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Ivermectin - A useful treatment for COVID-19 coronavirus? Some discussion and studies...

Cureus . Ivermectin Prophylaxis Used for COVID-19: A Citywide, Prospective, Observational Study of 223,128 Subjects Using Propensity Score Matching

Cureus


. 2022 Jan 15;14(1):e21272.
doi: 10.7759/cureus.21272. eCollection 2022 Jan.
Ivermectin Prophylaxis Used for COVID-19: A Citywide, Prospective, Observational Study of 223,128 Subjects Using Propensity Score Matching


Lucy Kerr[SUP] 1 [/SUP], Flavio A Cadegiani[SUP] 2 3 [/SUP], Fernando Baldi[SUP] 4 [/SUP], Raysildo B Lobo[SUP] 5 [/SUP], Washington Luiz O Assagra[SUP] 6 [/SUP], Fernando Carlos Proença[SUP] 7 [/SUP], Pierre Kory[SUP] 8 [/SUP], Jennifer A Hibberd[SUP] 9 [/SUP], Juan J Chamie-Quintero[SUP] 10 [/SUP]



Affiliations
Free PMC article

Abstract

Background: Ivermectin has demonstrated different mechanisms of action that potentially protect from both coronavirus disease 2019 (COVID-19) infection and COVID-19-related comorbidities. Based on the studies suggesting efficacy in prophylaxis combined with the known safety profile of ivermectin, a citywide prevention program using ivermectin for COVID-19 was implemented in Itajaí, a southern city in Brazil in the state of Santa Catarina. The objective of this study was to evaluate the impact of regular ivermectin use on subsequent COVID-19 infection and mortality rates.
Materials and methods: We analyzed data from a prospective, observational study of the citywide COVID-19 prevention with ivermectin program, which was conducted between July 2020 and December 2020 in Itajaí, Brazil. Study design, institutional review board approval, and analysis of registry data occurred after completion of the program. The program consisted of inviting the entire population of Itajaí to a medical visit to enroll in the program and to compile baseline, personal, demographic, and medical information. In the absence of contraindications, ivermectin was offered as an optional treatment to be taken for two consecutive days every 15 days at a dose of 0.2 mg/kg/day. In cases where a participating citizen of Itajaí became ill with COVID-19, they were recommended not to use ivermectin or any other medication in early outpatient treatment. Clinical outcomes of infection, hospitalization, and death were automatically reported and entered into the registry in real time. Study analysis consisted of comparing ivermectin users with non-users using cohorts of infected patients propensity score-matched by age, sex, and comorbidities. COVID-19 infection and mortality rates were analyzed with and without the use of propensity score matching (PSM).
Results: Of the 223,128 citizens of Itajaí considered for the study, a total of 159,561 subjects were included in the analysis: 113,845 (71.3%) regular ivermectin users and 45,716 (23.3%) non-users. Of these, 4,311 ivermectin users were infected, among which 4,197 were from the city of Itajaí (3.7% infection rate), and 3,034 non-users (from Itajaí) were infected (6.6% infection rate), with a 44% reduction in COVID-19 infection rate (risk ratio [RR], 0.56; 95% confidence interval (95% CI), 0.53-0.58; p < 0.0001). Using PSM, two cohorts of 3,034 subjects suffering from COVID-19 infection were compared. The regular use of ivermectin led to a 68% reduction in COVID-19 mortality (25 [0.8%] versus 79 [2.6%] among ivermectin non-users; RR, 0.32; 95% CI, 0.20-0.49; p < 0.0001). When adjusted for residual variables, reduction in mortality rate was 70% (RR, 0.30; 95% CI, 0.19-0.46; p < 0.0001). There was a 56% reduction in hospitalization rate (44 versus 99 hospitalizations among ivermectin users and non-users, respectively; RR, 0.44; 95% CI, 0.31-0.63; p < 0.0001). After adjustment for residual variables, reduction in hospitalization rate was 67% (RR, 0.33; 95% CI, 023-0.66; p < 0.0001).
Conclusion: In this large PSM study, regular use of ivermectin as a prophylactic agent was associated with significantly reduced COVID-19 infection, hospitalization, and mortality rates.

