Bangladesh Medical College Hospital Physician See ‘Astounding Results’ with Drug Combination Targeting COVID-19

May 18, 2020 | Bangladesh, Bangladesh Medical College, COVID-19, Doxycycline, Ivermectin, SARS-CoV-2

Bangladesh Medical College Hospital Physician See ‘Astounding Results’ with Drug Combination Targeting COVID-19

A popular Indian financial news platform liveMint recently reported that physicians from Bangladesh Medical College Hospital (BMCH), led by Dr. Tarek Alam, found that a combination of the anti-parasitic drug ivermectin in combination with antibiotic Doxycycline yielded “astounding results” against the novel coronavirus called SARS-CoV-2. The TrialSite Investigator Network is a database of over 100,000 clinical investigators leveraged by the TrialSite News team to contact Dr. Alam for a brief interview. He confirmed the positive results with their off-label use of ivermectin and Doxycycline to date and made some helpful clarifications.

News Sources

TrialSite News systematically assesses news sources such as the liveMint, which is the online portal for Indian financial news media platform Mint, one of India’s premier business news publications—purportedly ranked second among business papers in terms of readership. The asset is owned by HT Media, a Delhi-based media group which is controlled by the KK Birla family and also publishes the Hindustan Times. It mostly targets a business audience. The group is owned by billionaire industrialist Kumar Birla. His father, founder of the conglomerate, was one of India’s richest and most respected businessmen—and a staunch follower of Mahatma Gandhi. Other news sources that picked up this story were all based in southeast Asia (e.g. India or Bangladesh) such as NortheastNow, Inventiva and the Dhaka Tribune. Luckily, TrialSite News was able to leverage the investigator network contact information for a direct interview with the physician and research in Dhaka.

Pandemic in Bangladesh

As of this writing, the nation of 162 million—the eight most populous in the world—reports 23,870 known active cases with 349 deaths. Anxieties have run high there over the concern of social, economic and political turmoil—not to mention unprecedented health crisis’ should the pandemic breakthrough current lockdowns. Much is at risk: since the early-2000s, rapid economic growth has fueled a remarkable increase in national progress. The nation’s per capital income nearly tripled between 2010 and 2020 and real opportunities for health and clinical research have opened up based on a recent TrialSite News research summary

The University

Bangladesh Medical College (BMC) is actually the first private medical college in Bangladesh, according to its website. The college and the hospital are run by Bangladesh Medical Studies and Research Institute (BMSRI), a non-profit organization. The hospital is affiliated with the University of Dhaka as a constituent college. According to its website, the college is recognized by the Bangladesh Medical and Dental Council since 1986. Additionally, they are listed in the World Directory of Medical Schools effective 1995 published by World Health Organization (WHO). According to their website, graduates of BMC are eligible for limited registration with the General Medical Council of United Kingdom; they are also eligible to take the United States Medical License Examinations (USMLE).

Discussion with Dr. Alam

By leveraging the TrialSite Investigators Network, TrialSite News managed to get through to Dr. Alam, a wonderfully cordial and  supportive doctor dedicated to the healthcare of all. The Dhaka-based physician and professor commented that although some press referred to the effort as a “study,” based on TrialSite News’ questioning, it was not a formal regulatory approved study but rather an ongoing, hospital-specific, approved off-label use of medication for some COVID-19 patients with escalating conditions. More specifically, they are combining a dosage of ivermectin 200 mcg/kg once orally with Doxycycline.

A Well-known Safety Profile

Dr. Alam confirmed that the COVID-19 patients began showing results within days and that thus far there have been no reported adverse reactions or safety issues of any kind. In fact, he emphasized that ivermectin has been used for many years as an anti-parasitic treatment, and at those existing recommended doses, it is deemed safe. Alam pointed out that the medical team first learned of the potential from the Australian research and then began reaching out to other physicians in Bangladesh and then more broadly with network peers in other parts of Asia, Europe and the United States, to discuss the potential off-label use at least for select novel coronavirus cases. 

