Ivermectin for COVID-19: real-time analysis of 305 studies

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Ivermectin for COVID-19

106 studies with >200,000 patients

Serious outcome risk

Ivermectin

Control

Significantly lower risk for mortality, ventilation, ICU, hospitalization, recovery, cases, and viral clearance.

53% lower risk in 54 RCTs CI 39-64%

47% lower mortality in 54 studies CI 34-58%

COVID-19 Ivermectin studies · October 2026

Outcome (studies)

Improvement

Relative risk · 95% CI

All studies (106)61%

With exclusions (70)66%

Mortality (54)47%

Hospitalization (31)34%

Recovery (41)38%

Cases (17)79%

Viral clearance (33)44%

RCTs (54)53%

Prophylaxis (18)84%

Early (39)62%

Late (49)40%

00.511.5+

← Ivermectin
reduces riskIncreased
risk →

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The largest RCT from Oxford shows significantly faster recovery and lower long COVID, p<0.00011. Ivermectin was adopted in 24 countries. PRINCIPLE TOGETHER ACTIV-6 COVID-OUT. Recent:

Aldous

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	Covid Analysis	Ivermectin reduces COVID-19 risk: real-time meta-analysis of 106 studies (c19ivm ivmmeta) (Version 257)
	Significantly lower risk is seen for mortality, ventilation, ICU admission, hospitalization, recovery, cases, and viral clearance. All remain significant for higher quality studies. 66 studies from 60 independent teams in 28 different cou..
Sep 18	Aldous et al., figshare, doi:10.6084/m9.figshare.33941086	Obedience to Authority in the COVID-19 Pandemic: Milgram's Lessons on Ivermectin Suppression
	Application of Stanley Milgram's obedience experiments as a psychological framework to analyze the suppression of ivermectin and other drugs during the COVID-19 pandemic. Authors argue that deference to authority, diffusion of responsibil..
Aug 16	How et al., International Journal of Molecular Sciences, doi:10.3390/ijms27167316	The Combination of Nirmatrelvir and Ivermectin Exerts Strongly Synergistic Antiviral and Anti-Inflammatory Effects Against Murine Coronavirus Infection of Macrophages
	In vitro study showing strong synergistic antiviral and anti-inflammatory effects with the combination of ivermectin and nirmatrelvir for RAW264.7 murine macrophages infected with murine hepatitis virus (MHV). The combination achieved at ..
Jun 24	Lew et al., Cells, doi:10.3390/cells15131146	Combination of Remdesivir and Ivermectin Exerts Highly Potent and Synergistic Antiviral Activity Against Murine Coronavirus and SARS-CoV-2 Infections
	In vitro study showing synergistic antiviral activity of ivermectin and remdesivir against murine coronavirus (MHV) and SARS-CoV-2.
May 11	Siddiqui et al., Critical Care Medicine, doi:10.1097/CCM.0000000000007160	Desperate Times and Good Science: Lessons From Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community-Acquired Pneumonia (REMAP-CAP)
	Review of the REMAP-CAP trial noting that "two post hoc SAPs were developed after enrollment ended: the first, adding baseline disease states and the second, removing baseline severity adjustment. The primary outcome was changed f..
May 1	Mouawia et al., Trials, doi:10.1186/s13063-026-09736-x	Ivermectin therapy is associated with changes in SARS-CoV-2 RNA load in asymptomatic patients: a randomized controlled trial
	56% lower hospitalization (p=0.24), 31% improved recovery (p=0.007), and 62% improved viral clearance (p<0.0001). RCT of 126 asymptomatic PCR+ patients with high viral load, showing improved recovery and significantly lower viral load with ivermectin treatment. All patients received zind and vitamin C. The trial selected for patients with high viral ..
Mar 31	Wang et al., BMC Infectious Diseases, doi:10.1186/s12879-026-13195-9	The role of ivermectin in the prevention and treatment of SARS-CoV-2 infection: a meta-analysis of randomized controlled trials
	Meta-analysis with multiple critical uncorrected issues, for example including a study that was retracted for data integrity issues several years earlier [Elshafie]; having many missing studies [Desort-Henin, Hashim, Hashmi, Mahmud, Ochoa..
Mar 18	Zaher et al., Medicina, doi:10.3390/medicina62030560	Testing the Possible Protective Effect of Ivermectin on Bleomycin-Induced Pulmonary Fibrosis in Albino Rats: Histological and Immunohistochemical Study
	Rat study showing benefit with ivermectin against bleomycin-induced pulmonary fibrosis. Rats treated with both bleomycin (BLM) and ivermectin (0.6 mg/kg orally on days 0, 1, 7, and 8) showed significant histological and biochemical improv..
Feb 16	McLindon et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000002118	Safety and Tolerability of Multimodal Therapy (Ivermectin, Doxycycline, Vitamin C, Vitamin D, and Zinc) With or Without Famotidine in Australian Patients With COVID-19 Infection: A Pilot Cohort Trial
	RCT 275 outpatients showing very low hospitalization with combination therapy including ivermectin, doxycycline, vitamin C, vitamin D3, and zinc, with or without famotidine. There was no control group. Only 4 patients were hospitalized wi..
Jan 31	Li et al., Molecules, doi:10.3390/molecules31030498	Drug–Target Interaction Prediction via Dual-Interaction Fusion
	In silico study showing that the GADFDTI computational model successfully predicts drug-target interactions for SARS-CoV-2 proteins, achieving high prediction accuracy with AUC values of 0.986 and 0.996 on benchmark datasets. The model as..
Jan 6	Reich, S., Center for Open Science, doi:10.31222/osf.io/h5kc8_v1	Methodological Analysis of Bias Risks in Adaptive Multi-Arm Platform Trials: A Case-Series from Three COVID-19 Studies
	Review of methodological biases in three major adaptive platform trials (ACTIV-6, PRINCIPLE, and TOGETHER) evaluating ivermectin for COVID-19. Author finds that these influential studies were compromised by extensive post-enrollment proto..
Dec 17 2025	Wissel et al., The Journal of Clinical Pharmacology, doi:10.1002/jcph.70137	Tolerability, Safety, and Pharmacokinetics of Ivermectin After Nasal Application in Healthy Adult Subjects
	Phase 1 RCT of 28 healthy adults showing good tolerability and safety with nasal ivermectin spray (F004). Participants received either 5% ivermectin nasal spray (14mg single dose, then 42mg/day for 5 days) or placebo. Pharmacokinetic anal..
Oct 20 2025	Abdel-Salam Elgohary et al., Scientific Reports, doi:10.1038/s41598-025-23660-1	Safety and efficacy of different therapeutic regimens in Egyptian adults with moderate COVID-19 infection (EVEREST): a real-world retrospective study
	Retrospective 310 hospitalized moderate COVID-19 patients showing shorter hospitalization and fewer progressive CT chest changes with antiviral combinations sofosbuvir/daclatasvir plus ivermectin, sofosbuvir/ledipasvir plus hydroxychloroq..
Sep 16 2025	Wagstaff et al., Pharmaceutics, doi:10.3390/pharmaceutics17091205	A Pilot, Randomised, Placebo-Controlled, Double-Blind Trial of a Single Oral Dose of Ivermectin for Post-Exposure Prophylaxis of SARS-CoV-2
	55% improved recovery (p=0.04) and 47% fewer cases (p=0.03). RCT 68 asymptomatic low-risk adults showing increased symptom-free days and delayed conversion to positive PCR/RAT test with up to 72 hours delayed post-exposure prophylaxis with a single ~200 µg/kg low dose of ivermectin during Omicron d..
Aug 23 2025	Mezzano et al., Pharmaceutics, doi:10.3390/pharmaceutics17091101	Poloxamer-Based Biomaterial as a Pharmaceutical Strategy to Improve the Ivermectin Performance
	In vitro study showing that poloxamer 407 (P407)-based solid dispersions of ivermectin significantly improve aqueous solubility, dissolution, and drug release compared to pure ivermectin.
Aug 13 2025	de la Puente et al., Pharmaceuticals, doi:10.3390/ph18081193	Variations in Plasma Levels of Orally Administered Ivermectin Could Hamper Its Potential Drug Repositioning: Results of a Bioequivalence Study in Mexican Population
	Bioequivalence study of 66 healthy Mexican volunteers comparing two oral ivermectin formulations, showing significant pharmacokinetic variability. The study found high inter- and intra-subject variability (>50% coefficient of variation) i..
Jul 31 2025	Hazan et al., American Journal of Infectious Diseases, doi:10.3844/ajidsp.2026.4.26 (date from preprint)	Rapid Recovery of Peripheral Oxygen Saturation in Hypoxic COVID-19 Patients With Ivermectin/Doxycycline/Zinc Multidrug Therapy
	Retrospective 26 consecutive severe COVID-19 outpatients with hypoxia (25 with SpO₂ ≤90%) showing rapid oxygen saturation recovery and survival with ivermectin/doxycycline/zinc/vitamin C/vitamin D combination therapy. All 24 patients comp..
Jun 12 2025	Mothae et al., Virology, doi:10.1016/j.virol.2025.110607	SARS-CoV-2 host-pathogen interactome: insights into more players during pathogenesis
	Review of SARS-CoV-2 host-pathogen interactions during viral pathogenesis, focusing on protein-protein interactions that facilitate viral entry, replication, immune evasion, assembly, and release. Authors comprehensively analyze how SARS-..
Jun 8 2025	Butler et al., Journal of Infection, doi:10.1016/j.jinf.2025.106530	Ivermectin and COVID-19
	Response to a 2024 letter by Fordham et al. critiquing [Hayward] However the letter by Fordham et al. appears to have been censored by the journal and remains unpublished [x.com]. The response was later retracted with the notice [science..
May 2 2025	Kocas et al., AAPS PharmSciTech, doi:10.1208/s12249-025-03113-8	Enhancing Intracellular Uptake of Ivermectin through Liposomal Encapsulation
	In vitro study showing enhanced intracellular uptake of ivermectin through liposomal encapsulation in Vero E6 cells with reduced cytotoxicity. While free ivermectin showed a half-maximal cytotoxic concentration (CC₅₀) of 10 μM, liposomal ..
May 2 2025	Zhang et al., Cellular & Molecular Biology Letters, doi:10.1186/s11658-025-00722-w	Rho-GTPases subfamily: cellular defectors orchestrating viral infection
	Review of Rho-GTPases as pivotal host factors commandeered by SARS-CoV-2 and other viruses, noting ivermectin as one of many compounds targeting this axis. Authors list ivermectin + atorvastatin as agents that suppress RhoA/CDC42 signalin..
Apr 18 2025	Kofler et al., iScience, doi:10.1016/j.isci.2025.112105	M-Motif, a potential non-conventional NLS in YAP/TAZ and other cellular and viral proteins that inhibits classic protein import
	In vitro study showing that TAZ/YAP proteins contain an M-motif, a novel type of nuclear localization signal that can inhibit classic protein import and may play a role in viral immune evasion. Authors identified that this M-motif consist..
Apr 18 2025	Madawi et al., Journal of Drug Delivery Science and Technology, doi:10.1016/j.jddst.2025.106941	Development and Optimization of Lyophilized Dry Emulsion Tablet for Improved Oral Delivery of Ivermectin
	In vitro and rabbit study showing that rapidly disintegrating lyophilized dry-emulsion tablets (IVM-LDET) markedly improve oral ivermectin delivery. Authors applied a quality-by-design approach to oil-in-water emulsions (sweet almond oil ..
Apr 3 2025	Ribes et al., Scientific Reports, doi:10.1038/s41598-026-71991-4 (date from preprint)	Limited impact of ivermectin on immune response and transcriptional profiles in mild COVID-19
	Secondary immunological analysis of the SAINT RCT, which reported lower viral loads and significantly shorter hyposmia/anosmia duration with ivermectin treatment. This secondary analysis found significantly higher anti-nucleocapsid IgG le..
Mar 28 2025	Hazan et al., Medical Hypotheses, doi:10.1016/j.mehy.2025.111613	Cholinergic eubiosis: A hypothesis on Ivermectin-upregulated Bifidobacterium
	Hypothesis that ivermectin may increase beneficial Bifidobacterium populations in the gut through a "cholinergic eubiosis" mechanism. Authors theorize that ivermectin acts as a positive allosteric regulator of alpha-7 nicotinic..
Mar 25 2025	Gkioulekas et al., The Japanese Journal of Antibiotics, doi:10.11553/antibiotics.78.1_35	Critical appraisal of multidrug therapy in the ambulatory management of patients with COVID-19 and hypoxemia Part II: Causal inference using the Bradford Hill criteria
	Critical appraisal of three case series totaling 119 COVID-19 patients with hypoxemia treated with ivermectin-based multidrug protocols in the United States, Zimbabwe, and Nigeria, showing reduced hospitalization and mortality. Authors ap..
Mar 25 2025	Gkioulekas, Ph.D. et al., The Japanese Journal of Antibiotics, doi:10.11553/antibiotics.78.1_2	Critical appraisal of multidrug therapy in the ambulatory management of patients with COVID-19 and hypoxemia Part I. Evidence supporting the strength of association
	Critical appraisal of 119 COVID-19 hypoxemic patients treated with ivermectin-based multidrug protocols in the United States, Zimbabwe, and Nigeria, showing significant hospitalization rate reduction and mortality rate reduction compared ..
Mar 13 2025	Gayozo et al., Biotecnia, doi:10.18633/biotecnia.v27.2485	Binding affinities analysis of ivermectin, nucleocapsid and ORF6 proteins of SARS-CoV-2 to human importins α isoforms: A computational approach
	In silico study showing that ivermectin, the SARS-CoV-2 nucleocapsid (N) protein, and the ORF6 protein share binding sites on human importin α isoforms. Authors used molecular docking to analyze binding affinities between these molecules ..
Feb 12 2025	Saha et al., Viruses, doi:10.3390/v17020252	Inhaled Dry Powder of Antiviral Agents: A Promising Approach to Treating Respiratory Viral Pathogens
	Review of inhaled dry powder antiviral formulations for treating respiratory viral infections, focusing on COVID-19. Authors explain that traditional antiviral tablets face limitations including systemic side effects and delayed onset of ..
Jan 30 2025	Su et al., International Journal of Pharmaceutics, doi:10.1016/j.ijpharm.2025.125302	Inhalable spray-dried dry powders combining ivermectin and niclosamide to inhibit SARS-CoV-2 infection in vitro
	In vitro study showing that inhalable spray-dried dry powders combining ivermectin and niclosamide exhibit enhanced anti-SARS-CoV-2 activity compared to the individual drugs. Authors developed stable, amorphous powders with aerodynamic pr..
Dec 31 2024	Wentzel et al., Pharmazie, doi:10.1691/ph.2024.4035	Quantification of ivermectin in veterinary products consumed off-label as a treatment for COVID-19
	Analysis of 9 veterinary ivermectin products that were reportedly used off-label as a treatment for COVID-19. All tested products contained ivermectin within acceptable limits of their label claims. In terms of the ivermectin content, thi..
Dec 12 2024	Sai Yengu et al., Annals of Medicine & Surgery, doi:10.1097/MS9.0000000000002762	The impact of ivermectin on COVID-19 outcomes: a systematic review and meta-analysis
	Uncorrected meta analysis with multiple significant errors. For example authors include [Elshafie], which was retracted over 6 months before this paper, and reports implausible data. Many studies are missing, for example [Ochoa-Jaramill..
Nov 27 2024	Lefebvre et al., Viruses, doi:10.3390/v16121836	Characterization and Fluctuations of an Ivermectin Binding Site at the Lipid Raft Interface of the N-Terminal Domain (NTD) of the Spike Protein of SARS-CoV-2 Variants
	In silico and in vitro study showing that ivermectin binds to the N-terminal domain (NTD) of the spike protein of SARS-CoV-2 variants, potentially inhibiting initial viral attachment to host cell lipid rafts. Authors used molecular modeli..
Nov 26 2024	García-Méndez et al., Cureus, doi:10.7759/cureus.74513	Clinical Experience With Ivermectin and Nitazoxanide in the Management of COVID-19 Among Mexican Out- and Inpatients
	Prospective study of 228 outpatients and 179 inpatients in Mexico showing potential benefits with ivermectin and nitazoxanide treatment for COVID-19. Ivermectin improved viral clearance compared to nitazoxanide, and the combination of bot..
Nov 25 2024	Huerta León et al., Revista Cubana de Medicina Militar, 53:4	Content and characteristics of ivermectin in master formulations
	Analysis of ivermectin in Peru showing significant variability in quality and concentration, with several formulations falling below the required dosage standards (36.2%-95.8%). Dosage inconsistencies were identified in products from priv..
Nov 21 2024	Haque et al., Discover Molecules, doi:10.1007/s44345-024-00005-5	Exploring potential therapeutic candidates against COVID-19: a molecular docking study
	In silico study showing potential inhibition of SARS-CoV-2 proteins by various compounds including dactinomycin, itraconazole, ivermectin, vitamin D, quercetin, curcumin, montelukast, bromhexine, hesperidin, EGCG and raloxifene. Authors p..
Nov 15 2024	Morad, R., Elsevier BV, doi:10.2139/ssrn.5021494	Coating of Remdesivir and Ivermectin on Silver Nanoparticles: First Principle Study
	In silico study showing that silver nanoparticles could be used as a therapeutic drug delivery mechanism for remdesivir and ivermectin against SARS-CoV-2. Using Density Functional Theory calculations, authors find that both drugs bond str..
Oct 26 2024	Bagheri-Far et al., Molecular Biology Research Communications, doi:10.22099/mbrc.2024.50245.2001	Non-spike protein inhibition of SARS-CoV-2 by natural products through the key mediator protein ORF8
	In silico study showing that ivermectin, artemisinin, and DEG-168 may inhibit SARS-CoV-2 by targeting the ORF8 protein's binding sites. Ivermectin showed the highest binding affinity. Authors identified two key binding regions on ORF8 - a..
Sep 21 2024	Ulloa-Aguilar et al., Cells, doi:10.3390/cells13181591	The Nucleolus and Its Interactions with Viral Proteins Required for Successful Infection
	Review of the interaction between viral proteins and the nucleolus during infection. The nucleolus is a crucial site for regulating cellular functions and viral proteins can interact with nucleolar components to facilitate viral replicati..
Sep 17 2024	Zhu et al., The American Journal of Tropical Medicine and Hygiene, doi:10.4269/ajtmh.23-0710	Circulation of COVID-19-Related Medicines on Japanese Websites during the COVID-19 Pandemic and Their Quality and Authenticity
	Investigation of the circulation and quality of COVID-19-related medicines sold online in Japan showing poor-quality ivermectin and dexamethasone. Four dexamethasone samples and two ivermectin samples failed quantitative analysis, and thr..
Aug 24 2024	Duraníková et al., Journal of Clinical Medicine, doi:10.3390/jcm13175013	Prevalence and Risk Factors of Headache Associated with COVID-19
	98% lower long COVID (p=0.37) and 30% worse results (p=0.5). Retrospective 295 hospitalized COVID-19 patients in Slovakia showing 35% prevalence of headache, of which 41% of patients had persistent headache 12-15 months after infection. Authors' analysis of long COVID headache is only for the subgr..
Aug 12 2024	Kassaee et al., Pharmaceutics, doi:10.3390/pharmaceutics16081061	Inhaled Ivermectin-Loaded Lipid Polymer Hybrid Nanoparticles: Development and Characterization
	In vitro study developing ivermectin-loaded lipid polymer hybrid nanoparticles (LPHNPs) as a potential dry powder inhalation formulation for pulmonary delivery.
Aug 5 2024	Enyeji et al., Viral Immunology, doi:10.1089/vim.2024.0034	Effective Treatment of COVID-19 Infection with Repurposed Drugs: Case Reports
	Review of the successful treatment of COVID-19 using existing medications including HCQ, AZ, ivermectin, famotidine, monoclonal antibodies, and others. Authors note that the typical treatment of severe viral infections with multiple thera..
Jul 22 2024	Wijewickrema et al., BMC Infectious Diseases, doi:10.1186/s12879-024-09563-y	Efficacy and safety of oral ivermectin in the treatment of mild to moderate Covid-19 patients: a multi-centre double-blind randomized controlled clinical trial
	51% improved viral clearance (p=0.03). RCT 249 hospitalized patients with mild to moderate COVID-19 in Sri Lanka, showing statistically significant lower viral load. There was no significant difference in clinical outcomes. Only one patient had a serious outcome. Mid-recovery ..
Jul 17 2024	Wimalawansa, S., Heliyon, doi:10.1016/j.heliyon.2024.e34691	Unlocking Insights: Navigating COVID-19 Challenges and Emulating Future Pandemic Resilience Strategies with Strengthening Natural Immunity
	Review showing reduced efficacy of interventions with new variants and suggesting that regulators and health organizations should consider approval and strategic use of cost-effective adjunct therapies such as vitamin D and ivermectin tha..
Jul 4 2024	Shouman et al., Cell Communication and Signaling, doi:10.1186/s12964-024-01718-3	SARS-CoV-2-associated lymphopenia: possible mechanisms and the role of CD147
	Review of possible mechanisms for lymphopenia in SARS-CoV-2 patients. Authors describe several indirect and direct mechanisms that may contribute to the T-cell depletion observed in COVID-19, including inflammatory cytokine storms, hyperl..
Jun 13 2024	Hashmi et al., Critical Care Medicine, doi:10.1097/CCM.0000000000007134 (partial results released 6/13/2024)	Ivermectin for patients admitted to an ICU with COVID-19: REMAP-CAP randomized controlled trial
	Early terminated REMAP-CAP results showing a trend towards benefit for non-critical patients despite very low dose, poor administration, and very... Early terminated REMAP-CAP results delayed 553 days (1,247 days for the more accurate concurrent ivermectin-specific analysis), showing no significant differences with very low dose, poor administration, very late treatment of late-stage ..
