吸入丙酮酸钠减轻COVID-19、长COVID和肺纤维化等呼吸系统疾病的症状和严重程度

Christopher R. Lupfer, Riley A Nadler, Ronald Amen, Alain Martin
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引用次数: 3

摘要

背景:为了应对持续的COVID-19大流行,并治疗长COVID患者的症状,需要安全、有效和廉价的治疗方法。从严重COVID-19中恢复的患者有发生肺纤维化的严重风险。相反,肺纤维化患者感染COVID-19的风险和易感性更高,这表明需要同时治疗这两种疾病。设计:通过3个独立的临床试验(1)在COVID-19感染患者中,2)在长COVID患者中,3)在肺纤维化患者中,来确定N115(一种基于丙酮酸钠的鼻喷雾剂)的疗效。将患者的症状、生命体征和呼吸功能与安慰剂对照组或无治疗基线对照组进行比较。研究结果:在COVID-19活动性感染期间,N115 de降低了病毒滴度,并且在咳嗽/打喷嚏和疲劳方面比生理盐水有显著改善。在长COVID患者中,N115显着减少头痛,咳嗽/打喷嚏,增加SaO2水平(降低低氧血症)并改善呼吸(呼吸困难)。在肺纤维化患者中,通过SaO2、FVC、FEV1、PEF和FEV1/FVC比值的变化,与基线相比,所有肺功能都有显著改善。结论:N115可安全有效地减轻COVID-19活动性感染的症状,改善长COVID患者的病情。此外,N115可显著改善肺纤维化患者的肺功能。由于COVID-19和肺纤维化相互关联,我们的临床研究表明,N115是一种有希望的治疗方法,并增加了目前19项人体临床试验,N115在数千名患者中显示出疗效,无论肺部疾病的病因(COPD, CF,过敏性鼻炎,鼻窦炎,流感,COVID-19感染患者,长COVID和纤维化患者)。
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Inhalation of Sodium Pyruvate to Reduce the Symptoms and Severity of Respiratory Diseases Including COVID-19, Long COVID, and Pulmonary Fibrosis
Background: To combat the continuing COVID-19 pandemic, and to treat the symptoms in Long COVID patients safe, effective, and inexpensive treatments are needed. Patients recovering from severe COVID-19 are at serious risk of de veloping pulmonary fibrosis. Conversely, patients with pulmonary fibrosis have an increased risk and susceptibility to COVID-19 infection, demonstrating the need to treat both. Design: Three separate clinical trials were conducted 1) in COVID-19 infected patients, 2) in Long COVID patients, and 3) in patients with Pulmonary Fibrosis to determine the effi cacy of N115, a sodium pyruvate based nasal spray. Patient symptoms, vital signs and respiratory function were evaluated compared to a placebo control or a no treatment baseline control. Findings: During active COVID-19 infection, N115 de creased viral titers and produced a significant improvement over saline in coughing/sneezing and fatigue. In Long COVID patients, N115 significantly reduced headache, coughing/sneezing and increased SaO2 levels (decreased hypoxemia) and improved breathing (dyspnea). In patients with Pulmonary Fibrosis, there was a significant improvement in all lung func -tions, compared to baseline, as determined by changes in SaO2, FVC, FEV1, PEF, and FEV1/FVC ratio. Conclusions: N115 is safe and effective at reducing symptoms of active COVID-19 infection and improves disease condition in Long COVID patients. Furthermore, N115 significantly improves lung function in Pulmonary Fibrosis patients. As COVID-19 and Pulmonary Fibrosis are associated with each other, our clinical research demonstrates that N115 is a promising treat ment for both and adds to the current 19 human clinical trials where N115 has shown efficacy in thousands of patients, regardless of the etiology of the lung disease (COPD, CF, allergic rhinitis, sinusitis, the flu, COVID-19 infected patients, Long COVID and patients with Fibrosis).
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