Effectiveness of ayurvedic formulation, NAOQ19 along with standard care in the treatment of mild-moderate COVID-19 patients: A double blind, randomized, placebo-controlled, multicentric trial.

Ayurveda Coronavirus Covid-19 pandemic Flu like symptoms Hospital stay RT-PCR SARS-CoV-2 Viral illness

Journal

Journal of Ayurveda and integrative medicine
ISSN: 0975-9476
Titre abrégé: J Ayurveda Integr Med
Pays: United States
ID NLM: 101551404

Informations de publication

Date de publication:
14 Nov 2023
Historique:
received: 07 07 2022
revised: 08 02 2023
accepted: 08 07 2023
medline: 18 11 2023
pubmed: 18 11 2023
entrez: 17 11 2023
Statut: aheadofprint

Résumé

Medicines in indigenous systems such as Ayurveda have strong antimicrobial activity but double-blind randomized control trials are infrequent in this system of medicine. The efficacy of a new ayurvedic formulation was evaluated during the pandemic. 150 mild-moderate COVID-19 patients were enrolled and randomized in 1:1 to NAOQ19 and placebo group. RT-PCR was done on Day 3, 5 and 7. CBC, CRP, LFT, and KFT were assessed at baseline and exit. Duration of hospital stay was noted and clinical assessment was also performed. The results demonstrated more people turning RT-PCR negative in the NAOQ19 group compared to the placebo group on day 3 (p-value = 0.033). The mean time duration to turn RT-PCR negative was significantly lower in the NAOQ19 group (4.6 days) compared to placebo group (5.2 days) (p-value = 0.018). There was significant reduction in hospital stay among patients in the NAOQ19 arm who were discharged earlier (5.6 days) compared to placebo group (6.4 days) (p-value = 0.046). Patients in NAOQ19 arm did not show any adverse life-threatening events. The ayurvedic preparation given along with standard of care therapy reduced the duration of hospital stay and there was earlier conversion to RT-PCR negative.The integrated approach can help to reduce patient workload in the hospitals as well as limit the transmission of the virus in the community. CTRI/2021/05/033790.

Sections du résumé

BACKGROUND BACKGROUND
Medicines in indigenous systems such as Ayurveda have strong antimicrobial activity but double-blind randomized control trials are infrequent in this system of medicine. The efficacy of a new ayurvedic formulation was evaluated during the pandemic.
METHODS METHODS
150 mild-moderate COVID-19 patients were enrolled and randomized in 1:1 to NAOQ19 and placebo group. RT-PCR was done on Day 3, 5 and 7. CBC, CRP, LFT, and KFT were assessed at baseline and exit. Duration of hospital stay was noted and clinical assessment was also performed.
RESULT RESULTS
The results demonstrated more people turning RT-PCR negative in the NAOQ19 group compared to the placebo group on day 3 (p-value = 0.033). The mean time duration to turn RT-PCR negative was significantly lower in the NAOQ19 group (4.6 days) compared to placebo group (5.2 days) (p-value = 0.018). There was significant reduction in hospital stay among patients in the NAOQ19 arm who were discharged earlier (5.6 days) compared to placebo group (6.4 days) (p-value = 0.046). Patients in NAOQ19 arm did not show any adverse life-threatening events.
CONCLUSION CONCLUSIONS
The ayurvedic preparation given along with standard of care therapy reduced the duration of hospital stay and there was earlier conversion to RT-PCR negative.The integrated approach can help to reduce patient workload in the hospitals as well as limit the transmission of the virus in the community.
STUDY REGISTRATION BACKGROUND
CTRI/2021/05/033790.

Identifiants

pubmed: 37976809
pii: S0975-9476(23)00094-3
doi: 10.1016/j.jaim.2023.100778
pmc: PMC10684801
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100778

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

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Auteurs

Pankaj Bhardwaj (P)

Department of CMFM, AIIMS Jodhpur, India.

Kalaiselvan Ganapathy (K)

Department of Community Medicine, SMVMCH Puducherry, India.

Monika Pathania (M)

Department of Medicine, AIIMS Rishikesh, India.

K H Naveen (KH)

Department of CMFM, AIIMS Jodhpur, India.

Jaykaran Charan (J)

Department of Pharmacology, AIIMS Jodhpur, India.

Siddhartha Dutta (S)

Department of Pharmacology, AIIMS Jodhpur, India.

Ravisekhar Gadepalli (R)

Department of Microbiology, AIIMS Jodhpur, India.

Srikanth Srinivasan (S)

Department of CMFM, AIIMS Jodhpur, India.

Manoj Kumar Gupta (MK)

Department of CMFM, AIIMS Jodhpur, India.

Akhil D Goel (AD)

Department of CMFM, AIIMS Jodhpur, India.

Naresh Midha (N)

Department of General Medicine, AIIMS Jodhpur, India.

Bharat Kumar (B)

Department of General Medicine, AIIMS Jodhpur, India.

Meenakshi Sharma (M)

Department of AYUSH, AIIMS Jodhpur, India.

Praveen Sharma (P)

Department of Biochemistry, AIIMS Jodhpur, India.

Mithu Banerjee (M)

Department of Biochemistry, AIIMS Jodhpur, India.

Prasenjit Mitra (P)

Department of Biochemistry, AIIMS Jodhpur, India.

Sanjeev Misra (S)

AIIMS Jodhpur, India.

Vinayagamoorthy V (V)

Department of Community Medicine, SMVMCH Puducherry, India.

Girija Subramaniant (G)

Department of General Medicine, SMVMCH Puducherry, India.

Praveen R (P)

Department of Respiratory Medicine, SMVMCH Puducherry, India.

Minakshi Dhar (M)

Department of Medicine, AIIMS Rishikesh, India.

Vartika Saxena (V)

Department of CFM &AYUSH, AIIMS Rishikesh, India.

Puneet Dhamija (P)

Department of Pharmacology, AIIMS Rishikesh, India.

Archana Singh (A)

Department of Shalya Tantra, AIIMS Rishikesh, India.

Saumya Subramanian (S)

Sri Sri Institute for Advanced Research, India.

Divya Kanchibhotla (D)

Sri Sri Institute for Advanced Research, India. Electronic address: director.ssiar@artofliving.org.

Classifications MeSH