RT Journal Article T1 Effect of oral antiseptics in reducing SARS-CoV-2 infectivity: evidence from a randomized double-blind clinical trial A1 Sánchez Barrueco, Álvaro A1 Mateos Moreno, María Victoria A1 Martínez-Beneyto, Yolanda A1 García-Vázquez, Elisa A1 Campos González, Alfonso A1 Zapardiel Ferrero, Javier A1 Bogoya Castaño, Abel A1 Alcalá Rueda, Ignacio A1 Villacampa Aubá, José Miguel A1 Cenjor Español, Carlos A1 Moreno-Parrado, Laura A1 Ausina-Márquez, Verónica A1 García-Esteban, Sandra A1 Artacho, Alejandro A1 López-Labrador, F Xavier A1 Mira Obrador, Alejandro A1 Ferrer García, María Desamparados AB Background: In vitro studies have shown that several oral antiseptics have virucidal activity against SARS-CoV-2. Thus, mouthwashes have been proposed as an easy to implement strategy to reduce viral transmission. However, there are no data measuring SARS-CoV-2 viability after mouthwashes in vivo.Methods: In this randomized double-blind, five-parallel-group, placebo-controlled clinical trial, SARS-CoV-2 salivary viral load (by quantitative PCR) and its infectious capacity (incubating saliva in cell cultures) have been evaluated before and after four different antiseptic mouthwashes and placebo in 54 COVID-19 patients.Results: Contrary to in vitro evidence, salivary viral load was not affected by any of the four tested mouthwashes. Viral culture indicated that cetylpyridinium chloride (CPC) significantly reduced viral infectivity, but only at 1-hour post-mouthwash.Conclusion: These results indicate that some of the mouthwashes currently used to reduce viral infectivity are not efficient in vivo and, furthermore, that this effect is not immediate, generating a false sense of security.Trial registration: ClinicalTrials.gov identifier: NCT04707742.. PB Taylor & Francis YR 2022 FD 2022-07 LK https://hdl.handle.net/20.500.14352/117176 UL https://hdl.handle.net/20.500.14352/117176 LA eng NO Sánchez Barrueco Á, Mateos-Moreno MV, Martínez-Beneyto Y, García-Vázquez E, Campos González A, Zapardiel Ferrero J, Bogoya Castaño A, Alcalá Rueda I, Villacampa Aubá JM, Cenjor Español C, Moreno-Parrado L, Ausina-Márquez V, García-Esteban S, Artacho A, López-Labrador FX, Mira A, Ferrer MD. Effect of oral antiseptics in reducing SARS-CoV-2 infectivity: evidence from a randomized double-blind clinical trial. Emerg Microbes Infect. 2022 Dec;11(1):1833-1842. doi: 10.1080/22221751.2022.2098059 NO FISABIO Project UGP-21-438, financed by Consellería de Sanitat Universal i Salut Pública from the Valencian Region and by the European Regional Development Fund and European Social Fund. DS Docta Complutense RD 17 abr 2025