Aviptadil for COVID-19
3 studies with >700 patients
Hospital Icon Control
Hospital Icon Aviptadil Serious Outcome Risk
One study shows significant benefit.
COVID-19 Aviptadil studies. Nov 2025. c19early.org
0 0.5 1 1.5+ All studies -5% Mortality 16% RCTs -5% RCT mortality 16% Late -5% Favorsaviptadil Favorscontrol
Sep 30
2023
Brown et al., The Lancet Respiratory Medicine, doi:10.1016/S2213-2600(23)00147-9 Intravenous aviptadil and remdesivir for treatment of COVID-19-associated hypoxaemic respiratory failure in the USA (TESICO): a randomised, placebo-controlled trial
6% higher mortality (p=0.71) and 10% lower progression (p=0.54). RCT 461 hospitalized patients with COVID-19-associated respiratory failure showing no significant difference in outcomes with aviptadil treatment.
Aug 29
2022
Youssef et al., Critical Care Medicine, doi:10.1097/CCM.0000000000005660 The Use of IV Vasoactive Intestinal Peptide (Aviptadil) in Patients With Critical COVID-19 Respiratory Failure: Results of a 60-Day Randomized Controlled Trial
35% lower mortality (p=0.04) and 20% lower progression (p=0.27). RCT 196 patients with critical COVID-19 respiratory failure showing improved survival but no significant difference in the primary endpoint of "alive and free of respiratory failure at day 60" with IV aviptadil.
Mar 31
2022
Gibbs et al., NCT04488081 I-SPY COVID Trial Sponsored by Quantum Leap Healthcare Collaborative Suggests No Clinical Benefit with Addition of Nebulized ZYESAMI® (aviptadil) When Given by Mouth Inhalation in Critically Ill Patients with COVID-19
79% worse recovery (p=0.02). RCT 118 patients showing significantly worse recovery with aviptadil treatment.