Proxalutamide Reduces the Rate of Hospitalization for COVID-19 Male Outpatients: A Randomized Double-Blinded Placebo-Controlled Trial

    July 2021 in “ Frontiers in Medicine
    J. Philip McCoy, Andy Goren, Flavio Cadegiani, Sergio Vañó‐Galván, Maja Kovacevic, Mirna Šitum, Jerry Shapiro, Rodney Sinclair, Antonella Tosti, Andrija Stanimirović, Daniel Fonseca, Edinete Dorner, Dirce Costa Onety, Ricardo Ariel Zimerman, Carlos Gustavo Wambier
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    TLDR Proxalutamide significantly lowered hospital admissions for male COVID-19 patients compared to a placebo.
    A randomized double-blinded placebo-controlled trial involving 268 male COVID-19 outpatients showed that proxalutamide, an androgen receptor antagonist, significantly reduced the rate of hospitalization. Over a 30-day period, the hospitalization rate was 2.2% for the proxalutamide group compared to 26% for the placebo group, representing a 91% reduction. No deaths were reported in the proxalutamide group, while 2 deaths occurred in the placebo group. However, gastrointestinal adverse events were more frequent in the proxalutamide group. The study suggests proxalutamide could be a potential treatment option for COVID-19 in men, but further studies are recommended.
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