Evidence map›Paper›PMID 38283346›Full record

Trial reportFrontiers in immunology2023

Nebulized glycyrrhizin/enoxolone drug modulates IL-17A in COVID-19 patients: a randomized clinical trial.

Ulises Zendejas-Hernandez, Nemi Alcántara-Martínez, Diana Tovar Vivar, Fermín Valenzuela, Alejandro Sosa Espinoza, Eduardo Emir Cervera Ceballos

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Ulises Zendejas-HernandezResearch Department, SPV TIMSER, S.A.P.I. de C.V., Mexico City, Mexico.
Nemi Alcántara-MartínezResearch Department, SPV TIMSER, S.A.P.I. de C.V., Mexico City, Mexico.
Diana Tovar VivarResearch and Development Department, Columbia Laboratories, Mexico City, Mexico.
Fermín ValenzuelaResearch Department, SPV TIMSER, S.A.P.I. de C.V., Mexico City, Mexico.
Alejandro Sosa EspinozaNational Cancerology Institute, Teaching department, Mexico, Mexico.
Eduardo Emir Cervera CeballosNational Cancerology Institute, Teaching department, Mexico, Mexico.
Instituto Nacional de Cancerología · MXUniversidad Nacional Autónoma de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Glycyrrhizin (GA) and its derivative Enoxolone (18β), isolated from the Methods: An open label, randomized, placebo-controlled clinical trial was conducted in Mexico City from January-August 2022 (Registration No. PROTAP-CLI-00). Clinical and biochemical parameters were recorded. Blood samples from patients were regularly collected to evaluate interleukins IL-4, IL-2, IL-1b, TNF-α, IL-17A, IL-6, IL-10,IFN-γ, IL-12, IL-8 and TGF-β1, as well as IgM and IgG against SARS-CoV-2. Two doses of the drug were used - 30/2 mg (dose A) and 90/4 mg (dose B). Results and discussion: Both GA/18β doses modulated inflammatory response by reducing mainly IL-17A expression, which in turn kept IL-1β, IL-6, IL-8 and TNF-α interleukins unchanged, indicating significant modulation of key interleukin levels to prevent exacerbation of the immune response in COVID-19 patients. Early on, dose A increased IgM, while dose B induced expression of the antiviral IFN-γ. No severe side effects were seen with either dose, indicating nebulized GA/18β is a safe treatment that could be used for COVID-19 and potentially other viral infections involving inflammatory response.

Indexed as

COVID-19Glycyrrhetinic AcidAntiviral AgentsGlycyrrhizic AcidHumansImmunoglobulin MInterleukin-17Interleukin-6Interleukin-8SARS-CoV-2Tumor Necrosis Factor-alphaAntiviral AgentsGlycyrrhetinic AcidGlycyrrhizic AcidImmunoglobulin MInterleukin-17Interleukin-6Interleukin-8Tumor Necrosis Factor-alphaCOVID-19enoxoloneglycyrrhizinIFN-gammaIL-17A interleukinimmunomodulationinflammatory cytokinesSARS-CoV-2 infection

Identifiers

PMID38283346
PMCPMC10811189
OpenAlexW4390819665

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.