May 31 2024	Thorp et al., Integrative Medicine, 23:2	Global COVID-19 Pandemic Outcomes: A Cross-Country Comparison Study of Policy Strategies
	Retrospective study of 108 countries showing negative correlations between hydroxychloroquine/ivermectin use and mortality. Higher ivermectin index scores (r=-0.23, p=0.018) and hydroxychloroquine index scores (r=-0.15, p=0.125) were corr..
May 25 2024	Mehraeen et al., International Archives of Otorhinolaryngology, doi:10.1055/s-0044-1786046	Treatments for Olfactory Dysfunction in COVID-19: A Systematic Review
	Review of treatments for olfactory dysfunction (OD) in COVID-19. Authors report that the prevalence of OD varies among populations and is highest in Europe and North America, ranging from 50-85%. The mechanism may involve inflammation, ob..
May 16 2024	Naggie, S., JAMA, doi:10.1001/jama.2024.8723	Error in the Exclusion of Participants From Analysis in the ACTIV-6 Platform Randomized Clinical Trial
	Partial correction to ACTIV-6 600 confirming that 16% of patients were missing in the analysis. It's not clear how the trial could have such a large error for the number of patients randomized, why the correction took over a year, or why ..
Apr 30 2024	Varnaseri et al., Jundishapur Journal of Health Sciences, doi:10.5812/jjhs-146703	Ivermectin as a Potential Addition to the Limited Anti-COVID-19 Arsenal: A Double-Blinded Clinical Trial
	82% lower ventilation (p=0.02), 83% lower ICU admission (p=0.0004), 33% shorter hospitalization (p=0.001), and 28% faster recovery (p<0.0001). Double-blind RCT 110 hospitalized moderate to severe COVID-19 patients showing significantly reduced ICU admission, shorter hospitalization, faster resolution of symptoms, and improved CRP and LDH levels with ivermectin treatment compared..
Apr 29 2024	Xu et al., Pharmaceutics, doi:10.3390/pharmaceutics16050601	Enhanced In Vitro Antiviral Activity of Ivermectin-Loaded Nanostructured Lipid Carriers against Porcine Epidemic Diarrhea Virus via Improved Intracellular Delivery
	Non-COVID-19 in vitro study showing enhanced antiviral activity of ivermectin against porcine epidemic diarrhea virus when loaded into nanostructured lipid carriers. Ivermectin-loaded nanostructured lipid carriers (IVM-NLCs) inhibited vir..
Apr 28 2024	de Oliveira Só et al., Preprints, doi:10.20944/preprints202404.1825.v1	In Silico Comparative Analysis of Ivermectin and Nirmatrelvir Inhibitors Interacting with the SARS-CoV-2 Main Protease
	In silico study showing that ivermectin and nirmatrelvir interact with the SARS-CoV-2 main protease (M^pro). Authors used molecular docking and 100ns molecular dynamics simulations to investigate the binding interactions. Nirmatrelvir form..
Apr 22 2024	Scheim et al., Viruses, doi:10.3390/v16040647	Back to the Basics of SARS-CoV-2 Biochemistry: Microvascular Occlusive Glycan Bindings Govern Its Morbidities and Inform Therapeutic Responses
	Review of the biochemical underpinnings of the severe morbidities of COVID-19, focusing on the binding of the SARS-CoV-2 spike protein (SP) to sialylated glycans on host cell surfaces. Authors highlight how the SP attaches particularly ti..
Apr 18 2024	Shahin et al., Research Square, doi:10.21203/rs.3.rs-4180797/v1	The selective effect of Ivermectin on different human coronaviruses; in-vitro study
	In vitro study showing dose-dependent inhibition of wildtype and omicron SARS-CoV-2 with 0.5-5μM ivermectin. Authors found no significant effect for alphacoronavirus NL63 and a moderate effect for betacoronavirus OC43. In contrast, iverme..
Apr 17 2024	Gao et al., International Immunopharmacology, doi:10.1016/j.intimp.2024.112073	Ivermectin ameliorates acute myocarditis via the inhibition of importin-mediated nuclear translocation of NF-κB/p65
	Mouse study showing that ivermectin improves cardiac function and reduces inflammation in models of viral and autoimmune myocarditis. Authors found that ivermectin inhibited the nuclear translocation of NF-κB/p65 in macrophages by targeti..
Apr 16 2024	Agamah et al., ScienceOpen, doi:10.58647/DRUGARXIV.PR000010.v1	Network-based multi-omics-disease-drug associations reveal drug repurposing candidates for COVID-19 disease phases
	In silico study identifying potential drugs beneficial for COVID-19 by integrating transcriptomics, proteomics, metabolomics, lipidomics, and drug data. Authors explore interactions between drugs, molecular features, and disease severity...
Apr 12 2024	Corral et al., Global Journal of Aging & Geriatric Research, doi:10.33552/GJAGR.2024.03.000557	Early Treatment Outcomes of SARS-Cov-2 with Ivermectin, Nitazoxanide and Acetylsalicylic Acid in 2 Nursing Homes During The COVID-19 Pandemic in Cali, Colombia
	Retrospective 475 nursing home residents showing low mortality with early treatment using ivermectin, nitazoxanide, and acetylsalicylic acid. All residents were treated when the first positive cases were identified. 87 residents tested po..
Mar 29 2024	Siripongboonsitti et al., Journal of Infection and Public Health, doi:10.1016/j.jiph.2024.03.030	A Randomized Trial to Assess the Acceleration of Viral Clearance by the Combination Favipiravir/Ivermectin/Niclosamide in Mild-to-Moderate COVID-19 Adult Patients (FINCOV)
	39% improved recovery (p=0.19) and 6% improved viral clearance (p=0.75). RCT 60 low-risk outpatients, median age 31, with mild to moderate COVID-19 showing no significant differences with combined favipiravir/ivermectin/niclosamide treatment compared to favipiravir alone. There was limited room for improvement..
Mar 28 2024	Strub-Wourgaft et al., ANTICOV	An open-label, multicentre, randomised, adaptive platform trial of the safety and efficacy of several therapies, including antiviral therapies, versus control in mild/moderate cases of COVID-19
	92% lower progression (p=0.38), 94% lower hospitalization (p=0.14), and 57% improved recovery (p<0.0001). RCT 1,942 patients testing HCQ, lopinavir/ritonavir, nitazoxanide/ciclesonide, ivermectin/ASAQ, and fluoxetine/budesonide compared wirth paracetamol. Control patients were assigned to paracetamol as needed for fever or pain, however treat..
Mar 25 2024	Yagisawa et al., The Japanese Journal of Antibiotics, doi:10.11553/antibiotics.77.1_45	Global trends in clinical trials of ivermectin for COVID-19—Part 2
	Review of global trends in clinical trials of ivermectin for COVID-19. The review summarizes and analyzes the results of trials to date. Authors report that 27 systematic reviews and meta-analyses have been conducted, with 15 demonstratin..
Mar 21 2024	Jitobaom et al., Journal of Medical Virology, doi:10.1002/jmv.29552	Identification of inositol monophosphatase as a broad‐spectrum antiviral target of ivermectin
	In vitro study showing that ivermectin inhibits dengue, Zika, and SARS-CoV-2 by targeting the host protein inositol monophosphatase (IMPase). Authors used thermal proteomic profiling to identify IMPase as a target of ivermectin in human c..
Mar 12 2024	Kaur et al., Cureus, doi:10.7759/cureus.56025	Ivermectin: A Multifaceted Drug With a Potential Beyond Anti-parasitic Therapy
	Review of the multifaceted effects and potential clinical applications of ivermectin beyond its traditional use as an anthelmintic agent. Authors discuss ivermectin's established antiparasitic activity against infections like scabies and ..
Feb 29 2024	Hayward et al., Journal of Infection, doi:10.1016/j.jinf.2024.106130	Ivermectin for COVID-19 in adults in the community (PRINCIPLE): an open, randomised, controlled, adaptive platform trial of short- and longer-term outcomes
	Significantly improved recovery and significantly lower risk of long COVID with ivermectin (PRINCIPLE trial).. Significantly improved recovery and significantly lower risk of long COVID with ivermectin, despite very late treatment, low-risk patients, and poor administration. 36% lower ongoing persistent COVID-19 specific symptoms, p 0.999), missin..
Jan 30 2024	Oranu et al., GSC Biological and Pharmaceutical Sciences, doi:10.30574/gscbps.2024.26.1.0030	Validation of the binding affinities and stabilities of ivermectin and moxidectin against SARS-CoV-2 receptors using molecular docking and molecular dynamics simulation
	In silico study showing that ivermectin and moxidectin bind strongly to SARS-CoV-2 viral targets including the main protease, helicase, and RNA polymerase. Binding was further validated through molecular dynamics simulations indicating st..
Jan 30 2024	Mohammed et al., European Journal of Pharmaceutical Sciences, doi:10.1016/j.ejps.2024.106714	A remodeled ivermectin polycaprolactone-based nanoparticles for inhalation as a promising treatment of pulmonary inflammatory diseases
	In vitro and rat study showing that an optimized polycaprolactone-based nanoparticle formulation of ivermectin for inhalation had improved lung deposition, bioavailability, and anti-inflammatory effects compared to oral ivermectin. Author..
Dec 13 2023	Fauquet et al., Molecules, doi:10.3390/molecules28248072	Microfluidic Diffusion Sizing Applied to the Study of Natural Products and Extracts That Modulate the SARS-CoV-2 Spike RBD/ACE2 Interaction
	In vitro study showing that ivermectin modulated SARS-CoV-2 spike RBD-ACE2 interaction, suggesting efficacy for COVID-19, at a concentration of 1nM, well below concentrations achieved in practice. Authors use microfluidic diffusional sizi..
Dec 7 2023	Liu et al., Frontiers in Immunology, doi:10.3389/fimmu.2023.1324021	Crosstalk between neutrophil extracellular traps and immune regulation: insights into pathobiology and therapeutic implications of transfusion-related acute lung injury
	Ivermectin may be beneficial for COVID-19 ARDS by blocking GSDMD and NET formation. Authors review the role of neutrophil extracellular traps (NETs) in transfusion-related acute lung injury (TRALI). Authors discusses the mechanisms of NET..
Dec 3 2023	Vanhee et al., Drug Testing and Analysis, doi:10.1002/dta.3618	Substandard and falsified ivermectin tablets obtained for self‐medication during the COVID‐19 pandemic as a source of potential harm
	Analysis of intercepted ivermectin tablets in Belgium showing 100% of 19 samples were either underdosed or severely contaminated with bacteria.
Dec 1 2023	Scheim et al., International Journal of Molecular Sciences, doi:10.3390/ijms242317039	Sialylated Glycan Bindings from SARS-CoV-2 Spike Protein to Blood and Endothelial Cells Govern the Severe Morbidities of COVID-19
	Review of evidence suggesting that binding of the SARS-CoV-2 spike protein to sialylated glycans on red blood cells, platelets, and endothelial cells plays a key role in COVID-19 morbidity by inducing red blood cell aggregation, microvasc..
Nov 29 2023	Didenko, K., Zenodo, doi:10.5281/zenodo.10215620	Novel non-covalent ivermectin complex Didenectin is revolutionizing healthcare
	Report on a non-covalent complex of ivermectin called Didenectin, showing improved solubility and lower toxicity in animals, and promising results in early testing for SARS-CoV-2 and Dengue.
Nov 17 2023	Tallaksen, E., Do Your Own Research, Nov 17, 2023	Waiting for PRINCIPLE
	Discussion of issues in the ivermectin arm of the PRINCIPLE trial [Hayward], including the unsupported supply claim and continuation, design issues favoring finding no effect, changes to include lower risk patients, and the extended delay..
Nov 16 2023	García-Aguilar et al., International Journal of Molecular Sciences, doi:10.3390/ijms242216392	In Vitro Analysis of SARS-CoV-2 Spike Protein and Ivermectin Interaction
	In vitro analysis showing a definitive interaction between ivermectin and the spike (S) protein of SARS-CoV-2, suggesting therapeutic potential for COVID-19. Using equilibrium dialysis and UV-Vis techniques, the study determined the affin..
Nov 7 2023	Avula et al., Journal of Clinical and Translational Science, doi:10.1017/cts.2023.668	Strategies used for the COVID-OUT decentralized trial of outpatient treatment of SARS-CoV-2
	Report on the operation of the COVID-OUT trial noting several issues affecting the reliability of the results: - Use of home pulse oximeters for measuring oxygen saturation: authors note that the FDA warned about inaccuracies with home pu..
Nov 6 2023	Tallaksen, E., Do Your Own Research	TOGETHER Files 2: Lawsuit reveals FTX bought effective control of TOGETHER trial, part of SBF's dream of a pharma empire
	Analysis of legal documents showing that a non-profit controlled by FTX's SBF and a former colleague invested >$50 million in the Together Trial and had the right to potentially control the company. Author notes that incorrect and mislead..
Oct 31 2023	Lindsell et al., Journal of Clinical and Translational Science, doi:10.1017/cts.2023.644	ACTIV-6: Operationalizing a decentralized, outpatient randomized platform trial to evaluate efficacy of repurposed medicines for COVID-19
	Discussion of the operation of ACTIV-6 [Naggie] revealing participant fraud - authors identified participants that signed up repeatedly, and participants that withdrew when not randomized to their preferred arm. Authors indicate that they..
Oct 27 2023	Marinos et al., Do Your Own Research, 10/26	The TOGETHER Files 1: The Andrew Hill connection - How the principal investigator leaked interim results to a private ivermectin research group
	Leaked documents show additional misconduct in the Together Trial [Reis]. Blinding was broken, with interim results available not only within the team, but shared externally with a group of 90+ people, many from other ivermectin trials, i..
Oct 22 2023	Hazan et al., ACG 2023	Treatment with Ivermectin Increases the Population of Bifidobacterium in the Gut
	Analysis of the effect of ivermectin on the gut microbiome, showing a significant increase in Bifidobacterium. Bifidobacterium plays a key role in the immune system, for example enhancing antibody production, facilitating the induction of..
Sep 15 2023	Lakatos et al., EudraCT 2021-000166-15	A randomized, double-blind, placebo-controlled study to assess the safety and efficacy of ivermectin in asymptomatic and mild severity COVID-19 patients
	62% lower progression (p=1). Early terminated RCT with only 10 patients, reporting only COVID-19 progression.
Sep 13 2023	Liu et al., Stem Cell Research & Therapy, doi:10.1186/s13287-023-03485-3	SARS-CoV-2 viral genes Nsp6, Nsp8, and M compromise cellular ATP levels to impair survival and function of human pluripotent stem cell-derived cardiomyocytes
	In vitro study showing that ivermectin and meclizine mitigated cardiac cell death and dysfunction caused by SARS-CoV-2 viral genes. Authors found that SARS-CoV-2 viral genes Nsp6, Nsp8, and M had harmful effects on human cardiomyocytes (h..
Sep 4 2023	Zhao et al., Frontiers in Immunology, doi:10.3389/fimmu.2023.1197752	Identification of the shared gene signatures between pulmonary fibrosis and pulmonary hypertension using bioinformatics analysis
	In silico study identifying IGF1 as a shared gene between pulmonary fibrosis and hypertension that promotes inflammation, fibrosis, and cell proliferation when overactivated. Molecular docking analysis demonstrated ivermectin directly bin..
Aug 15 2023	Mills et al., medRxiv, doi:10.1101/2023.08.10.23293924	Published benefits of ivermectin use in Itajaí, Brazil for COVID-19 infection, hospitalisation, and mortality are entirely explained by statistical artefacts
	Highly flawed analysis with multiple basic errors, invalid assumptions, highly biased discussion, failure to correct any of the issues for over two months, major changes without explanation, and repeating known major errors. There are maj..
Aug 8 2023	Chamie et al., Cureus, doi:10.7759/cureus.43168	COVID-19 Excess Deaths in Peru’s 25 States in 2020: Nationwide Trends, Confounding Factors, and Correlations With the Extent of Ivermectin Treatment by State
	Ecological analysis showing that ivermectin distribution correlated significantly (p<0.002) with the reduction in excess deaths across 25 states in Peru. Ivermectin was authorized for COVID-19 treatment in Peru in May 2020 and distributed..
Jul 16 2023	Osati et al., medRxiv, doi:10.1101/2023.07.13.23292643	Clinical manifestations and mortality among hospitalized COVID-19 patients in Tanzania, 2021-2022.
	32% lower mortality (p=0.02). Retrospective 1,387 hospitalized PCR confirmed COVID-19 patients in Tanzania, showing lower mortality with ivermectin treatment and with steroid treatment in multivariable analysis.
Jul 14 2023	Vottero et al., Molecular Sciences, doi:10.3390/ijms241411449	Computational Prediction of the Interaction of Ivermectin with Fibrinogen
	In silico study showing that ivermectin may bind with high affinity to multiple sites on fibrinogen and may interfere with SARS-CoV-2 spike protein - fibrinogen binding, potentially inhibiting the formation of fibrin clots resistant to de..
Jul 8 2023	Breitinger et al., Virology Journal, doi:10.1186/s12985-023-02095-y	Patch-clamp studies and cell viability assays suggest a distinct site for viroporin inhibitors on the E protein of SARS-CoV-2
	In vitro analysis of inhibitors against the SARS-CoV-2 E ion channel. - The E protein of SARS-CoV-2 is a viroporin that forms ion channels important for viral replication. The E proteins from SARS-CoV and SARS-CoV-2 are highly similar. - ..
Jul 1 2023	Abd-Elmawla et al., Journal of Zhejiang University-SCIENCE B, doi:10.1631/jzus.B2200385	Suppression of NLRP3 inflammasome by ivermectin ameliorates bleomycin-induced pulmonary fibrosis
	Animal study showing that ivermectin alleviated pulmonary inflammation and fibrosis induced by bleomycin in a rat model. Authors note this may add to the clinical usefulness of ivermectin for patients with pulmonary fibrosis from COVID-19..
Jun 24 2023	PREVENT-COVID, NCT05060666	Prophylaxis of COVID-19 Disease With Ivermectin in COVID-19 Contact Persons
	Estimated 412 participant ivermectin prophylaxis RCT with results not reported over 4 years after estimated completion. Results were submitted to the NIH on January 24, 2023 and have not been released later. NIH is normally required to p..
Jun 12 2023	Choi et al., Journal of Korean Medical Science, doi:10.3346/jkms.2023.38.e195	Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development
	Review of the development of COVID-19 treatment guidelines in Korea. Authors claim "continuous evidence updates" and "living recommendations", however the ivermectin recommendation has not been updated si..
Jun 10 2023	Wade et al., Value in Health, doi:10.1016/j.jval.2023.03.2056	Variation in Demographic Characteristics, Socioeconomic Status, Clinical Presentation and Selected Treatments in Mortality Among Patients with a Diagnosis of COVID-19 in the United States
	Retrospective analysis of mortality for COVID-19 patients in the USA. Authors do not provide adjusted results, preventing any strong evidence. However it is notable that, despite comparable treatment frequencies, the mortality for patient..
Jun 8 2023	Yemeke et al., BMJ Open, doi:10.1136/bmjopen-2022-068923	Impact of the COVID-19 pandemic on the quality of medical products in Zimbabwe: a qualitative study based on key informant interviews with health system stakeholders
	Review of the quality of medical products in Zimbabwe during the pandemic, noting reports of inauthentic ivermectin in South Africa that was tested and found to have low or no active ingredient.
May 29 2023	El-Tanani et al., Pharmaceuticals, doi:10.3390/ph16060799	Phase II, Double-Blinded, Randomized, Placebo-Controlled Clinical Trial Investigating the Efficacy of Mebendazole in the Management of Symptomatic COVID-19 Patients
	RCT 69 outpatients in Jordan, showing improved viral clearance and CRP with mebendazole. Authors note that mebendazole, like ivermectin, has been shown to have antiviral activity against multiple viruses.
May 27 2023	Sheldrick, K., This Scattrd Corn	Schedule A: Statement
	Dr. Kyle Sheldrick, part of a group of researchers known for false and highly influential claims about ivermectin research, posted a schedule A statement admitting to false claims regarding one of the world's most highly published and res..
May 24 2023	Requejo Domínguez et al., BMJ Global Health, doi:10.1136/bmjgh-2022-010962	Quality of clinical evidence and political justifications of ivermectin mass distribution of COVID-19 kits in eight Latin American countries
	Authors' claim the first RCT was in August 2020 and did not show a benefit, however the first two RCTs were actually: [Chowdhury] in July 2020, showing 46% improved recovery with statistical significance. [Shouman], showing over 90% lower..
May 23 2023	Scheim et al., Journal of Clinical Medicine, doi:10.3390/jcm12113625	When Characteristics of Clinical Trials Require Per-Protocol as Well as Intention-to-Treat Outcomes to Draw Reliable Conclusions: Three Examples
	Analysis of PP vs. ITT results in three RCTs, including discussion of multiple critical issues with the ivermectin arm of the TOGETHER trial [Reis]: - conflicting and inconsistent decreases in PP vs. ITT groups between different tables an..
May 22 2023	Wada et al., Frontiers in Medicine, doi:10.3389/fmed.2023.1139046	Efficacy and safety of single-dose ivermectin in mild-to-moderate COVID-19: the double-blind, randomized, placebo-controlled CORVETTE-01 trial
