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Published in: European Journal of Medical Research 1/2021

Open Access 01-12-2021 | Ritonavir | Research

Safety and effectiveness of high-dose vitamin C in patients with COVID-19: a randomized open-label clinical trial

Authors: Saeidreza JamaliMoghadamSiahkali, Besharat Zarezade, Sogol Koolaji, SeyedAhmad SeyedAlinaghi, Abolfazl Zendehdel, Mohammad Tabarestani, Ehsan Sekhavati Moghadam, Ladan Abbasian, Seyed Ali Dehghan Manshadi, Mohamadreza Salehi, Malihe Hasannezhad, Sara Ghaderkhani, Mohsen Meidani, Faeze Salahshour, Fatemeh Jafari, Navid Manafi, Fereshteh Ghiasvand

Published in: European Journal of Medical Research | Issue 1/2021

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Abstract

Background

Vitamin C is an essential water-soluble nutrient that functions as a key antioxidant and has been proven to be effective for boosting immunity. In this study, we aimed to assess the efficacy of adding high-dose intravenous vitamin C (HDIVC) to the regimens for patients with severe COVID-19 disease.

Methods

An open-label, randomized, and controlled trial was conducted on patients with severe COVID-19 infection. The case and control treatment groups each consisted of 30 patients. The control group received lopinavir/ritonavir and hydroxychloroquine and the case group received HDIVC (6 g daily) added to the same regimen.

Results

There were no statistically significant differences between two groups with respect to age and gender, laboratory results, and underlying diseases. The mean body temperature was significantly lower in the case group on the 3rd day of hospitalization (p = 0.001). Peripheral capillary oxygen saturations (SpO2) measured at the 3rd day of hospitalization was also higher in the case group receiving HDIVC (p = 0.014). The median length of hospitalization in the case group was significantly longer than the control group (8.5 days vs. 6.5 days) (p = 0.028). There was no significant difference in SpO2 levels at discharge time, the length of intensive care unit (ICU) stay, and mortality between the two groups.

Conclusions

We did not find significantly better outcomes in the group who were treated with HDIVC in addition to the main treatment regimen at discharge.
Trial registration irct.ir (IRCT20200411047025N1), April 14, 2020
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Metadata
Title
Safety and effectiveness of high-dose vitamin C in patients with COVID-19: a randomized open-label clinical trial
Authors
Saeidreza JamaliMoghadamSiahkali
Besharat Zarezade
Sogol Koolaji
SeyedAhmad SeyedAlinaghi
Abolfazl Zendehdel
Mohammad Tabarestani
Ehsan Sekhavati Moghadam
Ladan Abbasian
Seyed Ali Dehghan Manshadi
Mohamadreza Salehi
Malihe Hasannezhad
Sara Ghaderkhani
Mohsen Meidani
Faeze Salahshour
Fatemeh Jafari
Navid Manafi
Fereshteh Ghiasvand
Publication date
01-12-2021
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2021
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-021-00490-1

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