Need for Randomized Controlled Trials

Dr. Alam noted that this cannot be declared a cure or a treatment yet; this very important point is not accurately emphasized by other media. He correctly declared what he and his colleagues have observed thus far. He understands the importance and requirement of randomized controlled trials for more specific and forceful claims.

Dr. Alam reports that some of the doctors at his institution are organizing a regulatory approved clinical trial involving the use of ivermectin with COVID-19 patients. TrialSite News monitors the situation for more specifics. The principal drug regulatory agency in Bangladesh is the Directorate General of Drug Administration (DGDA)—it functions under the Ministry of Health and Family Welfare in the national government.

Need for Ongoing Collaboration

Dr. Alam also commented on activity involving various approaches to COVID-19 in conjunction with ICDDRB, an international health research institute based in Dhaka, Bangladesh. Dr. Alam reports that scientists from other nations, including the United States, get involved with ICDDRB.

ICDDRB

Dr. Alam reports that this organization working on new research associated with COVID-19. Based in Dhaka, Bangladesh, they are committed to solving public health challenges facing low-and middle-income countries through innovative scientific research: including laboratory-based, clinical, epidemiological and health systems research. They aim to improve the health and wellbeing of people living in the world’s poorest nations by developing, testing and assessing the implementation of interventions specifically designed for resource-poor settings. TrialSite News algorithms monitor this organization for activities associated with COVID-19.

History

They were established in Dhaka in the 1960s as the South-East Asia Treaty Organization (SEATO) Cholera Research Laboratory. Early on, they developed an international reputation in diarrheal disease research. Among notable early achievements was their role in the development, testing and implementation of oral rehydration solution (ORS)—a treatment they publish on the website that is estimated to have saved millions of lives worldwide.

Lead Research/Investigator

Dr. Tarek Alam, Associate Professor, Department of Medicine, Bangladesh Medical College, Dhaka

Call to ActionTrialSite News interviewed Dr. Alam as he represents one of over 100,000 clinical researchers in the TrialSite Investigators Network. For more information, contact us.

Source: livemint

24 Comments

  1. Walter Graziani

    Thank you TrialSite for following the Ivermectin story. You are doing mankind a great service. It is frustrating that some verified study results good or bad have not been published for Ivermectin yet. There are lots of Covid patients who would gladly try Ivermectin at FDA approved doses, and given that anecdotal cases suggest marked improvements in hours or days, one would think some results should already be out there. What happened to Dr. Rajter in Broward? Get to the bottom of this TrialSite, my instinct says the world will thank you.

    • TrialSite

      Dear Walter,
      We appreciate your feedback. We set up TrialSite News to make research more transparent and accessible as it is incredibly important in this age of rapid breakthrough and chance. And this spirit propels us to look into situations such as Ivermectin–trying to be objective–to follow the science and the research and share the information. So we will keep doing that and your response just gave us more energy to do more. We certainly are pursuing some interesting ivermectin stories but can’t share until we have the evidence to publish more. We are looking into The Broward County situation as things have become mighty quiet there.
      Thanks for visiting the website–we are grateful.

      Best Regards,
      Publisher

    • Faruk

      Please give me dose instructions.

  2. MD. NAZMUL ALAM

    আচছালামু আলাইকুম। আমি একজন COVIT – 19 POSITIVE, আমি ডাঃ আলম স্যারের ঔষধ খেতে চাই। Kindly ঔষধ খাওয়ার নিয়ম টা দিবেন।

    • TrialSite

      Thank you for visiting TrialSite News.
      We recommend that if you want to connect with Dr. Alam that you reach out to him via Bangladesh Medical College Hospital.
      This is where they are treating the patients with COVID-19.
      Thank you for visiting TrialSite News.
      Regards,
      Publisher

  3. Bruce Boyer

    I have enjoyed your coverage of the various research efforts to identify an effective treatment for Covid-19. By my count there have been at least 5 research reports or stories of hospital experimental use of Ivermectin from around the globe. So far all of these sources of information have been positive or at least reported encouraging results. Will there be preliminary findings from any of the numerous formal clinical trials that are now evaluating Ivermectin?

