-to-moderate COVID-19 in China showing a shorter time to sustained recovery and faster viral clearance with GST-HG171 plus ritonavir.
May 22
Ariza et al., Biomedicines, doi:10.3390/biomedicines12061147 COVID-19: Unveiling the Neuropsychiatric Maze—From Acute to Long-Term Manifestations
Review of neuropsychiatric symptoms and complications of COVID-19. Authors discuss potential mechanisms by which SARS-CoV-2 impacts the nervous system, including direct viral invasion and aberrant immune system activation. Potential compl..
May 15
Alejandria et al., Acta Medica Philippina, doi:10.47895/amp.vi0.7498 Virgin Coconut Oil as Adjunctive Therapy for Hospitalized COVID-19 Patients in a Tertiary Referral Hospital: A Randomized Controlled Trial
86% lower mortality (p=0.12), 86% lower ventilation (p=0.12), 10% shorter hospitalization (p=0.41), and 3% faster recovery (p=0.77). RCT 77 hospitalized patients showing no significant differences with virgin coconut oil (VCO) treatment.
May 6
Holubovska et al., Advances in Respiratory Medicine, doi:10.3390/arm92030021 RNA Polymerase Inhibitor Enisamium for Treatment of Moderate COVID-19 Patients: A Randomized, Placebo-Controlled, Multicenter, Double-Blind Phase 3 Clinical Trial
86% lower mortality (p=0.25), 75% lower progression (p=0.03), 9% faster improvement (p=0.01), and 89% higher hospital discharge (p=0.12). RCT 592 hospitalized moderate COVID-19 patients in Ukraine showing improved recovery and lower progression with enisamium. The trial initially included patients with moderate COVID-19 not requiring oxygen, but a mid-trial change was made ..
May 1
Zhang et al., Vaccines, doi:10.3390/vaccines12050487 Virological Traits of the SARS-CoV-2 BA.2.87.1 Lineage
In Vitro study showing that the SARS-CoV-2 BA.2.87.1 lineage efficiently enters human cells but is more sensitive to neutralization by antibodies compared to the JN.1 variant. BA.2.87.1 pseudovirus particles robustly entered human cell li..
Apr 22
Cokljat et al., BMJ Global Health, doi:10.1136/bmjgh-2023-014188 Comparison of WHO versus national COVID-19 therapeutic guidelines across the world: not exactly a perfect match
Comparison of COVID-19 treatment guidelines from 109 countries with WHO guidelines, showing very high variation between national guidelines and frequent recommendations inconsistent with WHO claims. Almost all countries did not follow the..
Apr 15
Sagar et al., Brain Communications, doi:10.1093/braincomms/fcae127 COVID-19-associated cerebral microbleeds in the general population
Retrospective 73 COVID-19 outpatients and 219 matched controls showing a significantly higher rate of cerebral microbleeds on MRI in COVID-19 patients (12%) compared to controls (5%). The increased occurrence of microbleeds persisted when..
Apr 8
Aghasadeghi et al., Frontiers in Immunology, doi:10.3389/fimmu.2024.1332425 Effect of high-dose Spirulina supplementation on hospitalized adults with COVID-19: a randomized controlled trial
85% lower mortality (p=0.0002) and 75% higher hospital discharge (p=0.003). RCT 189 hospitalized COVID-19 patients showing lower mortality and faster recovery with spirulina. Spirulina treatment also resulted in greater reductions in inflammatory markers such as IL-6, TNF-a, IP-10, CRP, ESR, and ferritin. All pat..
Apr 2
Cameron et al., Critical Care, doi:10.1186/s13054-024-04869-4 Vitamin D metabolism in critically ill patients with acute kidney injury: a prospective observational study
Non-COVID-19 study of 137 critically ill patients showing significantly lower serum calcitriol in patients with moderate-to-severe acute kidney injury (AKI) compared to critically ill patients without AKI, but no significant difference in..
Mar 28
Sharma et al., Scientific Reports, doi:10.1038/s41598-024-57561-6 Brain temperature and free water increases after mild COVID-19 infection
Analysis of 10 patients with brain imaging before and after mild COVID-19 suggesting that the primary route for SARS-CoV-2 entry into the central nervous system (CNS) is via the olfactory nerve in the nasal cavity, a pathway known as the..
