Food Science & Nutrition · 2021 · 67 citations · 19 references
PharmacyPharmacotherapyBioavailabilityDrug DeliveryNanoparticle Drug DeliveryAntiviral TherapyNanomedicineNanoparticle Delivery SystemsNanoparticle FormulationsNanoparticle-based BioavailabilityOral NanocarriersColloidal GelsNanoparticle-mediated Bioavailability EnhancementOral Nanoparticle BioavailabilityPolymer GelsTreatment Of Coronavirus InfectionsViral Protease FunctionViral Protease InhibitionViral Sore Throat
Abstract Background Curcumin, a natural polyphenolic compound, is proposed as a potential treatment option for patients with coronavirus disease by inhibiting the entry of virus to the cell, encapsulation of the virus and viral protease, as well as modulating various cellular signaling pathways. In this study, the efficacy and safety of nanocurcumin oral formulation has been evaluated in patients with mild‐moderate Coronavirus disease 2019 (COVID‐19) in outpatient setting. Methods In this triple‐blind randomized placebo‐controlled clinical trial, sixty mild to moderate COVID‐19 patients in outpatient setting who fulfilled the inclusion criteria were randomly allocated to treatment ( n = 30) group to receive oral nanocurcumin formulation (Sinacurcumin soft gel which contains 40 mg curcuminoids as nanomicelles), two soft gels twice a day after food for 2 weeks or placebo ( n = 30) group. Patients’ symptoms and laboratory data were assessed at baseline and during follow‐up period and compared between two groups. Results All symptoms except sore throat resolved faster in the treatment group and the difference was significant for chills, cough and smell and taste disturbances. The CRP serum level was lower in the treatment group at the end of two weeks and the lymphocyte count was significantly higher in treatment group. No significant adverse reaction reported in the treatment group. Conclusion Oral nanoformulation of curcumin can significantly improve recovery time in patients with mild to moderate COVID‐19 in outpatient setting. Further studies with larger sample size are recommended.
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COVID-19: consider cytokine storm syndromes and immunosuppression
Puja Mehta, Daniel F. McAuley, Michael Brown et al. · The Lancet · 2020 · 10.2K citations · Full text
Amy Whitehead, Steven A. Julious, Cindy Cooper et al. · Statistical Methods in Medical Research · 2015 · 1.9K citations · Full text