Abstract

We were encouraged by the results of the PRINCIPLE trial, which in vulnerable individuals showed inhaled budesonide to confer a non-significant –25% (95% CI –45 to 3) relative reduction in the composite coprimary endpoint of hospital admission or death, with the number needed to treat being 50. Notably, the study had 90% power to detect a 50% reduction in the composite endpoint. The investigators appear to have attributed any protective effects of budesonide to its local glucocorticoid activity in the lung.

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Cite as

Lipworth, B., Chan, R. & Misirovs, R. 2021, 'High-dose budesonide for early COVID-19', The Lancet, 398(10317), pp. 2147-2147. https://doi.org/10.1016/S0140-6736(21)02440-5

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Last updated: 16 September 2022
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