Research Article
Efficacy of Nanocurcumin as an Add-On Treatment for Patients
Hospitalized with COVID-19: A Double-Blind, Randomized
Clinical Trial
Sedigheh Ahmadi ,
1
Zeinab Mehrabi ,
2
Morteza Zare ,
3
Sara Ghadir ,
1
and Seyed Jalil Masoumi
3,4,5
1
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
2
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
3
Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
4
Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5
Center for Cohort Study of SUMS Employees’ Health, Shiraz University of Medical Sciences, Shiraz, Iran
Correspondence should be addressed to Seyed Jalil Masoumi; masoumi7415@gmail.com
Received 6 December 2022; Revised 20 April 2023; Accepted 16 July 2023; Published 28 July 2023
Academic Editor: Leandro Napier de Souza
Copyright © 2023 Sedigheh Ahmadi et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. Curcumin is a polyphenol derivative of the Curcuma longa rhizome, with potential antioxidant, anticancer, an•
tidepressant, antiviral, and anti•infammatory efects. Tis compound can be prepared as biodegradable polymer nanoparticles,
called nanocurcumin, to improve its solubility, stability, half•life, and bioavailability. Aim. We explored nanocurcumin’s efect on
the clinical manifestations of patients hospitalized with mild•to•moderate COVID•19. Methods. Tis double•blind, randomized
clinical trial involved 76 COVID•19 patients admitted to Ali•Asghar Hospital from December 2021 to March 2022. All patients
received standard coronavirus treatment as per national guidelines. In addition, four times a day for two weeks, the curcumin
group received 40 mg of nanocurcumin, while the control group received a placebo. Clinical manifestations were examined and
recorded by the associate doctors working in the department. Statistical analysis was done using SPSS v. 21. Results. Tirty•nine
people from the control group and 29 from the curcumin group completed the study. At baseline, the groups were comparable in
age, gender, body mass index, hospitalization duration, and background diseases. Te mean age of patients in the control and
treatment groups was 53.9 ± 11.9 and 54.6 ± 13.4, respectively. Compared with the placebo, nanocurcumin minimized coughs
(P � 0.036), fatigue (P � 0.0001), myalgia (P � 0.027), oxygen demand (P � 0.036), oxygen usage (P � 0.05), and respiratory rate
(P < 0.0001). By discharge, the curcumin group had a signifcantly greater increase in SPO
2
than the control group (P � 0.006).
Conclusions. Tis preliminary study suggests that nanocurcumin has a potentiating anti•infammatory efect when combined with
standard COVID•19 treatment, helping the recovery from the acute infammatory phase of the disease in hospitalized patients
with mild•to•moderate disease severity. Tis trial is registered with Iranian Registry of Clinical Trials: IRCT20211126053183N1
(registered while recruiting on 13/12/2021).
1. Introduction
Te coronavirus disease 2019 (COVID•19) pandemic has
afected roughly 567 million people to date [1]. Presentations
vary from mild fu•like symptoms to acute respiratory
distress syndrome and death. Fever, fatigue, and cough are
the most common symptoms among patients with mild
COVID•19. In contrast, chest pain, difculty in breathing,
and hypoxia are common symptoms in moderate and severe
cases. Te disease may cause acute respiratory distress
syndrome (ARDS), total organ failure, and death [2]. Te
immune system response causes a hazardous phenomenon
called cytokine storms by producing plentiful amounts of
infammatory cytokines [3]. Tis cytokine release syndrome
Hindawi
International Journal of Clinical Practice
Volume 2023, Article ID 5734675, 7 pages
https://doi.org/10.1155/2023/5734675