Mar 27
Martínez-Gómez et al., Frontiers in Immunology, doi:10.3389/fimmu.2024.1335963 The fatal contribution of serine protease-related genetic variants to COVID-19 outcomes
Cross-sectional study of 1,536 COVID-19 patients in Mexico showing increased mortality associated with the TMPRSS2 rs75603675 AA genotype and the SERPINE1 rs2227692 T allele and TT genotype. The SERPINE1 rs2227692 T allele was also associ..
Mar 20
Grangier et al., Scientific Reports, doi:10.1038/s41598-024-55378-x Comparison of mortality and outcomes of four respiratory viruses in the intensive care unit: a multicenter retrospective study
Retrospective 807 ICU patients showing higher mortality with COVID-19 and H1N1 influenza compared to RSV and seasonal influenza.
Mar 11
Chen et al., eBioMedicine, doi:10.1016/j.ebiom.2024.105042 Mitoquinone mesylate as post-exposure prophylaxis against SARS-CoV-2 infection in humans: an exploratory single center pragmatic open label non-randomized pilot clinical trial with matched controls
91% fewer moderate/severe cases (p=0.05), 83% fewer symptomatic cases (p<0.0001), and 60% fewer cases (p=0.0001). Open-label non-randomized trial with 80 participants exposed to confirmed SARS-CoV-2 cases, showing lower risk of infection and milder symptoms with mitoquinone mesylate (Mito-MES) prophylaxis. 40 participants took Mito-MES 20mg daily for..
Mar 10
Korves et al., medRxiv, doi:10.1101/2024.03.08.24303818 SARS-CoV-2 Genetic Variants and Patient Factors Associated with Hospitalization Risk
Retrospective 12,538 COVID-19 patients, showing associations between specific SARS-CoV-2 lineages and amino acid mutations and increased hospitalization risk, while infection with omicron was associated with lower hospitalization risk com..
Feb 29
Hampshire et al., New England Journal of Medicine, doi:10.1056/NEJMoa2311330 Cognition and Memory after Covid-19 in a Large Community Sample
Observational study of 112,964 adults in England completing an online cognitive assessment, showing significant cognitive deficits persisting over a year after COVID-19. The largest deficits were seen with hospitalization and unresolved p..
Feb 28
Duloquin et al., Journal of Clinical Medicine, doi:10.3390/jcm13051397 Is COVID-19 Infection a Multiorganic Disease? Focus on Extrapulmonary Involvement of SARS-CoV-2
Review of the extrapulmonary manifestations of SARS-CoV-2 infection, which can affect multiple organs beyond the lungs including the cardiovascular, neurological, gastrointestinal, renal, hepatic, and dermatologic systems. Authors suggest..
Feb 27
Lui et al., Virology, doi:10.1128/mbio.00392-24 Nsp1 facilitates SARS-CoV-2 replication through calcineurin-NFAT signaling
In Vitro study showing cyclosporine A (CsA) and the calcineurin-NFAT inhibitor VIVIT inhibit SARS-CoV-2 infection in lung epithelial Calu-3 cells. Authors find SARS-CoV-2 protein Nsp1 hijacks host NFAT signaling by binding calcineurin A, ..
Feb 22
Singh et al., Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkae045 The relationship between viral clearance rates and disease progression in early symptomatic COVID-19: a systematic review and meta-regression analysis
Systematic review and meta-analysis of 44 RCTs of antiviral treatments for early symptomatic COVID-19, including 52,384 participants, assessing the relationship between the SARS-CoV-2 viral clearance rate and the risk of hospitalization o..
Feb 21
Malar et al., Scientific Reports, doi:10.1038/s41598-024-55013-9 Network analysis-guided drug repurposing strategies targeting LPAR receptor in the interplay of COVID, Alzheimer’s, and diabetes
In silico study showing potential COVID-19 treatment benefits by repurposing drugs targeting lysophosphatidic acid receptors (LPARs), which are implicated in the tri-directional relationship between Alzheimer's disease, diabetes, and COVI..
Feb 16
Willett et al., Communications Biology, doi:10.1038/s42003-024-05878-3 SARS-CoV-2 rapidly evolves lineage-specific phenotypic differences when passaged repeatedly in immune-naïve mice
Mouse study demonstrating that SARS-CoV-2 can rapidly acquire mutations altering infectivity, disease severity, and drug resistance even without selective pressure. Antigenic drift can undermine variant-specific treatments like monoclonal..
