Evidence map›Paper›PMID 33215159›Full record

ReviewFunction (Oxford, England)2020

Potential Role of Oral Rinses Targeting the Viral Lipid Envelope in SARS-CoV-2 Infection.

Valerie B O'Donnell, David Thomas, Richard Stanton, Jean-Yves Maillard, Robert C Murphy, Simon A Jones, Ian Humphreys, Michael J O Wakelam, Christopher Fegan, Matt P Wise and 2 more

4 registry-linked trialsAbstract readReview
In one paragraph

Review in Function (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04584684 phase2terminatednot on this map

Antiviral Efficacy and Acceptability of Therapeutic Antiseptic Mouth Rinses for Inactivation of COVID SARS-2 Virus

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2020 to 2021Enrolled128ConditionsCovid19, Coronavirus Infection, SARS-CoV-2 InfectionArms0.9% w/v NaCL Saline, 1.5% w/v Hydrogen Peroxide, 0.12% Chlorohexidine Gluconate, 27% Ethanol plus essential oils, 0.5% w/v Povidone-iodide
NCT04721457 phase4completednot on this mapstarted 2021, after this paper: background citation

Mouth Rinses Efficacy on Salivary SARS-CoV-2 Viral Load: A Randomized Clinical Trial

TypeinterventionalSponsorKing Abdulaziz UniversityRan2021 to 2021Enrolled90ConditionsSARS-CoV-2, COVID-19, Mouthwashes, Viral LoadArmsDistilled Water, 1% Povidone Iodine (PVP-I), 1.5% Hydrogen Peroxide (H2O2), 0.075% Cetylpyridinium Chloride (CPC), 0.1% Sodium Hypochlorite
NCT04748783 phase2terminatednot on this mapstarted 2021, after this paper: background citation

Antiviral Efficacy and Acceptability of Therapeutic Antiseptic Mouth Rinses for Inactivation of COVID SARS-2 Virus

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2021 to 2021Enrolled2ConditionsCOVID19, Coronavirus Infection, SARS CoV-2 InfectionArmsWater, Peroxyl, Periogard, Colgate Total Zero
NCT05178173 nacompletednot on this mapstarted 2022, after this paper: background citation

Antiviral Efficacy of Oral Rinses for Inactivation of COVID-19 (MOR2)

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2022 to 2023Enrolled230ConditionsCOVID-19, Coronavirus Infection, SARS CoV 2 InfectionArmsPlacebo Comparator: Sterile Water, 27% Ethanol plus essential oils, 0.075% Cetylpyridinium Chloride
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Effect of 1% HInternational dental journal · 2024
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Valerie B O'DonnellSystems Immunity Research Institute.ORCID 0000-0003-4089-8460
David ThomasSystems Immunity Research Institute.
Richard StantonSystems Immunity Research Institute.
Jean-Yves MaillardSystems Immunity Research Institute.
Robert C MurphyDepartment of Pharmacology, University of Colorado Denver, Aurora, CO 80045, USA.
Simon A JonesSystems Immunity Research Institute.
Ian HumphreysSystems Immunity Research Institute.
Michael J O WakelamBabraham Institute, Babraham Research Campus, Cambridge, CB22 3AT, UK.
Christopher FeganSchool of Medicine.
Matt P WiseUniversity Hospital of Wales, Cardiff, CF14 4XW, UK.
Albert BoschEnteric Virus Laboratory, University of Barcelona, 08028 Barcelona, Spain.
Syed A SattarFaculty of Medicine, University of Ottawa, Ottawa, Ontario K1H 8M5 Canada.

Funding

HCRW_ HS-14-11Wellcome Trust 203014/Z/16/ZWellcome Trust 207503/Z/17/Z
6 · The paper itself

Abstract

Emerging studies increasingly demonstrate the importance of the throat and salivary glands as sites of virus replication and transmission in early COVID-19 disease. SARS-CoV-2 is an enveloped virus, characterized by an outer lipid membrane derived from the host cell from which it buds. While it is highly sensitive to agents that disrupt lipid biomembranes, there has been no discussion about the potential role of oral rinsing in preventing transmission. Here, we review known mechanisms of viral lipid membrane disruption by widely available dental mouthwash components that include ethanol, chlorhexidine, cetylpyridinium chloride, hydrogen peroxide, and povidone-iodine. We also assess existing formulations for their potential ability to disrupt the SARS-CoV-2 lipid envelope, based on their concentrations of these agents, and conclude that several deserve clinical evaluation. We highlight that already published research on other enveloped viruses, including coronaviruses, directly supports the idea that oral rinsing should be considered as a potential way to reduce transmission of SARS-CoV-2. Research to test this could include evaluating existing or specifically tailored new formulations in well-designed viral inactivation assays, then in clinical trials. Population-based interventions could be undertaken with available mouthwashes, with active monitoring of outcome to determine efficacy. This is an under-researched area of major clinical need.

Indexed as

COVID-19ChlorhexidineHumansLipidsMouthwashesSARS-CoV-2ChlorhexidineLipidsMouthwashescoronavirusenvelopelipidoropharynxrespiratoryvirus

Identifiers

PMID33215159
PMCPMC7239187

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.