TABLE 1.
Nitazoxanide | Placebo | p-value | |
Participants | 194 | 198 | |
Age range years | 0.891 | ||
18–39 | 115 (59) | 113 (57) | |
40–59 | 68 (35) | 74 (37) | |
60–77 | 11 (6) | 11 (6) | |
Sex | 0.054 | ||
Male | 101 (52) | 83 (42) | |
Female | 93 (48) | 115 (58) | |
Ethnicity | 0.644 | ||
White | 131 (68) | 138 (70) | |
Asian | 5 (3) | 2 (1) | |
Indigenous Brazilian | 0 (0) | 1 (0.5) | |
Black | 31 (16) | 32 (16) | |
Mixed | 27 (14) | 24 (12) | |
BMI kg·m−2 | 1.000 | ||
<29.9 | 134 (69) | 136 (69) | |
≥30.0 | 60 (31) | 62 (31) | |
Comorbidities | 0.091 | ||
No | 171 (88) | 162 (82) | |
Yes# | 23 (12) | 36 (18) | |
Time from onset of symptoms to enrolment days | 0.241 | ||
1 | 14 (7) | 18 (9) | |
2 | 42 (22) | 55 (28) | |
3 | 138 (71) | 125 (63) | |
Time from onset of symptoms to the first dose of nitazoxanide or placebo, days | 5 (4–5) | 5 (4–5) | 0.124 |
Concomitant medications | |||
None | 154 (80) | 158 (80) | 1.000 |
Angiotensin-II receptor antagonists | 6 (3) | 12 (6) | 0.227 |
Angiotensin-conversing enzyme inhibitors | 1 (1) | 1 (0.5) | 0.833 |
Metformin | 1 (0.5) | 4 (2) | 0.372 |
Statins | 0 (0) | 4 (2) | 0.123 |
Symptoms at baseline | |||
Inclusion criteria | |||
Dry cough | 141 (73) | 148 (75) | 0.574 |
Fever | 109 (56) | 115 (58) | 0.760 |
Fatigue | 95 (49) | 95 (48) | 0.920 |
Secondary symptoms | |||
Sore throat | 82 (42) | 68 (34) | 0.119 |
Myalgia | 60 (31) | 53 (27) | 0.374 |
Headache | 64 (33) | 81 (41) | 0.117 |
Anosmia | 17 (9) | 18 (9) | 1.000 |
Ageusia | 20 (10) | 17 (9) | 0.607 |
Diarrhoea | 14 (7) | 5 (3) | 0.035 |
Nasopharyngeal swab RT-PCR viral load log10 copies·mL−1 | 7.06 (5.77–8.13) | 7.49 (6.15–8.32) | 0.065 |
SpO2 % | 97.3±1.4 | 97.4±1.3 | 0.835 |
WBC ×103 cells·mL−1 | 5.4 (4.3–6.6) | 5.3 (4.6–6.5) | 0.904 |
Neutrophils ×103 cells·mL−1 | 2.8 (2.1–3.9) | 2.9 (2.2–4.0) | 0.984 |
Lymphocytes ×103 cells·mL−1 | 1.9 (1.5–2.2) | 1.8 (1.4–2.4) | 0.423 |
Platelets ×103 cells·mL−1 | 245 (205–245) | 213 (177–257) | 0.243 |
CRP mg·L−1 | 6.0 (2.0–15.0) | 4.5 (2.0–12.2) | 0.190 |
Cytokine concentration pg·dL−1 | |||
IL-6 | 0 (0–4.10) | 0 (0–8.34) | 0.471 |
IL-8 | 2.79 (0–12.48) | 5.51 (0.38–17.91) | 0.090 |
IL-1β | 0 (0–0) | 0 (0–19.45) | 0.088 |
TNF-α | 0 (0–0) | 0 (0–0) | 0.179 |
IFN-γ | 0 (0–16.24) | 0 (0–10.24) | 0.526 |
Data are presented as n, n (%), median (interquartile range) or mean±sd, unless otherwise stated. BMI: body mass index; SpO2: peripheral oxyhaemoglobin saturation; WBC: white blood cells; CRP: C-reactive protein; IL: interleukin; TNF: tumour necrosis factor; IFN: interferon. #: systemic arterial hypertension, diabetes mellitus, asthma. No significant differences were observed between the two groups.