Evidence map›Paper›PMID 36002557›Full record

Trial reportScientific reports2022

Translational feasibility and efficacy of nasal photodynamic disinfection of SARS-CoV-2.

Layla Pires, Brian C Wilson, Rod Bremner, Amanda Lang, Jeremie Larouche, Ryan McDonald, Joel D Pearson, Daniel Trcka, Jeff Wrana, James Wu and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
9.4field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Femtosecond pulsed laser photodynamic therapy activates melanin and eradicates malignant melanoma.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Selective, broad-spectrum antiviral photodynamic disinfection with dicationic imidazolyl chlorin photosensitizers.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2023
    Article
  11. Observational
  12. Article
  13. Article
  14. 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

11 authors at 7 institutions in 1 country.

Layla PiresUniversity Health Network, Toronto, Canada.
Brian C WilsonUniversity Health Network, Toronto, Canada.
Rod BremnerFaculty of Medicine, University of Toronto, Toronto, Canada.
Amanda LangRoy Romanow Provincial Laboratory, Saskatchewan Health Authority, Regina, Canada.
Jeremie LaroucheFaculty of Medicine, University of Toronto, Toronto, Canada.
Ryan McDonaldRoy Romanow Provincial Laboratory, Saskatchewan Health Authority, Regina, Canada.
Joel D PearsonLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada.
Daniel TrckaLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada.
Jeff WranaFaculty of Medicine, University of Toronto, Toronto, Canada.
James WuFaculty of Medicine, University of Toronto, Toronto, Canada.
Cari M WhyneFaculty of Medicine, University of Toronto, Toronto, Canada. cari.whyne@sunnybrook.ca.
Mount Sinai Hospital · CASunnybrook Health Science Centre · CAUniversity Health Network · CAUniversity of Toronto · CALunenfeld-Tanenbaum Research Institute · CASaskatchewan Health · CASaskatchewan Health Authority · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The lack of therapeutic options to fight Covid-19 has contributed to the current global pandemic. Despite the emergence of effective vaccines, development of broad-spectrum antiviral treatment remains a significant challenge, in which antimicrobial photodynamic therapy (aPDT) may play a role, especially at early stages of infection. aPDT of the nares with methylene blue (MB) and non-thermal light has been successfully utilized to inactivate both bacterial and viral pathogens in the perioperative setting. Here, we investigated the effect of MB-aPDT to inactivate human betacoronavirus OC43 and SARS-CoV-2 in vitro and in a proof-of-principle COVID-19 clinical trial to test, in a variety of settings, the practicality, technical feasibility, and short-term efficacy of the method. aPDT yielded inactivation of up to 6-Logs in vitro, as measured by RT-qPCR and infectivity assay. From a photo-physics perspective, the in vitro results suggest that the response is not dependent on the virus itself, motivating potential use of aPDT for local destruction of SARS-CoV-2 and its variants. In the clinical trial we observed variable effects on viral RNA in nasal-swab samples as assessed by RT-qPCR attributed to aPDT-induced RNA fragmentation causing falsely-elevated counts. However, the viral infectivity in clinical nares swabs was reduced in 90% of samples and undetectable in 70% of samples. This is the first demonstration based on quantitative clinical viral infectivity measurements that MB-aPDT is a safe, easily delivered and effective front-line technique that can reduce local SARS-CoV-2 viral load.

Indexed as

COVID-19 Drug TreatmentDisinfectionNosePhotochemotherapyAnti-Infective AgentsFeasibility StudiesHumansMethylene BluePandemicsRNA, ViralSARS-CoV-2Treatment OutcomeViral LoadAnti-Infective AgentsMethylene BlueRNA, Viral

Identifiers

PMID36002557
PMCPMC9400568
OpenAlexW4292939363

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.