	19% lower progression (p=0.46), 14% higher need for oxygen therapy (p=0.46), 23% worse improvement (p=0.61), and 60% improved recovery (p=0.17). Late treatment (6.6 days after onset/PCR+) RCT with 221 low risk (no deaths) COVID-19 patients in Japan, showing no significant difference in viral clearance with a single dose of ivermectin under fasting. Authors note that a single 200 μ..
May 10 2023	Llenas-García et al., Viruses, doi:10.3390/v15051138	Ivermectin Effect on In-Hospital Mortality and Need for Respiratory Support in COVID-19 Pneumonia: Propensity Score-Matched Retrospective Study
	17% lower mortality (p=0.82), 18% lower need for oxygen therapy (p=0.37), 23% lower progression (p=0.52), and 4% higher ICU admission (p=0.92). Retrospective 96 late stage patients receiving a single dose of 200 μg/kg ivermectin for strongyloides and 96 matched controls, showing no significant difference in outcomes. Authors note that this may be due to the low dose used.
May 3 2023	Kory, P., International Covid Summit III, European Parliament, Brussels	The Global War on Ivermectin
	Review of the clinical evidence for ivermectin for COVID-19 and the methods used in many countries to hide the efficacy, covering: extreme financial conflicts of interest, coordinated censorship, refusal of Merck to run a trial requested ..
Apr 25 2023	Babalola et al., Medical Research Archives, doi:10.18103/mra.v11i4.3778	The Place of Ivermectin in the Management of Covid-19: State of the Evidence
	Review of the clinical and epidemiological evidence of efficacy, in vitro and animal studies, and the mechanisms of action of ivermectin for COVID-19.
Apr 25 2023	Loo et al., Pharmaceutical Research, doi:10.1007/s11095-023-03520-1	Recent Advances in Inhaled Nanoformulations of Vaccines and Therapeutics Targeting Respiratory Viral Infections
	Review of nanoformulations for inhaled therapeutics for respiratory viral infections including COVID-19. Inhaled formulations can deliver treatment directly to the respiratory tract, enabling higher concentrations while minimising systemi..
Apr 21 2023	Munir et al., Healthcare, doi:10.3390/healthcare11081192	Clinical Disease Characteristics and Treatment Trajectories Associated with Mortality among COVID-19 Patients in Punjab, Pakistan
	48% lower mortality (p=0.13). Retrospective 1,000 hospitalized COVID-19 patients in Pakistan, showing lower mortality with ivermectin without statistical significance.
Mar 7 2023	Ragó et al., GeroScience, doi:10.1007/s11357-023-00756-y	Results of a systematic review and meta-analysis of early studies on ivermectin in SARS-CoV-2 infection
	Systematic review and meta analysis of trials within the first year of the pandemic, showing significantly faster viral clearance with ivermectin.
Feb 20 2023	Naggie et al., JAMA, doi:10.1001/jama.2023.1650	Effect of Higher-Dose Ivermectin for 6 Days vs Placebo on Time to Sustained Recovery in Outpatients With COVID-19: A Randomized Clinical Trial
	600µg/kg arm of ACTIV-6. Results of this trial are unreliable, with multiple critical anomalies, and no response from the authors. For details see [c19early].
Feb 15 2023	Ceballos et al., Biomedicine & Pharmacotherapy, doi:10.1016/j.biopha.2023.114391	Ivermectin systemic availability in adult volunteers treated with different oral pharmaceutical formulations
	Comparison of ivermectin as an oral solution, tablets, or capsules, showing >50% higher systemic exposure for the oral solution compared to tablets or capsules. Authors note that the oral solution improved absorption without risk of exces..
Jan 16 2023	Viglione et al., The Gazette of Medical Sciences, doi:10.46766/thegms.pubheal.22120905	Intravenous high dose vitamin C and ozonated saline effective treatment for Covid-19: The Evolution of Local Standard of Care
	Retrospective 479 high risk outpatients in the USA treated with a protocol including intravenous vitamin C, vitamin D, zinc, quercetin, bromelain, lactoferrin, HCQ, ivermectin, ozonated saline, azithromycin, ceftriaxone, methylprednisolon..
Jan 5 2023	Desort-Henin et al., ECCMID 2023 (results released 1/5/2023)	The SAIVE Trial, Post-Exposure use of ivermectin in Covid-19 prevention: Efficacy and Safety Results
	96% fewer cases (p<0.0001). PEP RCT 399 patients in Bulgaria showing significantly lower COVID-19 cases with ivermectin prophylaxis, and significantly lower cases with high viral load. No participant had severe symptoms, required oxygen, or was hospitalized. All pat..
Dec 12 2022	Sarojvisut et al., Infection & Chemotherapy, doi:10.3947/ic.2022.0127	An Open Label Randomized Controlled Trial of Ivermectin Plus Favipiravir-Based Standard of Care versus Favipiravir-Based Standard of Care for Treatment of Moderate COVID-19 in Thailand
	2% higher mortality (p=1), 104% higher ICU admission (p=0.62), 104% worse improvement (p=0.62), and 4% faster recovery (p=0.63). RCT low-risk hospitalized patients in Thailand reporting no significant difference with the addition of ivermectin to favipiravir based SOC. The trial was registered retrospectively [ thaiclinicaltrials.org ] . The primary outcome was WHO..
Dec 10 2022	Galal et al., Advances in Virology, doi:10.1155/2022/3014686	The Use of Mebendazole in COVID-19 Patients: An Observational Retrospective Single Center Study
	Retrospective 157 inpatients and 185 outpatients, showing improved recovery with mebendazole. For outpatients, the treatment group was younger (40 vs. 48). Mebendazole was offered to patients when ivermectin/HCQ were unavailable.
Nov 28 2022	Boschi et al., bioRxiv, doi:10.1101/2022.11.24.517882	SARS-CoV-2 Spike Protein Induces Hemagglutination: Implications for COVID-19 Morbidities and Therapeutics and for Vaccine Adverse Effects
	In vitro study showing that ivermectin blocked hemagglutination (clumping of red blood cells) when added to red blood cells prior to SARS-CoV-2 spike protein, and reversed hemagglutination when added afterwards. Spike protein from four li..
Nov 10 2022	De Forni et al., PLoS ONE, doi:10.1371/journal.pone.0276751	Synergistic drug combinations designed to fully suppress SARS-CoV-2 in the lung of COVID-19 patients
	Vero E6 in vitro study showing ivermectin and remdesivir to be highly synergistic with 6-13 times lower concentration required for 100% inhibition.
Oct 21 2022	Naggie et al., JAMA, doi:10.1001/jama.2022.18590	Effect of Ivermectin vs Placebo on Time to Sustained Recovery in Outpatients With Mild to Moderate COVID-19: A Randomized Clinical Trial
	The ACTIV-6 trial can be found under the original release date [Naggie].
Oct 21 2022	Ochoa-Jaramillo et al., Revista Infectio, doi:10.22354/24223794.1105	Clinical efficacy and safety of ivermectin (400 μg/kg, single dose) in patients with severe COVID-19: a randomized clinical trial
	57% lower mortality (p=0.35), 34% higher ventilation (p=0.62), and 37% higher ICU admission (p=0.52). RCT 75 very late stage patients in Colombia, showing no significant difference in outcomes with a single dose of 400μg/kg ivermectin.
Oct 17 2022	Scheim, D., Center for Open Science, doi:10.31219/osf.io/sgdj2	From Cold to Killer: How SARS-CoV-2 Evolved without Hemagglutinin Esterase to Agglutinate and Then Clot Blood Cells
	Review of how SARS-CoV-2 evolved to agglutinate and clot blood cells without hemagglutinin esterase (HE). Author proposes a "catch and clump" mechanism where SARS-CoV-2 binds and clumps red blood cells (RBCs) and other cells via..
Sep 27 2022	Marinos, A., Do Your Own Research, 9/27	Did Use Of Ivermectin In Latin America Sabotage Clinical Trials and Confuse The World Of Medicine?
	Meta analysis of ivermectin trials showing community use of ivermectin in Latin America associated with lower observed efficacy in trials, consistent with the side effect profiles, Google Trends analysis, and investigator statements. Auth..
Sep 26 2022	Mikamo et al., Journal of Infection and Chemotherapy, doi:10.1016/j.jiac.2023.12.012 (date from news release)	Efficacy and safety of ivermectin in patients with mild COVID-19 in Japan and Thailand
	205% higher progression (p=0.49), 4% worse improvement (p=0.62), and 4% improved recovery (p=0.72). RCT very low risk patients (mean age 35.7, SpO₂ 97.4) showing no significant differences with rapid recovery and almost no progression in both groups. The groups were unbalanced. There were 41% more patients with dyspnea at baseline in th..
Sep 22 2022	Sobrinho et al., Medicina Clínica Práctica, doi:10.1016/j.mcpsp.2022.100346	Clinical protocol for early treatment of COVID-19 in a real-world scenario: Results of a series of patients
	Retrospective 116 patients between May and September 2020 in Brazil receiving an early treatment protocol including ivermectin and azithromycin, showing no mortality compared to up to 5.7% CFR in Brazil during the study period.
Sep 19 2022	Aref et al., Infection and Drug Resistance, doi:10.2147/IDR.S381715	Possible Role of Ivermectin Mucoadhesive Nanosuspension Nasal Spray in Recovery of Post-COVID-19 Anosmia
	74% faster recovery (p=0.0005). 96 patient RCT showing faster resolution of post-COVID anosmia with an ivermectin nanosuspension nasal spray.
Sep 16 2022	Kory, P., Pierre Kory’s Medical Musings	The Criminal Censorship of Ivermectin's Efficacy By The High-Impact Medical Journals - Part 1
	Review of censorship and negative publication bias for ivermectin research.
Sep 15 2022	Uematsu et al., The Journal of Antibiotics, doi:10.1038/s41429-023-00623-0 (date from preprint)	Prophylactic administration of ivermectin attenuates SARS-CoV-2 induced disease in a Syrian Hamster Model
	Hamster study showing that prophylactic ivermectin inhibited COVID-19 weight loss, reduced lung viral titer by a factor of 10, inhibited pulmonary inflammatory cytokine expression, and reduced the severity of pathological changes with a s..
Sep 1 2022	Akhtar et al., The Professional Medical Journal, doi:10.29309/TPMJ/2022.29.09.6634	Does ivermectin reduce COVID-19 mortality and progression of disease severity? – A retrospective study
	90% lower mortality (p<0.0001), 72% lower ICU admission (p=0.0006), 80% higher hospital discharge (p<0.0001), and 59% faster viral clearance (p<0.0001). Retrospective 423 patients in Pakistan, 216 receiving 6 day treatment, showing lower mortality, lower ICU admission, and faster viral clearance with treatment. Limited baseline information per group is provided. There were more severe pat..
Aug 31 2022	Qadeer et al., Pakistan Journal of Medical and Health Sciences, doi:10.53350/pjmhs2216824	Ivermectin A Potential Treatment In Covid-19, Related to Critical Illness
	58% improved viral clearance (p<0.0001). Prospective convenience sampling study of 210 hospitalized age-matched COVID-19 patients, showing faster viral clearance with ivermectin. Baseline information per group is not provided.
Aug 18 2022	Gkioulekas et al., COVID, doi:10.3390/covid2080084	Statistical Analysis Methods Applied to Early Outpatient COVID-19 Treatment Case Series Data
	Retrospective analysis of case series data from 3,164 high-risk COVID-19 outpatients treated with early multidrug protocols similar to the McCullough protocol, including hydroxychloroquine, ivermectin, zinc, azithromycin, vitamin C, vitam..
Aug 18 2022	Bramante et al., NEJM, doi:10.1056/NEJMoa2201662	Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19
	COVID-OUT remote RCT, showing no significant differences compared to a combined metformin/placebo "control" group. Results for other treatments are listed separately - metformin , fluvoxamine . Authors include metformin patients in the co..
Aug 12 2022	Kory, P., Pierre Kory’s Medical Musings	The Miracle Not-Heard Around The World: The Success of Uttar Pradesh
	Detailed review of Uttar Pradesh's use of ivermectin, the dramatically better results compared to states declining ivermectin, and the censorship of ivermectin use. If Uttar Pradesh was a country, it would be the 6th largest in the world.
Aug 10 2022	Chellasamy et al., Journal of King Saud University - Science, doi:10.1016/j.jksus.2022.102277	Docking and molecular dynamics studies of human ezrin protein with a modelled SARS-CoV-2 endodomain and their interaction with potential invasion inhibitors
	In silico study of SARS-CoV-1&2 endodomains and ezrin docking, identifying ivermectin, quercetin, calcifediol, calcitriol, selamectin, and minocycline as potential therapeutic drugs with strong ezrin binding which may restrict viral endod..
Aug 10 2022	Al-kuraishy et al., Current Drug Targets, doi:10.2174/1389450123666220810102406	Central effects of Ivermectin in alleviation of Covid-19-induced dysautonomia
	Review of the potential benefits of ivermectin for mitigating SARS-CoV-2 infection-induced dysautonomia.
Jul 23 2022	Marcolino et al., BMC Infectious Diseases, doi:10.1186/s12879-022-07589-8	Systematic review and meta-analysis of ivermectin for treatment of COVID-19: evidence beyond the hype
	Meta analysis including 25 of studies ( RCTs), with only 10 and 8 reporting mortality and mechanical ventilation results, finding lower mortality and mechanical ventilation without statistical significance. The conclusion is incorrect, d..
Jul 19 2022	Schilling et al., eLife, doi:10.7554/eLife.83201 (date from preprint)	Pharmacometrics of high dose ivermectin in early COVID-19: an open label, randomized, controlled adaptive platform trial (PLATCOV)
	86% lower progression (p=0.24) and 9% worse viral clearance (p=0.36). Very high conflict of interest RCT with design optimized for a null result: very low risk patients, high existing immunity, post-hoc change to exclude patients more likely to benefit. There was no significant difference in viral clearance..
Jul 11 2022	Hazan, S., Frontiers in Microbiology, doi:10.3389/fmicb.2022.952321	Microbiome-Based Hypothesis on Ivermectin’s Mechanism in COVID-19: Ivermectin Feeds Bifidobacteria to Boost Immunity
	Hypothesis for an additional mechanism of action for ivermectin: inhibition of pro-inflammatory cytokines due to enhanced replication of Bifidobacterium. This article was censored by the journal stating concerns "regarding the scient..
Jul 8 2022	Saha et al., Pharmaceutics, doi:10.3390/pharmaceutics14071432	Manipulation of Spray-Drying Conditions to Develop an Inhalable Ivermectin Dry Powder
	Development and analysis of an inhalable dry powder formulation of ivermectin. Authors optimized the formulation to have good aerosolization properties for lung delivery. The powder maintained ivermectin's ability to inhibit SARS-CoV-2 re..
Jul 4 2022	Elshafie et al., Expert Review of Anti-infective Therapy, doi:10.1080/14787210.2022.2098113	RETRACTED: Ivermectin Role in COVID-19 Treatment (IRICT): single center, adaptive, randomized, double-blind, placebo controlled, clinical trial
	This study was retracted due to data integrity and validity concerns [tandfonline.com]. Data in this study was anomalous, for example at day 14 ivermectin simultaneously showed 4x greater chance of recovery and 26x greater mortality. Figu..
Jun 30 2022	Umar et al., Jurnal Teknologi Laboratorium, doi:10.29238/teknolabjournal.v11i1.344	Inhibitory potentials of ivermectin, nafamostat, and camostat on spike protein and some nonstructural proteins of SARS-CoV-2: Virtual screening approach
	In silico study of ivermectin, camostat, and nafamostat, showing that ivermectin had the best inhibitory action on the SARS-CoV-2 spike protein and Nsp10, while nafamostat had the best results for the other non-structural proteins. Author..
Jun 29 2022	Nimitvilai et al., Journal of Global Infectious Diseases, doi:10.4103/jgid.jgid_281_21	A randomized controlled trial of combined ivermectin and zinc sulfate versus combined hydroxychloroquine, darunavir/ritonavir, and zinc sulfate among adult patients with asymptomatic or mild coronavirus-19 infection
	33% improved viral clearance (p=0.12). RCT low-risk patients in Thailand comparing HCQ, darunavir/ritonavir, and zinc, with ivermectin and zinc, showing no significant differences. All patients recovered. 65% of patients were asymptomatic at baseline, 26% were PCR- at baseline..
Jun 23 2022	Mirahmadizadeh et al., Respirology, doi:10.1111/resp.14318	Efficacy of single-dose and double-dose ivermectin early treatment in preventing progression to hospitalization in mild COVID-19: A multi-arm, parallel-group randomized, double-blind, placebo-controlled trial
	67% lower ventilation (p=0.37), 46% lower hospitalization (p=0.22), and 39% improved recovery (p=0.27). RCT with 131 24mg ivermectin, 130 12mg ivermectin, and 130 placebo patients, showing no significant differences in outcomes. Lower ventilation and hospitalization was seen with treatment, in a dose-dependent manner, but not reaching stati..
Jun 21 2022	Popp et al., Cochrane Database of Systematic Reviews, doi:10.1002/14651858.CD015017.pub3	Ivermectin for preventing and treating COVID-19
	Highly biased meta analysis. Authors originally wrote a highly biased meta analysis that avoided statistical significance on individual outcomes with extreme exclusions [ Popp ] , although efficacy was still seen when looking across all o..
Jun 18 2022	Jitobaom et al., BMC Pharmacology and Toxicology, doi:10.1186/s40360-022-00580-8 (date from preprint)	Synergistic anti-SARS-CoV-2 activity of repurposed anti-parasitic drug combinations
	In vitro study showing a strong synergistic effect of combinations of ivermectin, niclosamide, and chloroquine, with >10x reduction in IC₅₀ compared to individual drugs.
Jun 16 2022	Rezai et al., Frontiers in Medicine, doi:10.3389/fmed.2022.919708	Non-effectiveness of Ivermectin on Inpatients and Outpatients With COVID-19; Results of Two Randomized, Double-Blinded, Placebo-Controlled Clinical Trials
	9% higher ICU admission (p=0.95), 36% higher hospitalization (p=0.41), 2% worse recovery (p=0.49), and 23% worse viral clearance (p=0.16). RCT 549 low risk outpatients in Iran. Reported outcomes are very different from the pre-specified outcomes [irct.ir]. The inpatient trial is listed separately. The pre-specified primary clinical outcome was not reported. The reported comp..
Jun 16 2022	Rezai et al., Frontiers in Medicine, doi:10.3389/fmed.2022.919708	Non-effectiveness of Ivermectin on Inpatients and Outpatients With COVID-19; Results of Two Randomized, Double-Blinded, Placebo-Controlled Clinical Trials
	31% lower mortality (p=0.36), 50% lower ventilation (p=0.07), 16% lower ICU admission (p=0.47), and 11% longer hospitalization (p=0.009). RCT 609 inpatients in Iran. Reported outcomes are very different from the pre-specified outcomes [irct.ir]. The outpatient trial is listed separately. From the pre-specified outcomes, all are either positive or not reported. Pre-specified..
Jun 14 2022	Williams, T., Do Your Own Research	Not All Ivermectin Is Created Equal: Comparing The Quality of 11 Different Ivermectin Sources
	In vitro analysis of ivermectin from 11 different sources showing highly variable antiparasitic efficacy. Multiple sources and brands were more effective than the US mass produced Edenbridge brand.
Jun 13 2022	Shafiee et al., Virology Journal, doi:10.1186/s12985-022-01829-8	Ivermectin under scrutiny: a systematic review and meta-analysis of efficacy and possible sources of controversies in COVID-19 patients
	Meta analysis including 17 of studies ( RCTs), finding significantly lower mortality with ivermectin. All seven outcomes favor ivermectin, while statistical significance is reached only for mortality. The conclusion is incorrect, authors..
Jun 12 2022	Naggie et al., JAMA, doi:10.1001/jama.2022.18590	Effect of Ivermectin vs Placebo on Time to Sustained Recovery in Outpatients With Mild to Moderate COVID-19: A Randomized Clinical Trial
	257% higher combined mortality/hospitalization (p=0.11), 5% higher hospitalization (p=1), 68% lower progression (p=0.36), and 2% faster recovery (p=0.71). RCT low-risk outpatients with very late treatment (median 6 days, 25% ≥8 days) in the USA, showing 98% probability of efficacy for clinical progression at day 14, a treatment delay-response relationship, and significant efficacy for patie..
Jun 12 2022	Angkasekwinai et al., Antibiotics, doi:10.3390/antibiotics11060796	Safety and Efficacy of Ivermectin for the Prevention and Treatment of COVID-19: A Double-Blinded Randomized Placebo-Controlled Study
	Low-risk RCT in Thailand with zero mortality, reporting no significant differences with the addition of ivermectin to favipiravir treatment. The study as reported does not make sense as detailed below. All participants had suspected COVID..
May 27 2022	George et al., Indian Journal of Hematology and Blood Transfusion, doi:10.1007/s12288-022-01546-w	Single Dose of Ivermectin is not Useful in Patients with Hematological Disorders and COVID-19 Illness: A Phase II B Open Labelled Randomized Controlled Trial
	30% lower mortality (p=0.55), 19% faster recovery (p=0.37), 33% lower progression (p=0.41), and 33% worse viral clearance (p=0.5). RCT with 35 single dose 24mg, 38 single dose 12mg, and 39 SOC hospitalized patients with hematological illnesses in India, showing no significant differences. Results were better for 24mg vs. 12mg for all symptomatic outcomes. Viral clear..
May 27 2022	Schwartz, E., New Microbes and New Infections, doi:10.1016/j.nmni.2022.100989	Does ivermectin have a place in the treatment of mild Covid-19?
	Discussion of ivermectin research compared to paxlovid and molnupiravir. Author includes a meta analysis of low-risk-of-bias studies showing significantly lower hospitalization for outpatient treatment with ivermectin. This efficacy is se..
May 23 2022	Marques et al., Brazilian Journal of Biology, doi:10.1590/1519-6984.258325	Ivermectin as a possible treatment for COVID-19: a review of the 2022 protocols
