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. 2021 Nov 11;83(1):16–54. doi: 10.1002/ddr.21895

TABLE 6.

Antioxidant supplement

Drug name and structure Original mechanism FDA‐approved indication(s) Possible mechanism for anti‐COVID‐19 Clinical trials ID (stage) The highest anti‐COVID‐19 phase/ID/status/start–(estimated)end dates References

N‐acetylcysteine

graphic file with name DDR-83-16-g079.jpg

ROS inhibitor, mucolytic agent reducing thickness of mucus, Gastric mucosal lesion, polycystic ovary syndrome, etc.

Antioxidant

precursor to glutathione (γ‐glutamylcysteinylglycine), mucolytic agent

NCT04374461 (Phase 2) NCT04792021 (Phase 3) NCT04545008 (Phase 1) NCT04458298 (Phase 2) NCT04419025 (Phase 2) NCT04703036 (Phase 1) NCT04755972 (not applicable) Phase 3/NCT04792021/recruiting/March 9, 2021–June 2021

(Andreou et al., 2020; Poe & Corn, 2020)

Vitamin C (ascorbic acid)

graphic file with name DDR-83-16-g004.jpg

Effective reducing agent and donor antioxidant Scurvy, upper respiratory tract infections, reduces the risk of lung cancer.

Upregulating phagocytes and lymphocytes activity, modulating immune system

Approximately 24 clinical trials, some of the examples are:

NCT04401150 (Phase 3) NCT04468139 (Phase 4) NCT04363216 (Phase 2) NCT04264533 (Phase 2) NCT02735707 (Phase 4) NCT04780061 (Phase 3) NCT04828538 (not applicable)

Phase 4/NCT02735707/recruiting/11, 2016–December 2021

(Baladia et al., 2020)

Vitamin D3 (Cholecalciferol)

graphic file with name DDR-83-16-g027.jpg

Inducing cell differentiation and preventing the proliferation of cancer cells Epilepsy, healthy, vitamin D deficiency, osteoporosis Protect respiratory infections

Approximately 14 clinical trials, some of the examples are:

NCT04344041 (Phase 3) NCT04536298 (Phase 3) NCT04411446 (Phase 4) NCT04482673 (Phase 4) NCT04407286 (Phase 1) NCT04386850 (Phase 3) NCT04395768 (Phase 2)

Phase 4/NCT04482673/recruiting/July 31, 2020–December 31, 2021

(Weir et al., 2020)

Quercetin

graphic file with name DDR-83-16-g012.jpg

Stimulator of recombinant SIRT1, PI3K inhibitor Menopause related conditions, mountain sickness, flushing Prophylactic, antioxidant

NCT04853199 (early Phase 1)

NCT04578158 (Phase 2) NCT04468139 (Phase 4) NCT04536090 (Phase 2) NCT04377789 (not applicable)

Phase 4/NCT04468139/recruiting/June 20, 2020–July 20, 2020

(Diniz et al., 2020)