12 selenium COVID-19 controlled studies, 1 RCTs
34% improvement, RR
0.66
[0.31-1.40]
Supplementary Data — Selenium for COVID-19: real-time meta analysis of 12 studies (4 treatment studies and 8 sufficiency studies)
0
0.25
0.5
0.75
1
1.25
1.5
1.75
2+
Hafizi (DB RCT)
35%
0.65 [0.11-3.73]
death
2/62
3/60
CT​1 ​
Improvement, RR [CI]
Treatment
Control
COVIDENCE UK
Holt
80%
0.20 [0.03-1.44]
cases
1/167
445/15,060
Nimer
-26%
1.26 [0.64-2.32]
hosp.
12/57
207/2,091
Nimer
-9%
1.09 [0.57-1.97]
severe case
12/57
248/2,091
Vaisi
53%
0.47 [0.32-0.81]
hosp.
3,853 (n)
102 (n)
Vaisi
15%
0.85 [0.40-0.97]
symp. case
3,853 (n)
102 (n)
Selenium COVID-19 outcomes
c19 early .org
December 2025
​1 ​ CT: study uses combined treatment
Favors selenium
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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