Acta Scientific Microbiology (ISSN: 2581-3226)

Research Article Volume 4 Issue 10

The Role of an Oral Spray of a Formulation Containing 8.4% Sodium Bicarbonate in Preventing COVID 19 and Other Influenza Like Illness in Humans

Kshitij Mody* and Sankeerth Thoota

Department of Orthopaedics, Welcare Hospital, India

*Corresponding Author: Kshitij Mody, Department of Orthopaedics, Welcare Hospital, India.

Received: August 19, 2021; Published: September 08, 2021

Abstract

Background: A prospective, double arm, placebo control, single blinded, investigator led research study was performed to assess the strength of an oral spray formulation, containing 8.4% sodium bicarbonate as its active ingredient, in offering a barrier to the development of Influenza Like Illnesses (ILI) including Covid-19 infection and to evaluate the safety and tolerability of the spray in subjects with repeated daily use for 28 consecutive days.

Methods: 350 subjects were enrolled, 175 in the active product group and 175 in the placebo control group. Randomisation was achieved by block randomisation technique. Subjects in the active product group were given the Investigational Product (IP) and subjects in the placebo control group were given the Placebo Product (PP). Monitoring of recruited subjects was done based on a USFDA approved Patient Reported Outcome Measure (PROM) methodology. Subject Diaries were issued to all subjects to record data and daily monitoring was carried out by telephone. All subjects were monitored in person on Day 1, Day 15 and Day 28.

Results: It was seen that a significantly lower number of subjects using the Investigational Product recorded any ILI symptoms as compared to the subjects using Placebo Product.

Conclusion: The results establish that the oral spray formulation used in this study is effective in mitigating SARS-CoV-2-enveloped virus-related activity by creating an alkaline pH environment in the oropharyngeal spaces.

