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September 5, 2025JAMA Internal MedicineOpen Access

Azelastine Nasal Spray for Prevention of SARS-CoV-2 Infections

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Authors

TLThorsten LehrPMPeter MeiserDSDominik Selzer

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Overview

Phase 2 trial finds azelastine nasal spray reduces SARS-CoV-2 infections in healthy adults, suggesting a potential prophylactic treatment option.

Key Points

  • Azelastine nasal spray significantly reduced the incidence of SARS-CoV-2 infections compared to placebo.
  • Only 2.2% of participants using azelastine were infected, versus 6.7% in the placebo group, demonstrating substantial efficacy.
  • This phase 2, double-blind trial included 450 healthy adults, enrolled to evaluate the efficacy of azelastine as a preventive measure.
  • These findings highlight the potential of azelastine for COVID-19 prophylaxis, but larger trials are needed to confirm results.

Cite This Study

Lehr et al. (2025) studied this question.

synapsesocial.com/papers/68bb5f586d6d5674bcd037a9https://doi.org/10.1001/jamainternmed.2025.4283
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