Feb 13
Niarakis et al., Frontiers in Immunology, doi:10.3389/fimmu.2023.1282859 Drug-target identification in COVID-19 disease mechanisms using computational systems biology approaches
In silico study integrating multi-omics data analysis, computational modelling, text mining, and AI to suggest targeted COVID-19 therapies. Authors identified 54 potential targets using omic data analysis of SARS-CoV-2 infected cell lines..
Jan 31
Morris et al., Food and Environmental Virology, doi:10.1007/s12560-023-09581-0 Screening Commercial Tea for Rapid Inactivation of Infectious SARS-CoV-2 in Saliva
In Vitro study showing that certain teas can rapidly inactivate SARS-CoV-2 in saliva. At 10 mg/mL infusion, black tea showed the highest reduction (99.9%) of infectious SARS-CoV-2 within 10 seconds. Green, mint medley, eucalyptus mint, an..
Jan 31
Ullah et al., iScience, doi:10.1016/j.isci.2024.109049 Bioluminescence Imaging Reveals Enhanced SARS-CoV-2 Clearance in Mice with Combinatorial Regimens
Mouse study showing that monotherapy with approved antiviral drugs favipiravir, molnupiravir or nirmatrelvir reduced but did not clear SARS-CoV-2 Delta and Omicron variants in K18-hACE2 mice. Combination therapy with molnupiravir and nirm..
Jan 31
Donida et al., BMC Infectious Diseases, doi:10.1186/s12879-024-09034-4 First COVID-19 wave in the province of Bergamo, Italy: epidemiological and clinical characteristics, outcome and management of the first hospitalized patients
7% lower mortality (p=0.79). Retrospective 723 hospitalized COVID-19 patients in Italy showing no significant difference with azithromycin treatment.
Jan 25
Zech et al., Viruses, doi:10.3390/v16020177 Causes and Consequences of Coronavirus Spike Protein Variability
Review of causes and consequences of coronavirus spike protein variability focused on SARS-CoV-2. Authors discuss initial features of the SARS-CoV-2 spike protein and subsequent adaptations to the human host that may have enabled the COVI..
Jan 23
Fiaschi et al., Viruses, doi:10.3390/v16020168 In Vitro Combinatorial Activity of Direct Acting Antivirals and Monoclonal Antibodies against the Ancestral B.1 and BQ.1.1 SARS-CoV-2 Viral Variants
In vitro study showing additive or synergistic antiviral effects with combinations of COVID-19 therapeutics nirmatrelvir, molnupiravir, remdesivir, and monoclonal antibodies sotrovimab, bebtelovimab, cilgavimab and tixagevimab against anc..
Jan 23
Angeles-Agdeppa et al., Journal of Nutritional Science, doi:10.1017/jns.2023.118 Virgin coconut oil (VCO) supplementation relieves symptoms and inflammation among COVID-19 positive adults: a single-blind randomized trial
47% improved recovery (p=0.13). RCT 76 hospitalized mild-to-moderate COVID-19 patients in the Philippines showing faster resolution of symptoms with virgin coconut oil (VCO) treatment, without statistical significance.
Dec 15
2023
Furtado et al., The American Journal of Cardiology, doi:10.1016/j.amjcard.2023.11.069 Cardiovascular Safety of Azithromycin in Patients Hospitalized with Coronavirus Disease 2019: a Pre-Specified Pooled Analysis of the COALITION I and COALITION II Randomized Clinical Trials
Analysis of two multicenter RCTs with 1,114 hospitalized COVID-19 patients showing no increased risk of cardiovascular events or QTc prolongation with the addition of azithromycin to hydroxychloroquine treatment.
Nov 20
2023
Atefi et al., Immunity, Inflammation and Disease, doi:10.1002/iid3.1083 Evaluation of the efficacy and safety of oral N‐acetylcysteine in patients with COVID‐19 receiving the routine antiviral and hydroxychloroquine protocol: A randomized controlled clinical trial
85% lower mortality (p=0.31). RCT 60 hospitalized COVID-19 patients evaluating the efficacy and safety of adding oral N-acetylcysteine (NAC) at 600mg three times daily to standard antiviral treatment regimens. There was lower mortality for patients that received azith..