Keywords: Covid-19; Sodium Bicarbonate; Oral Spray

References

  1. El Badrawy MK., et al. “Effect of sodium bicarbonate 8.4% on respiratory tract pathogens”. The Journal of Chest and Lung Research 1 (2018): 3-7.
  2. Alaiwa AMH., et al. “pH modulates the activity and synergism of the airway surface liquid antimicrobials defensin-3 and LL-37”. Proceedings of the National Academy of Sciences of the United States of America52 (2014): 18703-18708.
  3. Slonczewski JL., et al. “Cytoplasmic pH measurement and homeostasis in bacteria and archaea”. Advances in Microbial Physiology 55 (2009): 1-79.
  4. Yang ZY., et al. “pH-Dependent Entry of Severe Acute Respiratory Syndrome Coronavirus Is Mediated by the Spike Glycoprotein and Enhanced by Dendritic Cell Transfer through DC-SIGN”. Journal of Virology 78 (2004): 5642-5650.
  5. Chu V McElroy., et al. “The Avian Coronavirus Infectious Bronchitis undergoes direct low PH dependent Fusion activation during entry into the host cells”. Journal of Virology 80 (2006): 3180-3188.
  6. Mudasir A Mir., et al. “A review on probable Lysosomotropic properties of Sodium bicarbonate to restrain viral entry of Coronavirus 2 (SARS-CoV-2)”. SSRN Electronic Journal (2020).
  7. Zou Lirong., et al. “SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients”. The New England Journal of Medicine12 (2020): 1177-1179.
  8. Xu H., et al. “High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa”. International Journal of Oral Science8 (2020).
  9. Xu J., et al. “Salivary Glands: Potential Reservoirs for COVID-19 Asymptomatic Infection”. Journal of Dental Research8 (2020): 989.
  10. Herrera David., et al. “Is the oral cavity relevant in SARS-CoV-2 pandemic?” Clinical oral Investigations8 (2020): 2925-2930.
  11. El Badrawy MK., et al. “Effect of sodium bicarbonate 8.4% on respiratory tract pathogens”. The Journal of Chest and Lung Research1 (2018): 3-7.
  12. Abou Alaiwa Mahmoud H., et al. “pH modulates the activity and synergism of the airway surface liquid antimicrobials β-defensin-3 and LL-37”. Proceedings of the National Academy of Sciences of the United States of America 52 (2014): 18703-18708.
  13. Slonczewski Joan L., et al. “Cytoplasmic pH measurement and homeostasis in bacteria and archaea”. Advances in Microbial Physiology 55 (2009): 1-79.
  14. Pezzulo Alejandro A., et al. “Reduced airway surface pH impairs bacterial killing in the porcine cystic fibrosis lung”. Nature7405 (2012): 109-113.
  15. Mudasir A Mir., et al. “A review on probable Lysosomotropic properties of Sodium bicarbonate to restrain viral entry of Coronavirus 2 (SARS-CoV-2)”. SSRN Electronic Journal (2020).
  16. Yang Zhi-Yong., et al. “pH-dependent entry of severe acute respiratory syndrome coronavirus is mediated by the spike glycoprotein and enhanced by dendritic cell transfer through DC-SIGN”. Journal of Virology 11 (2004): 5642-5650.
  17. Chu V McElroy., et al. “The Avian Coronavirus Infectious Bronchitis undergoes direct low PH dependent Fusion activation during entry into the host cells”. Journal of Virology 80 (2006): 3180-3188.
  18. Sturman LS., et al. “Conformational change of the coronavirus peplomer glycoprotein at pH 8.0 and 37 degrees C correlates with virus aggregation and virus-induced cell fusion”. Journal of Virology6 (1990): 3042-3050.
  19. Baliga Sharmila., et al. “Salivary pH: A diagnostic biomarker”. Journal of Indian Society of Periodontology4 (2013): 461-465.
  20. Gomez Carla Cristina Souza., et al. “Safety, Tolerability, and Effects of Sodium Bicarbonate Inhalation in Cystic Fibrosis”. Clinical Drug Investigation2 (2020): 105-117.
  21. Aslan Sahin., et al. “The effect of nebulized NaHCO3 treatment on "RADS" due to chlorine gas inhalation”. Inhalation Toxicology11 (2006): 895-900.
  22. Archives of Internal Medicine – ARCH INTERN MED 161 (2001): 2116-2122.
  23. The US Food and Drug Administration guidance for Industry Patient-Reported Outcome Measures: Use in Medical Product Development to support labelling claims in (2009).
  24. Zambon M., et al. “Diagnosis of influenza in the community: relationship of clinical diagnosis to confirmed virological, serologic, or molecular detection of influenza”. Archives of Internal Medicine17 (2001): 2116-2122.
  25. Yu Jing., et al. “Evaluation of Efficacy Endpoints for a Phase IIb Study of a Respiratory Syncytial Virus Vaccine in Older Adults Using Patient-Reported Outcomes With Laboratory Confirmation”. Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research2 (2020): 227-235.
  26. Powers John H., et al. “Patient-Reported Outcome Assessments as Endpoints in Studies in Infectious Diseases”. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America2-2 (2016): S52-56.
  27. Han A., et al. “Using the Influenza Patient-reported Outcome (FLU-PRO) diary to evaluate symptoms of influenza viral infection in a healthy human challenge model”. BMC Infectious Diseases 18 (2018): 353.
  28. Powers John H., et al. “Reliability, Validity, and Responsiveness of InFLUenza Patient-Reported Outcome (FLU-PRO©) Scores in Influenza-Positive Patients”. Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research2 (2018): 210-218.
  29. Powers John H., et al. “Development of the Flu-PRO: a patient-reported outcome (PRO) instrument to evaluate symptoms of influenza”. BMC Infectious Diseases1 (2016).
  30. Yu Jing., et al. “Evaluation of Efficacy Endpoints for a Phase IIb Study of a Respiratory Syncytial Virus Vaccine in Older Adults Using Patient-Reported Outcomes With Laboratory Confirmation”. Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research2 (2020): 227-235.
  31. Powers John H., et al. “Performance of the influenza Patient-Reported Outcome (FLU-PRO) diary in patients with influenza-like illness (ILI)”. PloS One3 (2018): e0194180.
  32. Peyrony Olivier., et al. “Accuracy of Emergency Department Clinical Findings for Diagnosis of Coronavirus Disease 2019”. Annals of Emergency Medicine4 (2020): 405-412.
  33. Vincent R., et al. “Hydroxychloroquine reduces viral load in COVID-19 patients.” (2020).
  34. Prajapat Manisha., et al. “Drug targets for corona virus: A systematic review”. Indian Journal of Pharmacology1 (2020): 56-65.
  35. Wang H., et al. “SARS coronavirus entry into host cells through a novel clathrin- and caveolae-independent endocytic pathway”. Cell Research 18 (2008): 290-301.
  36. Ashfaq Usman A., et al. “Lysosomotropic agents as HCV entry inhibitors”. Virology Journal163 (2011).

Citation

Citation: Kshitij Mody and Sankeerth Thoota. “The Role of an Oral Spray of a Formulation Containing 8.4% Sodium Bicarbonate in Preventing COVID 19 and Other Influenza Like Illness in Humans”. Acta Scientific Microbiology 4.10 (2021): 03-10.

Copyright

Copyright: © 2021 Kshitij Mody and Sankeerth Thoota. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US