Evidence map›Paper›PMID 34222847›Full record

ArticleEClinicalMedicine2021

Nitazoxanide superiority to placebo to treat moderate COVID-19 - A Pilot prove of concept randomized double-blind clinical trial.

Vinicius Fontanesi Blum, Sérgio Cimerman, James R Hunter, Paulo Tierno, Acioly Lacerda, Alexandre Soeiro, Florentino Cardoso, Nancy Cristina Bellei, Juliana Maricato, Nathalia Mantovani and 7 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Effect of drug therapies on self-reported chemosensory outcomes after COVID-19.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Antiviral activity of nitazoxanide againstJournal of virus eradication · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. Plant-Waste-Derived Sorbents for Nitazoxanide Adsorption.Molecules (Basel, Switzerland) · 2023
    Article
  17. Review
  18. Review
  19. Preparing for the next viral threat with broad-spectrum antivirals.The Journal of clinical investigation · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Vinicius Fontanesi BlumFederal University of São Paulo, São Paulo, Brazil.
Sérgio CimermanInstituto de Infectologia Emilio Ribas, São Paulo, Brazil.
James R HunterFederal University of São Paulo, São Paulo, Brazil.
Paulo TiernoHospital Municipal Dr. Francisco Moran (Barueri), Rua Ângela Mirella, Brazil.
Acioly LacerdaSPDM (Guarulhos), São Paulo, Brazil.
Alexandre SoeiroINCOR and Beneficência Portuguesa, São Paulo, Brazil.
Florentino CardosoHospital Vera Cruz (Campinas), São Paulo, Brazil.
Nancy Cristina BelleiFederal University of São Paulo, São Paulo, Brazil.
Juliana MaricatoFederal University of São Paulo, São Paulo, Brazil.
Nathalia MantovaniFederal University of São Paulo, São Paulo, Brazil.
Marcella VassaoFederal University of São Paulo, São Paulo, Brazil.
Danilo DiasFederal University of São Paulo, São Paulo, Brazil.
Juliana GalinskasFederal University of São Paulo, São Paulo, Brazil.
Luis Mário Ramos JaniniFederal University of São Paulo, São Paulo, Brazil.
Joanna Reis Santos-OliveiraInstituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro, IFRJ, Rio de Janeiro, Brazil.
Alda Maria Da-CruzInstituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil (Laboratório Interdisciplinar de Pesquisa Médicas, Instituto Oswaldo Cruz (FIOCRUZ), Brazil.
Ricardo Sobhie DiazFederal University of São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BRBeneficência Portuguesa de São Paulo · BRFundação Oswaldo Cruz · BRInstituto de Infectologia Emílio Ribas · BRInstituto Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe absence of specific antivirals to treat COVID-19 leads to the repositioning of candidates' drugs. Nitazoxanide (NTZ) has a broad antiviral effect.

methodsThis was a randomized, double-blind pilot clinical trial comparing NTZ 600 mg BID versus Placebo for seven days among 50 individuals (25 each arm) with SARS-COV-2 RT-PCR+ (PCR) that were hospitalized with mild respiratory insufficiency from May 20

findingsTwo patients died in the NTZ arm compared to 6 in the placebo arm (

interpretationCompared to placebo in clinical and virologic outcomes and improvement of inflammatory outcomes, the superiority of NTZ warrants further investigation of this drug for moderate COVID-19 in larger clinical trials. A higher incidence of adverse events in the placebo arm might be attributed to COVID-19 related symptoms.

Indexed as

COVID-19InterleukinsLymphocytes cell activation markersNitazoxanideRandomized controlled clinical trial

Identifiers

PMID34222847
PMCPMC8235996
OpenAlexW3173683914

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.