Utility of Ivermectin and Doxycycline combination for the treatment of SARSCoV-2

Spoorthi et al., IAIM, 2020, 7:10, 177-182, Nov 2020
Recovery time 21% improvement lower risk ← → higher risk Hospitalization time 16% Ivermectin  Spoorthi et al.  LATE TREATMENT Is late treatment with ivermectin + doxycycline beneficial? Prospective study of 100 patients in India Faster recovery (p=0.03) and shorter hospitalization (p=0.01) c19early.org Spoorthi et al., IAIM, 2020, 177-182, Nov 2020 0 0.5 1 1.5 2+ RR
Ivermectin for COVID-19
4th treatment shown to reduce risk in August 2020, now with p < 0.00000000001 from 106 studies, recognized in 24 countries.
No treatment is 100% effective. Protocols combine treatments.
6,200+ studies for 200+ treatments. c19early.org
100 patient prospective trial of ivermectin + doxycycline showing reduced time to symptom resolution and shorter hospital stay with treatment.
This is the 19th of 106 COVID-19 controlled studies for ivermectin, which collectively show efficacy with p<0.0000000001.
53 studies are RCTs, which show efficacy with p=0.000000087.
recovery time, 21.1% lower, relative time 0.79, p = 0.03, treatment 50, control 50.
hospitalization time, 15.5% lower, relative time 0.84, p = 0.01, treatment 50, control 50.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Spoorthi et al., 14 Nov 2020, prospective, India, peer-reviewed, 2 authors, dosage not specified, this trial uses multiple treatments in the treatment arm (combined with doxycycline) - results of individual treatments may vary.
$0 $500 $1,000+ Efficacy vs. cost for COVID-19 treatment protocols c19early.org November 2025 India United Kingdom Russia USA Sudan Angola Colombia Kenya Mozambique Pakistan Argentina Vietnam Peru Philippines Spain Brazil Italy France Japan China Uzbekistan Nepal Ethiopia Iran Ghana Mexico South Korea Germany Bangladesh Saudi Arabia Algeria Morocco Yemen Poland Uganda Venezuela Nigeria Egypt Bolivia Taiwan Zambia Fiji Bosnia-Herzegovina Ukraine Côte d'Ivoire Bulgaria Greece Slovakia Singapore Iceland New Zealand Czechia Mongolia Israel Trinidad and Tobago Hong Kong North Macedonia Belarus Qatar Panama Serbia CAR Chad Syria India favored low-cost treatments.The average efficacy of treatments was moderate.Low-cost treatments improve early treatment, andprovide complementary/synergistic benefits. More effective More expensive 75% 50% 25% ≤0%
$0 $500 $1,000+ Efficacy vs. cost for COVID-19treatment protocols worldwide c19early.org November 2025 India United Kingdom Russia USA Sudan Angola Colombia Kenya Mozambique Pakistan Argentina Vietnam Peru Philippines Spain Brazil Italy France Japan China Uzbekistan Nepal Ethiopia Iran Ghana Mexico South Korea Germany Bangladesh Saudi Arabia Algeria Morocco Yemen Poland Thailand Uganda Venezuela Nigeria Egypt Bolivia Taiwan Zambia Fiji Ukraine Côte d'Ivoire Eritrea Bulgaria Greece Slovakia Singapore New Zealand Czechia Mongolia Israel Trinidad and Tobago North Macedonia Belarus Qatar Panama Benin Serbia CAR Syria India favored low-cost treatments.The average efficacy was moderate.Low-cost protocols improve early treatment,and add complementary/synergistic benefits. More effective More expensive 75% 50% 25% ≤0%
Utility of Ivermectin and Doxycycline combination for the treatment of SARS-CoV-2
Veerapaneni Spoorthi, Surapaneni Sasank
Background: On March 11, 2020, the World Health Organization (WHO) officially declared coronavirus disease 2019 a global pandemic. Ivermectin and Doxycycline against SARSCoV-2 under in-vitro conditions showed beneficial results. However, large population studies with this combination are not elaborately studied, which was the aim of our study. Materials and Methods: A total of 122 patients admitted in a tertiary care centre, who tested positive for Reverse-transcriptase-polymerase-chain-reaction (RT-PCR) for SARS-CoV2 were included in the study and a total sample size of 100 patients was obtained after exclusion. 50 patients of the treatment group were treated with Ivermectin-Doxycycline combination. Results: The results had shown a significant reduction not only in mean duration of hospital (3.70 ± 2.27 days vs 4.69 ± 2.3 days), but also in complete resolution of symptoms stay (6.67 ± 2.01 days vs 4.69 ± 2.3 days). In a small subset of 10 patients RT-PCR for COVID was tested on 10 th day after the symptom onset in both the groups and there was no difference to be found. There was no significant difference in the side effect profile of either groups. Conclusion: Our study supports the benefits of utilization of combination of Doxycycline and Ivermectin in mild to moderate COVID-19 infection in terms of early recovery based on the time for symptom resolution and the mean duration of hospital stay.
References
Caly, Druce, Catton, Jans, Wagstaff, The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro, Antiviral Res
Chowdhury, Shahbaz, Karim, Islam, Dan et al., A comparative observational study on Ivermectin-Doxycycline and Hydroxychloroquine-Azithromycin therapy on COVID19 patients, J. Clin Med Research
Conforti, Giuffrida, Zalaudek, Meo, Doxycycline, a widely used antibiotic in dermatology with a possible anti-inflammatory action against IL-6 in COVID-19 outbreak
Mccarthy, Laukas, Hotez, Chemotherapy of Helminth infections (Chapter 51
Patel, Desai, Grainger, Mehra, Usefulness of Ivermectin in COVID-19 Illness
Taiub, Chowdhury, Shahbaz, Karim, A Randomized Trial of Ivermectin-Doxycycline and Hydroxychloroquine-Azithromycin therapy on COVID19 patients, doi:.org/10.21203/rs.3.rs-38896
Ullah, Abdullah, Roomi, Safety and Efficacy of Hydroxychloroquine in COVID-19: A Systematic Review and Meta-Analysis, Journal of clinical medical research
Vora, Arora, Behera, Tripathy, White paper on Ivermectin as a potential therapy for COVID-19, Indian J Tuberc
Wang, Hu, Hu, Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirusinfected pneumonia in Wuhan, China, JAMA
Late treatment
is less effective
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