Oct 8
2023
Ma et al., Cell Proliferation, doi:10.1111/cpr.13558 Integration of human organoids single‐cell transcriptomic profiles and human genetics repurposes critical cell type‐specific drug targets for severe COVID‐19
In Silico study integrating human organoid data with single-cell transcriptomic profiles and GWAS to identify cell type-specific drug targets for severe COVID-19. The authors found 39 cell types across eight organoid types associated with..
Sep 28
2023
Eberhardt et al., Nature Cardiovascular Research, doi:10.1038/s44161-023-00336-5 SARS-CoV-2 infection triggers pro-atherogenic inflammatory responses in human coronary vessels
Autopsy study providing evidence that SARS-CoV-2 infects and replicates within coronary artery macrophages in severe COVID-19 patients. Using RNA fluorescence in situ hybridization (FISH) and artificial intelligence-based image analysis, ..
Sep 21
2023
Davidson et al., Journal of Clinical Epidemiology, doi:10.1016/j.jclinepi.2023.08.011 No evidence of important difference in summary treatment effects between COVID-19 preprints and peer-reviewed publications: a meta-epidemiological study
Meta-epidemiological study including 37 meta-analyses with 114 RCTs assessing pharmacological treatments for COVID-19, showing no evidence of an important difference in meta analysis results between preprints and peer-reviewed publications.
Jul 6
2023
Martin et al., Viruses, doi:10.3390/v15071508 Oral Probenecid for Nonhospitalized Adults with Symptomatic Mild-to-Moderate COVID-19
90% improved recovery (p<0.0001) and 36% faster viral clearance (p=0.0001). RCT 75 outpatients in India with mild to moderate COVID-19 showing faster viral clearance, faster time to symptom resolution, and improvement in disease progression with probenecid treatment for 5 days compared to placebo. Probenecid was ..
May 11
2023
Yilgwan et al., Nigerian Medical Journal, 64:2 Clinical profile and Predictors of Outcomes of Hospitalized Patients with Laboratory-Confirmed Severe Acute Respiratory Syndrome Coronavirus 2 in Nigeria: A Retrospective Analysis of 13 High Burden States in Nigeria
67% lower mortality (p=0.0001). Retrospective 3,462 hospitalized COVID-19 patients across 13 states in Nigiera, showing lower mortality with AZ. Authors note the worse results with a combination of CQ/HCQ and AZ, compared to either alone, may be related to the side effe..
May 10
2023
AlQadheeb et al., Clinical Infection in Practice, doi:10.1016/j.clinpr.2023.100229 Impact of common comorbidities on antimicrobial consumption and mortality amongst critically ill COVID-19 patients: A retrospective two center study in Saudi Arabia
22% higher mortality (p=0.08). Retrospective 848 ICU patients in Saudi Arabia, showing higher mortality with azithromycin in unadjusted results.
Apr 24
2023
Borka Balas et al., Reviews in Cardiovascular Medicine, doi:10.31083/j.rcm2405125 COVID-19 and Cardiac Implications—Still a Mystery in Clinical Practice
Review of the cardiac implications of COVID-19 in pediatric patients. Authors highlight that cardiac injuries are likely the second cause of mortality associated with COVID-19 infection. A wide spectrum of cardiac abnormalities have been ..
Mar 24
2023
Mäkelä et al., Nature Communications, doi:10.1038/s41467-023-37290-6 Intranasal trimeric sherpabody inhibits SARS-CoV-2 including recent immunoevasive Omicron subvariants
In Vitro and mouse study showing that TriSb92, a trimeric antibody-mimetic sherpabody, potently neutralizes SARS-CoV-2 variants including recent Omicron subvariants. Authors found that TriSb92 targets a highly conserved region in the rece..
Mar 21
2023
Madamombe et al., Pan African Medical Journal, doi:10.11604/pamj.2023.44.142.37858 Factors associated with COVID-19 fatality among patients admitted in Mashonaland West Province, Zimbabwe 2020-2022: a secondary data analysis
40% lower mortality (p=0.03). Retrospective 672 COVID-19 patients in Zimbabwe, showing lower mortality with azithromycin treatment.
Mar 20
2023
Zhang et al., medRxiv, doi:10.1101/2023.03.17.23287398 A first-in-human clinical study of an intranasal spray of a cocktail containing two synergetic antibodies neutralizes Omicron BA. 4/5
In Vitro and animal study showing that a cocktail of two synergetic antibodies (55A8 and 58G6) neutralizes SARS-CoV-2 omicron variants and provides protection against infection when delivered intranasally. Authors found that the antibody ..
