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A Randomised, Double-Blind, Placebo-Controlled Trial Evaluating Concentrated Phytochemical-Rich Nutritional Capsule in Addition to a Probiotic Capsule on Clinical Outcomes among Individuals with COVID-19—The UK Phyto-V Study

Thomas et al., COVID, doi:10.3390/covid2040031, Phyto-V
Mar 2022  
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Improvement, CFS 44% Improvement Relative Risk Improvement, SWS 82% Improvement, CSS 64% Resveratrol  Phyto-V  LATE TREATMENT  DB RCT  LONG COVID Does resveratrol + combined treatments reduce the risk of long COVID (PASC)? Double-blind RCT 147 patients in the United Kingdom (May 2020 - May 2021) Greater improvement with resveratrol + combined treatments (p=0.018) c19early.org Thomas et al., COVID, March 2022 Favorsresveratrol Favorscontrol 0 0.5 1 1.5 2+
RCT 147 long COVID patients in the UK, 56 treated with a phytochemical-rich concentrated food capsule, showing improved recovery with treatment. Treatment included curcumin, bioflavonoids, chamomile, ellagic acid, and resveratrol.
Standard of Care (SOC): SOC for COVID-19 in the study country, the United Kingdom, is poor with low average efficacy for approved treatments1. The United Kingdom focused on expensive high-profit treatments, approving only one low-cost treatment, which required a prescription and had limited adoption. The high-cost prescription treatment strategy reduces the probability of treatment—especially early—due to access and cost barriers, and eliminates complementary and synergistic benefits seen with many low-cost treatments.
This study is excluded in meta analysis: combined treatments may contribute more to the effect seen.
Study covers resveratrol and curcumin.
relative improvement, 44.3% better, RR 0.56, p = 0.02, treatment mean 6.1 (±7.5) n=74, control mean 3.4 (±6.1) n=73, CFS.
relative improvement, 81.8% better, RR 0.18, p < 0.001, treatment mean 6.6 (±10.5) n=74, control mean 1.2 (±7.4) n=73, SWS.
relative improvement, 63.6% better, RR 0.36, p = 0.02, treatment mean 1.1 (±2.0) n=74, control mean 0.4 (±1.5) n=73, CSS.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Thomas et al., 22 Mar 2022, Double Blind Randomized Controlled Trial, placebo-controlled, United Kingdom, peer-reviewed, 7 authors, study period May 2020 - May 2021, this trial uses multiple treatments in the treatment arm (combined with bioflavonoids, chamomile, ellagic acid, curcumin) - results of individual treatments may vary, Phyto-V trial. Contact: robert.thomas@bedfordhospital.nhs.uk (corresponding author), madeleine.williams@bedfordhospital.nhs.uk, yuuki.yanagisawa@bedfordhospital.nhs.uk, rajeev.kumar@bedordhospital.nhs.uk, jeffrey.aldous@beds.ac.uk, angel.chater@beds.ac.uk, rf451@cam.ac.uk.
