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Study: Progesterone Therapy May Improve COVID-19 Outcomes for Men
Cedars Sinai Medical Center ^ | Mar 18, 2021

Posted on 04/09/2021 1:03:17 PM PDT by CondoleezzaProtege

COVID-19 disproportionately affects men compared with women, raising the possibility that a hormone like progesterone may improve clinical outcomes for certain hospitalized men with the disease. New research from Cedars-Sinai published online in the journal Chest supports this hypothesis.

The pilot clinical trial, involving 40 men, is believed to be the first published study to use progesterone to treat male COVID-19 patients whose lung functions have been compromised by the coronavirus. While the findings are promising, larger clinical trials are needed to establish the potential of this experimental therapy, the investigators said.

The study was prompted by multiple reports that men are at higher risk of mortality and severe illness from COVID-19 than are women, according to Sara Ghandehari, MD, director of Pulmonary Rehabilitation in the Women’s Guild Lung Institute at Cedars-Sinai and principal investigator for the trial.

“As an ICU doctor, I was struck by the gender disparity among COVID-19 patients who were very sick, remained in the hospital and needed ventilators,” she said. In addition, some published research had indicated that premenopausal women, who generally have higher progesterone levels, had less severe COVID-19 disease than did postmenopausal women, who have lower progesterone levels. While the bodies of both men and women naturally produce progesterone, women produce much more of the hormone during their reproductive years.

Protective Effect from Female Hormones

Ghandehari hypothesized that the gender differences in disease outcomes might be due, in part, to a protective effect from female hormones. In particular, preclinical studies elsewhere had pointed to progesterone as having certain anti-inflammatory properties. This finding suggested progesterone might be useful in dampening a sometimes-fatal immune response, known as a "cytokine storm," that can worsen lung damage and attack other organs in COVID-19 patients.

For the Cedars-Sinai clinical trial, conducted from April through August 2020, 40 male patients who were hospitalized with moderate to severe COVID-19 were randomly assigned to one of two groups. Patients in the control group received the standard medical care at the time for the disease. Patients in the experimental group received standard care plus twice-daily injections of 100 milligrams of progesterone for five days while they were hospitalized. Both groups were assessed daily for 15 days or until they were discharged from the hospital.

Study Results

The study showed that, compared with the control group, patients in the group treated with progesterone scored a median 1.5 points higher on a standard seven-point scale of clinical status after seven days. The scale ranged from a high of 7 ("not hospitalized, no limitations on activities") to 1 ("death"). Although the progesterone group overall also had fewer days of hospitalization and a lower need for supplemental oxygen and mechanical ventilation, the differences between the two groups in those specific categories were not statistically significant.

There were no serious adverse events, including life-threatening events, attributable to progesterone administration. There were two deaths, one in each group, during the15-day study period, neither of which was attributable to progesterone.

"While our findings are encouraging for the potential of using progesterone to treat men with COVID-19, our study had significant limitations," Ghandehari said.

She noted the sample size was relatively small and involved mainly white, Hispanic and obese patients with a moderate burden of comorbidities, which increase the risk for worse outcomes. Further, although the clinical trial was randomized and controlled, it was unblinded—meaning that the investigators, the patients and the treating physicians knew who received the experimental treatment.

"Further research is necessary in larger, more heterogeneous populations, including postmenopausal women and at other treatment centers, to establish the degree of clinical efficacy and to assess any other potential safety concerns of this treatment approach," said Ghandehari, who also is assistant director of the Lung Transplant Program at Cedars-Sinai.

Progesterone is approved by the U.S. Food and Drug Administration (FDA) for use in fertility-related conditions in women but not for the modulation of immunologic-based, inflammatory responses. The FDA allowed this special use for the purpose of the Cedars-Sinai clinical trial under an investigational new drug application.


TOPICS: Science
KEYWORDS:
In addition to multiple Cedars-Sinai investigators, this study involved Donald Stein, PhD, from Emory University in Atlanta, and Heli Ghandehari, an independent biostatistical consultant from San Diego.

Funding: This study was partially sponsored by the Institut Biochimique SA (IBSA, Lugano, Switzerland). IBSA provided the study drug and partially supported this investigator-initiated study financially. IBSA did not oversee the study and has not participated in trial design, patient recruitment, data collection, analysis, interpretations, or preparation of this manuscript.

Conflict of interest: Sara Ghandehari and Samuel Pepkowitz report a patent pending on the method of use of a progesterone agonist for treatment of COVID-19. Victor Tapson reports grants from the National Institute of Allergy and Infectious Diseases of the National Institutes of Health for ACTT (ACTT 1-3) outside the submitted work.

