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The therapeutic efficacy of quercetin in combination with antiviral drugs in hospitalized COVID-19 patients: A randomized controlled trial

Shohan et al., European Journal of Pharmacology, doi:10.1016/j.ejphar.2021.1746158
Dec 2021  
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Mortality 86% Improvement Relative Risk ICU admission 40% Time to discharge from e.. 32% Quercetin  Shohan et al.  LATE TREATMENT  RCT Is late treatment with quercetin beneficial for COVID-19? RCT 60 patients in Iran (December 2020 - January 2021) Faster recovery with quercetin (p=0.039) c19early.org Shohan et al., European J. Pharmacology, Dec 2021 Favorsquercetin Favorscontrol 0 0.5 1 1.5 2+
Quercetin for COVID-19
24th treatment shown to reduce risk in July 2021, now with p = 0.002 from 12 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
Small RCT with 60 severe hospitalized patients in Iran, 30 treated with quercetin, showing shorter time until discharge. All patients received remdesivir or favipiravir, and vitamin C, vitamin D, famotidine, zinc, dexamethasone, and magnesium (depending on serum levels). Quercetin 1000mg daily for 7 days. IRCT20200419047128N2.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
This is the 5th of 11 COVID-19 RCTs for quercetin, which collectively show efficacy with p=0.0023.
This is the 6th of 12 COVID-19 controlled studies for quercetin, which collectively show efficacy with p=0.002.
risk of death, 85.7% lower, RR 0.14, p = 0.24, treatment 0 of 30 (0.0%), control 3 of 30 (10.0%), NNT 10.0, relative risk is not 0 because of continuity correction due to zero events (with reciprocal of the contrasting arm).
risk of ICU admission, 40.0% lower, RR 0.60, p = 0.71, treatment 3 of 30 (10.0%), control 5 of 30 (16.7%), NNT 15.
time to discharge from end of intervention, 32.4% lower, relative time 0.68, p = 0.04, treatment 30, control 30.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Shohan et al., 2 Dec 2021, Randomized Controlled Trial, Iran, peer-reviewed, mean age 50.9 (treatment) 52.7 (control), 8 authors, study period December 2020 - January 2021, average treatment delay 7.8 days. Contact: akhodadadi2@gmail.com, akhodadadi@ajums.ac.ir.
This PaperQuercetinAll
The therapeutic efficacy of quercetin in combination with antiviral drugs in hospitalized COVID-19 patients: A randomized controlled trial
Mojtaba Shohan, Roohangiz Nashibi, Mohammad-Reza Mahmoudian-Sani, Farhad Abolnezhadian, Seyed Mehri Ghafourian, Seyed Mohammad Alavi, Asaad Sharhani, Dr Ali Khodadadi
European Journal of Pharmacology, doi:10.1016/j.ejphar.2021.174615
This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Authorship contribution statement Mojtaba Shohan: Conceptualization, Methodology, Writing original draft, Writingreview and editing. Roohangiz Declarations of interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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Late treatment
is less effective
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