Monotherapy versus polytherapy of enoxaparin and hydroxychloroquine for the treatment of COVID-19: A randomized controlled clinical trial.

IF 2.4 Q3 PHARMACOLOGY & PHARMACY Pharmacy Practice-Granada Pub Date : 2023-01-01 Epub Date: 2022-12-21 DOI:10.18549/PharmPract.2023.1.2777
Amira S A Said, Raghda R S Hussein, Doaa Mahmoud Khalil, Alzhraa M Fahmy, Ahmed H A Hassanein, Lamiaa N Abdelaty
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Abstract

Objectives: The current study aims to assess the efficacy and safety of Enoxaparin and hydroxychloroquine (HCQ) used as monothrapy or polytherapy versus standard care alone in Coronavirus 2019 (COVID-19) infected patients.

Methods: The current study included two hundred patients with laboratory confirmed COVID-19 infection. Patients admitted to hospital were randomly allocated into four groups: group I: received standard COVID-19 therapy, group II: received Enoxaparin 40mg/day subcutaneously (SC) plus standard therapy, group III: received 400 mg/day HCQ plus standard therapy & group IV: received a combination of 400 mg/day HCQ and Enoxaparin plus standard COVID-19 therapy. The disease progression was evaluated by duration to a negative polymerase chain reaction (PCR), length of hospital or Intensive Care Unit (ICU) stay, and mortality rate. The safety of treatments was evaluated by measuring adverse effects.

Results: The length of hospital stay, ICU admission and mortality were significantly decreased in Enoxaparin plus standard COVID-19 therapy group versus other groups.

Conclusion: These findings suggest that Enoxaparin was safe, effective, and well tolerated and has a role in decreasing the progression of the disease and its complications while HCQ did not discover any evidence of extra therapeutic benefits.

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依诺肝素和羟氯喹治疗新冠肺炎的单药治疗与多药治疗:一项随机对照临床试验。
目的:本研究旨在评估依诺肝素和羟氯喹(HCQ)在2019冠状病毒(新冠肺炎)感染患者中单疗法或多疗法与单独标准治疗的疗效和安全性。方法:本研究包括200例经实验室确诊的新冠肺炎感染者。入院患者被随机分为四组:第一组:接受标准新冠肺炎治疗,第二组:接受依诺肝素40mg/d皮下注射(SC)加标准治疗,第三组:接受400 mg/d HCQ加标准治疗;第四组:接受400mg/d HCQ和依诺肝素加标准新冠肺炎联合治疗。通过聚合酶链式反应阴性的持续时间、住院或重症监护室(ICU)的住院时间和死亡率来评估疾病进展。通过测量不良反应来评估治疗的安全性。结果:与其他组相比,依诺肝素加标准新冠肺炎治疗组的住院时间、入住ICU和死亡率显著降低。结论:这些发现表明依诺肝素是安全、有效和耐受性良好的,在减少疾病进展及其并发症方面有作用,而HCQ没有发现任何额外治疗益处的证据。
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来源期刊
Pharmacy Practice-Granada
Pharmacy Practice-Granada PHARMACOLOGY & PHARMACY-
CiteScore
3.90
自引率
4.00%
发文量
113
审稿时长
20 weeks
期刊介绍: Pharmacy Practice is a free full-text peer-reviewed journal with a scope on pharmacy practice. Pharmacy Practice is published quarterly. Pharmacy Practice does not charge and will never charge any publication fee or article processing charge (APC) to the authors. The current and future absence of any article processing charges (APCs) is signed in the MoU with the Center for Pharmacy Practice Innovation (CPPI) at Virginia Commonwealth University (VCU) School of Pharmacy. Pharmacy Practice is the consequence of the efforts of a number of colleagues from different Universities who belief in collaborative publishing: no one pays, no one receives. Although focusing on the practice of pharmacy, Pharmacy Practice covers a wide range of pharmacy activities, among them and not being comprehensive, clinical pharmacy, pharmaceutical care, social pharmacy, pharmacy education, process and outcome research, health promotion and education, health informatics, pharmacoepidemiology, etc.
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