1 posted on 04/09/2021 1:03:17 PM PDT by CondoleezzaProtege
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To: CondoleezzaProtege

To the poster

Stop spreading evil

Anything to hype this communist plot is evil

Anything to create fear regarding this covid 19 flu bug is also evil

Convincing human beings to take hormones of any kind is evil


2 posted on 04/09/2021 1:11:19 PM PDT by Truthoverpower (Fraud !!! Now we’re off the TRUMP TRAIN and on the Swamp express to communist hell !! TRUTH! )
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To: CondoleezzaProtege

what is progesterone? an anti inflammatory? I know its a hormone...but what does it do?

Presumably not the same thing as test...and hopefully not the same thing as est!


3 posted on 04/09/2021 1:12:28 PM PDT by ConservativeDude
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To: ConservativeDude

Hormone for women.


4 posted on 04/09/2021 1:16:48 PM PDT by David Chase
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To: ConservativeDude
what is progesterone?

Among other things, this, from Wikipedia:

Dr. Diana Fleischman, of the University of Portsmouth, and colleagues looked for a relationship between progesterone and sexual attitudes in 92 women. Their research, published in the Archives of Sexual Behavior found that women who had higher levels of progesterone scored higher on a questionnaire measuring homoerotic motivation. They also found that men who had high levels of progesterone were more likely to have higher homoerotic motivation scores after affiliative priming compared to men with low levels of progesterone.

5 posted on 04/09/2021 1:21:36 PM PDT by capydick (“Within the covers of the Bible are the answers for all the problems men face.)
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To: Truthoverpower

Well from a purely objective standpoint. It does challenge the “vaccine or else” mentality currently being promoted.

There’s a lot to unpack with regard to Covid. I’m not ADVOCATING for anything.

And IF anything, THIS PROVES that there are FUNDAMENTAL DIFFERENCES between MEN and WOMEN. A simple fact that seems to be under particular threat these days!


6 posted on 04/09/2021 1:30:50 PM PDT by CondoleezzaProtege
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To: capydick

Hmmm. I bet they canned that research right quick.


7 posted on 04/09/2021 1:35:44 PM PDT by monkeyshine (live and let live is dead)
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To: capydick
...affiliative priming...

That must be cute.

8 posted on 04/09/2021 1:40:12 PM PDT by Stentor
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To: CondoleezzaProtege

i thought high progesterone levels in men caused prostrate cancer?


9 posted on 04/09/2021 1:49:06 PM PDT by Bob434
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To: CondoleezzaProtege

So now there are men and women! When it’s convenient, the distinction is made between men and women, as it is according to nature.

But at the same time, the left holds the idea that there is no difference! that you can declare yourself male or female on a given day, and that the rest of the world must respect that.

So which is it? there are men and women, or we’re all one big unigender? (Obvious: “Male and female He created them.”)


10 posted on 04/09/2021 1:49:10 PM PDT by I want the USA back (I fear my government many times more than I fear the chinese kungfu virus.)
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To: CondoleezzaProtege

Earlier you also posted “”Could Estrogen Protect Women from Covid-19 ?””

In this current cultural era of exalting transgenderism, maybe the ultimate cure for covid is for all men to take female hormones and all women to take male hormones and by doing so we confuse the hell out of the covid virus.

my comment is intended to be sarcastic.


11 posted on 04/09/2021 1:49:10 PM PDT by Presbyterian Reporter
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To: CondoleezzaProtege

What happens if a man takes progesterone?
Decrease in libido or sex drive. Difficulty in sexual arousal with weaker erections. Erectile dysfunction. Cognitive concerns.

But nah, this ain’t no NWO plot. Pay no attention to those communists behind the curtain.


12 posted on 04/09/2021 2:41:42 PM PDT by CaptainPhilFan ( )
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To: Presbyterian Reporter

Actually there is some wisdom in your sarcasm.


13 posted on 04/09/2021 2:46:52 PM PDT by CondoleezzaProtege
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To: capydick

But of course

They want to make men gay as a result of “COVID”


14 posted on 04/09/2021 3:08:16 PM PDT by ConservativeDude
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To: capydick

But of course

They want to make men gay as a result of “COVID”


15 posted on 04/09/2021 3:09:02 PM PDT by ConservativeDude
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To: CondoleezzaProtege

Test subject.

16 posted on 04/09/2021 3:23:19 PM PDT by bgill
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To: bgill
Covid 19 molecules run from that.
17 posted on 04/09/2021 3:25:23 PM PDT by sport
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