Evidence map›Paper›PMID 36904283›Full record

Trial reportNutrients2023

Effect of Lactoferrin on Clinical Outcomes of Hospitalized Patients with COVID-19: The LAC Randomized Clinical Trial.

Erica Matino, Elena Tavella, Manuela Rizzi, Gian Carlo Avanzi, Danila Azzolina, Antonio Battaglia, Paolo Becco, Mattia Bellan, Giovanni Bertinieri, Massimo Bertoletti and 43 more

Full text readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Special Issue: Molecular Research and Insights into COVID-19: 2nd Edition.International journal of molecular sciences · 2025
    Article
  5. Review
  6. Review
  7. Observational
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Lactoferrin, a Great Wall of host-defence?Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

53 authors.

Erica MatinoDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Elena TavellaDepartment of Maternal-Infant Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.ORCID 0000-0003-3396-0609
Manuela RizziDepartment of Health Sciences, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-6174-7111
Gian Carlo AvanziDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Danila AzzolinaDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-8185-5742
Antonio BattagliaDivision of Dermatology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Paolo BeccoDivision of Oncology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Mattia BellanDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0003-1488-8736
Giovanni BertinieriDivision of Internal Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Massimo BertolettiDivision of Pneumology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Giuseppe Francesco CasciaroDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Luigi Mario CastelloDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0001-8248-1976
Umberto ColageoIntensive Care Unit, Ospedale degli Infermi, 13875 Ponderano, Italy.
Donato ColangeloDepartment of Health Sciences, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0003-2277-3226
Davide ComolliDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Martina CostanzoDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Alessandro CroceDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Davide D'OnghiaDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-3196-940X
Francesco Della CorteDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0003-1736-2318
Luigi De MitriDivision of Diabetology and Endocrinology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Valentina DodaroInternal Medicine, Department of Medical Sciences, Azienda Ospedaliero-Universitaria (AOU) Città della Salute e della Scienza, University of Turin School of Medicine, 10126 Turin, Italy.
Filippo GivoneDivision of Pneumology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Alessia GravinaDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Luca GrillenzoniDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Graziano GusmaroliDivision of Neurology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Raffaella LandiDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Anna LinguaDivision of Infectious Disease, Ospedale degli Infermi, 13875 Ponderano, Italy.
Roberto ManzoniDivision of Dermatology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Vito MarinoniDivision of Geriatric Care, Ospedale degli Infermi, 13875 Ponderano, Italy.
Bianca MasturzoDivision of Obstetrics and Gynecology, Ospedale degli Infermi, 13875 Ponderano, Italy.ORCID 0000-0001-5243-0940
Rosalba MinisiniDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-7548-9731
Marina MorelloDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Anna NelvaDivision of Diabetology and Endocrinology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Elena OrtoneDivision of Geriatric Care, Ospedale degli Infermi, 13875 Ponderano, Italy.
Rita PaolellaDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Giuseppe PattiDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-5404-3968
Anita PedrinelliDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Mario PirisiDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.
Lidia RavizziDivision of Pneumology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Eleonora RizziDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0001-9615-2452
Daniele SolaDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0001-7863-8192
Mariolina SolaDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Nadir TonelloDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Stelvio TonelloDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-0836-0890
Gigliola TopazzoDivision of Diabetology and Endocrinology, Ospedale degli Infermi, 13875 Ponderano, Italy.
Aldo TuaDivision of Emergency Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.
Piera ValentiDepartment of Public Health and Infectious Diseases, University of Rome, La Sapienza, 00185 Rome, Italy.
Rosanna VaschettoDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0003-4625-4367
Veronica VassiaDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0002-7097-0710
Erika ZeccaDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0003-2134-6986
Nicoletta ZublenaDivision of Palliative Care, Ospedale degli Infermi, 13875 Ponderano, Italy.
Paolo ManzoniDepartment of Maternal-Infant Medicine, Ospedale degli Infermi, 13875 Ponderano, Italy.ORCID 0000-0003-1340-3493
Pier Paolo SainaghiDepartment of Translational Medicine, Università del Piemonte Orientale (UPO), 28100 Novara, Italy.ORCID 0000-0001-8322-9158

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As lactoferrin is a nutritional supplement with proven antiviral and immunomodulatory abilities, it may be used to improve the clinical course of COVID-19. The clinical efficacy and safety of bovine lactoferrin were evaluated in the LAC randomized double-blind placebo-controlled trial. A total of 218 hospitalized adult patients with moderate-to-severe COVID-19 were randomized to receive 800 mg/die oral bovine lactoferrin (n = 113) or placebo (n = 105), both given in combination with standard COVID-19 therapy. No differences in lactoferrin vs. placebo were observed in the primary outcomes: the proportion of death or intensive care unit admission (risk ratio of 1.06 (95% CI 0.63-1.79)) or proportion of discharge or National Early Warning Score 2 (NEWS2) ≤ 2 within 14 days from enrollment (RR of 0.85 (95% CI 0.70-1.04)). Lactoferrin showed an excellent safety and tolerability profile. Even though bovine lactoferrin is safe and tolerable, our results do not support its use in hospitalized patients with moderate-to-severe COVID-19.

Indexed as

COVID-19AdultAntiviral AgentsDouble-Blind MethodHumansLactoferrinTreatment OutcomeAntiviral AgentsLactoferrinCOVID-19double-blind clinical triallactoferrinmulticenterplacebo-controlledrandomized

Identifiers

PMID36904283
PMCPMC10005739

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Registered trials

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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.