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PrEP |
Margolin et al., Journal of Evidence-Based Integrative Medicine, doi:10.1177/2515690X211026193 (Peer Reviewed) |
cases, ↓94.4%, p=0.003 |
20-Week Study of Clinical Outcomes of Over-the-Counter COVID-19 Prophylaxis and Treatment |
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Retrospective 113 outpatients, 53 (patient choice) treated with zinc, quercetin, vitamin C/D/E, l-lysine, and Quina, showing lower cases with treatment. |
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Pre-Exposure Prophylaxis study
Pre-Exposure Prophylaxis study
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| Margolin et al., Journal of Evidence-Based Integrative Medicine, doi:10.1177/2515690X211026193 (Peer Reviewed) |
| 20-Week Study of Clinical Outcomes of Over-the-Counter COVID-19 Prophylaxis and Treatment |
Retrospective 113 outpatients, 53 (patient choice) treated with zinc, quercetin, vitamin C/D/E, l-lysine, and Quina, showing lower cases with treatment.
risk of COVID-19 case, 94.4% lower, RR 0.06, p = 0.003, treatment 0 of 53 (0.0%), control 9 of 60 (15.0%), continuity correction due to zero event.
risk of COVID-19 or flu-like illness, 81.1% lower, RR 0.19, p = 0.01, treatment 2 of 53 (3.8%), control 12 of 60 (20.0%).
Margolin et al., 7/6/2021, retrospective, USA, North America, peer-reviewed, 5 authors, this trial uses multiple treatments in the treatment arm (combined with zinc, vitamin C/D/E, l-lysine, and Quina) - results of individual treatments may vary.
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Early |
Di Pierro et al., International Journal of General Medicine, doi:10.2147/IJGM.S318949 (Peer Reviewed) |
death, ↓66.7%, p=1.00 |
Potential Clinical Benefits of Quercetin in the Early Stage of COVID-19: Results of a Second, Pilot, Randomized, Controlled and Open-Label Clinical Trial |
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RCT 42 outpatients in Pakistan, 21 treated with quercetin phytosome, showing faster viral clearance and lower symptom severity with treatment. |
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Early treatment study
Early treatment study
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| Di Pierro et al., International Journal of General Medicine, doi:10.2147/IJGM.S318949 (Peer Reviewed) |
| Potential Clinical Benefits of Quercetin in the Early Stage of COVID-19: Results of a Second, Pilot, Randomized, Controlled and Open-Label Clinical Trial |
RCT 42 outpatients in Pakistan, 21 treated with quercetin phytosome, showing faster viral clearance and lower symptom severity with treatment.
risk of death, 66.7% lower, RR 0.33, p = 1.00, treatment 0 of 21 (0.0%), control 1 of 21 (4.8%), continuity correction due to zero event.
risk of ICU admission, 66.7% lower, RR 0.33, p = 1.00, treatment 0 of 21 (0.0%), control 1 of 21 (4.8%), continuity correction due to zero event.
risk of hospitalization, 66.7% lower, RR 0.33, p = 1.00, treatment 0 of 21 (0.0%), control 1 of 21 (4.8%), continuity correction due to zero event.
risk of no virological cure, 73.7% lower, RR 0.26, p < 0.001, treatment 5 of 21 (23.8%), control 19 of 21 (90.5%), day 7.
risk of no virological cure, 88.9% lower, RR 0.11, p = 0.11, treatment 0 of 21 (0.0%), control 4 of 21 (19.0%), continuity correction due to zero event, day 14.
Di Pierro et al., 6/24/2021, Randomized Controlled Trial, Pakistan, South Asia, peer-reviewed, 12 authors.
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Early |
Di Pierro et al., International Journal of General Medicine, doi:10.2147/IJGM.S318720 (Peer Reviewed) |
death, ↓85.7%, p=0.25 |
Possible Therapeutic Effects of Adjuvant Quercetin Supplementation Against Early-Stage COVID-19 Infection: A Prospective, Randomized, Controlled, and Open-Label Study |
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RCT 152 outpatients in Pakistan, 76 treated with quercetin phytosome, showing lower mortality, ICU admission, and hospitalization with treatment. |
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Early treatment study
Early treatment study
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| Di Pierro et al., International Journal of General Medicine, doi:10.2147/IJGM.S318720 (Peer Reviewed) |
| Possible Therapeutic Effects of Adjuvant Quercetin Supplementation Against Early-Stage COVID-19 Infection: A Prospective, Randomized, Controlled, and Open-Label Study |
RCT 152 outpatients in Pakistan, 76 treated with quercetin phytosome, showing lower mortality, ICU admission, and hospitalization with treatment.
risk of death, 85.7% lower, RR 0.14, p = 0.25, treatment 0 of 76 (0.0%), control 3 of 76 (3.9%), continuity correction due to zero event.
risk of ICU admission, 94.1% lower, RR 0.06, p = 0.006, treatment 0 of 76 (0.0%), control 8 of 76 (10.5%), continuity correction due to zero event.
risk of hospitalization, 68.2% lower, RR 0.32, p = 0.003, treatment 7 of 76 (9.2%), control 22 of 76 (28.9%).
Di Pierro et al., 6/8/2021, Randomized Controlled Trial, Pakistan, South Asia, peer-reviewed, 19 authors.
