Evidence map›Paper›PMID 32251768›Full record

ArticleAntiviral research2020

The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro.

Leon Caly, Julian D Druce, Mike G Catton, David A Jans, Kylie M Wagstaff

21 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Antiviral research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 21 registered trials, which are not on this map. Cited by 1,008 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,008citing papers in PubMed, 2 pooled it
53.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04360356 phase2 / phase3unknown statusnot on this map

Clinical Trial Evaluating Safety and Efficacy of Ivermectin and Nitazoxanide Combination as Adjuvant Therapy in COVID-19 Newly Diagnosed Egyptian Patients: A Tanta University Hope

TypeinterventionalSponsorTanta UniversityRan2020 to 2020Enrolled100ConditionsCOVID-19ArmsIvermectin plus Nitazoxanide, Standard Care
NCT04361318 phase2 / phase3unknown statusnot on this map

Clinical Trial Evaluating Safety and Efficacy of Hydroxychloroquine and Nitazoxanide Combination as Adjuvant Therapy in Covid-19 Newly Diagnosed Egyptian Patients: A Tanta University Hope

TypeinterventionalSponsorTanta UniversityRan2020 to 2020Enrolled100ConditionsCOVID-19ArmsHydroxychloroquine plus Nitazoxanide, Standard care
NCT04391127 phase3completednot on this map

Efficacy and Safety of Hydroxychloroquine and Ivermectin in Hospitalized no Critical Patients Secondary to COVID-19 Infection: Randomized Controlled Trial

TypeinterventionalSponsorCentenario Hospital Miguel HidalgoRan2020 to 2020Enrolled108ConditionsCOVID-19ArmsHydroxychloroquine, Ivermectin, Placebo
NCT04392427 phase3unknown statusnot on this map

Effect of a Combination of Nitazoxanide, Ribavirin and Ivermectin Plus Zinc Supplement on the Clearance of COVID-19: a Pilot Sequential Clinical Trial

TypeinterventionalSponsorMansoura UniversityRan2020 to 2022Enrolled100ConditionsCOVID, Drug EffectArmsTreatment group: will receive a combination of Nitazoxanide, Ribavirin and Ivermectin for a duration of seven days :
NCT04392713 naunknown statusnot on this map

Efficacy of Ivermectin in COVID-19 : A Randomized Controlled Trial

TypeinterventionalSponsorCombined Military Hospital, PakistanRan2020 to 2020Enrolled100ConditionsCOVIDArmsIvermectin 6 MG Oral Tablet (2 tablets)
NCT04407507 phase2completednot on this map

Multicenter, Double-blind, Randomized, Placebo-controlled Study to Assess the Efficacy, Safety and Tolerability of Ivermectin in Mild Virus-positive Subjects (SARS-CoV)-2 With or Without Symptoms

TypeinterventionalSponsorInvestigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V.Ran2020 to 2021Enrolled66ConditionsCOVID-19ArmsIvermectin, Placebo
NCT04425863 completednot on this map

Evaluation of Ivermectin, Aspirin, Dexamethasone and Enoxaparin as Treatment of covid19

TypeobservationalSponsorEurnekian Public HospitalRan2020 to 2020Enrolled167ConditionsSevere Acute Respiratory Syndrome, Ventilation PneumonitisArmsIvermectin 5 MG/ML oral solution, Aspirin 250 mg tablets, Ivermectin 5 mg/mL oral solution, Dexamethasone 4-mg injection, Aspirin 250 mg tablets, Ivermectin 5 MG/ML oral solution, Dexamethasone 4-mg injection, Enoxaparin injection. Inpatient treatment with mechanical ventilation in ICU.
NCT04434144 completednot on this map

A Comparative Observational Study on Ivermectin and Hydroxychloroquine on the COVID19 Patients in Bangladesh

Typeobservational_patient_registrySponsorUpazila Health & Family Planning Officer's (UHFPO) Office, Chakoria, Cox's BazarRan2020 to 2020Enrolled116ConditionsIvermectin, Hydroxychloroquine, COVID19ArmsIvermectin + Doxycycline, Hydroxychloroquine + Azithromycin
NCT04472585 phase1 / phase2unknown statusnot on this map

Sub-cutaneous Ivermectin in Combination With and Without Oral Zinc: a Placebo Randomized Control Trial on Mild to Moderate COVID-19 Patients

TypeinterventionalSponsorSohaib AshrafRan2020 to 2021Enrolled180ConditionsCoronavirus Infection, COVID, Sars-CoV2ArmsIvermectin Injectable Solution, Injectable Placebo, Zinc, Placebo empty capsule, Oral Ivermectin
NCT04529525 phase2 / phase3completednot on this map

Ivermectin to Prevent Hospitalizations in COVID-19: Randomized, Double-blind, Placebo-controlled

TypeinterventionalSponsorInstituto de Cardiología de CorrientesRan2020 to 2021Enrolled501ConditionsCovid19ArmsIvermectin, Placebo
NCT04551755 phase2unknown statusnot on this map

The Safety and Efficacy Outcome of Ivermectin Plus Doxycycline in Treatment of RT-PCR Positive Adult Mild Covid-19 Cases: a Randomized Double Blind Placebo Controlled Trial

TypeinterventionalSponsorBangladesh Medical Research Council (BMRC)Ran2020 to 2020Enrolled188ConditionsCovid19ArmsIvermectin and Doxycycline, Placebo
NCT04602507 phase2terminatednot on this map

Ivermectin in Adults With Severe COVID-19. Double-blind Randomized Clinical Trial

