Chlorpheniramine for COVID-19
3 studies with >800 patients
Hospital Icon Control Serious Outcome Risk
Chlorpheniramine
Chlorphenira..
Significantly lower risk for recovery.
2 studies (both from the same team/sponsor) show significant benefit.
COVID-19 Chlorpheniramine studies. Dec 2025. c19early.org
0 0.5 1 1.5+ All studies 56% Hospitalization 87% Recovery 56% RCTs 63% Early 56% Favorschlorpheniramine Favorscontrol
Recent:
Elshaier.
Dec 1
Covid Analysis Chlorpheniramine reduces COVID-19 risk: real-time meta analysis of 3 studies
Significantly lower risk is seen for recovery. 2 studies (both from the same team/sponsor) show significant benefit. Meta analysis using the most serious outcome reported shows 56% [46‑64%] lower risk. Results are similar for R..
Apr 21
Ferrer et al., Cureus, doi:10.7759/cureus.82736 Intranasal Chlorpheniramine for Early Symptomatic Treatment of COVID-19 and the Impact on Long-COVID
Review of intranasal chlorpheniramine maleate (iCPM) as a therapy for COVID-19 and long COVID. Authors explore how iCPM combines antihistamine activity via H1 receptor antagonism with bitter taste receptor (T2R) activation to address both..
Nov 26
2024
Valerio-Pascua et al., BMC Infectious Diseases, doi:10.1186/s12879-024-10211-8 Mitigating the risks of post-acute sequelae of SARS-CoV-2 infection (PASC) with intranasal chlorpheniramine: perspectives from the ACCROS studies
90% lower long COVID (p=0.001). Prospective study of 259 COVID-19 outpatients from the ACROSS-I and ACROSS-III RCTs showing significantly lower long COVID with intranasal chlorpheniramine (iCPM) compared to placebo. 72% of placebo patients experienced at least one PASC ..
Aug 29
2023
Elshaier et al., Cureus, doi:10.7759/cureus.92375 (date from preprint) Chlorpheniramine Maleate Displaying Multiple Modes of Antiviral Action Against SARS-CoV-2: An Initial Mechanistic Study
In vitro and in silico study showing that chlorpheniramine maleate (CPM) inhibits SARS-CoV-2 infection by affecting viral adsorption, replication, and having a direct virucidal effect in Vero E6 cells. Molecular docking analysis revealed ..
Dec 31
2022
Sanchez-Gonzalez et al., Medical Research Archives, doi:10.18103/mra.v10i3.2752 Intranasal Chlorpheniramine Maleate for the treatment of COVID-19: Translational and Clinical Evidence
87% lower hospitalization (p=0.08). Small RCT showing significantly improved recovery with intranasal chlorpheniramine maleate. Authors also perform an in vitro study showing efficacy with a highly differentiated three-dimensional model of normal, human-derived tracheal/bro..
Oct 18
2022
Valerio-Pascua et al., Research Square, doi:10.21203/rs.3.rs-2167465/v1 Chlorpheniramine Intranasal Spray to Accelerate COVID-19 Clinical Recovery in an Outpatient Setting: The ACCROS Trials
54% faster recovery (p<0.0001). RCT and retrospective study of chlorpheniramine nasal spray for COVID-19. The retrospective study included 660 outpatients showing fewer days with general COVID-19 symptoms, cough, anosmia, and ageusia compared to standard of care alone. ..
Oct 18
2022
Valerio-Pascua et al., Research Square, doi:10.21203/rs.3.rs-2167465/v1 Chlorpheniramine Intranasal Spray to Accelerate COVID-19 Clinical Recovery in an Outpatient Setting: The ACCROS Trials
61% improved recovery (p=0.0002) and 74% lower long COVID (p=0.001). RCT and retrospective study of chlorpheniramine nasal spray for COVID-19. The RCT included 101 outpatients showing significantly faster recovery with treatment. The retrospective study results are listed separately [Valerio-Pascua]. Long ..
Jan 28
2022
Akash et al., Frontiers in Drug Delivery, doi:10.3389/fddev.2023.1164671 (date from preprint) On a model-based approach to improve intranasal spray targeting for respiratory viral infections
Computational fluid dynamics study of nasal spray administration in 2 subjects showing 100x improvement in nasopharyngeal drug delivery using a new spray placement protocol. The study also found the optimal droplet size range for nasophar..