	Review of ivermectin as a possible treatment for COVID-19, focusing on 2022 protocols. Authors discuss the long history of safe ivermectin use in humans for parasitic infections, noting its promising in vitro activity against SARS-CoV-2, ..
May 23 2022	de la Rocha et al., BMC Infectious Diseases, doi:10.1186/s12879-022-07890-6 (date from preprint)	Ivermectin compared with placebo in the clinical course in Mexican patients with asymptomatic and mild COVID-19: a randomized clinical trial
	15% worse recovery (p=0.58) and 2% improved viral clearance (p=0.64). Small low-risk patient RCT with 30 low-dose ivermectin and 26 control patients, with no primary outcome events in either arm. Viral load was significantly better with ivermectin on day 5, while there was no significant difference on day 1..
May 20 2022	Valerio Pascua et al., Epidemiology International Journal, doi:10.23880/eij-16000234	Repurposing Drugs for Covid-19 by a Developing Country
	Review of a multiphasic multidrug early treatment protocol for COVID-19 in Honduras, showing one death from 415 patients, which was for a patient not receiving early treatment (presenting on the 5th day in need of hospitalization and supp..
May 20 2022	Silva et al., Frontiers in Cellular and Infection Microbiology, doi:10.3389/fcimb.2022.899702	Clinical-Epidemiology Aspect of Inpatients With Moderate or Severe COVID-19 in a Brazilian Macroregion: Disease and Countermeasures
	32% lower mortality (p=0.57). Retrospective 395 hospitalized patients in Brazil, showing mortality HR 0.59 for antiparasitic use, however there were only 8 patients treated and authors do not distinguish between albendazole and ivermectin.
May 14 2022	Alvarado et al., Computational Biology and Chemistry, doi:10.1016/j.compbiolchem.2022.107692	Interaction of the New Inhibitor Paxlovid (PF-07321332) and Ivermectin With the Monomer of the Main Protease SARS-CoV-2: A Volumetric Study Based on Molecular Dynamics, Elastic Networks, Classical Thermodynamics and SPT
	In silico study comparing ivermectin and paxlovid M^pro interaction, showing similar interaction for paxlovid and the ivermectin B1a homologue, a different mechanism for ivermectin B1b, and interaction at different sites for paxlovid.
May 8 2022	Croci et al., International Journal of Biomaterials, doi:10.1155/2016/8043983	Liposomal Systems as Nanocarriers for the Antiviral Agent Ivermectin
	In vitro study of liposomal formulations of ivermectin showing up to 5 times lower cytotoxicity and increased antiviral activity in Dengue strains.
Apr 27 2022	Babalola et al., Research Square, doi:10.21203/rs.3.rs-1576399/v1	Ivermectin is associated with increase in SPO2 in hypoxemic SARS-CoV-2 patients: pharmacodynamic profile and correlates
	Extended analysis of [Thairu], showing significantly faster and greater improvement in SpO₂ with ivermectin treatment.
Apr 13 2022	Marinos, A., Do Your Own Research, 4/13	The Problem With The TOGETHER Trial
	Analysis of serious problems with the Together Trial. Also see [Marinos].
Apr 11 2022	Zheng et al., International Journal of Pharmaceutics, doi:10.1016/j.ijpharm.2022.121719	Red blood cell-hitchhiking mediated pulmonary delivery of ivermectin: Effects of nanoparticle properties
	In vitro and mouse study proposing a method for improving ivermectin pharmacokinetics and bioavailability using delivery via red blood cells.
Apr 6 2022	Ravikirti et al., Research Square, doi:10.21203/rs.3.rs-1522422/v1	Association between Ivermectin treatment and mortality in Covid-19: A hospital-based case-control study
	3% lower mortality (p=0.82). Retrospective 965 late stage (44% severe, 27% ICU) hospitalized patients in India, showing no significant difference with ivermectin treatment. Overall mortality was very high, suggesting very late treatment. The low non-weight-adjusted d..
Apr 2 2022	Delandre et al., Pharmaceuticals, doi:10.3390/ph15040445	Antiviral Activity of Repurposing Ivermectin against a Panel of 30 Clinical SARS-CoV-2 Strains Belonging to 14 Variants
	In vitro study with 30 COVID-19 strains from 14 variants, showing stronger efficacy with ivermectin compared to CQ and remdesivir, and relatively homogeneous efficacy with ivermectin regardless of strain/variant, in contrast to results fo..
Mar 25 2022	Aminpour et al., Computation, doi:10.3390/computation10040051	In Silico Analysis of the Multi-Targeted Mode of Action of Ivermectin and Related Compounds
	In silico analysis identifying strong or moderate affinity bindings for ivermectin to multiple sites on the spike protein, CD147 and α7nAChr, which may provide effective competitive binding for all variants of SARS-CoV-2. Ivermectin had t..
Mar 21 2022	Bitterman et al., JAMA Network Open, doi:10.1001/jamanetworkopen.2022.3079	Comparison of Trials Using Ivermectin for COVID-19 Between Regions With High and Low Prevalence of Strongyloidiasis
	Analysis of a small subset of 12 ivermectin trials showing a relationship with efficacy and strongyloides prevalence. This analysis is confounded by treatment delay, dose, conflicts of interest, and other factors, and the effect disappear..
Mar 18 2022	Albariqi et al., International Journal of Pharmaceutics, doi:10.1016/j.ijpharm.2022.121688	Pharmacokinetics and Safety of Inhaled Ivermectin in Mice as a Potential COVID-19 Treatment
	Mouse study of an inhaled ivermectin formulation, showing high concentrations in the lung and bronchoalveolar lavage fluid, exceeding the required concentration for efficacy based on in vitro studies.
Mar 15 2022	Uniyal et al., International Journal of Health Sciences, doi:10.53730/ijhs.v6nS1.4792	Effect of Ivermectin mass drug administration on the COVID-19 Pandemic
	Analysis of mass administration of ivermectin for COVID-19 in Uttarakhand compared to four other states not adopting ivermectin, showing a sharp fall in cases compared to the other states at the time of maximum coverage of ivermectin dist..
Mar 11 2022	Albariqi et al., Journal of Aerosol Medicine and Pulmonary Drug Delivery, doi:10.1089/jamp.2021.0059	Preparation and Characterization of Inhalable Ivermectin Powders as a Potential COVID-19 Therapy
	Creation and analysis of an inhalable dry powder formulation of ivermectin for COVID-19.
Mar 7 2022	Harper, P.	Professor tied to altered Andrew Hill paper also prepared 'Ivermectin Evidence' for World Health Organisation
	Forensic analysis of the Hill meta analysis discovering an unlisted author potentially connected to changes and also related to the WHO ivermectin analysis. Author notes that "the person who allegedly edited the Andrew Hill paper ..
Mar 4 2022	Lawrie, T.	A Letter to Dr. Andrew Hill
	Documentary about the external forces changing the conclusions of the Hill et al. meta analysis, and the subsequent negative impact around the world.
Mar 3 2022	Therapeutic Goods Administration, News Release, March 2022	TGA cautions consumers over counterfeit ivermectin
	News release from the Australian Therapeutic Goods Administration warning about counterfeit ivermectin tablets.
Mar 2 2022	Soto et al., PLOS ONE, doi:10.1371/journal.pone.0264789	Mortality and associated risk factors in patients hospitalized due to COVID-19 in a Peruvian reference hospital
	41% higher mortality (p=0.001). Retrospective 1,418 very late stage (46% mortality) patients in Peru, showing higher mortality with ivermectin. There is strong confounding by indication, for example 48% of patients with baseline SpO₂ <70% were treated compared with 22% ..
Feb 28 2022	Efimenko et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2021.12.096	Treatment with Ivermectin Is Associated with Decreased Mortality in COVID-19 Patients: Analysis of a National Federated Database
	69% lower mortality (p<0.0001). PSM retrospective 41,608 patients in the USA, 1,072 treated with ivermectin and 40,536 treated with remdesivir, showing lower mortality with ivermectin treatment. This study was presented at a conference (IMED 2021). Submissions were peer..
Feb 25 2022	Thairu et al., Journal of Pharmaceutical Research International, doi:10.9734/jpri/2022/v34i44A36328 (date from preprint)	A Comparison of Ivermectin and Non Ivermectin Based Regimen for COVID-19 in Abuja: Effects on Virus Clearance, Days-to-discharge and Mortality
	88% lower mortality (p=0.12), 55% higher hospital discharge (p=0.0001), and 95% improved viral clearance (p=0.001). PSM retrospective 87 patients in Nigeria, 61 treated with ivermectin, showing lower mortality, faster recovery, and faster viral clearance with ivermectin treatment. All patients received zinc and vitamin C. A synergistic effect was seen ..
Feb 18 2022	Lim et al., JAMA, doi:10.1001/jamainternmed.2022.0189 (data 11/3/21)	Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and Comorbidities: The I-TECH Randomized Clinical Trial
	The I-TECH RCT can be found at [c19ivm.org]. Studies are listed under the date they first became available (November 3, 2021 for this study).
Feb 6 2022	Kerr et al., Cureus, doi:10.7759/cureus.28624 (date from preprint)	Regular Use of Ivermectin as Prophylaxis for COVID-19 Led Up to a 92% Reduction in COVID-19 Mortality Rate in a Dose-Response Manner: Results of a Prospective Observational Study of a Strictly Controlled Population of 88,012 Subjects
	92% lower mortality (p=0.0008). PSM multivariable analysis of the Itajaí trial showing significantly lower mortality with regular use of ivermectin prophylaxis. Immortal time bias may significantly affect these results. See [Mills] regarding [medrxiv.org].
Feb 2 2022	Manomaipiboon et al., Trials, doi:10.1186/s13063-022-06649-3 (date from preprint)	Efficacy and safety of ivermectin in the treatment of mild-to-moderate COVID-19 infection: A randomized, double blind, placebo, controlled trial
	43% improved recovery (p=0.26) and 5% improved viral clearance (p=1). Small RCT with 72 low-risk patients in Thailand, showing improved recovery with ivermectin, without statistical significance. All patients recovered and there was no escalation of care in either group. There were no adverse events.
Jan 31 2022	Kowa, Press Release	Antiviral effect of ivermectin confirmed for omicron
	Kowa reports that ivermectin is effective for omicron in in vitro research.
Jan 25 2022	Malektojari et al., Asian Pacific Journal of Tropical Medicine, doi:10.4103/1995-7645.364007	Efficacy and safety of ivermectin in patients with mild and moderate COVID-19: A randomized controlled trial
	Small trial with 50% of patients missing without explanation. The protocol and registration show both outpatient and inpatient inclusion, with 60 patients in each group, a total of 120 patients, and enrollment completed as of July 11, 202..
Jan 24 2022	de Jesús Ascencio-Montiel et al., Archives of Medical Research, doi:10.1016/j.arcmed.2022.01.002	A Multimodal Strategy to Reduce the Risk of Hospitalization/death in Ambulatory Patients with COVID-19
	59% lower combined mortality/hospitalization (p<0.0001), 15% lower mortality (p=0.16), 9% lower ventilation (p=0.51), and 48% lower hospitalization (p<0.0001). Retrospective 28,048 COVID+ patients in Mexico, 7,898 receiving a treatment kit including low dose ivermectin, AZ, aspirin, and acetaminophen, shower lower mortality/hospitalization for those receiving the kit. Delivery of the treatment k..
Jan 23 2022	Liu et al., Stem Cell Reports, doi:10.1016/j.stemcr.2022.01.014 (date from preprint)	Genome-wide analyses reveal the detrimental impacts of SARS-CoV-2 viral gene Orf9c on human pluripotent stem cell-derived cardiomyocytes
	In vitro study showing that ivermectin and meclizine treatment may minimize SARS-CoV-2-induced cardiac damage by reducing Orf9c-induced apoptosis and dysfunction. Using human pluripotent stem cell-derived cardiomyocytes, authors show that..
Jan 20 2022	Parvez et al., Immunity, Inflammation and Disease, doi:10.1002/iid3.639 (date from preprint)	Insights from a computational analysis of the SARS-CoV-2 Omicron variant: Host–pathogen interaction, pathogenicity, and possible drug therapeutics
	In silico analysis of the omicron variant and 10 treatments reported effective for previous variants, predicting that all will be effective for omicron, with ivermectin showing the best results.
Jan 18 2022	Zubair et al., Monaldi Archives for Chest Disease, doi:10.4081/monaldi.2022.2062	The effect of ivermectin on non-severe and severe COVID-19 disease and gender-based difference of its effectiveness
	9% higher mortality (p=1) and 8% longer hospitalization (p=0.4). Retrospective 188 hospitalized patients in Pakistan, 90 treated with ivermectin, showing no significant differences with treatment. The ivermectin group had more severe disease (66% vs 58%, with 6x higher risk for severe disease patients)..
Jan 13 2022	Tyson et al., Journal of Independent Medicine, doi:10.71189/JIM/2025/V01N02A06 (date from preprint)	Low Rates of Hospitalization and Death in 4376 COVID-19 Patients Treated With Early Ambulatory Medical and Supportive Care: A Case Series and Observational Study
	98% lower mortality (p<0.0001) and 99% lower hospitalization (p<0.0001). Retrospective 4,376 patients with mild/moderate COVID-19 in the USA treated with multiple medications including HCQ/ivermectin, zinc, azithromycin, budesonide, and dexamethasone (exact treatments specific to each patient), showing signifi..
Dec 31 2021	Abbas et al., Indian Journal of Pharmaceutical Sciences, doi:10.36468/pharmaceutical-sciences.spl.416	The Effect of Ivermectin on Reducing Viral Symptoms in Patients with Mild COVID-19
	41% lower progression (p=0.54) and 36% improved recovery (p=0.04). RCT 99 ivermectin and 103 control low risk patients in China, up to 7 days from symptom onset, showing statistically significant improvement in recovery with treatment, and non-statistically significant improvements in recovery time and..
Dec 31 2021	Kerr et al., ResearchGate, doi:10.13140/RG.2.2.26793.52327	COVID-19 In-Hospital Mortality Rate is Reduced by Prophylactic Use of Ivermectin: Findings From a City-Wide, Prospective Observational Study Using Propensity Score Matching (PSM)
	45% lower mortality (p=0.05). PSM retrospective 378 hospitalized patients in Brazil, showing lower mortality for patients that were on ivermectin prophylaxis before admission (not taking into account the lower risk of being hospitalized shown in the related larger stu..
Dec 31 2021	Shimizu et al., Journal of Infection and Chemotherapy, doi:10.1016/j.jiac.2021.12.024	Ivermectin administration is associated with lower gastrointestinal complications and greater ventilator-free days in ventilated patients with COVID-19: A propensity score analysis
	100% lower mortality (p=0.001), 48% lower ventilation (p=0.03), 43% lower ICU admission (p=0.06), and 78% lower progression (p=0.03). Retrospective 88 ventilated COVID-19 patients in Japan, 39 treated with ivermectin within 3 days of admission, showing significantly reduced incidence of GI complications and mortality, and increased ventilator-free days with treatment.
Dec 30 2021	Semiz, S., Biomolecular Concepts, doi:10.1515/bmc-2021-0017	SIT1 transporter as a potential novel target in treatment of COVID-19
	Review of the potential connections between SLC6A20/SIT1, ACE2, Type 2 Diabetes, and COVID-19 severity. This provides another potential mechanism of action for ivermectin as a partial agonist of glycine-gated chloride channels, interferin..
Dec 29 2021	Mustafa et al., Exploratory Research in Clinical and Social Pharmacy, doi:10.1016/j.rcsop.2021.100101	Pattern of medication utilization in hospitalized patients with COVID-19 in three District Headquarters Hospitals in the Punjab province of Pakistan
	64% lower mortality (p=0.09). Retrospective 444 hospitalized patients in Pakistan, showing lower mortality with ivermectin treatment in unadjusted results, not reaching statistical significance. Ivermectin was mostly used with patients in severe condition. Dose ranged..
Dec 28 2021	Baguma et al., Research Square, doi:10.21203/rs.3.rs-1193578/v1	Characteristics of the COVID-19 patients treated at Gulu Regional Referral Hospital, Northern Uganda: A cross-sectional study
	97% lower mortality (p=0.31). Retrospective COVID+ hospitalized patients in Uganda, showing no statistically significant difference in mortality with ivermectin, however there were only 7 patients receiving ivermectin.
Dec 21 2021	Zaidi et al., The Journal of Antibiotics, doi:10.1038/s41429-021-00491-6	The mechanisms of action of ivermectin against SARS-CoV-2—an extensive review
	Extensive review of 20 mechanisms of action of ivermectin for SARS-CoV-2.
Dec 14 2021	Therapeutic Goods Administration, News Release, December 2021	TGA warns about imports of ivermectin
	News release from the Australian Therapeutic Goods Administration warning about counterfeit ivermectin tablets.
Dec 13 2021	Jamir et al., Cureus, doi:10.7759/cureus.20394	Determinants of Outcome Among Critically Ill Police Personnel With COVID-19: A Retrospective Observational Study From Andhra Pradesh, India
	53% higher mortality (p=0.13). Retrospective 266 COVID-19 ICU patients in India, showing significantly lower mortality with PVP-I oral gargling and topical nasal use, and non-statistically significant higher mortality with ivermectin and lower mortality with remdesivir..
Dec 11 2021	Kerr et al., Cureus, doi:10.7759/cureus.21272 (date from preprint)	Ivermectin Prophylaxis Used for COVID-19: A Citywide, Prospective, Observational Study of 223,128 Subjects Using Propensity Score Matching
	70% lower mortality (p<0.0001), 67% lower hospitalization (p<0.0001), and 44% fewer cases (p<0.0001). PSM retrospective 220,517 patients in Brazil,133,051 taking ivermectin as part of a citywide prophylaxis program, showing significantly lower hospitalization and mortality with treatment. Additional results are presented here: [odysee.com..
Dec 4 2021	Wentzel et al., Open Forum Infectious Diseases, doi:10.1093/ofid/ofab466.728	Systematic Review and Meta-Analysis of Ivermectin Safety Profile in COVID-19 Trials
	Systematic review and meta-analysis of safety in ivermectin COVID-19 trials, showing no significant difference in adverse events between treatment and control arms. Authors conclude that ivermectin is safe and well-tolerated.
Dec 1 2021	Behl et al., Science of The Total Environment, doi:10.1016/j.scitotenv.2021.152072	CD147-spike protein interaction in COVID-19: Get the ball rolling with a novel receptor and therapeutic target
	Review of the cluster of differentiation 147 (CD147) transmembrane protein as an entry route for SARS-CoV-2, correlation with observed characteristics of COVID-19, and relevant potential therapeutics including azithromycin, melatonin, sta..
Nov 26 2021	Ferreira et al., Revista da Associação Médica Brasileira, doi:10.1590/1806-9282.20210661	Outcomes associated with Hydroxychloroquine and Ivermectin in hospitalized patients with COVID-19: a single-center experience
	54% higher combined mortality/intubation (p=0.37). Retrospective 230 hospitalized patients in Brazil showing no significant difference with ivermectin treatment. Authors note that the treatments were more likely to be offered to sicker patients. Authors note that they do not know if treat..
Nov 23 2021	Ozer et al., Journal of Medical Virology, doi:10.1002/jmv.27469	Effectiveness and Safety of Ivermectin in COVID-19 Patients: A Prospective Study at A Safety-Net Hospital
	75% lower mortality (p=0.09), 13% lower ventilation (p=0.2), and 9% longer hospitalization (p=0.09). Small prospective PSM study in the USA, showing 75% lower mortality with ivermectin treatment, without reaching statistical significance, significantly shorter ventilation and ICU time, and longer hospitalization time. Authors leave the s..
Nov 17 2021	Samajdar et al., Journal of the Association of Physicians India, 69:11	Ivermectin and Hydroxychloroquine for Chemo-Prophylaxis of COVID-19: A Questionnaire Survey of Perception and Prescribing Practice of Physicians vis-a-vis Outcomes
	80% fewer cases (p<0.0001). Physician survey in India with 164 ivermectin prophylaxis, 129 HCQ prophylaxis, and 81 control patients, showing significantly lower COVID-19 cases with treatment. Details of the treatment and control groups and the definition of cases ar..
Nov 9 2021	Stone et al., Biologics, doi:10.3390/biologics2030015 (date from preprint)	Changes in SpO2 on Room Air for 34 Severe COVID-19 Patients after Ivermectin-Based Combination Treatment: 62% Normalization within 24 Hours
	Retrospective severe COVID-19 patients in Zimbabwe treated with ivermectin, doxycycline, and zinc. For 34 with SpO₂ tracking, there was rapid improvement in SpO₂, with 55% recovery towards SpO₂ 97 within 12 hours. The preprint shows furth..
Nov 3 2021	Lim et al., JAMA, doi:10.1001/jamainternmed.2022.0189 (data 11/3/21)	Efficacy of Ivermectin Treatment on Disease Progression Among Adults With Mild to Moderate COVID-19 and Comorbidities: The I-TECH Randomized Clinical Trial
	69% lower mortality (p=0.09), 59% lower ventilation (p=0.17), 22% lower ICU admission (p=0.79), and 31% lower progression (p=0.29). RCT 490 late stage (>65% lung change chest radiography at baseline) hospitalized patients in Malaysia, showing no significant differences. Mortality was 1.2% for ivermectin vs. 4% for control. If the same event rates continued, the trial ..
Oct 30 2021	Rezk et al., Zagazig University Medical Journal, doi:10.21608/zumj.2021.92746.2329	miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin
	56% lower progression (p=0.06), 33% improved recovery (p=0.27), and 27% faster viral clearance (p=0.01). Prospective 320 hospitalized moderate COVID-19+ patients in Egypt, 160 treated with ivermectin, showing lower mortality, improved recovery, and decreased cytokine expression with treatment. All patients were treated with HCQ. 7890/26-8-20..
Oct 28 2021	Verma et al., Indian Journal of Community Health, 33:3	Assessing Knowledge, Attitude, and Practices towards Ivermectin Pre-exposure Prophylaxis for COVID-19 among Health Care Workers
	Survey of 306 healthcare workers involved in the medication of COVID-19 patients in India. 71% indicated that ivermectin had a protective effect for COVID-19.
Oct 20 2021	Low et al., Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease, doi:10.1016/j.bbadis.2021.166294	Repositioning Ivermectin for Covid-19 treatment: Molecular mechanisms of action against SARS-CoV-2 replication
	Review of the antiviral characteristics of ivermectin and mechanisms of action. Authors note that ivermectin has proven effective for HIV-1, Adenovirus, flu, SARS-CoV, and more; due to genomic similarity between SARS-CoV-2 and SARS-CoV, t..
Oct 19 2021	Borody et al., TrialSite News	Combination Therapy For COVID-19 Based on Ivermectin in an Australian Population
	92% lower mortality (p=0.03) and 93% lower hospitalization (p<0.0001). Retrospective 600 PCR+ outpatients in Australia treated with ivermectin, zinc, and doxycycline, showing significantly lower mortality and hospitalization with treatment. This trial uses a synthetic control group, and the preliminary repor..
Oct 15 2021	Segatori et al., Viruses, doi:10.3390/v13102084	Effect of Ivermectin and Atorvastatin on Nuclear Localization of Importin Alpha and Drug Target Expression Profiling in Host Cells from Nasopharyngeal Swabs of SARS-CoV-2- Positive Patients
	Gene expression analysis of nasopharyngeal swabs of COVID-19 positive and negative patients, and in vitro study supporting the use of ivermectin and atorvastatin for COVID-19, and the efficacy of ivermectin at clinically relevant dosages...
Oct 14 2021	Jitobaom et al., Research Square, doi:10.21203/rs.3.rs-941811/v1	Favipiravir and Ivermectin Showed in Vitro Synergistic Antiviral Activity against SARS-CoV-2
	In vitro study showing a strong synergistic effect of ivermectin and favipiravir. Combining multiple antiviral drugs with different mechanisms of action helps to minimize drug resistance and toxicity. For ivermectin alone, IC₅₀ for Calu-3..
Oct 14 2021	Goodkin, M.	Are Major Ivermectin Studies Designed for Failure?
	Discussion of flaws in ivermectin trials creating a bias towards not finding an effect.
Oct 7 2021	Fordham et al., OSF Preprints, doi:10.31219/osf.io/mp4f2	The uses and abuses of systematic reviews
	Analysis of defects in the Popp et al. meta analysis.
Oct 5 2021	Francés-Monerris et al., Physical Chemistry Chemical Physics, doi:10.1039/D1CP02967C	Microscopic interactions between ivermectin and key human and viral proteins involved in SARS-CoV-2 infection
	In silico molecular dynamics study showing that ACE2 and ACE2/RBD aggregates form persistent interactions with ivermectin.
Oct 2 2021	TrialSite News, 10/2	Committed to Medical Evidence, a Prominent Ivermectin Group is Eradicated from the Memories of Cyberspace
	Report on Twitter's censorship of the British Ivermectin Recommendation Development group.
Oct 1 2021	Babalola et al., Journal of Infectious Diseases and Epidemiology, doi:10.23937/2474-3658/1510233 (date from preprint)	A Randomized Controlled Trial of Ivermectin Monotherapy versus Hydroxychloroquine, Ivermectin, and Azithromycin Combination Therapy in COVID-19 Patients in Nigeria
	Small RCT with 61 patients in Nigeria, all patients treated with ivermectin, zinc, and vitamin C, showing no significant improvements in recovery with the addition of HCQ+AZ.
Sep 23 2021	Mayer et al., Frontiers in Public Health, doi:10.3389/fpubh.2022.813378 (date from preprint)	Safety and Efficacy of a MEURI Program for the Use of High Dose Ivermectin in COVID-19 Patients
	55% lower mortality (p<0.0001) and 66% lower ICU admission (p<0.0001). Retrospective 21,232 patients in Argentina, 3,266 assigned to ivermectin treatment, showing lower mortality with treatment. Greater benefits were seen for patients >40, and a dose dependent response was found. For more discussion see [twi..
Sep 7 2021	Scheim, D., TrialsSite News	Merck’s deadly Vioxx playbook, redux: a debunked smear campaign against its competing drug—the FDA-approved, Nobel prize-honored ivermectin
	Discussion of Merck's ivermectin statements and past actions related to Vioxx raising significant concerns.
Sep 6 2021	Buonfrate et al., International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2021.106516 (date from preprint)	High dose ivermectin for the early treatment of COVID-19 (COVER study): a randomised, double-blind, multicentre, phase II, dose-finding, proof of concept trial
	20% improved viral clearance (p=0.59). Early terminated 89 patient RCT with 29 high dose and 32 very high dose ivermectin patients, showing dose dependent viral load reduction, although not reaching statistical significance due to early termination. Since most patients have lo..
Sep 3 2021	Okogbenin et al., Nigerian Postgraduate Medical Journal, doi:10.4103/npmj.npmj_532_21	Clinical characteristics, treatment modalities and outcome of coronavirus disease 2019 patients treated at thisday dome isolation and treatment centre, federal capital territory Abuja, Nigeria
	Retrospective 300 COVID-19 patients in Nigeria treated with ivermectin, zinc, vitamin C, and azithromycin, reporting no deaths. Authors conclude that early treatment is critical.
Sep 2 2021	Marik et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001443	Ivermectin, A Reanalysis of the Data
	Updated meta analysis showing no significant change if Elgazzar et al. is excluded.
Sep 2 2021	Neil et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001450	Bayesian Hypothesis Testing and Hierarchical Modeling of Ivermectin Effectiveness
	Updated Bayesian analysis of a subset of ivermectin trials showing that there is strong evidence to support a causal link between ivermectin and COVID-19 severity and mortality, and that the result is robust in sensitivity analysis, inclu..
Aug 19 2021	González-Paz et al., Biophysical Chemistry, doi:10.1016/j.bpc.2021.106677	Comparative study of the interaction of ivermectin with proteins of interest associated with SARS-CoV-2: A computational and biophysical approach
	In silico analysis of the components of ivermectin (avermectin-B1a and avermectin-B1b), suggesting different and complementary inhibitory activity of each component, with an affinity of avermectin-B1b for viral structures, and of avermect..
Aug 17 2021	González-Paz et al., Journal of Molecular Liquids, doi:10.1016/j.molliq.2021.117284	Structural Deformability Induced in Proteins of Potential Interest Associated with COVID-19 by binding of Homologues present in Ivermectin: Comparative Study Based in Elastic Networks Models
	In silico elastic network model analysis of ivermectin components (avermectin-B1a and avermectin-B1b) providing a biophysical and computational perspective of proposed multi-target activity of ivermectin for COVID-19.
Aug 16 2021	Kory, P., Substack	Summary of the Evidence for Ivermectin in COVID-19
	Summary of the evidence base for ivermectin and COVID-19 including in vitro and in silico studies, animal studies, pharmacologic studies, clinical observation and experience, observational controlled trials, randomized controlled trials, ..
Aug 12 2021	Elavarasi et al., Lung India, doi:10.4103/lungindia.lungindia_493_21	Clinical features, demography, and predictors of outcomes of SARS-CoV-2 infection at a tertiary care hospital in India: A cohort study
	20% lower mortality (p=0.12). Retrospective 2017 hospitalized patients in India, showing lower mortality with ivermectin treatment in unadjusted results. No group details are provided and this result is subject to confounding by indication.
Aug 12 2021	Pedroso et al., The Brazilian Journal of Infectious Diseases, doi:10.1016/j.bjid.2021.101603	Self-prescribed Ivermectin use is associated with a lower rate of seroconversion in health care workers diagnosed with COVID, in a dose-dependent response
	Retrospective 45 healthcare workers in Brazil, showing lower creation of antibodies with multiple doses of ivermectin, which may be expected due to the antiviral activity as demonstrated in multiple studies. Authors appear unaware of thes..
Aug 10 2021	La Pampa, Argentina	La Pampa expondrá a la comunidad científica los resultados del Programa de Intervención Monitoreado de Ivermectina
	27% lower mortality and 38% lower combined mortality/ICU admission. News report on the use of ivermectin in La Pampa, Argentina, showing lower mortality with treatment.
Aug 6 2021	Kow et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001441	Pitfalls in Reporting Sample Size Calculation Across Randomized Controlled Trials Involving Ivermectin for the treatment of COVID-19
	Review of sample size calculations in ivermectin RCTs, showing that existing RCTs are very underpowered.
Aug 6 2021	Reis et al., New England Journal of Medicine, doi:10.1056/NEJMoa2115869 (results released 8/6/2021)	Effect of Early Treatment with Ivermectin among Patients with Covid-19
	12% lower mortality (p=0.68), 23% lower ventilation (p=0.38), 17% lower hospitalization (p=0.19), and 10% fewer combined hospitalization/ER visits (p=0.42). Many major issues including multiple impossible numbers, randomization failure, blinding broken (even externally), protocol violations, refusal to release the data, and many more serious issues as detailed below. The metformin arm has bee..
Aug 5 2021	Rana et al., In Silico Pharmacology, doi:10.1007/s40203-026-00576-w (date from preprint)	Ivermectin and Doxycycline combination as a promising anti-viral drug candidate: an in-silico and DFT study
	In silico study showing strong binding affinity of ivermectin and doxycycline for SARS-CoV-2 main protease 3CL^pro, and increased binding affinity for the combination of both.
Aug 3 2021	Santin et al., New Microbes and New Infections, doi:10.1016/j.nmni.2021.100924	Ivermectin: a multifaceted drug of Nobel prize-honored distinction with indicated efficacy against a new global scourge, COVID-19
	Review concluding that the evidence supports worldwide use of ivermectin for COVID-19, complementary to immunization. Authors note that it is likely non-epitope specific, possibly retaining efficacy with new viral strains. They note that ..
Jul 31 2021	Zein et al., Diabetes & Metabolic Syndrome: Clinical Research & Reviews, doi:10.1016/j.dsx.2021.102186	Ivermectin and mortality in patients with COVID-19: A systematic review, meta-analysis, and meta-regression of randomized controlled trials
	61% lower mortality (p=0.005). Systematic review and meta analysis showing lower mortality with ivermectin.
Jul 31 2021	Sathi et al., Journal of Cardiovascular Disease Research, doi:10.31838/jcdr.2021.12.05.11	Clinical Effect of the Combination Therapy of Hydroxychloroquine, Azithromycin and Ivermectin in Patients with COVID-19
	Prospective study of 85 COVID-19 patients including 8 ICU patients treated with ivermectin, HCQ, and AZ, showing all patients improving except for one patient that died 3 days after admission. Authors recommend early treatment. There was ..
Jul 30 2021	Tan et al., Frontiers in Cellular and Infection Microbiology, doi:10.3389/fcimb.2021.700502	Combination Treatment With Remdesivir and Ivermectin Exerts Highly Synergistic and Potent Antiviral Activity Against Murine Coronavirus Infection
	In vitro study showing highly synergistic antiviral activity of the combination of ivermectin and remdesivir against murine coronavirus (MHV) infection in RAW264.7 macrophages. Authors found that while remdesivir monotherapy (6 μM) achiev..
Jul 28 2021	Popp et al., Cochrane Database of Systematic Reviews, doi:10.1002/14651858.CD015017.pub2	Ivermectin for preventing and treating COVID-19
	This meta analysis is designed to exclude most studies. Authors select a small subset of studies, with a majority of results based on only 1 or 2 studies. Authors split up studies which dilutes the effects and results in a lack of statist..
Jul 25 2021	Ontai et al., Epidemiology International Journal, doi:10.23880/eij-16000217	Early multidrug treatment of SARS-CoV-2 (COVID-19) and decreased case fatality rates in Honduras
	Report on the nationwide implementation of multi-drug COVID-19 inpatient and outpatient treatment protocols in Honduras, showing a case fatality rate decrease from 9.33% to 2.97%. No decrease was seen in Mexico, a similar Latin American c..
Jul 24 2021	World Ivermectin Day, 7/27	World Ivermectin Day
	Joint event by 22 worldwide organizations.
Jul 23 2021	Mansour et al., International Immunopharmacology, doi:10.1016/j.intimp.2021.108004	Safety of inhaled ivermectin as a repurposed direct drug for treatment of COVID-19: A preclinical tolerance study
	Safety analysis of an inhaled lyophilized ivermectin formulation, showing 127-fold increase in drug solubility, and identifying safe dosage levels in rats.
Jul 16 2021	FLCCC Alliance and British Ivermectin Recommendation Development Group, 7/16	Joint Statement of the FLCCC Alliance and British Ivermectin Recommendation Development Group on Retraction of Early Research on Ivermectin
	News release noting that ivermectin remains effective after excluding Elgazzar et al. Given the large magnitude effects and 61 studies, excluding one study with ~3% of patients does not significantly change the evidence base.
Jul 12 2021	Neil et al., ResearchGate, doi:10.13140/RG.2.2.31800.88323	Bayesian Meta Analysis of Ivermectin Effectiveness in Treating Covid-19 Disease
	Bayesian analysis of a subset of ivermectin trial data concluding that there is overwhelming evidence to support a causal link between ivermectin, COVID-19 severity, and mortality.
Jul 8 2021	Muthusamy et al., Journal of Virology & Antiviral Research	Virtual Screening Reveals Potential Anti-Parasitic Drugs Inhibiting the Receptor Binding Domain of SARS-CoV-2 Spike protein
	In silico study identifying 32 anti-parisitic compounds effectively inhibiting the RBD of the SARS-CoV-2 spike protein, showing ivermectin and atovaquone among the top compounds.
Jul 8 2021	Together Trial, Changes, NCT04727424	Together Trial removes sublingual administration mid-trial
	Together Trial removes sublingual administration mid-trial.
Jul 7 2021	Hazan et al., medRxiv, doi:10.1101/2021.07.06.21259924	Effectiveness of ivermectin-based multidrug therapy in severely hypoxic, ambulatory COVID-19 patients
	86% lower mortality (p=0.04) and 93% lower hospitalization (p=0.001). Small study of 24 consecutive patients in serious condition (9 days post symptoms, mean SpO₂ 87.4) using combined treatment with ivermectin, doxycycline, zinc, vitamin D, and vitamin C, showing no mortality or hospitalization with treatme..
Jul 3 2021	Open Letter, Statement of Concern and Request for Retraction, re: Roman et al.	Open Letter, Statement of Concern and Request for Retraction
	Open letter signed by 40 physicians detailing errors and flaws in the Roman et al. meta analysis, and requesting retraction.
Jul 2 2021	Adegboro et al., African Journal of Clinical and Experimental Microbiology, doi:10.4314/ajcem.v22i3.2	A review of the anti-viral effects of ivermectin
	Review of the antiviral effects of ivermectin.
Jul 2 2021	Vallejos et al., BMC Infectious Diseases, doi:10.1186/s12879-021-06348-5	Ivermectin to prevent hospitalizations in patients with COVID-19 (IVERCOR-COVID19) a randomized, double-blind, placebo-controlled trial
	33% lower hospitalization (p=0.23) and 5% worse viral clearance (p=0.55). RCT with 501 relatively low-risk outpatients in Argentina showing hospitalization OR 0.65 [0.32-1.31]. With only 7% hospitalization, this trial is underpowered. The trial primarily includes low-risk patients that recover quickly without t..
Jun 30 2021	Turkia, M., ResearchGate, doi:10.13140/RG.2.2.16973.36326	A Continuation of a Timeline of Ivermectin-Related Events in the COVID-19 Pandemic [June 30, 2021]
	An extension of the ivermectin timeline covering April - June 2021, including WHO's role and funding, Gavi, COVAX, Trusted News Initiative, International Fact-Checking Network, the role of private philantrophy, Frontiers, comparison to th..
Jun 28 2021	Roman et al., Clinical Infectious Diseases, doi:10.1093/cid/ciab591 (date from preprint)	Ivermectin for the treatment of COVID-19: A systematic review and meta-analysis of randomized controlled trials
	This is a severely flawed meta analysis. An open letter signed by 40 physicians detailing errors and flaws, and requesting retraction, can be found at [ trialsitenews.com ] . See also [ bird-group.org ] . Authors cherry-pick to include on..
Jun 25 2021	Jagiasi et al., The International Journal of Clinical Practice, doi:10.1111/ijcp.14574	Variation in therapeutic strategies for the management of severe COVID-19 in India- A nationwide cross-sectional survey
	Survey of medication use for severe COVID-19 in India, showing 33% adoption of ivermectin as of January 2021.
Jun 22 2021	Misiones Ministry of Public Health, 6/22	Results from ivermectin use from the Misiones Ministry of Public Health
	News report on ivermectin use in Misiones, Argentina, showing significantly lower hospitalization and mortality, and a dose-dependent effect with improved results for those taking 0.6mg/kg.
Jun 18 2021	Hayward et al., BMJ Open, doi:10.1136/bmjopen-2020-046799	Platform Randomised trial of INterventions against COVID-19 In older peoPLE (PRINCIPLE): protocol for a randomised, controlled, open-label, adaptive platform, trial of community treatment of COVID-19 syndromic illness in people at higher risk
	Protocol paper for the PRINCIPLE trial. For the colchicine arm see [Dorward], for budesonide see [Yu], and for ivermectin see [Hayward].
Jun 18 2021	Lind et al., Journal of General Internal Medicine, doi:10.1007/s11606-021-06948-6	Increase in Outpatient Ivermectin Dispensing in the US During the COVID-19 Pandemic: A Cross-Sectional Analysis
	CDC analysis of ivermectin prescriptions in the US suggesting that, while national health authority recognition is delayed in that country, many physicians are aware of the efficacy demonstrated in clinical trials.
Jun 18 2021	Krolewiecki et al., eClinicalMedicine, doi:10.1016/j.eclinm.2021.100959	Antiviral effect of high-dose ivermectin in adults with COVID-19: A proof-of-concept randomized trial
	66% improved viral load (p=0.09). Proof of concept RCT with 30 ivermectin patients and 15 control patients, showing a concentration dependent antiviral activity, but no significant difference in clinical outcomes. There was no significant difference in viral load reductio..
Jun 17 2021	Bryant et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001402 (date from preprint)	Ivermectin for Prevention and Treatment of COVID-19 Infection: A Systematic Review, Meta-analysis, and Trial Sequential Analysis to Inform Clinical Guidelines
	62% lower mortality (p=0.005). Systematic review, meta analysis, and trial sequential analysis of 24 RCTs finding mortality RR 0.38 [0.19-0.73]. An update notes potentially inaccurate data collection and/or reporting in some sources [journals.lww.com].
Jun 16 2021	Munson et al., British Society For Nanomedicine Early Career Researcher Summer Meeting, 2021	Niclosamide and ivermectin modulate caspase-1 activity and proinflammatory cytokine secretion in a monocytic cell line
	In vitro study showing potential therapeutic effects of ivermectin and niclosamide on the immune system by reducing inflammation and modulating key proteins involved in the inflammatory response. Ivermectin and niclosamide reduced proinfl..
Jun 15 2021	Aref et al., International Journal of Nanomedicine, doi:10.2147/IJN.S313093	Clinical, Biochemical and Molecular Evaluations of Ivermectin Mucoadhesive Nanosuspension Nasal Spray in Reducing Upper Respiratory Symptoms of Mild COVID-19
	63% improved recovery (p=0.0001) and 79% improved viral clearance (p=0.004). RCT 114 patients, 57 treated with ivermectin mucoadhesive nanosuspension intranasal spray, showing faster recovery and viral clearance with treatment.
Jun 6 2021	Hariyanto et al., Reviews In Medical Virology, doi:10.1002/rmv.2265	Ivermectin and outcomes from Covid-19 pneumonia: A systematic review and meta-analysis of randomized clinical trial studies
	69% lower mortality (p=0.001). Systematic review and meta analysis of 19 RCTs showing mortality RR 0.31 [0.15-0.62].
Jun 3 2021	Wang et al., medRxiv, doi:10.1101/2021.06.01.21258147	Minimum manufacturing costs, national prices and estimated global availability of new repurposed therapies for COVID-19
	Analysis of the manufacturing cost of several COVID-19 medications, showing a cost of $0.55 per course of ivermectin, including excipients, formulation, tax, and profit.
Jun 2 2021	Abd-Elsalam et al., Journal of Medical Virology, doi:10.1002/jmv.27122	Clinical Study Evaluating the Efficacy of Ivermectin in COVID-19 Treatment: A Randomized Controlled Study
	20% shorter hospitalization (p=0.09). RCT 164 hospitalized patients in Egypt showing lower mortality and shorter hospitalization, but without statistical significance. There were no serious adverse effects. Authors suggest the low dosage may have resulted in lower efficacy th..
