Evidence map›Paper›PMID 33590901›Full record

ArticleJournal of medical virology2021

Effect of a combination of nitazoxanide, ribavirin, and ivermectin plus zinc supplement (MANS.NRIZ study) on the clearance of mild COVID-19.

Hatem Elalfy, Tarek Besheer, Ahmed El-Mesery, Abdel-Hady El-Gilany, Mahmoud Abdel-Aziz Soliman, Ahmed Alhawarey, Mohamed Alegezy, Tamer Elhadidy, Asem A Hewidy, Hossam Zaghloul and 5 more

Open access · bronzeAbstract readClinical Trial, Phase IControlled Clinical Trial
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Severe COVID-19: Drugs and Clinical Trials.Journal of clinical medicine · 2023
    Review
  10. Effect of zinc supplementation on symptom reduction and length of hospital stay among pediatric patients with Coronavirus disease 2019 (COVID-19).Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  11. Review
  12. Article
  13. Nitazoxanide and COVID-19: A review.Molecular biology reports · 2022
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
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

15 authors at 1 institution in 1 country.

Hatem ElalfyTropical Medicine and Hepatology Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID 0000-0002-5602-0989
Tarek BesheerDepartment of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed El-MeseryDepartment of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Abdel-Hady El-GilanyDepartment of Public Health and Preventive Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mahmoud Abdel-Aziz SolimanDepartment of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ahmed AlhawareyDepartment of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohamed AlegezyTropical Medicine and Hepatology Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Tamer ElhadidyChest Department, Mansoura University, Mansoura, Egypt.
Asem A HewidyChest Medicine Department, Mansoura University, Mansoura, Egypt.
Hossam ZaghloulDepartment of Clinical Pathology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mustafa Ahmed Mohamed NeamatallahDepartment of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Douaa RaafatDepartment of Clinical Pathology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Wafaa M El-EmshatyDepartment of Clinical Pathology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Nermin Y Abo El KheirDepartment of Clinical Pathology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mahmoud El-BendaryTropical Medicine and Hepatology Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mansoura University · EG

Funding

Mansoura University mu-med-2020-26Mansoura University RP.20.05.69
6 · The paper itself

Abstract

This trial compared the rate and time of viral clearance in subjects receiving a combination of nitazoxanide, ribavirin, and ivermectin plus Zinc versus those receiving supportive treatment. This non-randomized controlled trial included 62 patients on the triple combination treatment versus 51 age- and sex-matched patients on routine supportive treatment. all of them confirmed cases by positive reverse-transcription polymerase chain reaction of a nasopharyngeal swab. Trial results showed that the clearance rates were 0% and 58.1% on the 7th day and 13.7% and 73.1% on the 15th day in the supportive treatment and combined antiviral groups, respectively. The cumulative clearance rates on the 15th day are 13.7% and 88.7% in the supportive treatment and combined antiviral groups, respectively. This trial concluded by stating that the combined use of nitazoxanide, ribavirin, and ivermectin plus zinc supplement effectively cleared the SARS-COV2 from the nasopharynx in a shorter time than symptomatic therapy.

Indexed as

COVID-19 Drug TreatmentSARS-CoV-2AdultAntimetabolitesAntiparasitic AgentsFemaleHumansIvermectinMaleNitro CompoundsRibavirinThiazolesTrace ElementsZincAntimetabolitesAntiparasitic AgentsIvermectinnitazoxanideNitro CompoundsRibavirinThiazolesTrace ElementsZincantiviralCOVID-19mild cases

Identifiers

PMID33590901
PMCPMC8014583
OpenAlexW3132430432

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.