Effects of Ivermectin in Patients With COVID-19: A Multicenter, Double-blind, Randomized, Controlled Clinical Trial

Leila Shahbaznejad1, Alireza Davoudi2, Gohar Eslami3

  • 1Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

Abstract

Insights

Ivermectin, an antiparasitic drug, improved COVID-19 symptoms like dyspnea and cough in a clinical trial. The drug was well-tolerated, showing potential benefits for coronavirus disease 2019 patients.

Area of Science:

  • Infectious Diseases
  • Pharmacology

Background:

  • The COVID-19 pandemic created an urgent need for effective treatments.
  • Ivermectin, a widely used antiparasitic, was investigated for its potential therapeutic effects.

Purpose of the Study:

  • To evaluate the efficacy of ivermectin in improving outcomes for patients with COVID-19.
  • To assess the impact of ivermectin on symptom duration and clinical improvement.

Main Methods:

  • A randomized, double-blind clinical trial was conducted with 69 COVID-19 patients.
  • The intervention group received ivermectin plus standard care; the control group received standard care only.
  • Outcomes measured included duration of hospital stay, fever, dyspnea, cough, and overall clinical improvement.

Main Results:

  • Ivermectin significantly reduced the duration of dyspnea (2.6 vs. 3.8 days) and cough (3.1 vs. 4.8 days).
  • Hospital stay was shorter in the ivermectin group (7.1 vs. 8.4 days).
  • The frequency of lymphopenia decreased in the ivermectin group (14.3% vs. control).

Conclusions:

  • A single dose of ivermectin was well-tolerated and improved key clinical features of COVID-19.
  • Further research with larger sample sizes and varied dosages is recommended to confirm ivermectin's clinical benefits.

Related Concept Videos

Clinical Trials01:16

Clinical Trials

Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
9.9K
Bioavailability Study Design: Healthy Subjects Versus Patients01:15

Bioavailability Study Design: Healthy Subjects Versus Patients

Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
35
Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.0K
Bioavailability Study Design: Single Versus Multiple Dose Studies01:11

Bioavailability Study Design: Single Versus Multiple Dose Studies

Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
48
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
299