May 31 2021	Mondal et al., Journal of the Indian Medical Association, 119:5	Prevalence of COVID-19 Infection and Identification of Risk Factors among Asymptomatic Healthcare Workers: A Serosurvey Involving Multiple Hospitals in West Bengal
	88% fewer symptomatic cases (p=0.006). Retrospective 1,470 healthcare workers in India, showing significantly lower risk of symptomatic COVID-19 with ivermectin prophylaxis.
May 18 2021	Mountain Valley MD, 5/18	Mountain Valley MD Receives Successful Results From BSL-4 COVID-19 Clearance Trial on Three Variants Tested With Ivectosol™
	In vitro and mouse study with human ACE2 cells, using solubilized ivermectin with Ivectosol™, showing antiviral effect with B.1.1.7, B.1.351, and P.1 variants of SARS-CoV-2. The ability to inject ivermectin potentially reduces the onset o..
May 12 2021	FLCCC Public Statement, 5/12	FLCCC Alliance Statement on the Irregular Actions of Public Health Agencies and the Widespread Disinformation Campaign Against Ivermectin
	Analysis of the ivermectin recommendations from WHO and others, and a call to action for all citizens, scientists, and media to counter false information. Whistleblowers can submit anonymous reports and images at the bottom of this page.
May 10 2021	Faisal et al., The Professional Medical Journal, doi:10.29309/TPMJ/2021.28.05.5867	Potential use of azithromycin alone and in combination with ivermectin in fighting against the symptoms of COVID-19
	68% improved recovery (p=0.005). RCT 100 outpatients in Pakistan, 50 treated with ivermectin, showing faster recovery with ivermectin. All patients received AZ, zinc, vitamin C, vitamin D, and paracetemol. Details of randomization were not provided. No mortality or hospi..
May 5 2021	Zatloukal et al., Servus	News report on In Vitro results from the research institute of Prof. Zatloukal
	News report on in vitro results from the research institute of Prof. Zatloukal, showing that "ivermectin was able to reduce virus replication by a factor of 1,000 even at low concentrations".
May 5 2021	Qureshi et al., Journal of Biomolecular Structure and Dynamics, doi:10.1080/07391102.2021.1906750	Mechanistic insights into the inhibitory activity of FDA approved ivermectin against SARS-CoV-2: old drug with new implications
	In silico study showing inhibition of importin-α1 by ivermectin, which disrupts SARS-CoV-2 replication.
May 4 2021	Karale et al., medRxiv, doi:10.1101/2021.04.30.21256415	A Meta-analysis of Mortality, Need for ICU admission, Use of Mechanical Ventilation and Adverse Effects with Ivermectin Use in COVID-19 Patients
	Systematic review and meta analysis with 30 studies included in quantitative analysis, showing mortality OR 0.39 [0.22-0.70]. Subgroup analysis of trials with severity data showed mortality OR 0.10 [0.03-0.33] for mild/moderate cases.
May 3 2021	Merino et al., Preprint	Ivermectin and the odds of hospitalization due to COVID-19: evidence from a quasi-experimental analysis based on a public intervention in Mexico City
	74% lower hospitalization (p=0.001). Analysis of Mexico City's use of an ivermectin-based medical kit, showing significantly lower hospitalization with use. Authors use logistic-regression models with matched observations, including adjustments for age, sex, COVID severity, ..
Apr 30 2021	Moraes et al., NCT04384458	Comparative Study of Hydroxychloroquine and Ivermectin in COVID-19 Prophylaxis
	Estimated 400 participant ivermectin vs. HCQ prophylaxis RCT with results not reported over 5 years after estimated completion.
Apr 30 2021	Kory et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001377	Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19
	Review of ivermectin trials and epidemiological data, concluding that ivermectin is effective for prophylaxis and treatment, and should be globally and systematically deployed in the prevention and treatment of COVID-19. An update notes p..
Apr 29 2021	Ahsan et al., Cureus, doi:10.7759/cureus.14761	Clinical Variants, Characteristics, and Outcomes Among COVID-19 Patients: A Case Series Analysis at a Tertiary Care Hospital in Karachi, Pakistan
	50% lower mortality (p=0.03). Retrospective 165 hospitalized patients in Pakistan showing unadjusted lower mortality with combined ivermectin and doxycycline treatment. Details of the ivermectin group compared to other patients are not provided, however ivermectin was..
Apr 19 2021	DiNicolantonio et al., Open Heart, doi:10.1136/openhrt-2021-001655	Anti-inflammatory activity of ivermectin in late-stage COVID-19 may reflect activation of systemic glycine receptors
	Review suggesting that the effectiveness of ivermectin in the cytokine storm phase of COVID-19 may be, at least in part, an anti-inflammatory effect mediated by increased activation of glycine receptors on leukocytes and possibly vascular..
Apr 17 2021	Loue et al., J. Infectious Diseases and Epidemiology, doi:10.23937/2474-3658/1510202	Ivermectin and COVID-19 in Care Home: Case Report
	70% lower mortality (p=0.34) and 55% lower severe cases (p=0.11). Small quasi-randomized (patient choice) study with 25 PCR+ patients in a nursing home offered ivermectin, of which 10 chose to be treated. The mean age was 83.5 in the treatment group and 81.8 in the control group. There was lower mortali..
Apr 16 2021	Morgenstern et al., Cureus, doi:10.7759/cureus.17455 (date from preprint)	Ivermectin as a SARS-CoV-2 Pre-Exposure Prophylaxis Method in Healthcare Workers: A Propensity Score-Matched Retrospective Cohort Study
	74% fewer cases (p=0.008). Propensity matched retrospective prophylaxis study of healthcare workers in the Dominican Republic showing significantly lower cases with treatment, and no hospitalization with treatment (versus 2 in the PSM matched control group). The ca..
Apr 15 2021	Schöning et al., Research Square, doi:10.21203/rs.3.rs-379291/v1	Highly-transmissible Variants of SARS-CoV-2 May Be More Susceptible to Drug Therapy Than Wild Type Strains
	In silico study of ivermectin treatment predicting greater efficacy for variants with higher R₀.
Apr 14 2021	Seet et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2021.04.035	Positive impact of oral hydroxychloroquine and povidone-iodine throat spray for COVID-19 prophylaxis: an open-label randomized trial
	50% fewer symptomatic cases (p=0.0009) and 6% fewer cases (p=0.61). Prophylaxis RCT in Singapore with 3,037 low risk patients, showing lower serious cases, lower symptomatic cases, and lower confirmed cases of COVID-19 with all treatments (ivermectin, HCQ, PVP-I, and Zinc + vitamin C) compared to vitamin ..
Apr 10 2021	Bello et al., Journal of Biomolecular Structure and Dynamics, doi:10.1080/07391102.2021.1911857	Elucidation of the inhibitory activity of ivermectin with host nuclear importin α and several SARS-CoV-2 targets
	In silico analysis finding that the in vitro activity of ivermectin may explained by acting as an inhibitor of importin-α, dimeric 3CL^pro, and Nsp9.
Apr 3 2021	Turkia, M., Research Gate	A timeline of ivermectin-related events in the COVID-19 pandemic
	An extensive timeline of ivermectin-related events from April 2020 to March 2021 including studies, news, health authority decisions, biased news coverage, and censorship. The author concludes that in a broader historical perspective, the..
Apr 1 2021	Mourya et al., International Journal of Health and Clinical Research, 4:6	Comparative Analytical Study of Two Different Drug Regimens in Treatment of Covid 19 Positive Patients in Index Medical College Hospital and Research Center, Indore, India
	89% improved viral clearance (p<0.0001). Retrospective 100 patients in India with 50 treated with ivermectin, and SOC for all patients including HCQ+AZ, showing much higher viral clearance with ivermectin. Baseline clinical status was worse in the control group. Time of testing ..
Mar 30 2021	Wehbe et al., Front. Immunol., doi:10.3389/fimmu.2021.663586	Repurposing Ivermectin for COVID-19: Molecular Aspects and Therapeutic Possibilities
	Review of how ivermectin was identified for use in COVID-19, mechanisms of action, and selected clinical trials.
Mar 30 2021	Chahla et al., Research, Society and Development, doi:10.33448/rsd-v11i8.30844 (date from preprint)	Randomized trials - Ivermectin repurposing for COVID-19 treatment of outpatients with mild disease in primary health care centers
	87% higher hospital discharge (p=0.004). Cluster RCT outpatients in Argentina showing significantly faster recovery with ivermectin. There were no deaths. Outpatients in Tucumán were assigned to the ivermectin group and outpatients from San Miguel de Tucumán and Gran San Miguel ..
Mar 29 2021	Kow et al., Pharmacological Reports, doi:10.1007/s43440-021-00245-z	The association between the use of ivermectin and mortality in patients with COVID-19: a meta-analysis
	Small meta analysis of 6 RCTs showing mortality OR 0.21 [0.11-0.42]. Authors do not include two more recent RCTs with mortality results, 10 other studies with mortality results, and a total of 42 other studies including other outcomes. Au..
Mar 26 2021	Tanioka et al., medRxiv, doi:10.1101/2021.03.26.21254377	Why COVID-19 is not so spread in Africa: How does Ivermectin affect it?
	88% lower mortality (p=0.002). Retrospective study of the 31 onchocerciasis-endemic countries using the community-directed treatment with ivermectin (CDTI) and the 22 non-endemic countries in Africa, showing significantly lower mortality per capita in the countries us..
Mar 25 2021	Udofia et al., Network Modeling Analysis in Health Informatics and Bioinformatics, doi:10.1007/s13721-021-00299-2	In silico studies of selected multi-drug targeting against 3CLpro and nsp12 RNA-dependent RNA-polymerase proteins of SARS-CoV-2 and SARS-CoV
	In silico analysis finding that ivermectin had the highest binding energy against the 3CL^pro of SARS-CoV-2 and RdRps of both SARS-CoV and SARS-CoV-2.
Mar 25 2021	Choudhury et al., Future Medicine, doi:10.2217/fvl-2020-0342	Exploring the binding efficacy of ivermectin against the key proteins of SARS-CoV-2 pathogenesis: an in silico approach
	In silico analysis finding that ivermectin has high binding affinity for the SARS-CoV-2 viral spike protein, main protease, replicase, and human TMPRSS2 receptors.
Mar 25 2021	Huvemek, Press Release, 3/25	Kovid-19 - Huvemek® Phase 2 clinical trial
	32% greater improvement (p=0.28). Multicenter double-blind RCT with 100 hospitalized patients in Bulgaria showing faster viral clearance, greater clinical improvement, and improved biomarkers with treatment. Limited data has been reported currently. No serious adverse eve..
Mar 24 2021	Yagisawa et al., The Japanese Journal of Antibiotics, 74-1, Mar 2021	Global trends in clinical studies of ivermectin in COVID-19
	Review of ivermectin for COVID-19. Authors note that Kitasato University's project was expanded in response to the results of Caly et al. which had left questions regarding in vivo therapeutic levels, and the results of those studies were..
Mar 21 2021	Emmerich et al., Int. J. Environ. Res. Public Health, doi:10.3390/ijerph18073371	Comparisons between the Neighboring States of Amazonas and Pará in Brazil in the Second Wave of COVID-19 Outbreak and a Possible Role of Early Ambulatory Treatment
	Comparison between the two largest neighboring states in Brazil, Amazonas and Pará, showing more than 5 times lower mortality in Pará during the second wave when the Pará government supported early treatment and Amazonas did not, compared..
Mar 18 2021	Del Franco et al., Journal of Biomedical Research and Clinical Investigation, doi:10.31546/2633-8653.1008	Ivermectin in Long-Covid Patients: A Retrospective Study
	Retrospective 856 patients previously admitted to hospital for COVID-19 in Argentina, finding that ivermectin improved recovery from "long covid" symptoms.
Mar 17 2021	Dinesh Kumar et al., Antimicrobial Agents and Chemotherapy, doi:10.1128/AAC.01543-21 (date from preprint)	Moxidectin and ivermectin inhibit SARS-CoV-2 replication in Vero E6 cells but not in human primary airway epithelium cells
	In vitro study showing moxidectin and ivermectin exhibited antiviral activity in Vero E6 cells. Authors indicate that no statistically significant effect was seen in Calu-3/PBEC cells, however Figure 3 shows a dose dependent reduction wit..
Mar 12 2021	Roy et al., medRxiv, doi:10.1101/2021.03.08.21252883	Outcome of Different Therapeutic Interventions in Mild COVID-19 Patients in a Single OPD Clinic of West Bengal: A Retrospective study
	6% faster recovery (p=0.87). Retrospective database analysis of 56 mild COVID-19 patients, all treated with vitamin C, vitamin D, and zinc, comparing ivermectin + doxycycline (n=14), AZ (n=13), HCQ (n=14), and SOC (n=15), finding that all groups recover quickly, and ..
Mar 11 2021	Nardelli et al., Signa Vitae, doi:10.22514/sv.2021.043	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?
	79% lower mortality (p<0.0001). Meta analysis of RCT mortality results showing RR 0.19, p < 0.00001.
Mar 11 2021	Scheim et al., OSF Preprints	Ivermectin sales in Valle del Cauca, Colombia, patterns of AEs, and other background re López-Medina et al. 2021
	Analysis of several issues with López-Medina et al. including the atypical adverse effects in the control arm and population use of ivermectin.
Mar 11 2021	Scheim et al., OSF Preprints	Protocol violations in López-Medina et al.: 38 switched ivermectin (IVM) and placebo doses, failure of blinding, widespread IVM sales OTC in Cali, and nearly identical AEs for the IVM and control groups
	Report on protocol violations in López-Medina et al.
Mar 10 2021	Kern et al., Frontiers in Pharmacology, doi:10.3389/fphar.2021.625678	Modeling of SARS-CoV-2 Treatment Effects for Informed Drug Repurposing
	Modeling study analyzing timing and dosing regimens of hydroxychloroquine, lopinavir/ritonavir, ivermectin, artemisinin, and nitazoxanide. The greatest benefits were seen when treatments were given immediately at the time of diagnosis. Au..
Mar 10 2021	Yesilbag et al., Virus Research, doi:10.1016/j.virusres.2021.198384	Ivermectin also inhibits the replication of bovine respiratory viruses (BRSV, BPIV-3, BoHV-1, BCoV and BVDV) in vitro
	In vitro study showing that ivermectin can inhibit infection of bovine respiratory disease viral agents BCoV, BPIV-3, BVDV, BRSV and BoHV-1 at the concentrations of 2.5 and 5 μM and in a dose-dependent manner.
Mar 9 2021	Pott-Junior et al., Toxicology Reports, doi:10.1016/j.toxrep.2021.03.003	Use of ivermectin in the treatment of Covid-19: a pilot trial
	85% lower ventilation (p=0.25), 85% lower ICU admission (p=0.25), and 1% improved viral clearance (p=1). Very small RCT with 4 control patients and 28 ivermectin patients split across 3 different dosage levels, showing lower (non-statistically significant) ICU admission with treatment. Authors suggest that ivermectin for SARS-CoV-2 is safe a..
Mar 8 2021	Chamie-Quintero et al., OSF Preprints	Ivermectin for COVID-19 in Peru: 14-fold reduction in nationwide excess deaths, p=.002 for effect by state, then 13-fold increase after ivermectin use restricted
	Analysis of ivermectin use in Peru concluding that ivermectin most likely caused a 14 times reduction in excess deaths in Peru, prior to a 13 times increase after reversal of ivermectin use. Authors conclude that the results strongly sugg..
Mar 8 2021	Guzman et al., medRxiv, doi:10.1101/2021.03.04.21252084	Factors associated with increased mortality in critically ill COVID-19 patients in a Mexican public hospital: the other faces of health system oversaturation
	19% lower mortality (p=0.35). Retrospective 196 critically ill patients in Mexico. Patients overlap with the existing RCT by Beltran-Gonzalez (NCT04391127). This preprint shows a larger treated population and greater (non-statistically significant) improvement with iv..
Mar 8 2021	Galan et al., Pathogens and Global Health, doi:10.1080/20477724.2021.1890887	Phase 2 randomized study on chloroquine, hydroxychloroquine or ivermectin in hospitalized patients with severe manifestations of SARS-CoV-2 infection
	RCT 168 very late stage severe condition hospitalized patients comparing CQ, HCQ, and ivermectin not showing significant differences. Authors indicate that it would have been unethical to include an untreated control group. However, autho..
Mar 5 2021	Descotes, J., ImmunoSafe Consultance	Medical Safety of Ivermectin
	Safety analysis of >350 articles showing that ivermectin has an excellent safety profile. The author notes that "no severe adverse event has been reported in dozens of completed or ongoing studies involving thousands of participants..
Mar 4 2021	López-Medina et al., JAMA, doi:10.1001/jama.2021.3071	Effect of Ivermectin on Time to Resolution of Symptoms Among Adults With Mild COVID-19: A Randomized Clinical Trial
	61% lower progression (p=0.11) and 15% improved recovery (p=0.53). Phone survey based RCT with low risk patients, 200 ivermectin and 198 control, showing lower mortality, lower disease progression, lower treatment escalation, and faster resolution of symptoms with treatment, without reaching statistical ..
Mar 1 2021	Saha et al., Structural Chemistry, doi:10.1007/s11224-021-01776-0 (date from preprint)	The Binding mechanism of ivermectin and levosalbutamol with spike protein of SARS-CoV-2
	In silico analysis predicting that ivermectin has a large binding affinity for the SARS-CoV-2 spike protein. Three different computer modeling techniques show that ivermectin can inhibit SARS-CoV-2 entrance via hACE2.
Feb 23 2021	Beltran Gonzalez et al., Infectious Disease Reports, doi:10.3390/idr14020020 (date from preprint)	Efficacy and Safety of Ivermectin and Hydroxychloroquine in Patients with Severe COVID-19: A Randomized Controlled Trial
	14% lower mortality (p=1), 9% lower progression (p=1), 37% lower hospital discharge (p=0.71), and 20% longer hospitalization (p=0.43). RCT late stage severe condition (93% SOFA ≥ 2, 96% APACHE ≥ 8) high comorbidity hospitalized patients in Mexico with 36 low dose ivermectin and 37 control patients not finding significant differences. NCT04391127. Another study reports re..
Feb 20 2021	BIRD Meeting, 20th February 2021	BIRD Meeting 20th February 2021
	The British Ivermectin Recommendation Development (BIRD) panel, with dozens of multi-national scientists & doctors, issued sweeping recommendations for the immediate global use of ivermectin.
Feb 16 2021	Elalfy et al., Journal of Medical Virology, doi:10.1002/jmv.26880	Effect of a combination of Nitazoxanide, Ribavirin and Ivermectin plus zinc supplement (MANS.NRIZ study) on the clearance of mild COVID-19
	87% improved viral clearance (p<0.0001). Non-randomized controlled trial with 62 mild and early moderate patients with home treatment with ivermectin + nitazoxanide + ribavirin + zinc, showing significantly faster viral clearance.
Feb 15 2021	Behera et al., Cureus, doi:10.7759/cureus.16897 (date from preprint)	Prophylactic Role of Ivermectin in Severe Acute Respiratory Syndrome Coronavirus 2 Infection Among Healthcare Workers
	83% fewer cases (p=0.001). Prospective prophylaxis study with 3,532 healthcare workers, 2,199 receiving two-dose ivermectin prophylaxis, showing adjusted relative risk of confirmed COVID-19 with treatment 0.17 [0.12-0.23] p<0.001. 186 patients took only the first d..
Feb 12 2021	Biber et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2022.07.003 (results 2/12/21)	The effect of ivermectin on the viral load and culture viability in early treatment of non-hospitalized patients with mild COVID-19 – A double-blind, randomized placebo-controlled trial
	70% lower hospitalization (p=0.34) and 62% improved viral clearance (p=0.02). Double blind RCT for mild-moderate COVID-19 outpatients in Israel showing significantly faster reduction in viral load with treatment, and lower hospitalization with treatment. The one treatment hospitalization was a few hours after treat..
Feb 10 2021	Lima-Morales et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2021.02.014	Effectiveness of a multidrug therapy consisting of ivermectin, azithromycin, montelukast and acetylsalicylic acid to prevent hospitalization and death among ambulatory COVID-19 cases in Tlaxcala, Mexico
	78% lower mortality (p=0.001), 52% lower ventilation (p=0.15), 67% lower hospitalization (p=0.001), and 59% improved recovery (p=0.001). Prospective trial of 768 COVID-19 outpatients in Mexico, 481 treated with ivermectin, AZ, montelukast, and aspirin, and 287 control patients with various treatments, showing significantly lower mortality and hospitalization, and significa..
Feb 2 2021	Mohan et al., Journal of Infection and Chemotherapy, doi:10.1016/j.jiac.2021.08.021 (date from preprint)	Single-dose oral ivermectin in mild and moderate COVID-19 (RIVET-COV): a single-centre randomized, placebo-controlled trial
	62% improved recovery (p=0.27) and 24% improved viral clearance (p=0.18). RCT in India with low risk patients, comparing 24mg ivermectin, 12mg ivermectin, and placebo showing non-statistically significant improvements in recovery and PCR+ status (day 5 both arms, day 7 24mg only) with treatment, and showing gre..
Jan 31 2021	Jans et al., Biochemical and Biophysical Research Communications, doi:10.1016/j.bbrc.2020.10.042	The broad spectrum host-directed agent ivermectin as an antiviral for SARS-CoV-2 ?
	Review of the potential of ivermectin as an antiviral against SARS-CoV-2 and COVID-19. Ivermectin targets the host nuclear transport protein importin alpha, which many RNA viruses hijack to enhance infection. Authors review evidence that ..
