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      Clinical study evaluating the efficacy of ivermectin in COVID‐19 treatment: A randomized controlled study

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          Abstract

          Researchers around the world are working at record speed to find the best ways to treat and prevent coronavirus disease 2019 (COVID‐19). This study aimed to evaluate the efficacy of ivermectin for the treatment of hospitalized mild to moderate COVID‐19 infected patients. This was a randomized open‐label controlled study that included 164 patients with COVID‐19. Patients were randomized into two groups where Group 1 (Ivermectin group) included patients who received ivermectin 12 mg once daily for 3 days with standard care and Group 2 (control group) included patients who received standard protocol of treatment alone for 14 days. The main outcomes were mortality, the length of hospital stay, and the need for mechanical ventilation. All patients were followed up for 1 month. Overall, 82 individuals were randomized to receive ivermectin plus standard of care and 82 to receive standard of care alone. Patients in the ivermectin group had a shorter length of hospital stay (8.82 ± 4.94 days) than the control group (10.97 ± 5.28 days), but this was not statistically significant ( p = 0.085). Three patients (3.7%) in each group required mechanical ventilation ( p = 1.00). The death rate was three patients in the ivermectin group (3.7%) versus four patients (4.9%) in the control group without any significant difference between the two groups ( p = 1.00). Although there was no statistically significant difference in any endpoints by ivermectin doses (12 mg/day for 3 days); there was an observed trend to reducing hospital stay in the ivermectin‐treated group.

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            The FDA-approved Drug Ivermectin inhibits the replication of SARS-CoV-2 in vitro

            Although several clinical trials are now underway to test possible therapies, the worldwide response to the COVID-19 outbreak has been largely limited to monitoring/containment. We report here that Ivermectin, an FDA-approved anti-parasitic previously shown to have broad-spectrum anti-viral activity in vitro, is an inhibitor of the causative virus (SARS-CoV-2), with a single addition to Vero-hSLAM cells 2 hours post infection with SARS-CoV-2 able to effect ∼5000-fold reduction in viral RNA at 48 h. Ivermectin therefore warrants further investigation for possible benefits in humans.
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              Mild or Moderate Covid-19

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                Author and article information

                Contributors
                sherif.abdelbaky@med.tanta.edu.eg
                Journal
                J Med Virol
                J Med Virol
                10.1002/(ISSN)1096-9071
                JMV
                Journal of Medical Virology
                John Wiley and Sons Inc. (Hoboken )
                0146-6615
                1096-9071
                07 June 2021
                : 10.1002/jmv.27122
                Affiliations
                [ 1 ] Department of Tropical Medicine and Infectious diseases, Faculty of Medicine Tanta University Tanta Egypt
                [ 2 ] Department of Internal Medicine, Faculty of Medicine Tanta University Tanta Egypt
                [ 3 ] Department of Public health and Community Medicine, Faculty of Medicine Menoufia University Menoufia Egypt
                [ 4 ] Department of Anesthesia, Surgical Intensive Care, and Pain Medicine, Faculty of Medicine Tanta University Tanta Egypt
                [ 5 ] Department of Emergency Medicine and traumatology, Faculty of Medicine Tanta University Tanta Egypt
                [ 6 ] Department of Tropical Medicine and Gastroenterology, Faculty of Medicine Assiut University Assiut Egypt
                [ 7 ] Department of Microbiology and Immunology Tanta University Tanta Egypt
                [ 8 ] Department of Internal Medicine Al‐Azhar University Cairo Egypt
                [ 9 ] Department of Endemic Medicine, Kasr Alainy School of Medicine Cairo University Cairo Egypt
                Author notes
                [*] [* ] Correspondence: Sherief Abd‐Elsalam, Department of Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, El‐Giash St, 31527 Tanta, Egypt.

                Email: sherif.abdelbaky@ 123456med.tanta.edu.eg

                Author information
                http://orcid.org/0000-0003-4366-2218
                http://orcid.org/0000-0001-8706-4389
                Article
                JMV27122
                10.1002/jmv.27122
                8242425
                34076901
                b45bc900-6c37-4b1b-b188-9154a7ae8c88
                © 2021 Wiley Periodicals LLC

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 29 May 2021
                : 31 May 2021
                Page count
                Figures: 0, Tables: 3, Pages: 6, Words: 3917
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:30.06.2021

                Microbiology & Virology
                covid‐19,chloroquine,ivermectin,mortality,treatment
                Microbiology & Virology
                covid‐19, chloroquine, ivermectin, mortality, treatment

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