TypeinterventionalSponsorCES UniversityRan2020 to 2021Enrolled75ConditionsCovid19, Severe Acute Respiratory SyndromeArmsIvermectin, Placebo
NCT04646109 phase3completednot on this map

The Effectiveness and Safety of Ivermectin as add-on Therapy in Severe COVID-19 Management

TypeinterventionalSponsorAfyonkarahisar Health Sciences UniversityRan2020 to 2020Enrolled66ConditionsCOVID-19ArmsIvermectin
NCT04701710 phase1 / phase2completednot on this map

A Randomized Trial - Intensive Treatment Based in Ivermectin and Iota-carrageenan as Prophylaxis for Covid-19 In Healthcare Agents

TypeinterventionalSponsorMaria de los Angeles Peral de BrunoRan2020 to 2020Enrolled300ConditionsCovid19, SARS (Severe Acute Respiratory Syndrome)ArmsIvermectin / Iota-Carrageenan
NCT04703205 phase2unknown statusnot on this map

A Placebo-controlled, Randomized, Double-blind Study in COvid-19 Patients With iveRmectin; An inVEstigator iniTiaTEd Trial

TypeinterventionalSponsorKitasato UniversityRan2020 to 2022Enrolled214ConditionsCovid19ArmsIvermectin 3 MG, Placebo
NCT04784481 phase1 / phase2completednot on this map

Ivermectin Reproposing for COVID-19 Treatment in Outpatients With Mild Stage

TypeinterventionalSponsorMinistry of Public Health, ArgentinaRan2020 to 2021Enrolled254ConditionsCovid19, SARS (Severe Acute Respiratory Syndrome)ArmsIvermectin
NCT04834115 phase3unknown statusnot on this map

Efficacy of Ivermectin in Outpatients With Non-severe COVID-19: A Randomized Controlled Trial

TypeinterventionalSponsorUniversidad Nacional de AsunciónRan2020 to 2021Enrolled400ConditionsCovid19, Coronavirus InfectionArmsIvermectin Tablets, Placebo
NCT04836299 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Randomized, Double-blind, Placebo-controlled Clinical Trial to Study the Efficacy and Therapeutic Safety of Ivermectin Versus Placebo Associated With Standard of Care Treatment in the Early Phase of Coronavirus Infection (COVID19).

TypeinterventionalSponsorUniversidad Mayor de San SimónRan2021 to 2021Enrolled90ConditionsCovid19ArmsIvermectin, Placebo
NCT04891250 phase4withdrawnnot on this mapstarted 2021, after this paper: background citation

The Zambia Ivermectin Trial for the Treatment and Prevention of COVID-19

TypeinterventionalSponsorCentre for Infectious Disease Research in ZambiaRan2021 to 2022Enrolled0ConditionsSARS-CoV-2, IvermectinArmsIvermectin, Prophylaxis
NCT04894721 phase2 / phase3completednot on this mapstarted 2021, after this paper: background citation

Study of Efficacy and Safety of Ivermectin for COVID-19 Prophylaxis in Post-exposure Contact or Epidemiological Link

TypeinterventionalSponsorMinistry of Public Health, ArgentinaRan2021 to 2021Enrolled172ConditionsCovid19ArmsIvermectin, Placebo
NCT04944082 phase4unknown statusnot on this mapstarted 2021, after this paper: background citation

Remdesivir Versus Remdesivir- Ivermectin Combination Therapy in Severe and Critically Ill Covid-19

TypeinterventionalSponsorAssiut UniversityRan2021 to 2021Enrolled60ConditionsCovid19ArmsIvermectin
3 · Its place in the literature

Who cites it

1,008 citing papers in PubMed, 2 syntheses or guidelines pooled it, 2,248 citations in OpenAlex.

  1. Pooled it
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  10. The effect of ivermectin on the viral load and culture viability in early treatment of nonhospitalized patients with mild COVID-19 - a double-blind, randomized placebo-controlled trial.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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948 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Leon CalyVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital, At the Peter Doherty Institute for Infection and Immunity, Victoria, 3000, Australia.
Julian D DruceVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital, At the Peter Doherty Institute for Infection and Immunity, Victoria, 3000, Australia.
Mike G CattonVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital, At the Peter Doherty Institute for Infection and Immunity, Victoria, 3000, Australia.
David A JansBiomedicine Discovery Institute, Monash University, Clayton, Vic, 3800, Australia.
Kylie M WagstaffBiomedicine Discovery Institute, Monash University, Clayton, Vic, 3800, Australia. Electronic address: kylie.wagstaff@monash.edu.
The Royal Melbourne Hospital · AUAustralian Regenerative Medicine Institute · AUDiscovery Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although several clinical trials are now underway to test possible therapies, the worldwide response to the COVID-19 outbreak has been largely limited to monitoring/containment. We report here that Ivermectin, an FDA-approved anti-parasitic previously shown to have broad-spectrum anti-viral activity in vitro, is an inhibitor of the causative virus (SARS-CoV-2), with a single addition to Vero-hSLAM cells 2 h post infection with SARS-CoV-2 able to effect ~5000-fold reduction in viral RNA at 48 h. Ivermectin therefore warrants further investigation for possible benefits in humans.

Indexed as

Drug ApprovalAnimalsAntiviral AgentsAustraliaBetacoronavirusChlorocebus aethiopsCoronavirus InfectionsCOVID-19HumansIvermectinPandemicsPneumonia, ViralSARS-CoV-2Vero CellsVirus ReplicationAntiviral AgentsIvermectin

Identifiers

PMID32251768
PMCPMC7129059
OpenAlexW3014962324

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 15 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.