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Effects of Ivermectin in Patients With COVID-19: A Multicenter, Double-blind, Randomized, Controlled Clinical Trial
Leila Shahbaznejad1, Alireza Davoudi2, Gohar Eslami3
1Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Purpose:
Given the coronavirus disease 2019 (COVID-19) pandemic, there is a global urgency to discover an effective treatment for patients withthis disease. This study aimed to evaluate the effects of the widely used antiparasitic drug ivermectin on outcomes in patients with COVID-19.
Methods:
In this randomized, double-blind clinical trial, patients with COVID-19 admitted to 2 referral tertiary hospitals in Mazandaran, Iran, were randomly divided into 2 groups: intervention and control. In addition to standard treatment for COVID-19, the intervention group received a single weight-based dose (0.2 mg/kg) of ivermectin; the control group received the standard of care. Demographic, clinical, laboratory, and imaging data from participants were recorded at baseline. Patients were assessed daily for symptoms and disease progression. The primary clinical outcome measures were the durations of hospital stay, fever, dyspnea, and cough; and overall clinical improvement.
Findings:
Sixty-nine patients were enrolled (mean [SD] ages: ivermectin, 47.63 [22.20] years; control, 45.18 [23.11] years; P = 0.65). Eighteen patients (51.4%) in the ivermectin group and 18 (52.9%) in control group were male (P = 0.90). The mean durations of dyspnea were 2.6 (0.4) days in the ivermectin group and 3.8 (0.4) days in the control group (P = 0.048). Also, persistent cough lasted for 3.1 (0.4) days in the ivermectin group compared to 4.8 (0.4) days in control group (PP = 0.019). The mean durations of hospital stay were 7.1 (0.5) days versus 8.4 (0.6) days in the ivermectin and control groups, respectively (P = 0.016). Also, the frequency of lymphopenia decreased to 14.3% in the ivermectin group and did not change in the control group (P = 0.007).
Implications:
A single dose of ivermectin was well-tolerated in symptomatic patients with COVID-19, and important clinical features of COVID-19 were improved with ivermectin use, including dyspnea, cough, and lymphopenia. Further studies with larger sample sizes, different drug dosages, dosing intervals and durations, especially in different stages of the disease, may be useful in understanding the potential clinical benefits ivermectin. Iranian Registry of Clinical Trials identifier: IRCT20111224008507N3.
Insights
Ivermectin, an antiparasitic drug, improved COVID-19 symptoms like dyspnea and cough in a clinical trial. The drug was well-tolerated, showing potential benefits for coronavirus disease 2019 patients.
Area of Science:
- Infectious Diseases
- Pharmacology
Background:
- The COVID-19 pandemic created an urgent need for effective treatments.
- Ivermectin, a widely used antiparasitic, was investigated for its potential therapeutic effects.
Purpose of the Study:
- To evaluate the efficacy of ivermectin in improving outcomes for patients with COVID-19.
- To assess the impact of ivermectin on symptom duration and clinical improvement.
Main Methods:
- A randomized, double-blind clinical trial was conducted with 69 COVID-19 patients.
- The intervention group received ivermectin plus standard care; the control group received standard care only.
- Outcomes measured included duration of hospital stay, fever, dyspnea, cough, and overall clinical improvement.
Main Results:
- Ivermectin significantly reduced the duration of dyspnea (2.6 vs. 3.8 days) and cough (3.1 vs. 4.8 days).
- Hospital stay was shorter in the ivermectin group (7.1 vs. 8.4 days).
- The frequency of lymphopenia decreased in the ivermectin group (14.3% vs. control).
Conclusions:
- A single dose of ivermectin was well-tolerated and improved key clinical features of COVID-19.
- Further research with larger sample sizes and varied dosages is recommended to confirm ivermectin's clinical benefits.
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