Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours

The emergence of COVID-19 in March 2020 challenged Zimbabwe to respond with limited medical facilities and therapeutic options. Based on early clinical indications of efficacy for the macrocyclic lactone, Ivermectin (IVM), against COVID-19, IVM-based combination treatments were deployed to treat it....

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Main Authors: Stone, Jaqueline C., Ndarukwa, Pisirai, Scheim, David E., Dancis, Barry M., Dancis, Jerome, Gill, Martin G., Aldous, Colleen
Format: Article
Published: Multidisciplinary Digital Publishing Institute 2022
Online Access:https://hdl.handle.net/1721.1/145312
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author Stone, Jaqueline C.
Ndarukwa, Pisirai
Scheim, David E.
Dancis, Barry M.
Dancis, Jerome
Gill, Martin G.
Aldous, Colleen
author_facet Stone, Jaqueline C.
Ndarukwa, Pisirai
Scheim, David E.
Dancis, Barry M.
Dancis, Jerome
Gill, Martin G.
Aldous, Colleen
author_sort Stone, Jaqueline C.
collection MIT
description The emergence of COVID-19 in March 2020 challenged Zimbabwe to respond with limited medical facilities and therapeutic options. Based on early clinical indications of efficacy for the macrocyclic lactone, Ivermectin (IVM), against COVID-19, IVM-based combination treatments were deployed to treat it. Oxygen saturation (SpO2) data were retrospectively analyzed for 34 severe, hypoxic COVID-19 patients all on room air (without supplemental oxygen). The patients, median age 56.5, were treated at clinics or at home between August 2020 and May 2021. All but three of these 34 patients had significantly increased SpO2 values within 24 h after the first IVM dose. The mean increase in SpO2 as a percentage of full normalization to SpO2 = 97 was 55.1% at +12 h and 62.3% at +24 h after the first IVM dose (paired <i>t</i>-test, <i>p</i> &lt; 0.0000001). These results parallel similar sharp, rapid increases in SpO2, all on room air, for 24 mostly severe COVID-19 patients in the USA (California) who were given an IVM-based combination treatment. All patients in both of these critical series recovered. These rapid increases in SpO2 values after IVM treatment stand in sharp contrast to declines in SpO2 and associated pulmonary function through the second week following the onset of moderate or severe COVID-19 symptoms under standard care.
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spelling mit-1721.1/1453122022-09-30T15:19:06Z Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours Stone, Jaqueline C. Ndarukwa, Pisirai Scheim, David E. Dancis, Barry M. Dancis, Jerome Gill, Martin G. Aldous, Colleen The emergence of COVID-19 in March 2020 challenged Zimbabwe to respond with limited medical facilities and therapeutic options. Based on early clinical indications of efficacy for the macrocyclic lactone, Ivermectin (IVM), against COVID-19, IVM-based combination treatments were deployed to treat it. Oxygen saturation (SpO2) data were retrospectively analyzed for 34 severe, hypoxic COVID-19 patients all on room air (without supplemental oxygen). The patients, median age 56.5, were treated at clinics or at home between August 2020 and May 2021. All but three of these 34 patients had significantly increased SpO2 values within 24 h after the first IVM dose. The mean increase in SpO2 as a percentage of full normalization to SpO2 = 97 was 55.1% at +12 h and 62.3% at +24 h after the first IVM dose (paired <i>t</i>-test, <i>p</i> &lt; 0.0000001). These results parallel similar sharp, rapid increases in SpO2, all on room air, for 24 mostly severe COVID-19 patients in the USA (California) who were given an IVM-based combination treatment. All patients in both of these critical series recovered. These rapid increases in SpO2 values after IVM treatment stand in sharp contrast to declines in SpO2 and associated pulmonary function through the second week following the onset of moderate or severe COVID-19 symptoms under standard care. 2022-09-08T15:08:10Z 2022-09-08T15:08:10Z 2022-08-31 2022-09-08T13:24:05Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/145312 Biologics 2 (3): 196-210 (2022) PUBLISHER_CC http://dx.doi.org/10.3390/biologics2030015 Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ application/pdf Multidisciplinary Digital Publishing Institute Multidisciplinary Digital Publishing Institute
spellingShingle Stone, Jaqueline C.
Ndarukwa, Pisirai
Scheim, David E.
Dancis, Barry M.
Dancis, Jerome
Gill, Martin G.
Aldous, Colleen
Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title_full Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title_fullStr Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title_full_unstemmed Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title_short Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
title_sort changes in spo2 on room air for 34 severe covid 19 patients after ivermectin based combination treatment 62 normalization within 24 hours
url https://hdl.handle.net/1721.1/145312
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