Jan 29 2021	Cobos-Campos et al., Clin. Res. Trials, 2021, doi:10.15761/CRT.1000333	Potential use of ivermectin for the treatment and profilaxis of SARS-CoV-2 infection: Efficacy of ivermectin for SARS-CoV-2
	Review finding that there appears to be sufficient evidence to recommend ivermectin for the treatment of COVID-19, especially in the early stages of the disease.
Jan 27 2021	Castaneda-Sabogal et al., medRxiv, doi:10.1101/2021.01.26.21250420	Outcomes of Ivermectin in the treatment of COVID-19: a systematic review and meta-analysis
	Meta analysis of a very small subset of studies exhibiting very high bias and significant flaws. Some of the problems: - As of the publication date, there are 35 studies, authors include only 4. (They list 5, but two are the same study, p..
Jan 25 2021	Eweas et al., Frontiers in Microbiology, doi:10.3389/fmicb.2020.592908	Molecular Docking Reveals Ivermectin and Remdesivir as Potential Repurposed Drugs Against SARS-CoV-2
	Molecular docking analysis showing that ivermectin efficiently binds to the viral S protein as well as the human cell surface receptors ACE-2 and TMPRSS2; therefore, it might be involved in inhibiting the entry of the virus into the host ..
Jan 23 2021	Errecalde et al., Journal of Pharmaceutical Sciences, doi:10.1016/j.xphs.2021.01.017	Safety and Pharmacokinetic Assessments of a Novel Ivermectin Nasal Spray Formulation in a Pig Model
	Animal study of a novel spray formulation of ivermectin, showing an advantage of the spray formulation in terms of fast attainment of high and persistent ivermectin concentrations in nasopharyngeal tissue.
Jan 21 2021	Chamie-Quintero et al., Preprint, doi:10.2139/ssrn.3765018	Sharp Reductions in COVID-19 Case Fatalities and Excess Deaths in Peru in Close Time Conjunction, State-By-State, with Ivermectin Treatments
	Analysis of ivermectin usage within states in Peru showing sharp reductions in COVID-19 deaths corresponding to the usage of ivermectin treatment.
Jan 20 2021	Mody et al., Communications Biology, doi:10.1038/s42003-020-01577-x	Identification of 3-chymotrypsin like protease (3CLPro) inhibitors as potential anti-SARS-CoV-2 agents
	Computational molecular modeling screening and in vitro analysis for inhibitory effects on SARS-CoV-2 specific 3CL^pro enzyme, showing that ivermectin blocked more than 85% of 3CL^pro activity of SARS-CoV-2. Antiviral activity of ivermectin..
Jan 19 2021	Shahbaznejad et al., Clinical Therapeutics, doi:10.1016/j.clinthera.2021.04.007 (partial results available 1/19)	Effects of Ivermectin in Patients With COVID-19: A Multicenter, Double-blind, Randomized, Controlled Clinical Trial
	32% faster recovery (p=0.05) and 15% shorter hospitalization (p=0.02). RCT in Iran showing shorter time to recovery and shorter hospitalization time with ivermectin. There were no adverse effects. There was one death in the treatment group, the patient was in critical condition at baseline and died within 24..
Jan 19 2021	Hill et al., Research Square, doi:10.21203/rs.3.rs-148845/v1	Meta-analysis of randomized trials of ivermectin to treat SARS-CoV-2 infection
	75% lower mortality (p=0.0002). Meta analysis of 18 ivermectin RCTs with 2,282 patients showing faster viral clearance (dose and duration dependent), improved clinical recovery, and lower hospitalization and mortality. In six RCTs of moderate or severe infection, there ..
Jan 16 2021	Samaha et al., Viruses, doi:10.3390/v13060989 (results 1/16)	RETRACTED: Effects of a Single Dose of Ivermectin on Viral and Clinical Outcomes in Asymptomatic SARS-CoV-2 Infected Subjects: A Pilot Clinical Trial in Lebanon
	This study was retracted.
Jan 16 2021	Bukhari et al., medRxiv, doi:10.1101/2021.02.02.21250840 (results 1/16)	Efficacy of Ivermectin in COVID-19 Patients with Mild to Moderate Disease
	82% improved viral clearance (p<0.0001). RCT of relatively low risk hospitalized patients with 50 ivermectin and 50 control patients showing significantly faster viral clearance with treatment. 9 patients in the treatment arm were lost to followup compared with 5 in the control ..
Jan 13 2021	Kory et al., Frontiers in Pharmacology, doi:10.3389/fphar.2021.643369	Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19
	Meta analysis of ivermectin clinical studies and natural experiments where ivermectin has been widely used, showing efficacy of ivermectin in prophylaxis and treatment of COVID-19. This paper was censored by the journal after acceptance..
Jan 12 2021	Okumuş et al., BMC Infectious Diseases, doi:10.1186/s12879-021-06104-9 (date from preprint)	Evaluation of the Effectiveness and Safety of Adding Ivermectin to Treatment in Severe COVID-19 Patients
	33% lower mortality (p=0.55), 43% greater improvement (p=0.18), and 80% improved viral clearance (p=0.02). Small RCT for severe COVID-19 comparing the addition of ivermectin to SOC (low dose HCQ+AZ+favipiravir), with 30 treatment and 30 control patients in Turkey, showing lower mortality and faster clinical recovery. Authors also investigate t..
Jan 11 2021	Chahla et al., American Journal of Therapeutics, doi:10.1097/MJT.0000000000001433	Intensive Treatment With Ivermectin and Iota-Carrageenan as Pre-exposure Prophylaxis for COVID-19 in Health Care Workers From Tucuman, Argentina
	95% fewer moderate/severe cases (p=0.002) and 84% fewer cases (p=0.004). Prophylaxis RCT for ivermectin and iota-carrageenan in Argentina, 117 healthcare workers treated with ivermectin and iota-carrageenan, and 117 controls, showing significantly lower cases with treatment. There were no moderate/severe cases..
Jan 11 2021	Bousquet-Mélou et al., Frontiers in Pharmacology, doi:10.3389/fphar.2021.666348 (date from preprint)	A Large Impact of Obesity on the Disposition of Ivermectin, Moxidectin and Eprinomectin in a Canine Model: Relevance for COVID-19 Patients
	Animal dosing study with an obese dog model concluding that ivermectin maintenance doses should be based on lean body weight and not the total body weight in obese subjects, while the loading dose should be based on the total body weight.
Jan 10 2021	Formiga et al., J. Control Release, doi:10.1016/j.jconrel.2020.10.009	Ivermectin: an award-winning drug with expected antiviral activity against COVID-19
	Review hypothesizing that micro- and nanotechnology-based formulations of ivermectin for the pulmonary delivery of ivermectin may be beneficial for use with COVID-19.
Jan 9 2021	Ravikirti et al., Journal of Pharmacy & Pharmaceutical Sciences, doi:10.18433/jpps32105	Ivermectin as a potential treatment for mild to moderate COVID-19: A double blind randomized placebo-controlled trial
	89% lower mortality (p=0.12), 79% lower ventilation (p=0.1), 14% lower ICU admission (p=0.8), and 89% higher hospital discharge (p=0.12). RCT with 112 mild and moderate COVID-19 patients in India, showing lower mortality, ventilation, and ICU admission, although not statistically significant due to the small number of events. There was no mortality in the treatment arm (55 ..
Jan 8 2021	Chamie, J.	COVID-19 in Mexico
	Comparison of COVID-19 death rates in Mexico showing that the only state using ivermectin has a dramatically lower rate.
Jan 6 2021	Babalola et al., QJM: An International Journal of Medicine, doi:10.1093/qjmed/hcab035 (date from preprint)	Ivermectin shows clinical benefits in mild to moderate COVID19: A randomised controlled double-blind, dose-response study in Lagos
	64% improved viral clearance (p=0.11) and 41% improved recovery (p=0.07). Small RCT comparing ivermectin 6mg & 12mg q84hr with lopinavir/ritonavir, showing a statistically significant and dose dependent effect of ivermectin on reducing the time to PCR-. The study does not report mortality, hospitalization, prog..
Jan 6 2021	Hirsch et al., Microbiology & Infectious Diseases	Ivermectin as Prophylaxis Against COVID-19 Retrospective Cases Evaluation
	Report on ivermectin prophylaxis for healthcare workers in a hospital in Argentina, showing 0 cases in the 162 participants. Dosage was 0.2mg/kg weekly for eight weeks, followed by 4 months rest.
Jan 3 2021	Lawrie et al., Preprint	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
	83% lower mortality (p<0.0001). Meta analysis confirming the effectiveness of ivermectin for COVID-19, showing ivermectin treatment mortality relative risk RR 0.17 [0.18-0.35] and prophylaxis cases RR 0.12 [0.08-0.18].
Dec 31 2020	Wijaya et al., Cermin Dunia Kedokteran, 47:7	Ivermectin as a Potential Therapeutic Agent for COVID-19 – case studies
	Case report on 3 confirmed cases of COVID-19 with significant clinical and radiological improvement after a single dose of ivermectin.
Dec 31 2020	Madrid et al., Heliyon, doi:10.1016/j.heliyon.2020.e05820	Safety of oral administration of high doses of ivermectin by means of biocompatible polyelectrolytes formulation
	In vivo analysis of the safety of high dose ivermectin with a Corydoras fish animal model.
Dec 31 2020	Scheim, D., SSRN, doi:10.2139/ssrn.3636557	Ivermectin for COVID-19 Treatment: Clinical Response at Quasi-Threshold Doses Via Hypothesized Alleviation of CD147-Mediated Vascular Occlusion
	Review of ivermectin for COVID-19 treatment and a hypothesized mechanism of action. Author proposes that ivermectin's antiviral activity against SARS-CoV-2 may be mediated by competitive binding to the CD147 receptor, which is densely dis..
Dec 30 2020	McCullough et al., Reviews in Cardiovascular Medicine, doi:10.31083/j.rcm.2020.04.264	Multifaceted highly targeted sequential multidrug treatment of early ambulatory high-risk SARS-CoV-2 infection (COVID-19)
	Review urging early treatment of COVID-19 with sequential multidrug treatment that has been shown to be safe and effective. Proposed treatment includes zinc, vitamin D & C, quercetin, and depending on age, comorbidities, and symptoms may ..
Dec 30 2020	Procter et al., Reviews in Cardiovascular Medicine, doi:10.31083/j.rcm.2020.04.260	Clinical outcomes after early ambulatory multidrug therapy for high-risk SARS-CoV-2 (COVID-19) infection
	Retrospective 922 outpatients, with 320 treated early due to age>50 or comorbidities, showing 2.2% hospitalization and 0.3% death, which authors note is considerably lower than reported in other studies in their region. At least two of zi..
Dec 27 2020	Hill, A., Preprint	Meta-analysis of clinical trials of ivermectin to treat COVID-19 infection
	WHO-funded meta analysis showing ivermectin treatment mortality relative risk RR 0.17 [0.08-0.35] for RCTs and RR 0.28 [0.13-0.62] for RCTs and observational studies, and confirming a dose-response effect.
Dec 24 2020	Jeffreys et al., International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2022.106542 (date from preprint)	Remdesivir-ivermectin combination displays synergistic interaction with improved in vitro activity against SARS-CoV-2
	In vitro study showing enhanced antiviral activity of ivermectin and remdesivir in combination.
Dec 20 2020	IVERCOR PREP, Preliminary Results	Ivermectina en agentes de salud e IVERCOR COVID19
	73% fewer cases (p<0.0001). Report on ivermectin prophylaxis in a hospital in Argentina showing lower cases for healthcare workers taking ivermectin. Results have been published in the press [lanacion.com.ar] (interim results), and a presentation posted online:..
Dec 18 2020	Kory et al., FLCCC Alliance	Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19
	69% lower mortality (p<0.0001). Meta analysis of ivermectin clinical studies and natural experiments where ivermectin has been widely used, showing efficacy of ivermectin in prophylaxis and treatment of COVID-19. There is potentially inaccurate data collection and/or re..
Dec 15 2020	Alam et al., European Journal of Medical and Health Sciences, doi:10.24018/ejmed.2020.2.6.599	Ivermectin as Pre-exposure Prophylaxis for COVID-19 among Healthcare Providers in a Selected Tertiary Hospital in Dhaka – An Observational Study
	91% fewer cases (p<0.0001). 91% reduction in COVID-19 cases with ivermectin prophylaxis. 118 healthcare workers in Bangladesh, 58 receiving ivermectin 12mg monthly, showing RR 0.094, p < 0.0001.
Dec 15 2020	Ghauri et al., International Journal of Clinical Studies & Medical Case Reports, doi:10.46998/IJCMCR.2021.13.000320 (date from preprint)	Ivermectin Use Associated with Reduced Duration of Covid-19 Febrile Illness in a Community Setting
	92% improved recovery (p=0.04). Retrospective 95 outpatients in Pakistan with strong clinical suspicion of COVID-19 (testing was not widely available), with 40 patients treated with ivermectin, showing significantly shorter duration of febrile illness with treatment. Mo..
Dec 11 2020	Hussain et al., International Journal of Molecular and Immuno Oncology, doi:10.25259/IJMIO_30_2020	Outcome of ivermectin and doxycycline in cancer patients with COVID-19: A positive experience in Bangladesh
	Small case study of ivermectin + doxycycline with 8 cancer patients, with all patients becoming PCR- by day 6 when tested again.
Dec 7 2020	Chaccour et al., eClinicalMedicine, doi:10.1016/j.eclinm.2020.100720 (date from preprint)	The effect of early treatment with ivermectin on viral load, symptoms and humoral response in patients with non-severe COVID-19: A pilot, double-blind, placebo-controlled, randomized clinical trial
	96% improved symptoms (p=0.05), 95% improved viral load (p=0.02), and 8% improved viral clearance (p=1). Very small RCT for early treatment of mild COVID-19 in low risk patients, with 12 400mcg/kg single dose ivermectin patients and 12 control patients, showing significantly faster viral load reduction and symptom improvement with ivermectin..
Dec 4 2020	Kalfas et al., medRxiv, doi:10.1101/2020.11.30.20236570	The therapeutic potential of ivermectin for COVID-19: a systematic review of mechanisms and evidence
	Review of ivermectin mechanisms and 8 trials, showing positive mortality benefit, reduced time to clinical recovery, reduced incidence of disease progression, and decreased duration of hospital admission in patients across all stages of c..
Dec 4 2020	Surnar et al., ACS Pharmacol. Transl. Sci., doi:10.1021/acsptsci.0c00179	Clinically Approved Antiviral Drug in an Orally Administrable Nanoparticle for COVID-19
	In vitro analysis of ivermectin with orally administrable nanoparticles showing efficacy for decreasing expression of the viral spike protein and ACE2. Inhibition of nuclear transport activities mediated through proteins such as importin ..
Dec 2 2020	Ahmed et al., International Journal of Infectious Diseases, doi:10.1016/j.ijid.2020.11.191	A five day course of ivermectin for the treatment of COVID-19 may reduce the duration of illness
	85% improved symptoms (p=0.09), 76% improved viral clearance (p=0.03), and 1% shorter hospitalization. Small 72 patient RCT of ivermectin and ivermectin + doxycycline showing faster recovery with ivermectin. The ivermectin + doxycycline group uses only a single dose of ivermectin vs. 5 daily doses for the ivermectin group. PCR testing was ..
Dec 2 2020	Chamie, J., Twitter	The effect of using ivermectin to control COVID-19 in Chiapas
	Report showing that after starting to distribute ivermectin in drug kits in July, the Mexican state of Chiapas has seen a dramatic divergence from other states with much lower mortality [sie7edechiapas.com, web.archive.org].
Dec 1 2020	Alonso et al., Correa Radiovisión	COVID-19: Uso de ivermectina
	92% lower mortality (p=0.009). Observational study in Argentina showing significantly lower mortality in the 60 days after adopting ivermectin compared to the 60 days before, relative risk RR 0.082, p=0.003.
Nov 30 2020	Parvez et al., International Journal of Biological Macromolecules, doi:10.1016/j.ijbiomac.2020.09.098	Prediction of potential inhibitors for RNA-dependent RNA polymerase of SARS-CoV-2 using comprehensive drug repurposing and molecular docking approach
	In silico study showing that ivermectin, rifabutin, rifapentine, fidaxomicin, and 7-methyl-guanosine-5′-triphosphate-5′-guanosine could be potential inhibitors of the SARS-CoV-2 RNA-dependent RNA polymerase (RdRp). Authors used molecular ..
Nov 30 2022	Ma et al., Biomedicine & Pharmacotherapy, doi:10.1016/j.biopha.2022.113706	Ivermectin contributes to attenuating the severity of acute lung injury in mice
	Animal study showing dose dependent inhibition of lung injury with ivermectin. In lipopolysaccharide and bleomycin-induced mouse models of acute lung injury, treatment with ivermectin improved survival rates, body weight loss, lung injury..
Nov 28 2020	Bernigaud et al., Annals of Dermatology and Venereology, doi:10.1016/j.annder.2020.09.231	Ivermectin benefit: from scabies to COVID-19, an example of serendipity
	99% lower mortality (p=0.08) and 55% fewer cases (p=0.01). 69 residents of a French care home, median age 90, were treated with ivermectin for a scabies outbreak. 3,062 residents in 45 nearby comparable homes were used as controls. 7 of 69 treated patients had probable or certain COVID-19, with n..
Nov 28 2020	Hellwig et al., International Journal of Antimicrobial Agents, doi:10.1016/j.ijantimicag.2020.106248	A COVID-19 Prophylaxis? Lower incidence associated with prophylactic administration of Ivermectin
	78% fewer cases (p=0.02). Analysis of COVID-19 cases vs. widespread prophylactic use of ivermectin for parasitic infections showing significantly lower incidence of COVID-19 cases.
Nov 24 2020	Niaee et al., Asian Pacific Journal of Tropical Medicine, doi:10.4103/1995-7645.318304 (date from preprint)	Ivermectin as an adjunct treatment for hospitalized adult COVID-19 patients: A randomized multi-center clinical trial
	82% lower mortality (p=0.001). 82% lower mortality with ivermectin. RCT with 180 hospitalized patients showing reduced mortality and hospital stay with ivermectin, with a wide margin of safety. All patients received SOC including low dose HCQ. Analysis suggests randomi..
Nov 22 2020	de Melo et al., EMBO Mol. Med., doi:10.15252/emmm.202114122 (date from preprint)	Attenuation of clinical and immunological outcomes during SARS-CoV-2 infection by ivermectin
	Animal study showing that standard doses of ivermectin prevented clinical deterioration, reduced olfactory deficit, and limited inflammation in the upper and lower respiratory tracts of SARS-CoV-2-infected hamsters.
Nov 18 2020	Budhiraja et al., medRxiv, doi:10.1101/2020.11.16.20232223	Clinical Profile of First 1000 COVID-19 Cases Admitted at Tertiary Care Hospitals and the Correlates of their Mortality: An Indian Experience
	99% lower mortality (p=0.04). Retrospective 976 hospitalized patients with 34 treated with ivermectin showing lower mortality with ivermectin in unadjusted results.
Nov 17 2020	Carvallo et al., Journal of Biomedical Research and Clinical Investigation, doi:10.31546/2633-8653.1007	Study of the Efficacy and Safety of Topical Ivermectin + Iota-Carrageenan in the Prophylaxis against COVID-19 in Health Personnel
	100% fewer cases (p<0.0001). Prophylaxis study using ivermectin and iota-carrageenan showing 0 of 788 cases from treated healthcare workers, compared to 237 of 407 control. See [doyourownresearch.substack.com] for discussion of issues with this trial.
Nov 14 2020	Spoorthi et al., IAIM, 2020, 7:10, 177-182	Utility of Ivermectin and Doxycycline combination for the treatment of SARSCoV-2
	21% faster recovery (p=0.03) and 16% shorter hospitalization (p=0.01). 100 patient prospective trial of ivermectin + doxycycline showing reduced time to symptom resolution and shorter hospital stay with treatment.
Nov 13 2020	Elgazzar et al., Research Square, doi:10.21203/rs.3.rs-100956/v2	RETRACTED: Efficacy and Safety of Ivermectin for Treatment and prophylaxis of COVID-19 Pandemic
	This study was withdrawn.
Nov 11 2020	Camprubí et al., PLoS ONE, 15:11, doi:10.1371/journal.pone.0242184	Lack of efficacy of standard doses of ivermectin in severe COVID-19 patients
	40% lower ventilation (p=0.67), 33% lower ICU admission (p=1), 33% worse improvement (p=1), and 25% worse viral clearance (p=1). Tiny 26 patient retrospective study of very late treatment with ivermectin 200 μg/kg, median 12 days after symptoms, not showing significant differences. Authors suggest the dose is too low and recommend evaluation of higher doses. All pa..
Nov 10 2020	Turkia, M., ResearchGate	FLCCC Alliance MATH+ ascorbic acid and I-MASK+ ivermectin protocols for COVID-19 — a brief review
	Review suggesting that ivermectin should be used based on existing data suggesting significant benefits, and that waiting for additional data may result in significant harm.
Nov 4 2020	Cadegiani et al., New Microbes and New Infections, doi:10.1016/j.nmni.2021.100915 (date from preprint)	Early COVID-19 Therapy with azithromycin plus nitazoxanide, ivermectin or hydroxychloroquine in Outpatient Settings Significantly Improved COVID-19 outcomes compared to Known outcomes in untreated patients
	94% lower ventilation (p=0.005) and 98% lower hospitalization (p<0.0001). Comparison of HCQ, nitazoxanide, and ivermectin showing similar effectiveness for overall clinical outcomes in COVID-19 when used before seven days of symptoms, and overwhelmingly superior compared to the untreated COVID-19 population, ev..
Nov 3 2020	Morgenstern et al., J. Clinical Trials (date from preprint)	The Use of Compassionate Ivermectin in the Management of Symptomatic Outpatients and Hospitalized Patients with Clinical Diagnosis of Covid-19 at the Centro Medico Bournigal and at the Centro Medico Punta Cana, Grupo Rescue, Dominican Republic, from May 1 to August 10, 2020
