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Pulmonary radiological change of COVID-19 patients with 99mTc-MDP treatment
Xiaolin Yuan.
Wanrong Yi.
Baoyi Liu.
Simiao Tian.
Fang Cao.
Ruoyu Wang.
Baiwen Qi.
Faqiang Lu.
Meiyun Fang.
Fuyang Pei.
Ming Chen.
Lichuan Zhang.
Yong Zhang.
Xiuzhi Zhang.
Zhenyu Pan.
Dewei Zhao.
Aixi Yu.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.04.07.20054767
Background: As increasing cases of COVID-19 around world, urgent need for effective COVID-19-specific therapeutic drugs is necessary; therefore, we conducted a pilot randomized-controlled study to evaluate the efficacy of 99mTc-MDP for COVID-19 therapeutic treatment. Methods: A total of 21 mild patients with COVID-19 were enrolled in this pilot RCT from February 2020 through March 2020, and then were assigned, in a 1:1 ratio, into control (11 patients) and 99mTc-MDP group (10 patients). Patients in the control group received routine treatment and patients assigned to the 99mTc-MDP group received a combination of routine treatment and an administration of 99mTc-MDP injection of 5ml/day. Both of the patients in the control and 99mTc-MDP groups were treated for 7 days with the primary end point of CT-based radiological pulmonary changes during 7-day follow-up. Findings: From baseline to the day 7, 8 (80%) of 10 mild patients in the 99mTc-MDP group had a significant radiological improvement in lung and a decline in inflammatory infiltration, whereas only 1 (9.1%) of 11 patients in the control group had a radiological improvement in lung. None of the patients in the 99mTc-MDP group had disease progression from mild to severe, as well as an inflammatory cytokine storm, and 2 mild patients (18.2%) in the control group developed severe. During days 7 through 14, the number of patients with radiological improvement in the 99mTc-MDP group remained consistent, and only 1 additional case (22%) in the control group were reported. Conclusion: In this randomized pilot study, 99mTc-MDP had an effective inhibitory effect on the inflammatory disease progression for the therapy of COVID-19, and it can accelerate the absorption of pulmonary inflammation in a short period of time during the process of treatment.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.04.07.20054767v1.full.pdf
Inglés
VIRUS RESPIRATORIOS
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