Evidence map›Paper›PMID 33869886›Full record

ArticlePorto biomedical journal

Impact of montelukast as add on treatment to the novel coronavirus pneumonia (COVID-19): protocol for an investigator-initiated open labeled randomized controlled pragmatic trial.

Margarida Tavares, Mariana Farraia, Susana Silva, Ana Margarida Ribeiro, Milton Severo, Inês Paciência, Raquel Ribeiro, Venceslau Hespanhol, Tiago Guimarães, Jorge Almeida and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Porto biomedical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Evaluation of urinary cysteinyl leukotrienes as biomarkers of severity and putative therapeutic targets in COVID-19 patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
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

14 authors at 4 institutions in 2 countries.

Margarida TavaresEPIUnit - Instituto de Saúde Pública, Universidade do Porto.
Mariana FarraiaEPIUnit - Instituto de Saúde Pública, Universidade do Porto.
Susana SilvaEmerging Infectious Diseases Unit, Department of Infectious Diseases, Centro Hospitalar Universitário São João EPE.
Ana Margarida RibeiroCentro Hospitalar Universitário São João EPE.
Milton SeveroEPIUnit - Instituto de Saúde Pública, Universidade do Porto.
Inês PaciênciaEPIUnit - Instituto de Saúde Pública, Universidade do Porto.
Raquel RibeiroCentro Hospitalar Universitário São João EPE.
Venceslau HespanholFaculdade de Medicina da Universidade do Porto.
Tiago GuimarãesCentro Hospitalar Universitário São João EPE.
Jorge AlmeidaCentro Hospitalar Universitário São João EPE.
Fernando MagroFaculdade de Medicina da Universidade do Porto.
António SarmentoEmerging Infectious Diseases Unit, Department of Infectious Diseases, Centro Hospitalar Universitário São João EPE.
Ana Marta OliveiraCentro Hospitalar Universitário São João EPE.
André MoreiraEPIUnit - Instituto de Saúde Pública, Universidade do Porto.
Centro Universitário de João Pessoa · BRInstituto de Saúde · BRUniversidade do Porto · PTFaculdade de Medicina do ABC · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMontelukast, a safe drug widely use in asthmatic patients, may be an adjuvant in the treatment of Covid-19, either by improving lung injury and inflammation, or by acting as an anti-viral drug. We aim to assess the efficacy and safety of montelukast as add-on treatment in patients with Covid-19.

methodsWe propose a randomized, controlled, parallel, open-label trial involving 160 hospitalized adult patients with confirmed Covid-19. Patients will be randomly assigned in a 1:1 ratio to receive either montelukast 10 mg, once a day for 14 days, in addition to standard of care (SoC), or SoC alone. SoC will follow the best practice for treating these patients, according to updated recommendations. The primary outcome is time to recovery. Participants will be assessed using diary cards to capture data on treatment-related improvements in an 8-point ordinal scale. Secondary endpoints will include changes in respiratory and inflammatory parameters, and adverse events. This phase IV clinical trial will take place at the University Hospital of São João, Porto. EudraCT number: 2020-001747-21.

resultsThis study intends to generate scientific evidence on efficacy and safety of montelukast as add-on treatment in Covid-19. The results will be essential to improve clinical outcomes which remains to be determined.

conclusionMontelukast has been suggested as a potential drug with 2 main actions on Covid-19. The validation of montelukast as an adjuvant treatment may improve lung injury, inflammation, and symptoms leading to a better prognosis. The use of this drug may fulfil the existing gap on therapeutic options.

Indexed as

coronavirusCovid-19montelukastrandomized controlled trialSARS-CoV-2treatment

Identifiers

PMID33869886
PMCPMC8049153
OpenAlexW3154009924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.