HIV-Infection Reduction-Rates in Patients, on Antiretroviral Efficacy-Trial of a Nigerian Broad-Spectrum Antiviral Medicine (Antivirt ® )

In verifying antiretroviral efficacy of a Nigerian broad spectrum antiviral medicine (Antivirt ® ), the Nigerian Institute of Medical Research certified it safe by toxicological test on laboratory animals, before commencing treatment of three HIV/AIDS patients whose viral loads varied widely (millions, hundreds of thousands and thousands). To overcome errors associated with such wide differences in subject-classes, percentages of viral load-reductions were calculated instead of comparing their viral loads. After first month of the Antivirt ® -treatment, means of ranked viral loads of the patients significantly (P ≤ 0.05) increased from 10.00 ± 7.21 to 11.30 ± 5.51 (−41.03% infec-tion-reduction rate) instead of reducing. From second month of the trial, their viral loads started to reduce, continuously, so that their infection-reduction rates have been increasing from that −41.03%, to −38.22% in the second month; 23.98% in the third month; 31.76% in the fourth month and 64.12% after the fifth month.


Introduction
Immune deficiency means deficit of blood lymphocytes [1]. It is not a clinical abnormality but predisposes to secondary infections which cause clinical abnormalities. When individuals or animals that were born with normal blood lymphocytes-counts, develop significantly low lymphocytes-counts the condition is termed acquired immune deficiency syndrome (AIDS). Most cases of AIDS in mammals are caused by Lentiviruses [2], a genus of single stranded RNA viruses of the family Retroviridae. Lentivirus that causes AIDS in humans is the Human immune deficiency virus (HIV) while in the nonhuman primates, AIDS is caused by Simian immune deficiency virus (SIV). Lentiviruses that cause AIDS, have also been isolated from horses, cattle, sheep and cats.
Special effort is required in developing antiviral medicines to work under state of immune-deficiency because small sizes of viruses enable them infect cells which are inaccessible to medicines of large molecules. So, antiviral medicines that act by physical effects need immunity for complementation while side effects of medicines that act against biochemistry of viruses become intolerable to patients when treatments continue for a long time (viral and animal cells-biochemistry are similar). Molecules of Aluminum-magnesium silicate (AMS), an already approved medicine/pharmaceutical stabilizing agent, consist of Nanoparticles [5] that are only 0.96 nm thick [6]. The AMS-Nanoparticles are smaller than any known virus (≥5 nm). They have negative and positive electrically charged ends [6] but unlike abnormal cells, healthy cells are neutral (bio-medical marker). The charges enable AMS mop/destroy viruses/abnormal cells, by opposite charges-electrostatic attraction. As a silicate, AMS also normalizes immunity [7] and as a stabilizing agent [6] it enhances efficacy of antimicrobial agents for effective treatment of secondary infections.
AMS is not one of the minerals found in Nigeria but the country has large deposits of Aluminum silicate (Al 4 (SiO 4 ) 3 ) and Magnesium silicate (Mg 2 SiO 4 ).
The Nigerian Antivirt ® mops viruses by opposite charges electrostatic attraction. So, we are introducing opposite charges electrostatic attraction between medicines and pathogens as a mechanism of action for terminating infections of electrically charged agents including HIV and other viruses. We are also applying the principle of active transport to convey AMS (which is un-absorbable) into blood-circulation so that it functions as a systemic medicine. Ability of AMS to enhance efficacy of antimicrobial agents [10] so that secondary infections are effectively treated also helps in treating viral diseases.
With enhanced efficacy, lower doses achieve desired effects. Use of lower doses for treatments minimizes side effects of medicines. When side effects are minimized, immune responses of patients improve. Enhancing efficacy of antimicrobial agents and improving immune responses of patients lead to cure of even Antimicrobial Resistant Infections thus increasing chances of patients of viral diseases including HIV/AIDS to recover.
Reason existing ARVs do not achieve permanent cure of HIV/AIDS is that their molecules are too large to cross physiological barriers. For that limitation, they do not reach HIV infections "hidden" in some cells. So, even when viral loads in blood of patients they are used to treat become undetectable, the infection may still remain "hidden". Since the Antivirt ® is made of ultra-Nanoparticles, it crosses physiological barriers and reaches HIV and HIV-infected cells in every organ/tissue. And since it acts by a physical effect, it is safe for any treatment-duration needed to terminate any HIV-infection.