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Early |
Aguilar et al., Journal of Advances in Medical and Pharmaceutical Sciences, doi:10.9734/jamps/2021/v23i330222 (Peer Reviewed) |
Oral Quercetin in Adult Patients as a Potential Nutraceutical against Coronavirus Disease 2019 (COVID-19) |
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Prospective study of 52 patients treated with quercetin. There was no control group. |
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Early treatment study
Early treatment study
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| Aguilar et al., Journal of Advances in Medical and Pharmaceutical Sciences, doi:10.9734/jamps/2021/v23i330222 (Peer Reviewed) |
| Oral Quercetin in Adult Patients as a Potential Nutraceutical against Coronavirus Disease 2019 (COVID-19) |
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Prospective study of 52 patients treated with quercetin. There was no control group.
Aguilar et al., 4/8/2021, peer-reviewed, 3 authors.
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Late |
Onal et al., Authorea, doi:10.22541/au.161106492.28349832/v1 (Preprint) |
death, ↓24.0%, p=1.00 |
Treatment of COVID-19 Patients with Quercetin: A Prospective, Single - Centre, Randomized, Controlled Trial |
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RCT 447 moderate-to-severe hospitalized patients in Turkey, 52 treated with quercetin, bromelain, and vitamin C, showing no statistically significant difference in clinical outcomes. NCT04377789. |
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Late treatment study
Late treatment study
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| Onal et al., Authorea, doi:10.22541/au.161106492.28349832/v1 (Preprint) |
| Treatment of COVID-19 Patients with Quercetin: A Prospective, Single - Centre, Randomized, Controlled Trial |
RCT 447 moderate-to-severe hospitalized patients in Turkey, 52 treated with quercetin, bromelain, and vitamin C, showing no statistically significant difference in clinical outcomes. NCT04377789.
risk of death, 24.0% lower, RR 0.76, p = 1.00, treatment 1 of 52 (1.9%), control 10 of 395 (2.5%).
risk of ICU admission, 94.1% lower, RR 0.06, p = 0.39, treatment 0 of 52 (0.0%), control 14 of 395 (3.5%), continuity correction due to zero event.
risk of no hospital discharge, 68.3% lower, RR 0.32, p = 0.34, treatment 1 of 52 (1.9%), control 24 of 395 (6.1%).
Onal et al., 1/19/2021, Randomized Controlled Trial, Turkey, Europe, preprint, 10 authors, this trial uses multiple treatments in the treatment arm (combined with bromelain and vitamin C) - results of individual treatments may vary.
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PrEP |
Arslan et al., SSRN, doi:10.2139/ssrn.3682517 (Preprint) |
cases, ↓91.7%, p=0.03 |
Synergistic Effect of Quercetin and Vitamin C Against COVID-19: Is a Possible Guard for Front Liners |
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Small prophylaxis RCT with 113 patients showing fewer cases with quercetin+vitamin C prophylaxis. NCT04377789. |
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Pre-Exposure Prophylaxis study
Pre-Exposure Prophylaxis study
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| Arslan et al., SSRN, doi:10.2139/ssrn.3682517 (Preprint) |
| Synergistic Effect of Quercetin and Vitamin C Against COVID-19: Is a Possible Guard for Front Liners |
Small prophylaxis RCT with 113 patients showing fewer cases with quercetin+vitamin C prophylaxis. NCT04377789.
risk of COVID-19 case, 91.7% lower, RR 0.08, p = 0.03, treatment 1 of 71 (1.4%), control 9 of 42 (21.4%), adjusted.
Arslan et al., 11/16/2020, Randomized Controlled Trial, Turkey, Europe, preprint, 7 authors, this trial uses multiple treatments in the treatment arm (combined with vitamin C) - results of individual treatments may vary.
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Review |
Derosa et al., Phytotherapy Research, doi:10.1002/ptr.6887 (Review) (Peer Reviewed) |
review |
A role for quercetin in coronavirus disease 2019 (COVID-19) |
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Review noting that quercetin has a theoretical, but significant, capability to interfere with SARS‐CoV‐2 replication, with results showing this to be the fifth best compound out of 18 candidates. |
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Review
Review
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| Derosa et al., Phytotherapy Research, doi:10.1002/ptr.6887 (Review) (Peer Reviewed) |
| A role for quercetin in coronavirus disease 2019 (COVID-19) |
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Review noting that quercetin has a theoretical, but significant, capability to interfere with SARS‐CoV‐2 replication, with results showing this to be the fifth best compound out of 18 candidates.
Derosa et al., 10/9/2020, peer-reviewed, 4 authors.
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Review |
Biancatelli et al., Frontiers in Immunology, doi:10.3389/fimmu.2020.01451 (Review) (Peer Reviewed) |
review |
Quercetin and Vitamin C: An Experimental, Synergistic Therapy for the Prevention and Treatment of SARS-CoV-2 Related Disease (COVID-19) |
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Review of the evidence for the use of vitamin C and quercetin both for prophylaxis in high-risk populations and for the treatment of COVID-19 patients. |
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Review
Review
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| Biancatelli et al., Frontiers in Immunology, doi:10.3389/fimmu.2020.01451 (Review) (Peer Reviewed) |
| Quercetin and Vitamin C: An Experimental, Synergistic Therapy for the Prevention and Treatment of SARS-CoV-2 Related Disease (COVID-19) |
Review of the evidence for the use of vitamin C and quercetin both for prophylaxis in high-risk populations and for the treatment of COVID-19 patients.
Biancatelli et al., 6/19/2020, peer-reviewed, 4 authors.
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