Ivermectin reduces COVID-19 risk: real-time meta analysis of 106 studies (c19ivm ivmmeta)
, Nov 2025
Ivermectin for COVID-19
4th treatment shown to reduce risk in
August 2020, now with p < 0.00000000001 from 106 studies, recognized in 24 countries.
No treatment is 100% effective. Protocols
combine treatments.
6,300+ studies for
210+ treatments. c19early.org
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Significantly lower risk is seen for mortality, ventilation, ICU admission, hospitalization, recovery, cases, and viral clearance. All remain significant for higher quality studies. 65 studies from 59 independent teams in 27 different countries show significant improvements.
Meta analysis using the most serious outcome shows 61% [50‑69%] and 84% [75‑89%] lower risk for early treatment and prophylaxis, with similar results for higher quality studies,
primary outcomes, peer-reviewed studies, and for RCTs.
Control Ivermectin
Results are very robust — in worst case exclusion sensitivity analysis 64 of 106 studies must be excluded to avoid finding statistically significant efficacy.
No treatment is 100% effective. Protocols combine safe and effective options with individual risk/benefit analysis and monitoring. Pharmacokinetics show significant inter-individual variability1. Efficacy varies depending on the manufacturer2.
Over 20 countries adopted ivermectin for COVID-19. The evidence base is much larger and has much lower conflict of interest than typically used to approve drugs.
All data and sources to reproduce this analysis are in the appendix.
Multiple other meta analyses show efficacy3-7.
7 meta analyses show significant improvements with ivermectin for mortality1-6,
hospitalization7,
recovery3, and
cases3.
1.
Bryant et al., Ivermectin for Prevention and Treatment of COVID-19 Infection: A Systematic Review, Meta-analysis, and Trial Sequential Analysis to Inform Clinical Guidelines, American Journal of Therapeutics, doi:10.1097/MJT.0000000000001402.
2.
Hariyanto et al., Ivermectin and outcomes from Covid-19 pneumonia: A systematic review and meta-analysis of randomized clinical trial studies, Reviews In Medical Virology, doi:10.1002/rmv.2265.
3.
Kory et al., Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19, American Journal of Therapeutics, doi:10.1097/MJT.0000000000001377.
4.
Lawrie et al., Ivermectin reduces the risk of death from COVID-19 – a rapid review and meta-analysis in support of the recommendation of the Front Line COVID-19 Critical Care Alliance, Preprint, b3d2650e-e929-4448-a527-4eeb59304c7f.filesusr.com/ugd/593c4f_8cb655bd21b1448ba6cf1f4c59f0d73d.pdf.
5.
Nardelli et al., Crying wolf in time of Corona: the strange case of ivermectin and hydroxychloroquine. Is the fear of failure withholding potential life-saving treatment from clinical use?, Signa Vitae, doi:10.22514/sv.2021.043.
