Curcumin for the treatment of COVID-19 patients: A meta-analysis of randomized controlled trials

Shafiee et al., Phytotherapy Research, doi:10.1002/ptr.7724, Jan 2023

Curcumin for COVID-19

16th treatment shown to reduce risk in February 2021, now with p = 0.0000000061 from 28 studies.

No treatment is 100% effective.
Protocols combine treatments.

Meta analysis of 13 curcumin RCTs showing lower mortality with treatment. Authors note that subgroup analysis suggested improved efficacy with early treatment and with combined treatment.
6 meta-analyses show significant improvements with curcumin for mortality1-6, mechanical ventilation6, hospitalization1,4, recovery3,6, progression6, and symptoms1.
Currently there are 28 curcumin for COVID-19 studies, showing 63% lower mortality [36‑78%], 80% lower ventilation [25‑95%], 78% lower ICU admission [-27‑96%], and 27% lower hospitalization [18‑34%].
OutcomeImprovementEffect · pTreatmentControl
risk of death 62.0% lower · RR 0.38 · p = 0.003** 62.0% lowerRR 0.38p = 0.003** ,

Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates. ** p < 0.01

Shafiee et al., 14 Jan 2023, peer-reviewed, 7 authors.
DOI record: { "DOI": "10.1002/ptr.7724", "ISSN": [ "0951-418X", "1099-1573" ], "URL": "http://dx.doi.org/10.1002/ptr.7724", "alternative-id": [ "10.1002/ptr.7724" ], "assertion": [ { "group": { "label": "Publication History", "name": "publication_history" }, "label": "Received", "name": "received", "order": 0, "value": "2022-08-05" }, { "group": { "label": "Publication History", "name": "publication_history" }, "label": "Accepted", "name": "accepted", "order": 1, "value": "2022-12-29" }, { "group": { "label": "Publication History", "name": "publication_history" }, "label": "Published", "name": "published", "order": 2, "value": "2023-01-14" } ], "author": [ { "affiliation": [ { "name": "Clinical Research Development Unit Alborz University of Medical Sciences Karaj Iran" }, { "name": "Student Research Committee, School of Medicine Alborz University of Medical Sciences Karaj Iran" } ], "family": "Shafiee", "given": "Arman", "sequence": "first" }, { "ORCID": "http://orcid.org/0000-0002-1933-9659", "affiliation": [ { "name": "School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran" } ], "authenticated-orcid": false, "family": "Athar", "given": "Mohammad Mobin Teymouri", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medicine King Edward Medical University Lahore Pakistan" } ], "family": "Shahid", "given": "Abia", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medicine King Edward Medical University Lahore Pakistan" } ], "family": "Ghafoor", "given": "Muhammad Saqib", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medicine King Edward Medical University Lahore Pakistan" } ], "family": "Ayyan", "given": "Muhammad", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medicine King Edward Medical University Lahore Pakistan" } ], "family": "Zahid", "given": "Afra", "sequence": "additional" }, { "ORCID": "http://orcid.org/0000-0001-6783-7137", "affiliation": [ { "name": "Department of Medicine King Edward Medical University Lahore Pakistan" } ], "authenticated-orcid": false, "family": "Cheema", "given": "Huzaifa Ahmad", "sequence": "additional" } ], "container-title": "Phytotherapy Research", "container-title-short": "Phytotherapy Research", "content-domain": { "crossmark-restriction": true, "domain": [ "onlinelibrary.wiley.com" ] }, "created": { "date-parts": [ [ 2023, 1, 14 ] ], "date-time": "2023-01-14T15:15:17Z", "timestamp": 1673709317000 }, "deposited": { "date-parts": [ [ 2023, 1, 14 ] ], "date-time": "2023-01-14T15:15:21Z", "timestamp": 1673709321000 }, "indexed": { "date-parts": [ [ 2023, 1, 14 ] ], "date-time": "2023-01-14T15:42:36Z", "timestamp": 1673710956858 }, "is-referenced-by-count": 0, "issued": { "date-parts": [ [ 2023, 1, 14 ] ] }, "language": "en", "license": [ { "URL": "http://onlinelibrary.wiley.com/termsAndConditions#vor", "content-version": "vor", "delay-in-days": 0, "start": { "date-parts": [ [ 2023, 1, 14 ] ], "date-time": "2023-01-14T00:00:00Z", "timestamp": 1673654400000 } }, { "URL": "http://doi.wiley.com/10.1002/tdm_license_1.1", "content-version": "tdm", "delay-in-days": 0, "start": { "date-parts": [ [ 2023, 1, 14 ] ], "date-time": "2023-01-14T00:00:00Z", "timestamp": 1673654400000 } } ], "link": [ { "URL": "https://onlinelibrary.wiley.com/doi/pdf/10.1002/ptr.7724", "content-type": "application/pdf", "content-version": "vor", "intended-application": "text-mining" }, { "URL": "https://onlinelibrary.wiley.com/doi/full-xml/10.1002/ptr.7724", "content-type": "application/xml", "content-version": "vor", "intended-application": "text-mining" }, { "URL": "https://onlinelibrary.wiley.com/doi/pdf/10.1002/ptr.7724", "content-type": "unspecified", "content-version": "vor", "intended-application": "similarity-checking" } ], "member": "311", "original-title": [], "prefix": "10.1002", "published": { "date-parts": [ [ 2023, 1, 14 ] ] }, "published-online": { "date-parts": [ [ 2023, 1, 14 ] ] }, "publisher": "Wiley", "reference": [ { "DOI": "10.1016/j.ejphar.2022.175267", "doi-asserted-by": "publisher", "key": "e_1_2_7_2_1" }, { "DOI": "10.1155/2020/7656919", "doi-asserted-by": "publisher", "key": "e_1_2_7_3_1" }, { "DOI": "10.1002/fsn3.2226", "doi-asserted-by": "publisher", "key": "e_1_2_7_4_1" }, { "DOI": "10.1002/ptr.7375", "doi-asserted-by": "publisher", "key": "e_1_2_7_5_1" }, { "DOI": "10.1186/s13063-022-06375-w", "doi-asserted-by": "publisher", "key": "e_1_2_7_6_1" }, { "DOI": "10.1128/aac.02404-21", "doi-asserted-by": "publisher", "key": "e_1_2_7_7_1" }, { "DOI": "10.1016/j.jff.2021.104503", "doi-asserted-by": "publisher", "key": "e_1_2_7_8_1" }, { "DOI": "10.1016/j.ejim.2022.05.024", "doi-asserted-by": "publisher", "key": "e_1_2_7_9_1" }, { "DOI": "10.1136/bmj.39490.551019.BE", "doi-asserted-by": "publisher", "key": "e_1_2_7_10_1" }, { "DOI": "10.1136/bmj.39489.470347.AD", "doi-asserted-by": "publisher", "key": "e_1_2_7_11_1" }, { "DOI": "10.5530/pj.2022.14.27", "article-title": "The effect of curcumin and virgin coconut oil towards cytokines levels in COVID‐19 patients at Universitas Sebelas Maret hospital, Surakarta, Indonesia", "author": "Hartono Suryawati B.", "doi-asserted-by": "crossref", "first-page": "216", "issue": "1", "journal-title": "Pharmacognosy Journal", "key": "e_1_2_7_12_1", "volume": "14", "year": "2022" }, { "DOI": "10.1111/jcmm.17337", "doi-asserted-by": "publisher", "key": "e_1_2_7_13_1" }, { "DOI": "10.1002/9781119536604", "doi-asserted-by": "publisher", "key": "e_1_2_7_14_1" }, { "DOI": "10.1021/bi701013n", "doi-asserted-by": "publisher", "key": "e_1_2_7_15_1" }, { "DOI": "10.3389/fphar.2022.898062", "article-title": "Oral Co‐supplementation of curcumin, quercetin, and vitamin D3 as an adjuvant therapy for mild to moderate symptoms of COVID‐19—Results from a pilot open‐label, randomized controlled trial", "author": "Khan A.", "doi-asserted-by": "crossref", "first-page": "898062", "journal-title": "Frontiers in Pharmacology", "key": "e_1_2_7_16_1", "volume": "13", "year": "2022" }, { "DOI": "10.1002/ptr.7468", "doi-asserted-by": "publisher", "key": "e_1_2_7_17_1" }, { "DOI": "10.1155/2021/8447545", "doi-asserted-by": "publisher", "key": "e_1_2_7_18_1" }, { "DOI": "10.1016/j.jff.2017.12.017", "doi-asserted-by": "publisher", "key": "e_1_2_7_19_1" }, { "DOI": "10.1016/j.biopha.2016.11.098", "doi-asserted-by": "publisher", "key": "e_1_2_7_20_1" }, { "DOI": "10.1016/j.ijsu.2022.106698", "doi-asserted-by": "publisher", "key": "e_1_2_7_21_1" }, { "DOI": "10.1136/bmj.n71", "doi-asserted-by": "publisher", "key": "e_1_2_7_22_1" }, { "DOI": "10.3389/fphar.2021.669362", "doi-asserted-by": "publisher", "key": "e_1_2_7_23_1" }, { "DOI": "10.21760/jaims.6.4.6", "doi-asserted-by": "publisher", "key": "e_1_2_7_24_1" }, { "DOI": "10.1016/j.ctim.2022.102824", "doi-asserted-by": "publisher", "key": "e_1_2_7_25_1" }, { "DOI": "10.12932/AP-200220-0773", "doi-asserted-by": "publisher", "key": "e_1_2_7_26_1" }, { "DOI": "10.1136/bmj.l4898", "doi-asserted-by": "publisher", "key": "e_1_2_7_27_1" }, { "DOI": "10.1016/j.lfs.2021.119437", "doi-asserted-by": "publisher", "key": "e_1_2_7_28_1" }, { "DOI": "10.3389/fnut.2021.747956", "article-title": "Curcumin extraction, isolation, quantification and its application in functional foods: A review with a focus on immune enhancement activities and COVID‐19", "author": "Tripathy S.", "doi-asserted-by": "crossref", "first-page": "747956", "journal-title": "Frontiers in Nutrition", "key": "e_1_2_7_29_1", "volume": "8", "year": "2021" }, { "DOI": "10.1016/j.intimp.2020.107088", "doi-asserted-by": "publisher", "key": "e_1_2_7_30_1" }, { "DOI": "10.1002/ptr.6738", "doi-asserted-by": "publisher", "key": "e_1_2_7_31_1" }, { "DOI": "10.2147/TCRM.S141738", "doi-asserted-by": "publisher", "key": "e_1_2_7_32_1" }, { "DOI": "10.1155/2014/186864", "doi-asserted-by": "publisher", "key": "e_1_2_7_33_1" } ], "reference-count": 32, "references-count": 32, "relation": {}, "resource": { "primary": { "URL": "https://onlinelibrary.wiley.com/doi/10.1002/ptr.7724" } }, "score": 1, "short-title": [], "source": "Crossref", "subject": [ "Pharmacology" ], "subtitle": [], "title": "Curcumin for the treatment of\n <scp>COVID</scp>\n ‐19 patients: A meta‐analysis of randomized controlled trials", "type": "journal-article", "update-policy": "http://dx.doi.org/10.1002/crossmark_policy" }