Evidence map›Paper›PMID 39861434›Full record

Trial reportNutrients2025

Vitamins K2 and D3 Improve Long COVID, Fungal Translocation, and Inflammation: Randomized Controlled Trial.

Ornina Atieh, Joviane Daher, Jared C Durieux, Marc Abboud, Danielle Labbato, Jhony Baissary, Ziad Koberssy, Kate Ailstock, Morgan Cummings, Nicholas T Funderburg and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07256769 (Synergic Role of Vitamin k, D-chiro Inositol and α-lactalbumin in Bone Homeostasis in Breast Cancer Patients Treated With Aromatase Inhibitors), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07256769 recruitingnot on this map

Synergic Role of Vitamin k, D-chiro Inositol and α-lactalbumin in Bone Homeostasis in Breast Cancer Patients Treated With Aromatase Inhibitors

TypeobservationalSponsorRegina Elena Cancer InstituteRan2025 to 2028Enrolled134ConditionsOsteoporosis Secondary, Breast Cancer FemalesArmsGroup 1: calcium carbonate/cholecalciferol, Group 2: Synostea® (calcium carbonate/cholecalciferol/vitamin K/α-lactalbumin/ d-chiro-inositol)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. VSL#3British journal of biomedical science · 2026
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Impact of nutrition on long COVID.Sports medicine and health science · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ornina AtiehSchool of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0009-0004-3112-8944
Joviane DaherSchool of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0009-0007-9008-4066
Jared C DurieuxClinical Research Center, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Marc AbboudFaculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Danielle LabbatoClinical Research Center, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Jhony BaissarySchool of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Ziad KoberssySchool of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0009-0002-6819-1926
Kate AilstockSchool of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH 43210, USA.
Morgan CummingsSchool of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH 43210, USA.
Nicholas T FunderburgSchool of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH 43210, USA.
Grace A McComseySchool of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0003-2690-8888

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
CanPrev Natural Health Products 0Clinical and Translational Science Collaborative of Northern Ohio UM1TR004528NCATS NIH HHS UM1 TR004528the Kimble Foundation 0
6 · The paper itself

Abstract

backgroundLong COVID (LC) is characterized by persistent symptoms at least 3 months after a SARS-COV-2 infection. LC has been associated with fungal translocation, gut dysfunction, and enhanced systemic inflammation. Currently, there is no approved treatment for this condition. The anti-inflammatory effect of vitamins K2 and D3 was shown to help attenuate the course of acute COVID-19 infection. OBJECTIVE AND HYPOTHESIS: This trial aims to investigate the effects of vitamins K2/D3 on LC symptoms, as well as gut and inflammatory markers, in people with established long COVID. Our hypothesis is that by attenuating systemic inflammation, vitamins K2/D3 will improve long COVID symptoms.

methodsThis single-site randomized controlled study enrolled adults experiencing ≥2 moderate LC symptoms at least 3 months after a COVID-19 infection. The RECOVER Long COVID Research Index and number and type of LC symptoms were considered. Participants were randomized 2:1 to daily 240 µg K2 (pure MK-7 form) and 2000 UI vitamin D3 or standard of care (SOC) for 24 weeks. The endpoints were changes in symptomatology and in select inflammatory, metabolic, and gut biomarkers at 24 weeks.

resultsWe enrolled 151 participants (

conclusionsVitamins K2/D3 improved the RECOVER Long COVID Index, the number of LC symptoms, and several gut and inflammatory markers. Vitamins K2/D3 provide a promising safe intervention for people suffering from long COVID.

Indexed as

Anti-Inflammatory AgentsCholecalciferolCOVID-19COVID-19 Drug TreatmentInflammationVitamin K 2AdultAgedBiomarkersFemaleHumansMaleMiddle AgedSARS-CoV-2Anti-Inflammatory AgentsBiomarkersCholecalciferolVitamin K 2chronic inflammationfungal translocationgut permeabilitylong COVIDvitamin K2/D3 supplementation

Identifiers

PMID39861434
PMCPMC11767688

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.