6 sodium bicarbonate COVID-19 controlled studies, 4 RCTs
43% improvement, RR
0.57
[0.42-0.77]
Supplementary Data — Sodium Bicarbonate reduces COVID-19 risk: real-time meta analysis of 6 studies
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Mody (RCT)
64%
0.36 [0.19-0.68]
no improv.
8/30
22/30
Improvement, RR [CI]
Treatment
Control
Soares (ICU)
76%
0.24 [0.11-0.54]
death
6/44
18/32
ICU patients
Delić (RCT)
23%
0.77 [0.56-1.06]
death
23/42
37/52
Intubated patients
Delić (RCT)
20%
0.80 [0.54-1.18]
death
20/42
31/52
Intubated patients
El-Badrawy
57%
0.43 [0.09-2.08]
death
3/127
3/55
El-Badrawy
39%
0.61 [0.20-1.83]
progression
7/127
5/55
El-Badrawy
19%
0.81 [0.68-0.96]
no recov.
84/127
45/55
El-Badrawy
73%
0.27 [0.14-0.52]
no recov.
127 (n)
55 (n)
El-Badrawy
66%
0.34 [0.25-0.47]
recov. time
127 (n)
55 (n)
SODIC
El-Badr.. (DB RCT)
23%
0.77 [0.50-1.18]
death
32/272
42/274
SODIC
El-Badr.. (DB RCT)
55%
0.45 [0.23-0.87]
death
12/247
27/251
SODIC
El-Badr.. (DB RCT)
79%
0.21 [0.02-1.76]
death
1/125
5/130
SODIC
El-Badr.. (DB RCT)
53%
0.47 [0.25-0.88]
death
11/63
22/59
SODIC
El-Badr.. (DB RCT)
-23%
1.23 [0.86-1.75]
death
20/25
15/23
SODIC
El-Badr.. (DB RCT)
28%
0.72 [0.66-0.80]
recov. time
272 (n)
274 (n)
SODIC
El-Badr.. (DB RCT)
33%
0.67 [0.52-0.85]
no recov.
238 (n)
229 (n)
Wang (RCT)
39%
0.61 [0.46-0.82]
hosp. time
23 (n)
32 (n)
Sodium bicarbonate COVID-19 outcomes
c19 early .org
December 2025
Favors sodium bicarbonate
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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