Evidence map›Paper›PMID 41693032›Full record

Trial reportAmerican journal of therapeutics

Safety and Tolerability of Multimodal Therapy (Ivermectin, Doxycycline, Vitamin C, Vitamin D, and Zinc) With or Without Famotidine in Australian Patients With COVID-19 Infection: A Pilot Cohort Trial.

Lucas A McLindon, Karin Ried, Bruce Wauchope, Lucia Murnane, Elizabeth Harradine, Josie Seman

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of therapeutics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Lucas A McLindonMedical School, University of Queensland, Herston, QLD, Australia.
Karin RiedNational Institute of Integrative Medicine (NIIM), Hawthorn, VIC, Australia.ORCID 0000-0003-1054-3490
Bruce WauchopeBedford Medical Clinic, Clarence Gardens, SA, Australia ; and.
Lucia MurnaneNational Institute of Integrative Medicine (NIIM), Hawthorn, VIC, Australia.
Elizabeth HarradineNational Institute of Integrative Medicine (NIIM), Hawthorn, VIC, Australia.
Josie SemanMarion Compounding Pharmacy, Marion, SA, Australia .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2020, COVID-19 caused by the SARS-CoV-2 emerged as a global pandemic. Combination therapies for viral illnesses may be more effective than single-agent therapies in reducing symptoms and preventing disease progression. Repurposed drugs may offer cost-effective accessible treatment options while other novel therapies are being developed. STUDY QUESTION: To assess the safety and tolerability of a combination of repurposed drugs and supplements in the early therapy of acute nonhospitalized COVID-19 illness. STUDY

designA multicenter pilot cohort study was undertaken. Participants older than 40 years and positive for COVID-19 within 4 days of illness onset received telehealth outpatient care. The multimodal therapy of ivermectin, doxycyline, zinc, vitamin C, and vitamin D 3 was given as core therapy (group-1), or core therapy plus famotidine (group-2) for 10 days in a randomized masked controlled fashion. MEASURES AND OUTCOMES: A total of 275 participants, who were either vaccinated (n = 151) or unvaccinated (n = 124) for COVID-19, were randomized into group-1 (n = 137) or group-2 (n = 138). Four participants (1.5%) were hospitalized within the first 28 days.

resultsNo viral rebound was experienced by any participants who took the 10-day therapy. Symptoms were reported daily until day 10, and at days 14, 28, and 90. The addition of famotidine resulted in less fatigue and nasal symptoms at day 14. These 5-component and 6-component interventions (ie, core therapy with and without famotidine) were equally safe and well tolerated.

conclusionsThe multimodal therapy for acute COVID-19 was safe and well tolerated. The results justify adequately powered trials of the 5- or 6-component intervention on major early and late outcomes of COVID-19 infections.

Indexed as

COVID-19COVID-19 Drug TreatmentFamotidineAdultAgedAscorbic AcidAustraliaCohort StudiesDrug Therapy, CombinationFemaleHumansIvermectinMaleMiddle AgedPandemicsPilot ProjectsAscorbic AcidFamotidineIvermectinVitamin DZincCOVID-19doxycyclinefamotidinehospitalizationivermectinrespiratory symptoms

Identifiers

PMID41693032
PMCPMC12959602

What OpenQuestion holds

Textmetadata
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.