Amizon Max (enisium iodide) capsules 0.5 g. №10

$27.00

Manufacturer: Ukraine

In a study in patients with acute respiratory viral infections, including influenza, treatment with enisemium iodide in a daily dose of 1500 mg (500 mg 3 times a day) provided positive dynamics of the disease, which was manifested by a more pronounced reduction in the symptoms of viral infection compared to those when using placebo.

An early and statistically significant decrease in viral antigens in nasal swabs was found in patients treated with enisemium iodide compared to patients in the placebo group.

Enisamium iodide treatment resulted in increased serum interferon levels compared to the placebo group.

Category:

Description

Ingredients

active ingredient: amizone (enisamium iodide);

1 capsule contains 0.5 g of Amizone(enisarium iodide) ;

excipient: magnesium stearate;

gelatin capsule contains: gelatin, titanium dioxide (E 171), FCF yellow (E 110).

Medicinal form

Capsules.

Main physicochemical properties: hard gelatin capsules of cylindrical shape.

The body is white, the cap is orange.

The contents of the capsule are yellow or yellow-green crystalline powder.

Pharmacotherapeutic group

Antiviral drugs for systemic use. Antiviral means of direct action.

ATX code J05A X17.

Pharmacodynamics

Enisemium exerts an antiviral effect against various strains of influenza A virus (H1N1, H3N2, H5N1, H7N9), influenza B virus, respiratory syncytial virus, as well as strains of alpha-coronavirus NL-63 and beta-coronavirus SARS-CoV-2 in vitro .

Enisemium iodide has demonstrated efficacy against influenza A and B strains in in vitro studies using differentiated normal human bronchial epithelial (NHBE) cells, human hepatocellular carcinoma (HepG2) cells, human rhabdomyosarcoma (RD) cells, human colorectal adenocarcinoma cells ( Caco-2). In ferrets, a representative animal model for influenza research, enisemium iodide reduced the shedding time of influenza virus from ferret nasal washes compared to a placebo control group.

Clinical effectiveness

In a study in patients with acute respiratory viral infections, including influenza, treatment with enisemium iodide in a daily dose of 1500 mg (500 mg 3 times a day) provided positive dynamics of the disease, which was manifested by a more pronounced reduction in the symptoms of viral infection compared to those when using placebo (Table 1).

An early and statistically significant decrease in viral antigens in nasal swabs was found in patients treated with enisemium iodide compared to patients in the placebo group (Table 2).

Enisemium iodide treatment resulted in increased serum interferon levels compared to the placebo group.

Table 1

Alleviation of symptoms of viral infection after treatment with enisemium iodide

(number of patients / %)

Era Cough Rhinitis Weakness Headache
enisamium iodide placebo enisamium iodide placebo enisamium iodide placebo enisamium iodide placebo
0

 

59

98.3%

40

100%

56

93.3%

37

92.5%

59

98.3%

40

100%

56

93.3%

34

85%

3

 

58

96.7%

40

100%

50

83.3%

35

87.5%

42

70% **

39

97.5%

31

51.7%

25

62.5%

7

 

39

65%

38

95%

13

21.7%

29

72.5%

17

28.3%

22

55%

6

10% *

13

32.5%

14

 

4

6.7%

22

55%

0 2

5%

1

1.7%

7

17.5%

0 3

7.5%

Table 2

Dynamics of viral antigen detection (number of patients / %)

 Era Viral antigens Influenza virus antigens
enisamium iodide placebo enisamium iodide placebo
0 60 (100%) 40 (100%) 33 (66%) 22 (55%)
3 17 (28.3%) 29 (72.5%) 8 (13%) 16 (40%)
7 1 (1.7%) 6 (15%) 1 (1.7%) 1 (2.5%)

 

The results of a phase 3 clinical trial showed that enisemium iodide was well tolerated and clinically effective, as demonstrated by:

  • reducing the duration of the period of elevated temperature by 1.1 days;
  • reducing the duration of catarrhal and constitutional symptoms;
  • reducing the use of expectorants and vasoconstrictors;
  • by reducing the number of days of incapacity for work;
  • a reduction in the period of viral shedding and a significant reduction in the number of patients in whom viral antigens were detected, compared to the group of patients who received placebo.

Greater effectiveness of enisanium was observed when treatment was started earlier.

In a multicenter, double-blind, randomized, placebo-controlled study of the efficacy and safety of the drug Amizon  Max, 592 patients with moderate severity of COVID-19 were included, who, in combination with basic therapy, received either Amizon Max or placebo. The primary efficacy endpoint of the study was time to improvement, as measured by a 2-point increase in the patient’s baseline modified WHO score (Table 3).

Patients included in the placebo group received orally 1 placebo capsule every 6 hours, 4 times a day. Patients taking Amizon ® Max received 1 capsule of the drug Amizon Max every 6 hours, 4 times a day. The treatment lasted a full 7 days (168 hours).

The results of the study showed that therapy using the drug Amizon Max significantly (p = 0.00945) accelerates the onset of improvement in the condition of a patient with COVID-19 by 2 points according to the above modified WHO scale, compared to the group of patients who received a placebo. The predominant effectiveness of combined therapy with the use of the drug Amizon Max in the treatment of patients with COVID-19 is also confirmed by the results regarding secondary efficacy endpoints, namely:

  • on the 15th day of the study, 85.7% of patients in the placebo group were discharged, and 94.4% of patients in the Amizon Max group. The difference in percentages was 8.6%, and these differences were statistically significant (p = 0.018), which indicates in favor of the prevailing effectiveness of the drug Amizon Max in comparison with placebo;
  • a more rapid and reliable decrease in the severity of cough was observed in the group using the drug Amizon Max compared to the placebo group on the 3rd, 4th and 5th days of treatment (p = 0.009, 0.018 and 0.007, respectively);
  • the use of the drug Amizon  Max in the complex therapy of COVID-19 reliably (p = 0.016) prevents the deterioration of the patient’s condition and the increase of respiratory failure during the treatment. Thus, the proportion of patients in whom the condition worsened by 1 point according to the modified WHO scale was 8.4% in the placebo group, and 2.1% in the group using the drug Amizon Max , the differences between the groups were significant (p = 0.016 ). The analysis of the time until the patient’s condition worsened by 1 point using the Kaplan-Meier method and using the log-rank criterion for comparing groups proved the greater effectiveness of the drug Amizon Max compared to placebo (p = 0.009) in preventing deterioration of the patient’s condition, development of more severe respiratory failure and development of complications;
  • in the group of patients receiving Amizon  Max as part of complex therapy, there were no deaths and all patients recovered within 21 days, while in the placebo group there were three (3) deaths and one patient did not reach the primary endpoint of the period of stay in the study, which is a strong argument in favor of the use of the drug Amizon  Max in the complex therapy of COVID‑19.

Indication

Treatment of flu and SARS.

Treatment of moderate-to-severe COVID-19 in combination with basic therapy.

Contraindication

Hypersensitivity to drugs containing iodide, molecular iodine or covalently bound iodine, as well as to other components of the drug.

Method of application and dosage

Amizon Max should be used inside, without chewing, 2 hours before meals.

Adults are prescribed in a dose of 500 mg (0.5 g) 3 times or 1000 mg (1 g) 2 times a day.

For patients with COVID-19, enisemium iodide is prescribed in combination with basic therapy at a dose of 500 mg (0.5 g) 4 times a day.

The maximum single dose is 1000 mg (1 g), the daily dose is 2000 mg (2 g).

The duration of treatment is 7 days.