3 artemisinin COVID-19 controlled studies, 2 RCTs
47% improvement
for early treatment, RR
0.53
[0.24-1.14]
Supplementary Data — Artemisinin reduces COVID-19 risk: real-time meta analysis of 3 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
ARTI-19
Trieu (RCT)
52%
0.48 [0.22-1.06]
no recov.
8/39
9/21
Improvement, RR [CI]
Treatment
Control
Chandiwana (RCT)
-152%
2.52 [0.11-60.5]
hosp.
1/75
0/39
CT1
Chandiwana (RCT)
29%
0.71 [0.17-3.04]
progression
39 (n)
39 (n)
CT1
Chandiwana (RCT)
-31%
1.31 [0.29-5.59]
progression
39 (n)
39 (n)
CT1
Chandiwana (RCT)
71%
0.29 [0.04-2.06]
progression
36 (n)
39 (n)
CT1
Chandiwana (RCT)
27%
0.73 [0.51-1.06]
recov. time
39 (n)
39 (n)
CT1
Chandiwana (RCT)
22%
0.78 [0.46-1.30]
recov. time
39 (n)
39 (n)
CT1
Chandiwana (RCT)
31%
0.69 [0.41-1.18]
recov. time
36 (n)
39 (n)
CT1
Chandiwana (RCT)
-1%
1.01 [0.95-1.08]
viral load
39 (n)
37 (n)
CT1
Chandiwana (RCT)
-5%
1.05 [1.01-1.09]
viral load
39 (n)
37 (n)
CT1
Chandiwana (RCT)
2%
0.98 [0.94-1.01]
viral load
36 (n)
37 (n)
CT1
Chandiwana (RCT)
-34%
1.34 [0.87-2.07]
viral+
39 (n)
38 (n)
CT1
Chandiwana (RCT)
-25%
1.25 [0.68-2.27]
viral+
24/39
25/38
CT1
Chandiwana (RCT)
-45%
1.45 [0.78-2.70]
viral+
23/33
25/38
CT1
Lin
31%
0.69 [0.50-0.95]
recov. time
18 (n)
25 (n)
Lin
28%
0.72 [0.52-0.99]
recov. time
18 (n)
25 (n)
Lin
17%
0.83 [0.70-0.99]
recov. time
18 (n)
25 (n)
Lin
8%
0.92 [0.80-1.05]
hosp. time
18 (n)
25 (n)
Lin
29%
0.71 [0.50-1.01]
viral time
18 (n)
25 (n)
Artemisinin COVID-19 outcomes
c19 early .org
December 2025
1 CT: study uses combined treatment
Favors artemisinin
Favors control
Fig. S2. Comparison of results for RCTs versus observational studies.
For COVID-19 treatments, there is no significant difference between the results of RCTs and observational studies. Observational studies do not systematically over or underestimate efficacy. For high-cost treatments, there is a non-significant trend towards RCTs showing greater efficacy.
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