Evidence map›Paper›PMID 39266946›Full record

Trial reportBMC infectious diseases2024

Nebulized inhalation of plasma-activated water in the treatment of progressive moderate COVID-19 patients with antiviral treatment failure: a randomized controlled pilot trial.

Heng Zhao, Wanting Meng, Xing Lv, Jing Li, Zhigui Cai, Xingxing Guo, Zifeng Wang, Li Guo, Mingzhe Rong, Cong Shen and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Medical Gas Plasma Inactivates Adenoviruses via Capsid Oxidation.Small (Weinheim an der Bergstrasse, Germany) · 2026
    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

12 authors.

Heng Zhao *Department of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Wanting Meng *Department of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Xing LvDepartment of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Jing LiDepartment of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Zhigui CaiDepartment of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Xingxing GuoDepartment of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China.
Zifeng WangState Key Laboratory of Electrical Insulation and Power Equipment, Center for Plasma Biomedicine, Xi'an Jiaotong University, Xi'an, 710049, China.
Li GuoState Key Laboratory of Electrical Insulation and Power Equipment, Center for Plasma Biomedicine, Xi'an Jiaotong University, Xi'an, 710049, China.
Mingzhe RongState Key Laboratory of Electrical Insulation and Power Equipment, Center for Plasma Biomedicine, Xi'an Jiaotong University, Xi'an, 710049, China.
Cong ShenDepartment of PET-CT, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
Dingxin LiuState Key Laboratory of Electrical Insulation and Power Equipment, Center for Plasma Biomedicine, Xi'an Jiaotong University, Xi'an, 710049, China. liudingxin@mail.xjtu.edu.cn.
Liqiang SongDepartment of Respiratory and Critical Care Medicine, Xijing Hospital of Air Force Medical University, Xi'an, 710032, China. songlq@fmmu.edu.cn.

Funding

The Clinical Research Program of Air Force Military Medical University No. 2021JSTS36The Discipline Promotion Plan of Xijing Hospital No. XJZT21CZ06The Key projects of basic research of natural science in Shaanxi Province No. 2022JZ-58The Shaanxi Provincial Health Scientific Research Fund Project No. 2021A006
6 · The paper itself

Abstract

backgroundAntiviral drugs show significant efficacy in non-severe COVID-19 cases, yet there remains a subset of moderate COVID-19 patients whose pneumonia continues to progress post a complete course of treatment. Plasma-activated water (PAW) possesses anti-SARS-CoV-2 properties. To explore the potential of PAW in improving pneumonia in COVID-19 patients following antiviral treatment failure, we conducted this study.

methodsThis was a randomized, controlled trial. Moderate COVID-19 patients with antiviral treatment failure were randomly assigned to the experimental group or the control group. They inhaled nebulized PAW or saline respectively. This was done twice daily for four consecutive days. We assessed improvement in chest CT on day 5, the rate of symptom resolution within 10 days, and safety.

resultsA total of 23 participants were included, with 11 receiving PAW and 12 receiving saline. The baseline characteristics of both groups were comparable. The experimental group showed a higher improvement rate in chest CT on day 5 (81.8% vs. 33.3%, p = 0.036). The cumulative disappearance rate of cough within 10 days was higher in the experimental group. Within 28 days, 4 patients in each group progressed to severe illness, and no patients died. No adverse reactions were reported from inhaling nebulized PAW.

conclusionThis pilot trial preliminarily confirmed that nebulized inhalation of PAW can alleviate pneumonia in moderate COVID-19 patients with antiviral treatment failure, with no adverse reactions observed. This still needs to be verified by large-scale studies.

trial registrationChinese Clinical Trial Registry; No.: ChiCTR2300078706 (retrospectively registered, 12/15/2023); URL: www.chictr.org.cn .

Indexed as

Antiviral AgentsCOVID-19COVID-19 Drug TreatmentNebulizers and VaporizersSARS-CoV-2Treatment FailureAdministration, InhalationAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsTreatment OutcomeWaterAntiviral AgentsWaterChest computed tomographyCOVID-19Plasma-activated water

Identifiers

PMID39266946
PMCPMC11391605

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.