Evidence map›Paper›PMID 34215210›Full record

Trial reportBMC infectious diseases2021

Ivermectin to prevent hospitalizations in patients with COVID-19 (IVERCOR-COVID19) a randomized, double-blind, placebo-controlled trial.

Julio Vallejos, Rodrigo Zoni, María Bangher, Silvina Villamandos, Angelina Bobadilla, Fabian Plano, Claudia Campias, Evangelina Chaparro Campias, Maria Fernanda Medina, Fernando Achinelli and 19 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04529525 (Ivermectin to Prevent Hospitalizations in COVID-19), which is not on this map. Cited by 58 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 13 pooled it
12.0field-weighted citation impact, top 1% 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.

NCT04529525 phase2 / phase3completednot on this map

Ivermectin to Prevent Hospitalizations in COVID-19: Randomized, Double-blind, Placebo-controlled

TypeinterventionalSponsorInstituto de Cardiología de CorrientesRan2020 to 2021Enrolled501ConditionsCovid19ArmsIvermectin, Placebo
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 13 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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  6. Ivermectin for preventing and treating COVID-19.The Cochrane database of systematic reviews · 2022
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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

29 authors at 3 institutions in 1 country.

Julio VallejosInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Rodrigo ZoniInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina. rodrizoni@yahoo.com.ar.
María BangherInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Silvina VillamandosInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Angelina BobadillaEpidemiology. Ministerio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Fabian PlanoHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Claudia CampiasEpidemiology. Ministerio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Evangelina Chaparro CampiasMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Maria Fernanda MedinaInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Fernando AchinelliHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Hector Andres GuglielmoneMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Jorge OjedaHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Diego Farizano SalazarHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Gerardo AndinoMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Pablo KawerinMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Silvana DellameaHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Antonia Cristina AquinoHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Victor FloresHospital de Campaña, Ministerio de Salud Pública de la Provincia de Corrientes, Ministerio de Salud Pública de Corrientes, Corrientes, Argentina.
Carolina N MartemucciMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Silvina Maria MartinezMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Juan Emanuel SegoviaEpidemiology. Ministerio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Paola Itati ReynosoInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Noelia Carolina SosaInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Mariana Elizabeth RobledoInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Joaquina Maria Guarrochena
Maria Mercedes VernengoEpidemiology. Ministerio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Natalia Ruiz DiazMinisterio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
Elba MezaEpidemiology. Ministerio de Salud Pública de la Provincia de Corrientes, Corrientes, Argentina.
María Gabriela AguirreInstituto de Cardiología de Corrientes, Bolivar 1334, Zip code, 3400, Corrientes, Argentina.
Ministerio de Salud · ARCentro Científico Tecnológico - Nordeste · ARMinisterio de Salud - Provincia de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV2) has changed our lives. The scientific community has been investigating re-purposed treatments to prevent disease progression in coronavirus disease (COVID-19) patients.

objectiveTo determine whether ivermectin treatment can prevent hospitalization in individuals with early COVID-19. DESIGN, SETTING AND

participantsA randomized, double-blind, placebo-controlled study was conducted in non-hospitalized individuals with COVID-19 in Corrientes, Argentina. Patients with SARS-CoV-2 positive nasal swabs were contacted within 48 h by telephone to invite them to participate. The trial randomized 501 patients between August 19th 2020 and February 22nd 2021.

interventionPatients were randomized to ivermectin (N = 250) or placebo (N = 251) arms in a staggered dose, according to the patient's weight, for 2 days. MAIN OUTCOMES AND MEASURES: The efficacy of ivermectin to prevent hospitalizations was evaluated as primary outcome. We evaluated secondary outcomes in relationship to safety and other efficacy end points.

resultsThe mean age was 42 years (SD ± 15.5) and the median time since symptom onset to the inclusion was 4 days [interquartile range 3-6]. The primary outcome of hospitalization was met in 14/250 (5.6%) individuals in ivermectin group and 21/251 (8.4%) in placebo group (odds ratio 0.65; 95% confidence interval, 0.32-1.31; p = 0.227). Time to hospitalization was not statistically different between groups. The mean time from study enrollment to invasive mechanical ventilatory support (MVS) was 5.25 days (SD ± 1.71) in ivermectin group and 10 days (SD ± 2) in placebo group, (p = 0.019). There were no statistically significant differences in the other secondary outcomes including polymerase chain reaction test negativity and safety outcomes. LIMITATIONS: Low percentage of hospitalization events, dose of ivermectin and not including only high-risk population.

conclusionIvermectin had no significant effect on preventing hospitalization of patients with COVID-19. Patients who received ivermectin required invasive MVS earlier in their treatment. No significant differences were observed in any of the other secondary outcomes.

trial registrationClinicalTrials.gov NCT04529525 .

Indexed as

COVID-19 Drug TreatmentAdultAntiviral AgentsCOVID-19COVID-19 Nucleic Acid TestingDouble-Blind MethodFemaleHospitalizationHumansIvermectinLength of StayMaleMiddle AgedNasopharynxPlacebosTreatment OutcomeAntiviral AgentsIvermectinPlacebos

Identifiers

PMID34215210
PMCPMC8250562
OpenAlexW3173645873

What Socratic holds

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LicenceCC BY
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Registered trials

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.