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Published on: December 10, 2013
Evaluation of isoprinosine in experimental human rhinovirus infection
Abstract:
The prophylactic efficacy of isoprinosine was evaluated in a double-blind fashion in volunteers challenged with two types of rhinovirus. In the rhinovirus 44 and 32 trials, each of 9 men received a placebo, and eight and 11 men received the drug, respectively. Oral isoprinosine, 6 g a day, was given for 2 days prior to intranasal challenge with 100 mean tissue culture infective doses of the virus and for 7 postchallenge days. In both trials the occurrence and severity of colds were greater in the placebo group, but the difference between the two groups was not significant. Higher antibody titers for both viruses and a greater number of rhinovirus 32 isolations were demonstrated in the drug group but without statistically significant differences. The prophylactic isoprinosine treatment may suppress the cold syndrome, but its effect was not convincingly apparent.
Insights
Isoprinosine did not significantly prevent or reduce the severity of rhinovirus colds in volunteers. While some trends favored the drug, its prophylactic effect was not convincingly apparent in this study.
Area of Science:
- Virology
- Immunology
- Pharmacology
Background:
- The common cold is frequently caused by rhinoviruses.
- Effective prophylactic treatments for rhinovirus infections are limited.
Purpose of the Study:
- To evaluate the prophylactic efficacy of isoprinosine against rhinovirus challenge.
- To assess the impact of isoprinosine on cold symptom occurrence and severity.
Main Methods:
- A double-blind, placebo-controlled study involving volunteers challenged with rhinovirus 44 and 32.
- Volunteers received either oral isoprinosine (6 g/day) or placebo for 2 days before and 7 days after intranasal viral challenge.
- Measurements included cold occurrence, severity, antibody titers, and viral isolations.
Main Results:
- The occurrence and severity of colds were numerically greater in the placebo groups for both rhinovirus trials.
- Higher antibody titers and more rhinovirus 32 isolations were observed in the isoprinosine group.
- Statistical significance was not achieved for any of the observed differences between the drug and placebo groups.
Conclusions:
- Isoprinosine treatment showed a potential to suppress cold symptoms, but the effect was not statistically significant.
- Further research may be needed to clarify the prophylactic role of isoprinosine in rhinovirus infections.
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