Mar 15
2023
Li et al., medRxiv, doi:10.1101/2023.03.14.23287255 The real-world effectiveness of an intranasal spray A8G6 antibody cocktail in the post-exposure prophylaxis of COVID-19
Open-label, non-randomized trial of 513 COVID-19 close contacts showing lower cases with intranasal A8G6 antibody cocktail treatment for post-exposure prophylaxis.
Mar 15
2023
Dugot et al., Antibiotics, doi:10.3390/antibiotics12030587 The Association between Previous Antibiotic Consumption and SARS-CoV-2 Infection: A Population-Based Case-Control Study
12% fewer cases (p<0.0001). Retrospective 31,260 COVID-19 cases and 125,039 matched controls, showing lower risk of COVID-19 with previous azithromycin use.
Jan 31
2023
Demarco, S., DDN Shadowing SARS-CoV-2 Through Mucus and Cilia
Discussion of [Wu] on how SARS-CoV-2 invades and spreads through nasal epithelial cells.
Jan 31
2023
Wu et al., Cell, doi:10.1016/j.cell.2022.11.030 SARS-CoV-2 replication in airway epithelia requires motile cilia and microvillar reprogramming
Analysis of SARS-CoV-2 replication in an aiwary organoid model incorporating many aspects the airway in vivo. Authors found that SARS-CoV-2 infects nasal epithelial cells in a two-step process, first attaching to cilia via the ACE2 recept..
Dec 9
2022
Dai et al., QJM: An International Journal of Medicine, doi:10.1093/qjmed/hcac272 Neurological complications of COVID-19
Review of the neurological complications of COVID-19 and their possible pathways and mechanisms. The main pathways of SARS-CoV-2 neuroinvasion include the olfactory nerve, gut-brain axis, vagus nerve, and hematogenous dissemination throug..
Aug 31
2022
Duty et al., Med, doi:10.1016/j.medj.2022.08.002 Discovery and Intranasal Administration of a SARS-CoV-2 Broadly-Acting Neutralizing Antibody with Activity against multiple Omicron sub variants
In Vitro and mouse study showing broad neutralizing activity of a novel human monoclonal antibody STI-9167 against SARS-CoV-2 variants, including omicron subvariants. Authors demonstrated that STI-9167 effectively neutralized pseudotyped ..
Aug 16
2022
Loucera et al., Virology Journal, doi:10.1186/s12985-023-02195-9 (date from preprint) Real-world evidence with a retrospective cohort of 15,968 COVID-19 hospitalized patients suggests 21 new effective treatments
15% lower mortality (p=0.005). Retrospective 15,968 COVID-19 hospitalized patients in Spain, showing lower mortality with existing use of several medications including metformin, HCQ, azithromycin, aspirin, vitamin D, vitamin C, and budesonide. Since only hospitalized ..
Jul 11
2022
Sodagar et al., Biomolecules, doi:10.3390/biom12070971 Pathological Features and Neuroinflammatory Mechanisms of SARS-CoV-2 in the Brain and Potential Therapeutic Approaches
Review of the pathological features, neuroinflammatory mechanisms, and potential therapeutic approaches for SARS-CoV-2 in the brain. The review discusses the neuro-invasive potential of SARS-CoV-2 and possible entry routes into the brain,..
May 11
2022
Seehusen et al., Viruses, doi:10.3390/v14051020 Neuroinvasion and Neurotropism by SARS-CoV-2 Variants in the K18-hACE2 Mouse
Mouse study showing neuroinvasion and neurotropism by SARS-CoV-2 variants in K18-hACE2 transgenic mice. Authors found that apart from the omicron variant, all tested variants frequently spread to and within the central nervous system afte..
Oct 31
2021
Hinks et al., The Lancet Respiratory Medicine, doi:10.1016/S2213-2600(21)00263-0 Azithromycin versus standard care in patients with mild-to-moderate COVID-19 (ATOMIC2): an open-label, randomised trial
1% lower combined mortality/hospitalization (p=0.99) and 80% lower progression (p=0.24). RCT 298 mild-to-moderate COVID-19 outpatients in the UK showing no significant difference in hospitalization or death with late azithromycin treatment. Treatment was delayed an average of 6 days from onset. 7 vs. 3 hospitalizations occurr..
