Evidence map›Paper›PMID 35738778›Full record

Trial reportRespirology (Carlton, Vic.)2022

Efficacy of single-dose and double-dose ivermectin early treatment in preventing progression to hospitalization in mild COVID-19: A multi-arm, parallel-group randomized, double-blind, placebo-controlled trial.

Alireza Mirahmadizadeh, Ali Semati, Alireza Heiran, Mostafa Ebrahimi, Abdolrasool Hemmati, Mohammadreza Karimi, Souzan Basir, Marjan Zare, Antonio Charlys da Costa, Mohammad Zeinali and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Respirology (Carlton, Vic.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Perspective: repurposed drugs for COVID-19.Archives of medical science : AMS · 2022
    Article
  8. Ivermectin as a Treatment Modality in COVID-19 Patients: A Systematic Review and Meta-Analysis of Up-To-Date RCTs.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

12 authors.

Alireza MirahmadizadehNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-2259-4984
Ali SematiNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-6322-7876
Alireza HeiranNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-6567-5306
Mostafa EbrahimiCommunicable Diseases Control Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0003-2724-039X
Abdolrasool HemmatiDepartment of Health Affairs, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-9951-8341
Mohammadreza KarimiDepartment of Health Affairs, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-1435-3996
Souzan BasirShiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-8474-8822
Marjan ZareNon-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0002-0199-3230
Antonio Charlys da CostaInstitute of Tropical Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-5516-5177
Mohammad ZeinaliNational Zoonoses Control Department, Ministry of Health and Medical Education, Tehran, Iran.ORCID 0000-0003-4233-9275
Maryam SargolzaeeCommunicable Diseases Control Center, Ministry of Health and Medical Education, Tehran, Iran.ORCID 0000-0001-7689-9866
Owrang EilamiDepartment of Family Medicine and Infectious Diseases, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-5313-1352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveIvermectin is a known anti-parasitic agent that has been investigated as an antiviral agent against coronavirus disease 2019 (COVID-19). This study aimed to evaluate the efficacy of ivermectin in mild COVID-19 patients.

methodsIn this multi-arm randomized clinical trial conducted between 9 April 2021 and 20 May 2021, a total of 393 patients with reverse transcription-PCR-confirmed COVID-19 infection and mild symptoms were enrolled. Subjects were randomized in a 1:1:1 ratio to receive single-dose ivermectin (12 mg), double-dose ivermectin (24 mg) or placebo. The primary outcome was need for hospitalization.

resultsThere was no significant difference in the proportion of subjects who required hospitalization between the placebo and single-dose ivermectin groups (absolute difference in the proportions: -2.3 [95% CI = -8.5, 4.1]) and between the placebo and double-dose ivermectin groups (absolute difference in the proportions: -3.9 [95% CI = -9.8, 2.2]). The odds of differences in mean change in severity score between single-dose ivermectin and placebo groups (OR

conclusionSingle-dose and double-dose ivermectin early treatment were not superior to the placebo in preventing progression to hospitalization and improving clinical course in mild COVID-19.

Indexed as

COVID-19 Drug TreatmentAntiviral AgentsDouble-Blind MethodHospitalizationHumansIvermectinSARS-CoV-2Treatment OutcomeAntiviral AgentsIvermectinefficacyivermectinmild COVID-19randomized clinical trialSARS-CoV-2

Identifiers

PMID35738778
PMCPMC9350312

What OpenQuestion holds

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Registered trials

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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.