	Retrospective 3,099 outpatients treated with ivermectin in an ER. Of 2,706 treated on an outpatient basis, 18 were subsequently hospitalized, 2 in the ICU, and there was one death (0.04%). The average treatment delay for patients treated ..
Nov 3 2020	Behera et al., PLOS ONE, doi:10.1371/journal.pone.0247163 (date from preprint)	Role of ivermectin in the prevention of SARS-CoV-2 infection among healthcare workers in India: A matched case-control study
	54% fewer cases (p=0.0007). Retrospective matched case-control prophylaxis study for HCQ, ivermectin, and vitamin C with 372 healthcare workers, showing lower COVID-19 incidence for all treatments, with statistical significance reached for ivermectin. HCQ OR 0.56, p..
Nov 2 2020	Arévalo et al., Scientific Reports, doi:10.1038/s41598-021-86679-0 (date from preprint)	Ivermectin reduces in vivo coronavirus infection in a mouse experimental model
	Mouse study showing ivermectin reducing MHV viral load and disease. MHV is a type 2 family RNA coronavirus similar to SARS-CoV2.
Oct 31 2020	Chang et al., ResearchGate	COVID-19: Effectiveness of pre-exposure prophylaxis with ivermectin in exposed persons
	Pre-exposure prophylaxis study with 129 people split into high/low exposure groups, with each group split into different dosing regimens, showing higher effectivess with more frequent doses. High-exposure group: every 7 days dosing: 0 of ..
Oct 31 2020	Szente Fonseca et al., Travel Medicine and Infectious Disease, doi:10.1016/j.tmaid.2020.101906	Risk of Hospitalization for Covid-19 Outpatients Treated with Various Drug Regimens in Brazil: Comparative Analysis
	14% higher hospitalization (p=0.53). Retrospective 717 patients in Brazil showing OR 1.17 [0.72-1.90] for ivermectin. This paper focuses on HCQ, event counts for ivermectin are not provided. With significant correlation between the variables used, including overlap in the pr..
Oct 26 2020	Hashim et al., Iraqi Journal of Medical Science, 19:1	Controlled randomized clinical trial on using Ivermectin with doxycycline for treating COVID-19 patients in Baghdad, Iraq
	92% lower mortality (p=0.03), 83% lower progression (p=0.07), and 41% faster recovery (p=0.0001). RCT 70 ivermectin+doxycycline patients and 70 control patients showing reduced time to recovery and reduced mortality with treatment. Earlier treatment was more successful. For ethical reasons, critical patients were all in the treatment ..
Oct 22 2020	Guerrero et al., Colombia Médica, doi:10.25100/cm.v51i4.4613	COVID-19: The Ivermectin African Enigma
	Study of African Programme for Onchocerciasis Control (APOC) countries, which used ivermectin, with non-APOC countries in Africa, showing 28% lower mortality for APOC countries, relative risk RR = 0.72 [0.67-0.78]. See also..
Oct 19 2020	Carvallo et al., NCT04425850	Usefulness of Topical Ivermectin and Carrageenan to Prevent Contagion of Covid 19 (IVERCAR)
	96% fewer cases (p<0.0001). Prophylaxis study using ivermectin and carrageenan showing 0 of 131 cases from treated healthcare workers, compared to 11 of 98 control. The effect may be primarily due to ivermectin - the author later reported that carrageenan is not nec..
Oct 13 2020	Chaccour et al., Scientific Reports, doi:10.1038/s41598-020-74084-y	Nebulized ivermectin for COVID-19 and other respiratory diseases, a proof of concept, dose-ranging study in rats
	Study showing that nebulized ivermectin can reach pharmacodynamic concentrations in the lung tissue of rats. Authors note that additional experiments are required to assess the safety of this formulation in larger animals.
Oct 13 2020	Rajter et al., Chest, doi:10.1016/j.chest.2020.10.009	Use of Ivermectin is Associated with Lower Mortality in Hospitalized Patients with COVID-19 (ICON study)
	46% lower mortality (p=0.05) and 64% lower ventilation (p=0.1). Retrospective 280 hospitalized patients showing lower mortality with ivermectin (13.3% vs 24.5%), propensity matched odds ratio OR 0.47 [0.22-0.99], p=0.045.
Oct 9 2020	Mahmud et al., Journal of International Medical Research, doi:10.5061/dryad.qjq2bvqf6 (date from preprint)	Ivermectin in combination with doxycycline for treating COVID-19 symptoms: a randomized trial
	86% lower mortality (p=0.25), 57% lower progression (p=0.001), 94% improved recovery (p<0.0001), and 39% improved viral clearance (p=0.002). RCT for ivermectin+doxycycline showing improvements in mortality, recovery, progression, and virological cure. 183 treatment and 183 control patients with no deaths in the treatment arm vs. 3 in the control arm (the 3 control deaths are n..
Oct 8 2020	Francés-Monerris et al., ChemRxiv, doi:10.26434/chemrxiv.12782258.v1	Has Ivermectin Virus-Directed Effects against SARS-CoV-2? Rationalizing the Action of a Potential Multitarget Antiviral Agent
	In silico study showing that ivermectin is capable of interfering in different key steps of the SARS-CoV-2 replication cycle.
Oct 8 2020	Soto-Becerra et al., medRxiv, doi:10.1101/2020.10.06.20208066	Real-World Effectiveness of hydroxychloroquine, azithromycin, and ivermectin among hospitalized COVID-19 patients: Results of a target trial emulation using observational data from a nationwide Healthcare System in Peru
	17% lower mortality (p=0.01). Retrospective database study of 5683 patients, 692 received HCQ/CQ+AZ, 200 received HCQ/CQ, 203 received ivermectin, 1600 received AZ, 358 received ivermectin+AZ, and 2630 received standard of care. This study includes anyone with ICD-10 ..
Sep 30 2020	Chachar et al., International Journal of Sciences, 9:31-35, doi:10.18483/ijSci.2378	Effectiveness of Ivermectin in SARS-CoV-2/COVID-19 Patients
	10% improved recovery (p=0.5). Small RCT with 25 ivermectin and 25 control patients, not finding a significant difference in recovery at day 7. This study has several major issues: Failed/uncertain randomization - five of eleven baseline characteristics differ signific..
Sep 24 2020	Kalhor et al., Journal of Biomolecular Structure and Dynamics, doi:10.1080/07391102.2020.1824816	Repurposing of the approved small molecule drugs in order to inhibit SARS-CoV-2 S protein and human ACE2 interaction through virtual screening approaches
	In silico study showing favorable binding of several FDA-approved drugs to the SARS-CoV-2 spike protein receptor binding domain (RBD). Authors performed structure-based virtual screening of FDA drug libraries and identified ivermectin, di..
Sep 24 2020	Khan et al., Archivos de Bronconeumología, doi:10.1016/j.arbres.2020.08.007	Ivermectin treatment may improve the prognosis of patients with COVID-19
	87% lower mortality (p=0.02), 89% lower ICU admission (p=0.007), 83% lower progression (p=0.0004), and 87% improved recovery (p=0.02). Retrospective 115 ivermectin patients and 133 control patients showing significantly lower death and faster viral clearance. Some potential issues and the authors' response can be found in [sciencedirect.com, sciencedirect.com].
Sep 22 2020	Li et al., J. Cellular Physiology, doi:10.1002/jcp.30055	Quantitative proteomics reveals a broad-spectrum antiviral property of ivermectin, benefiting for COVID-19 treatment
	In vitro study showing Ivermectin is a safe wide-spectrum antiviral against SARS-CoV-2, human papillomavirus (HPV), Epstein-Barr virus (EBV), and HIV. Authors note that the combination of ivermectin and other drugs might result in more fa..
Sep 15 2020	Carvallo et al., Journal of Clinical Trials, 11:459 (date from preprint)	Safety and Efficacy of the Combined Use of Ivermectin, Dexamethasone, Enoxaparin and Aspirina against COVID-19 the I.D.E.A. Protocol
	85% lower mortality (p=0.08). Prospective trial of ivermectin, dexamethasone, enoxaparin, and aspirin, showing no hospitalization for mild cases, and lower mortality for moderate/severe patients.
Sep 15 2020	Jans et al., Cells 2020, 9:9, 2100, doi:10.3390/cells9092100	Ivermectin as a Broad-Spectrum Host-Directed Antiviral: The Real Deal?
	Review of ivermectin as a host-directed broad-spectrum antiviral agent for a range of viruses, including SARS-CoV-2. Cell culture experiments show robust antiviral action towards HIV-1, dengue virus (DENV), Zika virus, West Nile virus, Ve..
Sep 11 2020	Elkholy et al., Cureus, doi:10.7759/cureus.10378	Ivermectin: A Closer Look at a Potential Remedy
	Proposal to use inhaled ivermectin for COVID-19. Author notes that ivermectin may have broad-spectrum antiviral properties and research in this area may also be beneficial for other emerging viral outbreaks in the future.
Sep 9 2020	Swargiary, A., Research Square, doi:10.21203/rs.3.rs-73308/v1	Ivermectin as a promising RNA-dependent RNA polymerase inhibitor and a therapeutic drug against SARS-CoV2: Evidence from in silico studies
	In silico study showing high binding affinity of ivermectin with SARS-CoV-2 RNA-dependent RNA polymerase, suggesting ivermectin as an inhibitor of RdRp.
Sep 6 2020	DiNicolantonio et al., Open Heart, doi:10.1136/openhrt-2020-001350	Ivermectin may be a clinically useful anti-inflammatory agent for late-stage COVID-19
	Review suggesting that ivermectin may be useful for late stage COVID-19. Authors note that ivermectin, in doses at or modestly above the standard clinical dose, may have important clinical potential for managing disorders associated with..
Sep 3 2020	Podder et al., IMC J. Med. Science, doi:10.3329/imcjms.v14i2.52826	Outcome of ivermectin treated mild to moderate COVID-19 cases: a single-centre, open-label, randomised controlled study
	16% faster recovery (p=0.34). Small RCT with 32 ivermectin patients and 30 control patients. The mean recovery time after enrolment in the intervention arm was 5.31 ± 2.48 days vs. 6.33 ± 4.23 days in the control arm, p > 0.05. Negative PCR results were not significan..
Sep 1 2020	Kamal et al., NCT04425707	Ivermectin In Treatment of COVID 19 Patients
	Estimated 100 patient ivermectin early treatment RCT with results not reported over 6 years after estimated completion.
Aug 31 2020	Kishoria et al., Paripex - Indian Journal of Research, doi:10.36106/paripex/4801859	Ivermectin as adjuvant to hydroxychloroquine in patients resistant to standard treatment for SARS-CoV-2: results of an open-label randomized clinical study
	8% lower hospital discharge (p=1) and 8% worse viral clearance (p=1). Small RCT of hospitalized patients in India with 19 ivermectin patients and 13 control patients, with all receiving SOC including HCQ, showing no significant differences. The patient population is biased because the study recruited patien..
Aug 28 2020	Shouman et al., Journal of Clinical and Diagnostic Research, doi:10.7860/JCDR/2021/46795.14529	Use of Ivermectin as a Potential Chemoprophylaxis for COVID-19 in Egypt: A Randomised Clinical Trial
	91% fewer symptomatic cases (p=0.001) and 93% lower severe cases (p=0.002). PEP trial for asymptomatic close contacts of COVID-19 patients, 203 ivermectin patients and 101 control patients. 7.4% of contacts developed COVID-19 in the ivermectin group vs. 58.4% in the control group. Efficacy for symptomatic cases a..
Aug 15 2020	Espitia-Hernandez et al., Biomedical Research, 31:5	Effects of Ivermectin-azithromycin-cholecalciferol combined therapy on COVID-19 infected patients: A proof of concept study
	70% faster recovery (p=0.0001) and 97% improved viral clearance (p<0.0001). Small study with 28 patients treated with ivermectin + AZ + cholecalciferol and 7 control patients. All treated patients were PCR- at day 10 while all control patients remained PCR+. The mean duration of symptoms was 3 days in the treatme..
Aug 14 2020	Bhattacharya et al., Int. J. Scientific Research, doi:10.36106/ijsr/7232245	Observational Study on Clinical Features, Treatment and Outcome of COVID 19 in a tertiary care Centre in India- a retrospective case series
	Retrospective 148 hospitalized patients showing triple therapy with ivermectin + atorvastatin + N-acetylcysteine resulted in a 1.35% case fatality rate which was well below the national average.
Jul 31 2020	Vora et al., Indian Journal of Tuberculosis, doi:10.1016/j.ijtb.2020.07.031	White paper on Ivermectin as a potential therapy for COVID-19
	Panel review of ivermectin reporting that "ivermectin in the dose of 12mg BD alone or in combination with other therapy for 5-7 days may be considered as safe therapeutic option for mild moderate or severe cases of Covid-19 infection..
Jul 31 2020	Chang et al., ResearchGate	Post-acute or prolonged COVID-19: ivermectin treatment for patients with persistent symptoms or post-acute symptoms
	Report on 33 patients with persistent or post-acute symptoms treated with ivermectin, showing a high rate of clinical improvement.
Jul 31 2020	Chang et al., ResearchGate, doi:10.13140/RG.2.2.34561.48483/2	COVID-19: Post-exposure prophylaxis with ivermectin in contacts. At Homes, Places of Work, Nursing Homes, Prisons, and Others
	Proposed PEP protocol based on ivermectin.
Jul 31 2020	Alam et al., Journal of Bangladesh College of Physicians and Surgeons, doi:10.3329/jbcps.v38i0.47512	A Case Series of 100 COVID-19 Positive Patients Treated with Combination of Ivermectin and Doxycycline
	Case study of 100 patients treated with ivermectin and doxycycline, with no ICU admission, deaths, or serious side effects reported.
Jul 31 2020	Rahman et al., J. Bangladesh Coll. Phys. Surg. 38, 5-9, doi:10.3329/jbcps.v38i0	Comparison of Viral Clearance between Ivermectin with Doxycycline and Hydroxychloroquine with Azithromycin in COVID-19 Patients
	Comparison of 200 patients treated with ivermectin + doxycycline and 200 treated with HCQ + AZ. The HCQ + AZ group had more severe cases at baseline. Viral clearance was faster with ivermectin + doxycycline, however ivermectin clearance r..
Jul 21 2020	Chang et al., Research Gate, doi:10.13140/RG.2.2.11985.35680/3	COVID-19: Ivermectin Prophylaxis in Adult Contacts: First Report on Health Personnel and Post-Exposure Prophylaxis
	Report on ivermectin post-exposure prophylaxis with 33 patients, showing no cases over 21 days followup.
Jul 14 2020	Chowdhury et al., Eurasian Journal of Medicine and Oncology, doi:10.14744/ejmo.2021.16263	A Comparative Study on Ivermectin-Doxycycline and Hydroxychloroquine-Azithromycin Therapy on COVID-19 Patients
	81% lower hospitalization (p=0.23), 46% improved recovery (p<0.0001), and 81% improved viral clearance (p=0.23). Small 116 patient RCT with low-risk patients comparing ivermectin+doxycycline and HCQ+AZ, showing lower hospitalization, higher viral clearance, and faster symptom resolution and viral clearance with ivermectin+doxycycline. Mid-recovery r..
Jul 9 2020	Maurya, D., American Chemical Society (ACS), doi:10.26434/chemrxiv.12630539.v1	A Combination of Ivermectin and Doxycycline Possibly Blocks the Viral Entry and Modulate the Innate Immune Response in COVID-19 Patients
	In silico study showing that a combination of ivermectin and doxycycline may inhibit SARS-CoV-2 infection through binding to multiple viral proteins as well as the host ACE2 receptor. Authors suggest that ivermectin may block viral entry ..
Jul 8 2020	Gorial et al., medRxiv, doi:10.1101/2020.07.07.20145979	Effectiveness of Ivermectin as add-on Therapy in COVID-19 Management (Pilot Trial)
	42% shorter hospitalization (p<0.0001). Small trial of hospitalized patients with 16 of 87 patients being treated with ivermectin, showing a significantly lower mean hospital stay with ivermectin: 7.62 vs. 13.22 days, p=0.00005. 0 of 16 ivermectin patients died vs. 2 of 71 cont..
Jun 19 2020	Lehrer et al., In Vivo, 34:5, 3023-3026, doi:10.21873/invivo.12134	Ivermectin Docks to the SARS-CoV-2 Spike Receptor-binding Domain Attached to ACE2
	In silico analysis showing ivermectin may interfere with the attachment of the spike to the human cell membrane.
Jun 16 2020	Ramos et al., Preprint	Intervención de la Ivermectina Pre-Hospitalaria para la Modificación de la Evolución del Covid19. Estudio realizado en Perú
	Prospective study of 63 outpatients in Peru treated with ivermectin, reporting significant improvement within 24 hours.
Jun 12 2020	Heidary et al., The Journal of Antibiotics, 73, 593–602, doi:10.1038/s41429-020-0336-z	Ivermectin: a systematic review from antiviral effects to COVID-19 complementary regimen
	Review of the antimicrobial, antiviral, and anti-cancer properties of ivermectin. Antiviral effects have been reported for Zika, dengue, yellow fever, West Nile, Hendra, Newcastle, Venezuelan equine encephalitis, chikungunya, Semliki Fore..
Jun 7 2020	Suravajhala et al., Preprints, doi:10.20944/preprints202005.0439.v3	Comparative Docking Studies on Curcumin with COVID-19 Proteins
	In silico study reporting that ivermectin had the best affinity towards all targeted proteins and showed efficient binding to non-structural proteins.
May 20 2020	Arshad et al., Clinical Pharmacology & Therapeutics, doi:10.1002/cpt.1909	Prioritization of Anti-SARS-Cov-2 Drug Repurposing Opportunities Based on Plasma and Target Site Concentrations Derived from their Established Human Pharmacokinetics
	Pharmacokinetic analysis predicting that ivermectin, HCQ, CQ, and azithromycin will achieve lung concentrations well over 10 times higher than the reported EC₅₀. Nitazoxanide had a lung tissue Cmax/EC₅₀ of 7.8.
May 2 2020	Chang, G., Research Gate, doi:10.13140/RG.2.2.34689.48482/7	Inclusión de la ivermectina en la primera línea de acción terapéutica para COVID-19
	Peru observational case study of 7 patients treated with ivermectin, showing improvement and resolution of fever within 48 hours, and 100% recovery.
Apr 21 2020	Bray et al., Antiviral Res., doi:10.1016/j.antiviral.2020.104805	Ivermectin and COVID-19: A report in Antiviral Research, widespread interest, an FDA warning, two letters to the editor and the authors' responses
	Responses to Caly et al., and the author's reply. The original authors note that "ivermectin's key direct target in mammalian cells is a not a viral component, but a host protein important in intracellular transport; the fact that it..
Apr 3 2020	Caly et al., Antiviral Research, doi:10.1016/j.antiviral.2020.104787	The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro
	In vitro study showing that ivermectin is an inhibitor of SARS-CoV-2, with a single addition to Vero-hSLAM cells 2h post infection with SARS-CoV-2 able to effect ~5000-fold reduction in viral RNA at 48h. There are claims that this study s..
Dec 31 2012	Areskog et al., Veterinary Parasitology, doi:10.1016/j.vetpar.2012.07.011	Dexamethasone treatment interferes with the pharmacokinetics of ivermectin in young cattle
	Analysis of ivermectin and dexamethasone treatment in cattle, showing that dexamethasone interfered with the pharmacokinetics of ivermectin and reduced the efficacy of ivermectin.
Jan 29 2011	Yan et al., Inflammation Research, doi:10.1007/s00011-011-0307-8	Anti-inflammatory effects of ivermectin in mouse model of allergic asthma
	Mouse study showing ivermectin significantly reduced airway inflammation, Th2 cytokine production, mucus hypersecretion, and airway hyperresponsiveness in a mouse model of allergic asthma. Ivermectin lessened lung inflammation by decreasi..
Nov 13 2008	Zhang et al., Inflammation Research, doi:10.1007/s00011-008-8007-8	Ivermectin inhibits LPS-induced production of inflammatory cytokines and improves LPS-induced survival in mice
	Analysis of ivermectin's effects in mouse models of lethal endotoxemia, which mimics key pathological features seen in severe and critical COVID-19 cases. Pretreatment with ivermectin significantly improved survival rates in mice given a ..
Mar 31 2005	Lespine et al., Veterinary Parasitology, doi:10.1016/j.vetpar.2004.11.028	Influence of the route of administration on efficacy and tissue distribution of ivermectin in goat
	Pharmacokinetic analysis of ivermectin in goats, showing that tissue concentration can be several times higher than plasma concentration.
Oct 1 2002	Guzzo et al., J. Clinical Pharmacology, doi:10.1177/009127002237994	Safety, Tolerability, and Pharmacokinetics of Escalating High Doses of Ivermectin in Healthy Adult Subjects
	Safety study concluding that ivermectin was generally well tolerated, with no indication of associated CNS toxicity for doses up to 10 times the highest FDA-approved dose. Adverse effects were similar between ivermectin and placebo and di..
Feb 29 2000	Lifschitz et al., Veterinary Parasitology, doi:10.1016/s0304-4017(99)00175-2	Comparative distribution of ivermectin and doramectin to parasite location tissues in cattle
	Pharmacokinetic analysis of ivermectin in cattle, showing that tissue concentration can be several times higher than plasma concentration.
Nov 1 1990	Chiu et al., J. Agric. Food Chem., doi:10.1021/jf00101a015	Absorption, tissue distribution, and excretion of tritium-labeled ivermectin in cattle, sheep, and rat
	Animal study showing that lung tissue concentration of ivermectin may be ~20 times higher than plasma concentration.

For search methods, inclusion criteria, effect extraction criteria (more serious outcomes have priority), PRISMA answers, and statistical methods see methods. Studies with preprints and journal versions are listed under the earlier preprint date.

References

Hayward et al., Ivermectin for COVID-19 in adults in the community (PRINCIPLE): an open, randomised, controlled, adaptive platform trial of short- and longer-term outcomes, Journal of Infection, doi:10.1016/j.jinf.2024.106130.sciencedirect.com, doi.org.