Sep 11
2021
Lv et al., Virus Genes, doi:10.1007/s11262-021-01869-2 Host proviral and antiviral factors for SARS-CoV-2
Review of host proviral and antiviral factors for SARS-CoV-2. Authors summarize current understanding of the interplay between SARS-CoV-2 and host cellular factors during virus entry and replication. They highlight ACE2 as the main recept..
Jun 26
2021
Rezaie et al., Advances in Therapy, doi:10.1007/s12325-021-01830-7 Endotracheal Application of Ultraviolet A Light in Critically Ill Patients with Severe Acute Respiratory Syndrome Coronavirus 2: A First-in-Human Study
Small trial of 5 critically ill intubated COVID-19 patients showing significant reductions in endotracheal SARS-CoV-2 viral load with 5 days of narrow-band UVA light therapy delivered via endotracheal tube. Reduction in viral load correla..
Mar 31
2021
Butler et al., The Lancet, doi:10.1016/S0140-6736(21)00461-X Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial
16% lower need for oxygen therapy (p=0.69), 9% lower hospitalization (p=0.87), and 7% improved recovery (p=0.23). RCT 1,388 outpatients in the UK showing no significant benefit with azithromycin. There was no significant difference in time to first reported recovery or risk of hospitalization or death by 28 days with azithromycin compared to usual ca..
Mar 23
2021
Basu, S., Scientific Reports, doi:10.1038/s41598-021-85765-7 Computational characterization of inhaled droplet transport to the nasopharynx
Computational fluid dynamics study tracking inhaled droplet transport in CT-based anatomic reconstructions, showing droplets sized 2.5-19 µm deposit at the highest rates in the nasopharynx, the primary initial infection site for SARS-CoV-..
Mar 17
2021
Ravindra et al., PLOS Biology, doi:10.1371/journal.pbio.3001143 Single-cell longitudinal analysis of SARS-CoV-2 infection in human airway epithelium identifies target cells, alterations in gene expression, and cell state changes
Single-cell RNA sequencing study of SARS-CoV-2 infection in human airway epithelial cells showing ciliated cells are a major target of infection at onset which expands to other cell types over time. Infected cells show upregulation of gen..
Feb 28
2021
Abaleke et al., The Lancet, doi:10.1016/S0140-6736(21)00149-5 Azithromycin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
3% lower mortality (p=0.5), 8% lower ventilation (p=0.29), and 9% higher hospital discharge. RCT 7,763 hospitalized COVID-19 patients showing no significant differences with very late (75% on oxygen at baseline) azithromycin treatment. Only 91% of treatment patients received azithromycin and 17% of control patients received azith..
Feb 28
2021
Yeramaneni et al., Gastroenterology, doi:10.1053/j.gastro.2020.10.011 Famotidine Use Is Not Associated With 30-day Mortality: A Coarsened Exact Match Study in 7158 Hospitalized Patients With Coronavirus Disease 2019 From a Large Healthcare System
7% lower mortality (p=0.84). Retrospective 7,158 hospitalized COVID-19 patients in the USA analyzing famotidine treatment, showing no significant difference in mortality with associated azithromycin treatment.
Jan 28
2021
Fiege et al., PLOS Pathogens, doi:10.1371/journal.ppat.1009292 Single cell resolution of SARS-CoV-2 tropism, antiviral responses, and susceptibility to therapies in primary human airway epithelium
In Vitro study using primary human airway epithelial cells showing heterogeneity in SARS-CoV-2 infection across cell types, with ciliated cells being the predominant cell target. Induction of interferon responses was rare and there was si..
Jan 1
2021
Kaplan, R., Occupational Medicine, doi:10.1093/occmed/kqaa210 Physician deaths from COVID-19 have been lower than expected
Retrospective 108 US physician deaths from COVID-19 up to October 2020, showing significantly lower mortality compared to the general population (16% of expected deaths).
Dec 19
2020
Huh et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2020.12.041 Association of prescribed medications with the risk of COVID-19 infection and severity among adults in South Korea
54% higher progression (p=0.33) and 42% fewer cases (p=0.1). Retrospective database analysis showing no significant differences with azithromycin use.
