Evidence map›Paper›PMID 33552315›Full record

Trial reportEuropean journal of integrative medicine2021

The preventive effect of Xuebijing injection against cytokine storm for severe patients with COVID-19: A prospective randomized controlled trial.

Zhijian Luo, Wei Chen, Mingqing Xiang, Hua Wang, Wei Xiao, Cheng Xu, Yunkui Li, Jie Min, Qiang Tu

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in European journal of integrative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 8 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 8 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  8. Characteristics of published/registered clinical trials on COVID-19 treatment: A systematic review.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Zhijian LuoDepartment of Neurology, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Wei ChenSchool of Economy and Management, Jingzhou Institute of Technology, No 21 Xueyuan Road, Jingzhou, Hubei, 434000, China.
Mingqing XiangDepartment of Neurology, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Hua WangDepartment of Neurology, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Wei XiaoDepartment of Respiratory Medicine, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Cheng XuDepartment of Pain, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No.8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Yunkui LiDepartment of Respiratory Medicine, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Jie MinNeurological Intensive Care Unit, Department of Neurosurgery, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No.8 Hangkong Road, Jingzhou, Hubei, 434000, China.
Qiang TuDepartment of Neurology, the First People's Hospital of Jingzhou, Clinical Medical College, Yangtze University, No. 8 Hangkong Road, Jingzhou, Hubei, 434000, China.
First People's Hospital of Jingzhou · CNYangtze University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCOVID-19 is severely affecting countries globally and mortality is high. Xuebijing (XBJ) injection is widely used in the treatment of severe pneumonia and sepsis in China due to its anti-inflammatory effect and immunoregulation. This study investigated whether Xuebijing injection can prevent the cytokine storm and reduce the mortality from severe COVID-19.

methodsThis was a randomized, double-blinded trial in which 60 eligible patients were recruited from the First people's Hospital of Jingzhou from February 16 to March 25 in 2020. A total of 57 completed the trial, 3 dropped out. The treatment group received routine medication plus Xuebijing injection while the control group received routine medication plus saline.

resultsThe secretion of interleukin-6(IL-6), interleukin-8(IL-8) and tumor necrosis factor-α(TNF-α) was suppressed significantly (P < 0.05) by Xuebijing. After 14 days treatment, lymphocyte levels in Xuebijing group was substantially higher than control, C-reactive protein (CRP) level in Xuebijing group was remarkably lower. The 28-day mortality was not significantly different between the two group. After 14 days of treatment, there were significant differences in the rate of mechanical ventilation, rate of septic shock, the proportion of patients severely affected who became critically ill, the duration of improvement of main clinical symptoms (P < 0.05) and the length of ICU hospitalization stay (P < 0.01) for the Xuebijing group compared with controls. No serious adverse reactions were identified in either group.

conclusionsThis study demonstrates that Xuebijing injection may suppress the cytokine storm in severe COVID-19 patients by regulating the secretion of pro- inflammatory cytokine IL-6, IL-8 and TNF -α. However, Xuebijing did not significantly reduce the 28-day mortality.

Indexed as

COVID-19Cytokine stormImmunomodulationPro-inflammatory cytokinesRandomized controlled trialXuebijing injection

Identifiers

PMID33552315
PMCPMC7847185
OpenAlexW3128201757

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.