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2021 ; 85
(ä): 153242
Nephropedia Template TP
gab.com Text
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Efficacy and safety of Lianhuaqingwen capsules, a repurposed Chinese herb, in
patients with coronavirus disease 2019: A multicenter, prospective, randomized
controlled trial
#MMPMID33867046
Hu K
; Guan WJ
; Bi Y
; Zhang W
; Li L
; Zhang B
; Liu Q
; Song Y
; Li X
; Duan Z
; Zheng Q
; Yang Z
; Liang J
; Han M
; Ruan L
; Wu C
; Zhang Y
; Jia ZH
; Zhong NS
Phytomedicine
2021[May]; 85
(ä): 153242
PMID33867046
show ga
BACKGROUND: Coronavirus disease 2019 (Covid-19) has resulted in a global
outbreak. Few existing targeted medications are available. Lianhuaqingwen (LH)
capsule, a repurposed marketed Chinese herb product, has been proven effective
for influenza. PURPOSE: To determine the safety and efficacy of LH capsule in
patients with Covid-19. METHODS: We did a prospective multicenter open-label
randomized controlled trial on LH capsule in confirmed cases with Covid-19.
Patients were randomized to receive usual treatment alone or in combination with
LH capsules (4 capsules, thrice daily) for 14 days. The primary endpoint was the
rate of symptom (fever, fatigue, coughing) recovery. RESULTS: We included 284
patients (142 each in treatment and control group) in the full-analysis set. The
recovery rate was significantly higher in treatment group as compared with
control group (91.5% vs. 82.4%, p = 0.022). The median time to symptom recovery
was markedly shorter in treatment group (median: 7 vs. 10 days, p < 0.001). Time
to recovery of fever (2 vs. 3 days), fatigue (3 vs. 6 days) and coughing (7 vs.
10 days) was also significantly shorter in treatment group (all p < 0.001). The
rate of improvement in chest computed tomographic manifestations (83.8% vs.
64.1%, p < 0.001) and clinical cure (78.9% vs. 66.2%, p = 0.017) was also higher
in treatment group. However, both groups did not differ in the rate of conversion
to severe cases or viral assay findings (both p > 0.05). No serious adverse
events were reported. CONCLUSION: In light of the safety and effectiveness
profiles, LH capsules could be considered to ameliorate clinical symptoms of
Covid-19.