Nov 20
2020
Omrani et al., eClinicalMedicine, doi:10.1016/j.eclinm.2020.100645 Randomized double-blinded placebo-controlled trial of hydroxychloroquine with or without azithromycin for virologic cure of non-severe Covid-19
33% higher hospitalization (p=1), 67% lower progression (p=0.62), 100% worse recovery (p=0.5), and 4% worse viral clearance (p=0.63). Low risk patient RCT for HCQ+AZ and HCQ vs. control, not showing any significant differences. Authors note that the results are not applicable to higher risk patients, that positive PCR may simply reflect detection of inactive (non-infect..
Oct 31
2020
Sekhavati et al., International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2020.106143 Safety and effectiveness of azithromycin in patients with COVID-19: An open-label randomised trial
86% lower ventilation (p=0.12), 72% lower ICU admission (p=0.09), and 23% shorter hospitalization (p=0.02). Randomized controlled trial of 111 hospitalized COVID-19 patients in Iran showing significantly shorter hospital stay, higher oxygen saturation, and lower respiratory rate at discharge with azithromycin plus hydroxychloroquine and lopinav..
Oct 28
2020
Lee et al., Nature Communications, doi:10.1038/s41467-020-19145-6 ACE2 localizes to the respiratory cilia and is not increased by ACE inhibitors or ARBs
In Vitro study showing that ACE2 is highly localized within the motile cilia of airway epithelial cells, potentially representing an initial site of SARS-CoV-2 entry. Authors demonstrate that ACE inhibitors (ACEI) and angiotensin II recep..
Sep 4
2020
Furtado et al., The Lancet, doi:10.1016/S0140-6736(20)31862-6 Azithromycin in addition to standard of care versus standard of care alone in the treatment of patients admitted to the hospital with severe COVID-19 in Brazil (COALITION II): a randomised clinical trial
8% higher mortality (p=0.63) and 30% improvement (p=0.08). Small RCT comparing the addition of AZ for very late stage patients on ventilation or oxygen. One notable result is that even within this extremely late stage population, results suggest increased efficacy with the addition of AZ for pati..
Jul 31
2020
Hou et al., Cell, doi:10.1016/j.cell.2020.05.042 SARS-CoV-2 Reverse Genetics Reveals a Variable Infection Gradient in the Respiratory Tract
In Vitro and autopsy study showing that SARS-CoV-2 infects ciliated nasal epithelial cells, with progressively lower ACE2 expression and infectivity in lower regions of the respiratory tract. The results suggest that initial infection pri..
Jul 31
2020
Matheson et al., Science, doi:10.1126/science.abc6156 How does SARS-CoV-2 cause COVID-19?
Review discussing how the viral receptor ACE2 regulates SARS-CoV-2 cell entry, tissue tropism, and COVID-19 disease progression. The presence of a furin cleavage site in the SARS-CoV-2 spike protein expands cell tropism compared to SARS-C..
Jul 23
2020
Cavalcanti et al., NEJM, doi:10.1056/NEJMoa2019014 Hydroxychloroquine with or without Azithromycin in Mild-to-Moderate Covid-19
57% lower mortality (p=0.17), 54% higher ventilation (p=0.28), and 18% improved 7-point scale results (p=0.49). Late stage RCT of 667 hospitalized patients with up to 14 days of symptoms at enrollment and receiving up to 4 liters per minute supplemental oxygen, not finding a significant effect after 15 days. Authors note: "the trial cannot def..
Jan 21
2020
Moustgaard et al., BMJ, doi:10.1136/bmj.l6802 Impact of blinding on estimated treatment effects in randomised clinical trials: meta-epidemiological study
Meta-analysis of 142 meta-analyses (1,153 trials) finding no evidence that lack of blinding of patients, healthcare providers, or outcome assessors influenced effect estimates in randomized clinical trials on average.
Oct 26
2017
Liu et al., BMJ, doi:10.1136/bmj.j4619 Payments by US pharmaceutical and medical device manufacturers to US medical journal editors: retrospective observational study
Analysis of industry payments to US medical journal editors in 2014 using the Open Payments database. Payments were common and often large. Only about a third of journals had readily accessible editorial conflict of interest policies. Aut..
Aug 20
2003
Als-Nielsen et al., JAMA, doi:10.1001/jama.290.7.921 Association of Funding and Conclusions in Randomized Drug Trials
Analysis of randomized drug trials included in Cochrane reviews, showing that trials funded by for-profit organizations were significantly more likely to recommend the experimental drug as treatment of choice (OR 5.3 [2.0-14.4]) compared ..
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