*So why no studies by the CDC or WHO? Don't those lives matter?*

*Here's a small pilot study finding that Vitamin D, administered as soon*
*as COVID-19 sufferers were hospitalized for acute respiratory infection, *
*made **a significant **difference in ICU admissions and mortality.*

*Dr. John Campbell walks us through it:*
https://www.youtube.com/watch?v=V8Ks9fUh2k8


The Journal of Steroid Biochemistry and Molecular Biology
<https://www.sciencedirect.com/science/journal/09600760>
Volume 203
<https://www.sciencedirect.com/science/journal/09600760/203/supp/C>, October
2020, 105751
[image: The Journal of Steroid Biochemistry and Molecular Biology]
<https://www.sciencedirect.com/science/journal/09600760/203/supp/C>
“Effect of calcifediol treatment and best available therapy versus best
available therapy on intensive care unit admission and mortality among
patients hospitalized for COVID-19: A pilot randomized clinical study”
*https://www.sciencedirect.com/science/article/pii/S0960076020302764
<https://www.sciencedirect.com/science/article/pii/S0960076020302764>*
Highlights

•

The vitamin D endocrine system have a variety of actions on cells and
tissues involved in COVID-19 progression.
•

Early calcifediol (25-hydroxyvitamin D) treatment to hospitalized COVID-19
patients significantly reduced intensive care unit admissions-Calcifediol
seems to be able to reduce severity of the COVID-19.
•

Calcifediol seems to be able to reduce severity of the disease.

Abstract
Objective

The vitamin D endocrine system may have a variety of actions on cells and
tissues involved in COVID-19 progression especially by decreasing the Acute
Respiratory Distress Syndrome. Calcifediol can rapidly increase serum 25OHD
concentration. We therefore evaluated the effect of calcifediol treatment,
on Intensive Care Unit Admission and Mortality rate among Spanish patients
hospitalized for COVID-19.
Design

Parallel pilot randomized open label, double-masked clinical trial.
Setting

University hospital setting (Reina Sofia University Hospital, Córdoba
Spain.)
Participants

76 consecutive patients hospitalized with COVID-19 infection, clinical
picture of acute respiratory infection, confirmed by a radiographic pattern
of viral pneumonia and by a positive SARS-CoV-2 PCR with CURB65 severity
scale (recommending hospital admission in case of total score > 1).
Procedures

All hospitalized patients received as best available therapy the same
standard care, (per hospital protocol), of a combination of
hydroxychloroquine (400 mg every 12 h on the first day, and 200 mg every 12
h for the following 5 days), azithromycin (500 mg orally for 5 days.
Eligible patients were allocated at a 2 calcifediol:1 no calcifediol ratio
through electronic randomization on the day of admission to take oral
calcifediol (0.532 mg), or not. Patients in the calcifediol treatment group
continued with oral calcifediol (0.266 mg) on day 3 and 7, and then weekly
until discharge or ICU admission. Outcomes of effectiveness included rate
of ICU admission and deaths.
Results

Of 50 patients treated with calcifediol, one required admission to the ICU
(2%), while of 26 untreated patients, 13 required admission (50 %) p value X
2 Fischer test p < 0.001. Univariate Risk Estimate Odds Ratio for ICU in
patients with Calcifediol treatment versus without Calcifediol treatment:
0.02 (95 %CI 0.002−0.17). Multivariate Risk Estimate Odds Ratio for ICU in
patients with Calcifediol treatment vs Without Calcifediol treatment ICU
(adjusting by Hypertension and T2DM): 0.03 (95 %CI: 0.003-0.25). Of the
patients treated with calcifediol, none died, and all were discharged,
without complications. The 13 patients not treated with calcifediol, who
were not admitted to the ICU, were discharged. Of the 13 patients admitted
to the ICU, two died and the remaining 11 were discharged.
Conclusion

Our pilot study demonstrated that administration of a high dose of
Calcifediol or 25-hydroxyvitamin D, a main metabolite of vitamin D
endocrine system, significantly reduced the need for ICU treatment of
patients requiring hospitalization due to proven COVID-19. Calcifediol
seems to be able to reduce severity of the disease, but larger trials with
groups properly matched will be required to show a definitive answer.
---

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