Supplementary Data — Lactoferrin for COVID-19: real-time meta-analysis of 8 studies

October 2026

Lactoferrin COVID-19 outcomes

StudyImprovementRR ยท 95% CIOutcomeTreatmentControlRelative Risk
Rosa76%0.24 ยท 0.01โ€“5.85hosp.0/821/39 Rosaโˆ’40%1.40 ยท 0.54โ€“3.64recov. time82 (n)39 (n) Rosa39%0.61 ยท 0.40โ€“0.92viral time82 (n)39 (n) Campione47%0.53 ยท 0.38โ€“0.72viral time32 (n)32 (n) Campione56%0.44 ยท 0.29โ€“0.66viral time32 (n)28 (n) Mann (DB RCT)โˆ’203%3.03 ยท 0.13โ€“73.16death1/770/79CT1 Mann (DB RCT)โˆ’203%3.03 ยท 0.13โ€“73.16severe case1/770/79CT1 Mann (DB RCT)49%0.51 ยท 0.05โ€“5.54hosp.1/772/79CT1 Mann (DB RCT)49%0.51 ยท 0.10โ€“2.72hosp.2/774/79CT1 Mann (DB RCT)26%0.74 ยท 0.45โ€“1.22no recov.77 (n)79 (n)CT1 Mann (DB RCT)60%0.40 ยท 0.16โ€“0.99no recov.77 (n)79 (n)CT1 Mann (DB RCT)2%0.98 ยท 0.68โ€“1.41no recov.77 (n)79 (n)CT1 Mann (DB RCT)18%0.82 ยท 0.51โ€“1.30no recov.77 (n)79 (n)CT1 Mann (DB RCT)4%0.96 ยท 0.74โ€“1.24no recov.77 (n)79 (n)CT1 Mann (DB RCT)โˆ’11%1.11 ยท 0.90โ€“1.37viral+49/6036/49CT1 Mann (DB RCT)8%0.92 ยท 0.50โ€“1.71PASC15/6716/66CT1 Algahtani (RCT)25%0.75 ยท 0.14โ€“4.09no recov.3/362/18 Algahtani (RCT)33%0.67 ยท 0.17โ€“2.67no recov.4/363/18 Algahtani (RCT)0%1.00 ยท 0.35โ€“2.88no recov.8/364/18 Algahtani (RCT)0%1.00 ยท 0.20โ€“4.95no recov.4/362/18 Algahtani (RCT)25%0.75 ยท 0.24โ€“2.33no recov.6/364/18 Shousha79%0.21 ยท 0.03โ€“1.48death1/4652/501 Matino (DB RCT)โˆ’12%1.12 ยท 0.59โ€“2.10death18/11315/105LAC Matino (DB RCT)โˆ’24%1.24 ยท 0.62โ€“2.49death16/11312/105LAC Matino (DB RCT)โˆ’45%1.45 ยท 0.65โ€“3.20ventilation14/1139/105LAC Matino (DB RCT)โˆ’6%1.06 ยท 0.63โ€“1.79death/ICU24/11321/105LAC Matino (DB RCT)โˆ’34%1.34 ยท 0.93โ€“1.92NEWS2/dis.46/11332/105LAC Navarro (DB RCT)โˆ’59%1.59 ยท 0.64โ€“3.93symp. case11/1047/105LF-COVID Navarro (DB RCT)โˆ’23%1.23 ยท 0.53โ€“2.85cases11/1049/105LF-COVID Pasinato (RCT)50%0.50 ยท 0.05โ€“5.17cases1/252/25
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1 CT: study uses combined treatment
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โ† Lactoferrin
reduces risk
Lactoferrin
increases risk โ†’
Fig. S1. All outcomes.
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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.