Keywords: coronavirus; covid-19; ivermectin; prevention; prophylaxis; sars-cov-2.
 
January 31, 20222:30 PM EST
Last Updated 15 hours ago




Ivermectin shows ‘antiviral effect’ against COVID, Japanese company says

TOKYO, Jan 31 (Reuters) - Japanese trading and pharmaceuticals company Kowa Co Ltd (7807.T) on Monday said that anti-parasite drug ivermectin showed an "antiviral effect" against Omicron and other coronavirus variants in joint non-clinical research.

The company, which has been working with Tokyo's Kitasato University on testing the drug as a potential treatment for COVID-19, did not provide further details. The original Reuters story misstated that ivermectin was "effective" against Omicron in Phase III clinical trials, which are conducted in humans.

Clinical trials are ongoing, but promotion of ivermectin as a COVID-19 treatment has generated controversy.

more...

https://www.reuters.com/business/he...e-against-omicron-phase-iii-trial-2022-01-31/
 
Kowa Co. Ltd. & Kitasato University Pre-Clinical Lab Work: Ivermectin Inhibits Omicron & Other SARS-CoV-2 Variants of Concern

https://trialsitenews.com/kowa-co-l...omicron-other-sars-cov-2-variants-of-concern/

"Recently TrialSite reported that a Japanese pharmaceutical company, part of a large conglomerate known as Kowa Co. Ltd. Reported they were commencing a large 1000 patient Phase 3 clinical trial investigating the efficacy of ivermectin in COVID-19 patients with mild symptoms. With ambitious plans to end the study by the end of 2021 as reported in the Japanese press and apply for approval in early 2022, TrialSite questioned the feasibility of such an aggressive timeline. Yet now that same company has indicated to mainstream global media, including Reuters, that ivermectin showed an “antiviral effect” against Omicron and other SARS-CoV-2 variants in “joint non-clinical research” in partnership with Kitasato University, an academic medical center in Tokyo with a keen research interest in ivermectin as reported by TrialSite.....


IVERMECTIN SHOWED AN ANTIVIRAL EFFECT AGAINST OMICRON AND OTHER CORONAVIRUS VARIANTS IN JOINT NON-CLINICAL RESEARCH

"TOKYO, Jan 31 (Reuters) - Japanese trading and pharmaceuticals company Kowa Co Ltd (7807.T) on Monday said that anti-parasite drug ivermectin showed an "antiviral effect" against Omicron and other coronavirus variants in joint non-clinical research.....

https://www.reuters.com/business/he...e-against-omicron-phase-iii-trial-2022-01-31/
 
Maybe too late for people at risk at this point.

"Patients who had had symptoms of Covid-19 for up to 7 days..."
 
Source: https://www.cureus.com/articles/111...ubjects?email_share=true&expedited_modal=true

Regular Use of Ivermectin as Prophylaxis for COVID-19 Led Up to a 92% Reduction in COVID-19 Mortality Rate in a Dose-Response Manner: Results of a Prospective Observational Study of a Strictly Controlled Population of 88,012 Subjects
Lucy Kerr, Fernando Baldi, Raysildo Lobo, Washington Luiz Assagra, Fernando Carlos Proença, Juan J. Chamie, Jennifer A. Hibberd, Pierre Kory, Flavio A. Cadegiani
Published: August 31, 2022 (see history)
DOI: 10.7759/cureus.28624


Abstract
Background

We have previously demonstrated that ivermectin used as prophylaxis for coronavirus disease 2019 (COVID-19), irrespective of the regularity, in a strictly controlled citywide program in Southern Brazil (Itajaí, Brazil), was associated with reductions in COVID-19 infection, hospitalization, and mortality rates. In this study, our objective was to determine if the regular use of ivermectin impacted the level of protection from COVID-19 and related outcomes, reinforcing the efficacy of ivermectin through the demonstration of a dose-response effect...
 
Thank you, Tetano. It seems a crime to me that US 'experts' discouraged use of Ivermectin, especially as a prophylactic.
 
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