8 hydrogen peroxide COVID-19 controlled studies, 5 RCTs
33% improvement
for early treatment, RR
0.67
[0.42-1.06]
Supplementary Data — Hydrogen Peroxide reduces COVID-19 risk: real-time meta analysis of 8 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Mukhtar (RCT)
86%
0.14 [0.01-2.69]
death
0/46
3/46
CT1
Improvement, RR [CI]
Treatment
Control
Mukhtar (RCT)
86%
0.14 [0.01-2.69]
ventilation
0/46
3/46
CT1
Mukhtar (RCT)
18%
0.82 [0.63-1.07]
viral+
28/43
35/44
CT1
Mukhtar (RCT)
14%
0.86 [0.76-0.98]
viral+
37/43
44/44
CT1
Jayaraman
50%
0.50 [0.23-1.08]
viral+
3/6
6/6
Short term viral
Pablo-Marcos
12%
0.88 [0.48-1.58]
viral load
17 (n)
40 (n)
Pablo-Marcos
-64%
1.64 [0.83-3.23]
viral load
31 (n)
40 (n)
AMPoL
Gansky (DB RCT)
67%
0.33 [0.02-6.86]
no recov.
0/6
1/6
Di Domê.. (DB RCT)
50%
0.50 [0.05-5.08]
ICU
1/20
2/20
Di Domê.. (DB RCT)
6%
0.94 [0.37-2.38]
no improv.
18 (n)
17 (n)
Di Domê.. (DB RCT)
7%
0.93 [0.71-1.22]
no disch.
18 (n)
17 (n)
Di Domê.. (DB RCT)
34%
0.66 [0.10-4.55]
ICU
2/77
2/51
Di Domê.. (DB RCT)
-1%
1.01 [0.61-1.67]
no recov.
63 (n)
43 (n)
Di Domê.. (DB RCT)
31%
0.69 [0.24-1.95]
PASC
6/51
6/35
HOPE in COVID-19
Agrawal (DB RCT)
67%
0.33 [0.04-2.94]
death
1/20
3/20
HOPE in COVID-19
Agrawal (DB RCT)
67%
0.33 [0.04-2.94]
ventilation
1/20
3/20
HOPE in COVID-19
Agrawal (DB RCT)
46%
0.54 [0.44-0.66]
oxygen time
19 (n)
17 (n)
HOPE in COVID-19
Agrawal (DB RCT)
36%
0.64 [0.55-0.75]
recov. time
19 (n)
17 (n)
HOPE in COVID-19
Agrawal (DB RCT)
39%
0.61 [0.49-0.77]
recov. time
19 (n)
17 (n)
HOPE in COVID-19
Agrawal (DB RCT)
30%
0.70 [0.57-0.87]
recov. time
19 (n)
17 (n)
HOPE in COVID-19
Agrawal (DB RCT)
45%
0.55 [0.45-0.67]
viral time
19 (n)
17 (n)
Amoah
93%
0.07 [0.00-1.13]
cases
94 (n)
372 (n)
Amoah
93%
0.07 [0.00-1.25]
cases
0/94
10/372
Amoah
98%
0.0 [0.00-7e+04]
cases
0/8
62/458
Hydrogen peroxide COVID-19 outcomes
c19 early .org
December 2025
1 CT: study uses combined treatment
Favors hydrogen peroxide
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.
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.
Submit