Evaluation of the efficacy of oral nano-silymarin formulation in hospitalized patients with COVID-19 : A double-blind placebo-controlled clinical trial

© 2022 John Wiley & Sons, Ltd..

Considering the outbreak pandemic of Coronavirus Disease 2019 (COVID-19), the lack of effective therapeutic strategies for the management of this viral disease, and the increasing evidence on the antiviral potential of silymarin, this study aimed to investigate the effectiveness of silymarin nanomicelles on the symptom's resolution time, laboratory parameters, and liver enzymes in patients with COVID-19. The participants were assigned to the nano-silymarin (n = 25) (receiving SinaLive soft gel, containing 70 mg silymarin as nanomicelles) or placebo groups (n = 25) three times daily for two weeks. Patients' symptoms and laboratory findings were assessed at baseline and during the follow-up period (one week and one month after the beginning of the treatment). No significant differences were observed between the two groups in terms of symptoms resolution time, laboratory parameters, and hospitalization duration (p > 0.05). However, the alanine aminotransferase level decreased significantly in the treatment group, compared to the placebo group (p < 0.001). Concomitant use of dexamethasone and remdesivir with silymarin might make the effects of silymarin on the improvement of patients' condition unclear. Further clinical trials are recommended with diverse dosages and larger sample sizes.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Phytotherapy research : PTR - 36(2022), 10 vom: 03. Okt., Seite 3924-3931

Sprache:

Englisch

Beteiligte Personen:

Aryan, Hossein [VerfasserIn]
Farahani, Ramin Hamidi [VerfasserIn]
Chamanara, Mohsen [VerfasserIn]
Elyasi, Sepideh [VerfasserIn]
Jaafari, Mahmoud Reza [VerfasserIn]
Haddad, Mahboubeh [VerfasserIn]
Sani, Ashraf Tavanaee [VerfasserIn]
Ardalan, Mohamed Afshar [VerfasserIn]
Mosaed, Reza [VerfasserIn]

Links:

Volltext

Themen:

7S5I7G3JQL
Alanine Transaminase
Anti-viral
Antiviral Agents
COVID-19
Cytokine release syndrome
Dexamethasone
EC 2.6.1.2
Journal Article
Randomized Controlled Trial
SARS-COV-2
Silymarin

Anmerkungen:

Date Completed 13.10.2022

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ptr.7537

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM343793490