4 indomethacin COVID-19 controlled studies, 2 RCTs
74% improvement, RR
0.26
[0.06-1.20]
Supplementary Data — Indomethacin for COVID-19: real-time meta analysis of 4 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Gordon (PSM)
67%
0.33 [0.04-3.15]
hosp.
1/103
3/103
OT1
Improvement, RR [CI]
Treatment
Control
Gordon (PSM)
57%
0.43 [0.11-1.61]
progression
3/103
7/103
OT1
Ravichandran (PSM)
96%
0.04 [0.00-0.26]
oxygen
1/72
28/72
OT1
Ravichandran
43%
0.57 [0.48-0.67]
recov. time
72 (n)
72 (n)
OT1
Ravichandran
54%
0.46 [0.37-0.58]
recov. time
72 (n)
72 (n)
OT1
Ravichandran
62%
0.38 [0.28-0.50]
recov. time
72 (n)
72 (n)
OT1
Salmasi (RCT)
66%
0.34 [0.01-7.89]
ventilation
0/22
1/23
Salmasi (RCT)
-40%
1.40 [0.52-3.81]
recov. time
22 (n)
23 (n)
Ravichandran (RCT)
30%
0.70 [0.56-0.88]
no recov.
52/103
77/107
OT1
Ravichandran (RCT)
98%
0.02 [0.00-0.41]
progression
0/103
20/107
OT1
Ravichandran (RCT)
57%
0.43 [0.33-0.55]
recov. time
103 (n)
107 (n)
OT1
Ravichandran (RCT)
43%
0.57 [0.48-0.67]
recov. time
103 (n)
107 (n)
OT1
Ravichandran (RCT)
43%
0.57 [0.48-0.67]
recov. time
103 (n)
107 (n)
OT1
Ravichandran (RCT)
17%
0.83 [0.64-1.08]
viral+
37/62
43/60
OT1
Indomethacin COVID-19 outcomes
c19 early .org
December 2025
1 OT: comparison with other treatment
Favors indomethacin
Favors control
Fig. S2. Comparison of results for RCTs versus observational studies.
For COVID-19 treatments, there is no significant difference between the results of RCTs and observational studies. Observational studies do not systematically over or underestimate efficacy. For high-cost treatments, there is a non-significant trend towards RCTs showing greater efficacy.
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