Azvudine reduces COVID-19 risk: real-time meta analysis of 39 studies (Version 40)

Covid Analysis, Jan 2026
Azvudine for COVID-19
47th treatment shown to reduce risk in January 2023, now with p = 0.000000017 from 39 studies.
No treatment is 100% effective. Protocols combine treatments.
6,300+ studies for 210+ treatments. c19early.org
Significantly lower risk is seen for mortality, ICU admission, hospitalization, progression, and viral clearance. 30 studies from 22 independent teams in 2 countries show significant benefit.
Meta analysis using the most serious outcome reported shows 26% [18‑33%] lower risk. Results are similar for Randomized Controlled Trials, higher quality studies, and peer-reviewed studies.
Results are very robust — in exclusion sensitivity analysis 20 of 39 studies must be excluded to avoid finding statistically significant efficacy in pooled analysis.
Control Azvudine
Studies show significantly increased risk of liver injury1,2.
No treatment is 100% effective. Protocols combine safe and effective options with individual risk/benefit analysis and monitoring. Other treatments are more effective. All data and sources to reproduce this analysis are in the appendix.
5 other meta analyses show significant improvements with azvudine for mortality3-7, mechanical ventilation3, clinical improvement3, progression7, and viral clearance3,5,6.
5 meta analyses show significant improvements with azvudine for mortality1-5, mechanical ventilation1, improvement1, progression5, and viral clearance1,3,4.
Covid Analysis et al., Jan 2026, preprint, 1 author.
Please send us corrections, updates, or comments. c19early involves the extraction of 200,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. IMA and WCH provide treatment protocols.
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