Evidence map›Paper›PMID 42063155›Full record

Trial reportTrials2026

Ivermectin therapy is associated with changes in SARS-CoV-2 RNA load in asymptomatic patients: a randomized controlled trial.

Hussein Mouawia, Hamid Bou Saab, Hassan Ayoub, Abbas Mourad, Najwa Yaghi, Ahmad Al Saabi, Mohamed El-Seblani, Houssam Raad

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hussein MouawiaFaculty of Public Health, Lebanese University, Zahle, Lebanon. houssein.mouawia@ul.edu.lb.
Hamid Bou Saab *Faculty of Public Health, Lebanese University, Zahle, Lebanon.
Hassan Ayoub *Infectious Disease Unit, Rayak Hospital and Baalbek Government Hospital, Rayak, Lebanon.
Abbas Mourad *Faculty of Management and Administration, Saint Joseph University, Achrafieh, Lebanon.
Najwa YaghiClinical Laboratory, Baalbek Government Hospital, Baalbek, Lebanon.
Ahmad Al SaabiFaculty of Public Health, Lebanese University, Zahle, Lebanon.
Mohamed El-SeblaniFaculty of Public Health, Lebanese University, Zahle, Lebanon.
Houssam RaadFaculty of Public Health, Lebanese University, Zahle, Lebanon. raadhoussamrh@gmail.com.ORCID http://orcid.org/0000-0001-9562-2934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIvermectin, an antiparasitic agent with reported antiviral properties, has been investigated for repurposing in the treatment of COVID-19. This study aimed to assess the efficacy of a single weight-adjusted oral dose of ivermectin in reducing viral load and improving clinical outcomes in asymptomatic individuals infected with SARS-CoV-2.

methodsA randomized controlled trial was conducted with 126 asymptomatic SARS-CoV-2-positive participants. Subjects were assigned to receive either standard care (zinc and vitamin C supplementation) or standard care plus a single dose of ivermectin. Reverse transcription-PCR was used to assess changes in cycle threshold (Ct) values after 96 h. Clinical symptom development and hospitalization rates were also monitored.

resultsBaseline Ct values were similar between groups. After 96 h, participants in the ivermectin group showed a greater increase in Ct values (from 15.97 ± 2.823 to 24.35 ± 3.086) compared with controls (from 16.65 ± 3.593 to 19.84 ± 3.743; p < 0.001), the mean increase in Ct was 8.38 (95% CI, 7.56-9.20) in the ivermectin group versus 3.19 (95% CI, 2.36-4.02) in the control group (mean difference 5.19 (95% CI, 3.72 to 6.66); p < 0.001), suggesting a potential for more rapid reduction in viral load. Participants receiving ivermectin also reported fewer symptoms (e.g., anosmia, fatigue, myalgia) and had a lower hospitalization rate, though these clinical trends should be interpreted cautiously.

conclusionA single oral dose of ivermectin may accelerate viral clearance and reduce symptom progression in asymptomatic SARS-CoV-2-positive individuals. Further large-scale, multi-center randomized trials are warranted to confirm these findings and evaluate ivermectin's potential role in early COVID-19 management.

trial registrationThis randomized controlled trial was conducted between November and December 2021 and was registered in the World Health Organization Clinical Trial Registry (ChiCTR2000033627; Date of Registration: 2020-06-07).

Indexed as

Antiviral AgentsCOVID-19COVID-19 Drug TreatmentIvermectinRNA, ViralSARS-CoV-2Viral LoadAdministration, OralAdultAsymptomatic InfectionsFemaleHumansMaleMiddle AgedTreatment OutcomeAntiviral AgentsIvermectinRNA, ViralCOVID-19IvermectinPCRRepurposed therapySARS-CoV-2

Identifiers

PMID42063155
PMCPMC13277236

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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.