دورية أكاديمية

Efficacy of Bromhexine versus Standard of Care in Reducing Viral Load in Patients with Mild-to-Moderate COVID-19 Disease Attended in Primary Care: A Randomized Open-Label Trial.

التفاصيل البيبلوغرافية
العنوان: Efficacy of Bromhexine versus Standard of Care in Reducing Viral Load in Patients with Mild-to-Moderate COVID-19 Disease Attended in Primary Care: A Randomized Open-Label Trial.
المؤلفون: Vila Méndez, María Luz, Antón Sanz, Carmen, Cárdenas García, Alicia del Rocío, Bravo Malo, Amparo, Torres Martínez, Francisco Javier, Martín Moros, José María, Real Torrijos, María, Vendrell Covisa, José Francisco Javier, Guzmán Sierra, Olga, Molina Barcena, Verónica, Viejo Pinero, Nuria, Fernández Díaz, Carlos, Arroyo Burguillo, Purificación, Blanco Gallego, Ana María, Guirao Sánchez, Carmen, Montilla Bernabé, Aránzazu, Villanueva Morán, María del Pilar, Juárez Antón, Salvador, Fernández Rodríguez, Ángela, Somoza Calvo, María Ángeles
المصدر: Journal of Clinical Medicine; Jan2023, Vol. 12 Issue 1, p142, 14p
مصطلحات موضوعية: COVID-19, VIRAL load, PRIMARY care, PRIMARY health care
مستخلص: A 28-day randomized open-label multicenter study was conducted to assess the efficacy of bromhexine plus standard of care (SOC) (n = 98) vs. SOC alone (n = 93) in 191 outpatients with mild-to-moderate COVID-19 in the primary health care setting. Bromhexine three daily doses of 10 mL (48 mg/day) were administered for seven days. The primary efficacy endpoint was the reduction of viral load estimated as the cycle thresholds (Ct) to detect ORF1ab, N Protein, and S Protein genes by RT-qPCR in saliva samples on day 4 as compared with baseline. Ct values of the three genes increased from baseline throughout days 4 to 14 (p < 0.001) but significant differences between the study groups were not found. Differences in the percentages of patients with low, medium, and high viral loads at 4, 7, and 14 days were not found either. In summary, treatment with bromhexine plus SCO was associated with a viral load reduction of ORF1ab, N Protein, and S Protein genes at day 4, which was not significantly different than similar viral load reductions observed with SOC alone. The present findings do not seem to favor the use of bromhexine as an antiviral in patients with COVID-19. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:20770383
DOI:10.3390/jcm12010142