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Efficacy and safety of Huashi Baidu granule plus Nirmatrelvir-Ritonavir combination therapy in patients with high-risk factors infected with Omicron (B.1.1.529): A multi-arm single-center, open-label, randomized controlled trial

Aug 2023  
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Severe case -2% Improvement Relative Risk Discharge -6% Viral clearance 12% Paxlovid  Yu et al.  LATE TREATMENT  RCT Is late treatment with paxlovid beneficial for COVID-19? RCT 208 patients in China (April - June 2022) Trial compares with Huashi Baidu, results vs. placebo may differ Improved viral clearance with paxlovid (not stat. sig., p=0.33) c19early.org Yu et al., Phytomedicine, August 2023 Favorspaxlovid FavorsHuashi Baidu 0 0.5 1 1.5 2+
RCT 312 hospitalized COVID-19 patients in China, showing no significant difference between paxlovid and Huashi Baidu treatment. Combination therapy showed improved results to either treatment alone.
risk of severe case, 1.9% higher, RR 1.02, p = 1.00, treatment 3 of 103 (2.9%), control 3 of 105 (2.9%).
risk of no hospital discharge, 6.3% higher, RR 1.06, p = 0.78, treatment 49 of 103 (47.6%), control 47 of 105 (44.8%).
risk of no viral clearance, 12.0% lower, HR 0.88, p = 0.33, treatment 30 of 103 (29.1%), control 34 of 105 (32.4%), NNT 31.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Yu et al., 16 Aug 2023, Randomized Controlled Trial, China, peer-reviewed, 18 authors, study period 18 April, 2022 - 5 June, 2022, this trial compares with another treatment - results may be better when compared to placebo, trial ChiCTR2200059390.
This PaperPaxlovidAll
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Late treatment
is less effective
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