    • TrialSite

      Dear Bruce,
      Thank you for visiting Trialsite News: we certainly appreciate your comments as well.
      Yes there is a lot more going on with ivermectin yet much press doesn’t cover–we are not sure why.
      There should be preliminary reports and if you sign up for the daily newsletter as we publish so findings you will receive.
      Again thanks for taking the time and for sharing your important comments.
      Best Regards,
      Publisher

  4. Mohd Rehan Memon

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  5. Anand Athalye

    It would be interesting to know what was stage Dr. Alam’s patients were in; were they in serious/ critical condition or were they in initial stages with symptoms. Also, what was their lung condition.

    • TrialSite

      Dear Anand,
      We will follow up with Dr. Alam in a few weeks once he wraps up his current effort. We will be checking in to see if a larger clinical trial is forthcoming. We will request more details.
      Thank you for visiting TrialSite News–your opinion and voice matters.

      Regards,
      Publisher.

      • Md. Shawkat Ali

        Bangladesh Police Hospital used the drugs on a large number of patients (police members infected) and on average 100 police are getting released every day. They are satisfied. You can find more data for research authentication from that hospital. I think you can use the success evidence as a clinical trial.

        • TrialSite

          Dear Mr. Ali,
          This is quite interesting. And a pathway to be explored. There is no clinical proof–no overwhelming as of yet that ivermectin treats COVID-19 but there is certainly a growing number of data points not to mention over a dozen formal studies around the world. Moreover TrialSite News is privy to material information that when is ready to be released, could impact all of this. Please accept our gratitude for visiting TrialSite News and for caring about the well being of patients around the world. We hope you continue to visit the site.

          Best Regards,
          Publisher

          • dr apn gordon

            Dr Alam sir ,
            Hello i am Dr Apn Gordon from India Mumbai i work with the World Health Organization a colleague of mine has started using ivermectin and doxycycline dose as per the dosage recommended and used by you patients with mild ,moderate and also severe complications will share with you the results sir can i get you whats app number or email address to communicate further
            regards
            Thank you
            Dr A P N Gordon

  6. Dr p maruthi Rao

    What was the dosage of ivermectin and doxycycline?How many days of treatment?

    • TrialSite

      Hello Dr. Rao,
      It might be worthwhile to connect with Dr. Alam. TrialSite News was set up so that researchers, for example could connect directly to foster and facilitate knowledge around research. We will be in touch to offer more information.

      Best Regards,
      Publisher

    • Tareq Abdullah

      The maximum dosage of ivermectin for an adult person 12 mg per day on empty stomach with water. Doxycycline 2 times per day on empty stomach with water or 1 or 2 hours later after meals.

      • nazmul

        Can you give any reference of this dosage guideline and duration of treatment(like international study/journal)…thanks in advance

      • Dr. Mohammed Abdus Salam

        I have tried to understand the dosage (daily and duration) of ivermectin that Dr. Tarek and his colleagues had used but could not find – daily dose is available but not the duration. Would appreciate if the nedeed information is provided.

    • Ashok Kumar Saha

      The dosage of Ivermectin and doxycycline is to need the dose to be taken daily. how many days it will be taken ? please give us in details

  7. Md. Hedayeth Hossain

    Your page TrialSite is very helpful for the Doctor, patient, and interested persons.
    My father is 84 years old high temp. cough and too weak to unable to take food or water even medicine. He is also a Neurological patient from 5 years paralyzed. Nasal swab sample is taken by the DG Medical team. The report is pending. I like to contact respected Prof. Dr. Tarek Alam. If you give me the contact number I will grateful to you. Regard.

  8. Ashok Kumar Saha

    The dosage of Ivermectin and doxycycline is to need the dose to be taken daily. how many days it will be taken ? please give us in details

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