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Artesunate in Patients with COVID-19: A Phase II Prospective Study.

Effect of ArtemiC in patients with COVID-19: A Phase II prospective study.

机构信息

Department of Cardiology, E.M.M.S Hospital, Nazareth, Israel.

Department of Cardiology, Hillel Yaffe Hospital, Hadera, Israel.

出版信息

J Cell Mol Med. 2022 Jun;26(11):3281-3289. doi: 10.1111/jcmm.17337. Epub 2022 May 19.

DOI:10.1111/jcmm.17337
PMID:35587574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9170814/
Abstract

Despite intensive efforts, there is no effective remedy for COVID-19. Moreover, vaccination efficacy declines over time and may be compromised against new SARS-CoV-2 lineages. Therefore, there remains an unmet need for simple, accessible, low-cost and effective pharmacological anti-SARS-CoV-2 agents. ArtemiC is a medical product comprising artemisinin, curcumin, frankincense and vitamin C, all of which possess anti-inflammatory and anti-oxidant properties. The present Phase II placebo-controlled, double-blinded, multi-centred, prospective study evaluated the efficacy and safety of ArtemiC in patients with COVID-19. The study included 50 hospitalized symptomatic COVID-19 patients randomized (2:1) to receive ArtemiC or placebo oral spray, twice daily on Days 1 and 2, beside standard care. A physical examination was performed, and vital signs and blood tests were monitored daily until hospital discharge (or Day 15). A PCR assessment of SARS-CoV-2 carriage was performed at screening and on last visit. ArtemiC improved NEWS2 in 91% of patients and shortened durations of abnormal SpO levels, oxygen supplementation and fever. No treatment-related adverse events were reported. These findings suggest that ArtemiC curbed deterioration, possibly by limiting cytokine storm of COVID-19, thus bearing great promise for COVID-19 patients, particularly those with comorbidities.

摘要

尽管已经付出了巨大的努力,但目前仍没有治疗 COVID-19 的有效方法。此外,疫苗的有效性会随着时间的推移而下降,并且可能会针对新的 SARS-CoV-2 谱系而受到影响。因此,仍然需要简单、易于获取、成本低廉且有效的抗 SARS-CoV-2 药物。ArtemiC 是一种包含青蒿素、姜黄素、乳香和维生素 C 的医疗产品,所有这些成分都具有抗炎和抗氧化特性。本研究为 II 期安慰剂对照、双盲、多中心、前瞻性研究,评估了 ArtemiC 对 COVID-19 患者的疗效和安全性。该研究纳入了 50 名住院的有症状 COVID-19 患者,他们被随机(2:1)分为接受 ArtemiC 或安慰剂口腔喷雾剂治疗组,在第 1 天和第 2 天每天两次,同时接受标准护理。对患者进行体格检查,并监测生命体征和血液检查,直至出院(或第 15 天)。在筛查时和最后一次就诊时进行 SARS-CoV-2 载量的 PCR 评估。ArtemiC 使 91%的患者 NEWS2 得到改善,并缩短了异常 SpO 水平、吸氧和发热的持续时间。没有报告与治疗相关的不良事件。这些发现表明,ArtemiC 抑制了病情恶化,可能通过限制 COVID-19 的细胞因子风暴来实现,因此对 COVID-19 患者,特别是有合并症的患者具有很大的应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4906/9170814/6e1a8026d675/JCMM-26-3281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4906/9170814/6e1a8026d675/JCMM-26-3281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4906/9170814/6e1a8026d675/JCMM-26-3281-g001.jpg

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