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0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ ICU admission -404% Improvement Relative Risk Hospitalization -2% Recovery -16% Viral load 12% Virological cure 14% c19nitazoxanide.com/rocco.html Favors nitazoxanide Favors control
23 October 2020 - Early treatment study
Early use of nitazoxanide in mild Covid-19 disease: randomized, placebo-controlled trial (preprint 10/23)
Rocco et al., European Respiratory Journal, doi:10.1183/13993003.03725-2020 (preprint 10/23/20) (Peer Reviewed)
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RCT 392 patients, median treatment delay 5 days, showing improved viral recovery at 5 days. Symptom recovery was no different at 5 days, and the treatment arm had two ICU admissions compared to zero for control. There were no serious adverse events.
risk of ICU admission, 404.1% higher, RR 5.04, p = 0.24, treatment 2 of 194 (1.0%), control 0 of 198 (0.0%), continuity correction due to zero event (with reciprocal of the contrasting arm), table S3.
risk of hospitalization, 2.1% higher, RR 1.02, p = 1.00, treatment 5 of 194 (2.6%), control 5 of 198 (2.5%), table S3.
risk of no recovery, 15.8% higher, RR 1.16, p = 0.37, treatment 59 of 194 (30.4%), control 52 of 198 (26.3%), day 5.
relative viral load, 12.1% better, RR 0.88, p = 0.006, treatment 194, control 198, day 5.
risk of no virological cure, 14.3% lower, RR 0.86, p = 0.009, treatment 136 of 194 (70.1%), control 162 of 198 (81.8%), NNT 8.5, day 5.
Effect extraction follows pre-specified rules prioritizing more serious outcomes.
Rocco et al., 10/23/2020, Randomized Controlled Trial, Brazil, South America, peer-reviewed, 29 authors.
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