Effect of a combination of nitazoxanide, ribavirin, and ivermectin plus zinc supplement (MANS.NRIZ study) on the clearance of mild COVID-19

J Med Virol. 2021 May;93(5):3176-3183. doi: 10.1002/jmv.26880. Epub 2021 Mar 11.

Abstract

This trial compared the rate and time of viral clearance in subjects receiving a combination of nitazoxanide, ribavirin, and ivermectin plus Zinc versus those receiving supportive treatment. This non-randomized controlled trial included 62 patients on the triple combination treatment versus 51 age- and sex-matched patients on routine supportive treatment. all of them confirmed cases by positive reverse-transcription polymerase chain reaction of a nasopharyngeal swab. Trial results showed that the clearance rates were 0% and 58.1% on the 7th day and 13.7% and 73.1% on the 15th day in the supportive treatment and combined antiviral groups, respectively. The cumulative clearance rates on the 15th day are 13.7% and 88.7% in the supportive treatment and combined antiviral groups, respectively. This trial concluded by stating that the combined use of nitazoxanide, ribavirin, and ivermectin plus zinc supplement effectively cleared the SARS-COV2 from the nasopharynx in a shorter time than symptomatic therapy.

Keywords: COVID-19; antiviral; mild cases.

Publication types

  • Clinical Trial, Phase I
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antimetabolites / administration & dosage
  • Antimetabolites / therapeutic use
  • Antiparasitic Agents / administration & dosage
  • Antiparasitic Agents / therapeutic use
  • COVID-19 Drug Treatment*
  • Female
  • Humans
  • Ivermectin / administration & dosage
  • Ivermectin / therapeutic use*
  • Male
  • Nitro Compounds / administration & dosage
  • Nitro Compounds / therapeutic use*
  • Ribavirin / administration & dosage
  • Ribavirin / therapeutic use*
  • SARS-CoV-2*
  • Thiazoles / administration & dosage
  • Thiazoles / therapeutic use*
  • Trace Elements / administration & dosage
  • Trace Elements / therapeutic use
  • Zinc / administration & dosage
  • Zinc / therapeutic use*

Substances

  • Antimetabolites
  • Antiparasitic Agents
  • Nitro Compounds
  • Thiazoles
  • Trace Elements
  • Ribavirin
  • Ivermectin
  • Zinc
  • nitazoxanide