9 NaCl COVID-19 controlled studies, 6 RCTs
28% improvement
for early treatment, RR
0.72
[0.51-1.01]
Supplementary Data — NaCl reduces COVID-19 risk: real-time meta analysis of 9 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Chalageri (RCT)
-200%
3.00 [0.13-69.5]
hosp.
1/20
0/20
Improvement, RR [CI]
Treatment
Control
Chalageri (RCT)
43%
0.57 [0.42-0.78]
no recov.
17 (n)
20 (n)
Bonn
72%
0.28 [0.06-1.26]
viral load
9 (n)
9 (n)
Short term viral
Bonn
71%
0.29 [0.01-12.1]
viral load
30 (n)
30 (n)
Short term viral
Lin (RCT)
25%
0.75 [0.53-1.07]
viral+
204 (n)
199 (n)
Lin (RCT)
21%
0.79 [0.65-0.96]
viral+
204 (n)
199 (n)
Tanni (RCT)
75%
0.25 [0.01-6.02]
hosp.
0/65
1/33
Tanni (RCT)
-10%
1.10 [0.69-1.72]
no recov.
65 (n)
33 (n)
Tanni (RCT)
52%
0.48 [0.27-0.83]
no recov.
65 (n)
33 (n)
Tanni (RCT)
33%
0.67 [0.41-1.10]
no recov.
65 (n)
33 (n)
Tanni (RCT)
2%
0.98 [0.62-1.54]
no recov.
65 (n)
33 (n)
Tanni (RCT)
-9%
1.09 [0.68-1.72]
no recov.
65 (n)
33 (n)
Kimura (RCT)
29%
0.71 [0.45-1.14]
recov. time
14 (n)
17 (n)
Delić (RCT)
26%
0.74 [0.53-1.03]
death
22/42
37/52
Intubated patients
Delić (RCT)
32%
0.68 [0.44-1.04]
death
17/42
31/52
Intubated patients
Pantazopou.. (RCT)
85%
0.15 [0.01-2.72]
ICU
0/24
3/26
Pantazopou.. (RCT)
64%
0.36 [0.08-1.62]
oxygen
2/24
6/26
Pantazopou.. (RCT)
51%
0.49 [0.28-0.85]
viral+
9/24
20/26
Liu
6%
0.94 [0.81-1.10]
recov. time
20 (n)
20 (n)
Liu
9%
0.91 [0.72-1.16]
recov. time
20 (n)
20 (n)
Liu
3%
0.97 [0.79-1.18]
recov. time
20 (n)
20 (n)
Liu
1%
0.99 [0.85-1.15]
recov. time
20 (n)
20 (n)
Liu
3%
0.97 [0.77-1.21]
recov. time
20 (n)
20 (n)
Liu
-0%
1.00 [0.82-1.24]
recov. time
20 (n)
20 (n)
Liu
24%
0.76 [0.67-0.87]
viral time
20 (n)
20 (n)
Liu
23%
0.77 [0.63-0.93]
viral time
20 (n)
20 (n)
Liu
24%
0.76 [0.63-0.91]
viral time
20 (n)
20 (n)
Yan
35%
0.65 [0.49-0.86]
progression
43/147
131/291
Yan
6%
0.94 [0.85-1.05]
cases
114/147
239/291
NaCl COVID-19 outcomes
c19 early .org
December 2025
Favors NaCl
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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