This PaperResveratrolAll
DOI record: { "DOI": "10.3390/covid2040031", "ISSN": [ "2673-8112" ], "URL": "http://dx.doi.org/10.3390/covid2040031", "abstract": "<jats:p>Gut microflora dysbiosis affects the majority of individuals after COVID-19, contributing to both gastro-intestinal (GI) and non-GI symptoms. Natural phytochemicals have reported anti-viral properties and favourable effects on inflammatory and oxidative pathways, both important for tissue damage post-viral pneumonia. This study involved 147 participants with symptomatic COVID-19, randomised to receive a placebo (P) or a phytochemical-rich concentrated food capsule (PC) in addition to a pre/probiotic lactobacillus capsule. Participants taking the PC had an almost two-fold reduction in mean fatigue scores compared to P [p = 0.02], a three-fold reduction in cough score and more than a double improvement in overall well-being scores [p = 0.02]. Two (1.5%) participants reported mild, increased bloating which they felt was attributable to the capsules, although GI symptoms improved in 25 of 31 participants (82%) who reported them at baseline. Sedentary, older, previously hospitalised men with GI symptoms had a statistically significantly improvement among those given the probiotic. Although some participants with early disease would have improved spontaneously, such a rapid improvement observed in the majority of participants, who had been suffering for an average of 108 days, was clinically relevant and welcomed, especially among those more likely to have pre-existing gut dysbiosis. We are now evaluating whether this blend could also enhance antibody titres post-COVID-19 vaccination.</jats:p>", "alternative-id": [ "covid2040031" ], "author": [ { "ORCID": "http://orcid.org/0000-0002-3824-5615", "affiliation": [], "authenticated-orcid": false, "family": "Thomas", "given": "Robert", "sequence": "first" }, { "affiliation": [], "family": "Williams", "given": "Madeleine", "sequence": "additional" }, { "ORCID": "http://orcid.org/0000-0002-9159-4646", "affiliation": [], "authenticated-orcid": false, "family": "Aldous", "given": "Jeffrey", "sequence": "additional" }, { "ORCID": "http://orcid.org/0000-0003-3710-9328", "affiliation": [], "authenticated-orcid": false, "family": "Yanagisawa", "given": "Yuuki", "sequence": "additional" }, { "affiliation": [], "family": "Kumar", "given": "Rajeev", "sequence": "additional" }, { "affiliation": [], "family": "Forsyth", "given": "Rachel", "sequence": "additional" }, { "ORCID": "http://orcid.org/0000-0002-9043-2565", "affiliation": [], "authenticated-orcid": false, "family": "Chater", "given": "Angel", "sequence": "additional" } ], "container-title": "COVID", "container-title-short": "COVID", "content-domain": { "crossmark-restriction": false, "domain": [] }, "created": { "date-parts": [ [ 2022, 3, 22 ] ], "date-time": "2022-03-22T18:55:35Z", "timestamp": 1647975335000 }, "deposited": { "date-parts": [ [ 2022, 3, 22 ] ], "date-time": "2022-03-22T19:25:08Z", "timestamp": 1647977108000 }, "indexed": { "date-parts": [ [ 2022, 4, 6 ] ], "date-time": "2022-04-06T02:17:06Z", "timestamp": 1649211426528 }, "is-referenced-by-count": 0, "issue": "4", "issued": { "date-parts": [ [ 2022, 3, 22 ] ] }, "journal-issue": { "issue": "4", "published-online": { "date-parts": [ [ 2022, 4 ] ] } }, "language": "en", "license": [ { "URL": "https://creativecommons.org/licenses/by/4.0/", "content-version": "vor", "delay-in-days": 0, "start": { "date-parts": [ [ 2022, 3, 22 ] ], "date-time": "2022-03-22T00:00:00Z", "timestamp": 1647907200000 } } ], "link": [ { "URL": "https://www.mdpi.com/2673-8112/2/4/31/pdf", "content-type": "unspecified", "content-version": "vor", "intended-application": "similarity-checking" } ], "member": "1968", "original-title": [], "page": "433-449", "prefix": "10.3390", "published": { "date-parts": [ [ 2022, 3, 22 ] ] }, "published-online": { "date-parts": [ [ 2022, 3, 22 ] ] }, "publisher": "MDPI AG", "reference": [ { "DOI": "10.3390/nu7010017", "doi-asserted-by": "publisher", "key": "ref1" }, { "DOI": "10.1101/2020.03.17.20037572", "doi-asserted-by": "publisher", "key": "ref2" }, { "DOI": "10.4161/gmic.1.3.11712", "doi-asserted-by": "publisher", "key": "ref3" }, { "DOI": "10.1016/j.arcmed.2021.03.002", "doi-asserted-by": "publisher", "key": "ref4" }, { "DOI": "10.1038/nrmicro.2016.142", "doi-asserted-by": "publisher", "key": "ref5" }, { "DOI": "10.1136/gutjnl-2020-323020", "doi-asserted-by": "publisher", "key": "ref6" }, { "article-title": "Management of coronavirus disease-19 (COVID-19): The Zhejiang experience", "author": "Xu", "first-page": "147", "journal-title": "J. 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Late treatment
is less effective
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