Materials and Methods
Nigerian Institute of Medical Research (NIMR), certified the Antivirt ® toxicologically safe by testing it on mice before recruiting three HIV/AIDS volunteers (all adults), for phase one clinical trial of the medicine, patented as broad spectrum antiviral medicine and antiretroviral medicine [11]. A formulation of the MSAMS and Ampicillin trihydrate (Antivirt A ® ) and a formulation of the MSAMS alone (Antivirt B ® ) were submitted by the inventor for treatment of the patients which started in December 2019 and has so far lasted till May 2020. The patients were placed on oral medication with Antivirt ® A for 30 days, at dose rates of 50 mg of the MSAMS/kg body weight and 7.5 mg of MSAMS-stabilized Ampicillin trihydrate/kg body weight, daily. After the first 30 days, they are now on Antivirt ® B at dose of 50 mg/kg. They will continue on the Antivirt ® B treatment till they test HIV-antigen negative. Each patient is also on Immunace extra protection ® (Vitabiotics, England), as source of antioxidants, at the rate of one tablet, everyday. The Antivirt ® is taken at night, at least two hours after dinner (empty stomach) and the patients are asked to eat no other thing (except water) once they have taken the Antivirt ® till the following morning. The Immunace extra-protection ® is taken in the morning, immediately after meal (full stomach). If a patient needs to take any other oral medicine for any reason, such other medicine is taken at least two hours before the Antivirt ® or two hours after. Viral loads of the patients are tested for, every month. Their recovery rates are also assessed by their doctors, every month. Viral loads of the patients in first five months of the trial have been ranked and their means compared by the Kruskal wallis Analysis of Variance statistical method. Percentage by which each patient's viral load reduces every month (based on his/her baseline viral load) is also being calculated and used to assess antiretroviral efficacy of the Antivirt ® .

Results
After one month of treatment with the Antivirt ® , symptoms cleared from the patients and they have remained stable. Means of their viral loads (ranked) increased (P ≤ 0.05) from 10.00 ± 7.21 to 11.30 ± 5.51 in the first month before decreasing (P ≥ 0.05) to 10.67 ± 6.81 (in the second month), 8.67 ± 5.68 (P ≤ 0.05: in the third month), 9.00 ± 5.57 (P ≤ 0.05: in the fourth month) and 7.33 ± 6.03 (P ≤ 0.05: in the fifth month): Table 1. Their viral load-reduction rates decreased from 00.00 to −41.03% in the first month before increasing to −38.22% (in the second month), 23.98% (in the third month), 31.76% (in the fourth month) and 64.12% (in the fifth month): Table 2. The viral loads (as reported by NIMR) which were used for the ranking are as on Table 3.

