Evidence map›Paper›PMID 36928877›Full record

Trial reportPloS one2023

Co-administration of AYUSH 64 as an adjunct to standard of care in mild and moderate COVID-19: A randomized, controlled, multicentric clinical trial.

Arvind Chopra, Girish Tillu, Kuldeep Chuadhary, Govind Reddy, Alok Srivastava, Muffazal Lakdawala, Dilip Gode, Himanshu Reddy, Sanjay Tamboli, Manjit Saluja and 7 more

Open access · goldFull text readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Perspectives on nano-nutraceuticals to manage pre and post COVID-19 infections.Biotechnology reports (Amsterdam, Netherlands) · 2022
    Article
  11. Article
  12. Article
  13. AYUSH- 64: A potential therapeutic agent in COVID-19.Journal of Ayurveda and integrative medicine
    Review
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

17 authors at 7 institutions in 1 country.

Arvind ChopraCentre for Rheumatic Diseases, Pune, India.ORCID 0000-0002-4347-9651
Girish TilluInterdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
Kuldeep ChuadharyCentral Ayurveda Research Institute, Mumbai, India.ORCID 0000-0002-9384-6544
Govind ReddyRegional Ayurveda Research Institute, Nagpur, India.
Alok SrivastavaRegional Ayurveda Research Institute, Lucknow, India.
Muffazal LakdawalaH.N. Reliance Foundation Hospital and Research Centre, Mumbai, India.
Dilip GodeDatta Meghe Institute of Medical Sciences, Nagpur, India.
Himanshu ReddyKing George's Medical University, Lucknow, India.
Sanjay TamboliTarget Institute of Medical Education & Research, Mumbai, India.
Manjit SalujaCentre for Rheumatic Diseases, Pune, India.
Sanjeev SarmukaddamCentre for Rheumatic Diseases, Pune, India.ORCID 0000-0002-9148-3647
Manohar GundetiCentral Ayurveda Research Institute, Mumbai, India.
Ashwini Kumar RautMedical Research Centre, Kasturba Health Society, Mumbai, India.
B C S RaoCentral Council for Research in Ayurvedic Sciences, New Delhi, India.
Babita YadavCentral Council for Research in Ayurvedic Sciences, New Delhi, India.
Narayanam SrikanthCentral Council for Research in Ayurvedic Sciences, New Delhi, India.
Bhushan PatwardhanInterdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, India.
Central Council for Research in Ayurvedic Science · INSavitribai Phule Pune University · INDatta Meghe Institute of Higher Education and Research · INKasturba Hospital · INKing George's Medical University · INSir H.N. Reliance Foundation Hospital and Research Centre · INTarget Institute of Medical Education & Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the efficacy of AYUSH 64, a standard polyherbal Ayurvedic drug in COVID-19.

methodsDuring the first pandemic wave, 140 consenting and eligible hospitalized adult participants with mild-moderate symptomatic disease (specific standard RT-PCR assay positive) were selected as per a convenience sample, and randomized (1:1 ratio) to an open-label (assessor blind) two-arm multicentric drug trial; standard of care (SOC as per Indian guidelines) versus AYUSH 64 combined with SOC (AYUSH plus). Participants were assessed daily and discharged once clinical recovery (CR, primary efficacy) was achieved which was based on a predetermined set of criteria (resolution of symptoms, normal peripheral oximetry, and negative specific RT-PCR assay). Each participant was followed using an indigenous software program(mobile phone) and completed a 12-week study period. The dose of AYUSH 64 was 2 tablets oral, 500 mg each, bid for 12 weeks (AYUSH plus only). Significant P was <0.05 (two-sided). On randomization, the groups were found well matched.

resultsThe mean interval time from randomization to CR was significantly superior in the AYUSH plus group [mean 6.45 days versus 8.26 days, 95% Confidence Interval of the difference -3.02 to -0.59 (P = 0.003, Student's 't test] as per-protocol analysis (134 participants); significant (P = 0.002) on an intention to treat analysis. 70% of the participants in AYUSH plus recovered during the first week (P = 0.046, Chi-square) and showed a significantly better change in physical health, fatigue, and quality of life measures. 48 adverse events, mostly mild and gut related, were reported by each group. There were 20 patient withdrawals (8 in AYUSH plus) but none due to an AE. There were no deaths. Daily assessment (hospitalization) and supervised drug intake ensured robust efficacy data. The open-label design was a concern (study outcome).

conclusionsAYUSH 64 in combination with SOC hastened recovery, reduced hospitalization, and improved health in COVID-19. It was considered safe and well-tolerated. Further clinical validation (Phase III) is required.

trial registrationCTRI/2020/06/025557.

Indexed as

COVID-19 Drug TreatmentPhytotherapyAdultDrug Therapy, CombinationFemaleHospitalizationHumansMaleMiddle AgedPlant ExtractsSeverity of Illness IndexStandard of CareTreatment OutcomeAyush 64Plant Extracts

Identifiers

PMID36928877
PMCPMC10019690
OpenAlexW4327566755

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read91
reference markers read2
identifiers read10
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.