In December 2019,a new type of pneumonia caused by the coronavirus (COVID-2019) broke out in Wuhan ,China, and spreads quickly to other Chinese cities and 28 countries. More than 70000 people were infected and over 2000 people died all over the world.There is no specific drug treatment for this disease. This study is planned to observe the efficacy and safety of Huaier granule in the adjuvant treatment COVID-19.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
550
standard treatment + Huaier Granule 20g po tid for 2weeks
Mortality rate
All cause mortality
Time frame: up to 28 days
Clinical status assessed according to the official guideline
1.mild type:no No symptoms, Imaging examination showed no signs of pneumonia; 2,moderate type: with fever or respiratory symptoms,Imaging examination showed signs of pneumonia, SpO2\>93% without oxygen inhalation ; severe type:Match any of the following:a. R≥30bpm;b.Pulse Oxygen Saturation(SpO2)≤93% without oxygen inhalation,c. PaO2/FiO2(fraction of inspired oxygen )≤300mmHg ;4. Critically type:match any of the follow: a. need mechanical ventilation; b. shock; c. (multiple organ dysfunction syndrome) MODS
Time frame: up to 28 days
The differences in oxygen intake methods
Pulse Oxygen Saturation(SpO2)\>93%,1. No need for supplemental oxygenation; 2. nasal catheter oxygen inhalation(oxygen concentration%,The oxygen flow rate:L/min);3. Mask oxygen inhalation(oxygen concentration%,The oxygen flow rate:L/min);4. Noninvasive ventilator oxygen supply(Ventilation mode,oxygen concentration%,The oxygen flow rate:L/min,);5. Invasive ventilator oxygen supply(Ventilation mode,oxygen concentration%,The oxygen flow rate:L/min,).
Time frame: up to 28 days
Duration (days) of supplemental oxygenation
days
Time frame: up to 28 days
Duration (days) of mechanical ventilation
days
Time frame: up to 28 days
The mean PaO2/FiO2
Time frame: up to 28 days
Length of hospital stay (days)
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days
Time frame: up to 28 days
Length of ICU stay (days)
days
Time frame: up to 28 days
Pulmonary function
forced expiratory volume at one second ,maximum voluntary ventilation at 1month,2month,3month after discharge
Time frame: up to 3 months after discharge