Discussion
Increase in viral loads of HIV/ADS patients treated with the Antivirt ® in first  month of the trial supports the theory that the medicine unmasks intracellular infections. If the medicine was not effective such that HIV continued to multiply the increase would not have been by as much as 41.03% in a month. Subsequent and continuous reductions in the viral loads confirm that the initial increase was due to unmasking of infections and not due to viral multiplication. Abnormal cells including the "sanctuary cells" have negative electrical charges [12] while Nanoparticles of molecules of AMS have both positively charged ends and negatively charged ends [6]. The Antivirt ® uses positive ends of its molecular Nanoparticles to bond to HIV-infected cells including the "sanctuary cells".
AMS has been in use (for many years) to aid disintegration of drug-formulations when swallowed [6]. So, the Antivirt ® may have disintegrated infected cells to unmask intra cellular infections so that the test detected more HIV-loads. Since AMS-Nanoparticles are only 0.96 nm thick which means they are over hundred times smaller than smallest HIV (110 nm) [13], the Antivirt ® would reach all HIV-infected cells, including the "sanctuary cells" to destroy them and mop the virus.
First step in drug-development is to test the candidate against the pathogen, in vitro. In vitro study of the Antivirt ® , for antiretroviral efficacy was on plasma samples, confirmed positive for HIV antibodies, by solid phase ELISA. One of the plasma samples gave HIV titer of 32 initially, but when treated with the Antivirt ® , its HIV titer increased to ≥4096. Second treatment of that particular plasma with the Antivirt ® reduced its HIV titer from ≥4096 to 16 (≥99.60% reduction). Also, a plasma that tested positive to HIV antibody by ELISA, was initially negative for the virus but when it was treated with the Antivirt ® , it tested positive for the virus. HIV titers of five other samples, also increased (P = 0.009) from a mean of 4.00 ± 1.63 to 14.00 ± 2.00 when treated with the Antivirt ® once. When treatment with the Antivirt ® was repeated, mean of the plasma-HIV titers reduced significantly (P = 0.024) from 14.00 ± 2.00 to 6.50 ± 1.50 [14]. The initial increase in viral loads and subsequent reductions reported by NIMR in this clinical trial is exact repeat of results of that in vitro study.
With ten other HIV/AIDS patients earlier treated with the Antivirt ® [16], pre-treatment mean-CD4 of male patients (483.67 ± 93.01) was less than 502.43 ± 82.73 of the females though the two means were not significantly different (P = 0.88) but proliferation of CD4 T-lymphocytes (3696.67/ml) occurred in the males in Month-8 and all 3 of them became HIV-negative. The proliferation of CD4 T-lymphocytes (2548.43/ml) occurred among the females in Month-9 and 2 of them tested HIV-negative. By Month-10, when higher proliferation of CD4 T-lymphocytes (2992.80/ml) occurred in the females, all of them became HIV-negative, thus confirming WHO's report [17] that as viral loads of HIV/AIDS patients are reducing, their immunity would be recovering (increasing CD4 counts).
Electrostatic attraction which is antiviral-mechanism of the Antivirt ® is a physical effect. So, it does not have adverse effects on animal-cells. Also, Aluminum silicate and Magnesium silicate which were used for the reaction that produced the Antivirt ® are safe medicines that are already approved for use by regulatory agencies in many countries (including by NAFDAC in Nigeria). Therefore, the new medicine is safe for prolonged medication as confirmed by result of the toxicological test by NIMR. Termination of HIV infection to produce cure of HIV/AIDS is only a matter of time if the treatment continues.
Since the Antivirt ® has been able to reduce infection of HIV, an RNA virus (positively charged), by as much as 64.12% in five months, despite the severe immune-deficiency associated with HIV-infections, the medicine may terminate infections of Covid-19 virus (another RNA virus which is not associated with severe immune-deficiency) in a much shorter treatment-duration.
Difference in the viral load reduction-rates between first month of the trial and second month was only 2.81% but the difference between the second month and the third month increased as much as 62.20%. In the second month, both unmasking of intracellular infections and mopping of extracellular viruses may have been going on at same time whereas by the third month, unmasking may have been completed so that only viral-mopping took place.
Decrease of the reduction-rate between the third month (62.20%) and the fourth month (7.78%) is also revealing. By the third month, HIV-loads in organs/tissues of the patients were still very high. So chances of the Antivirt ® -Nanoparticles to contact HIV particles were very high whereas by the fourth month, number of HIV particles had reduced such that many Antivirt ® -Nanoparticles may have passed through their organs/tissues without contacting HIV. This observation also supports the theory of physical contact between the medicine and electrically charged pathogens as mechanism for its actions.
By the fifth month, the difference in reduction-rate started increasing again (from 7.78% to 32.36%). The increase suggests that immunity of the patients may have normalized. WHO, reported that there is inverse relationship between viral loads and CD4-lymphocyte counts (immunity) in HIV/AIDS patients [17]. Since viral loads of the patients have reduced, by as much as 64.12%, their immunity may have normalized (CD4 ≥ 500). That their clinical state remained stable, also suggests that effect of HIV-infection (immune deficiency) has reduced. Synergy between normalized immunity and viral-mopping mechanism of the medicine would hasten recovery.