Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Compound monograph · §3

Glutathione — clinical evidence

Assessed outcomes with certainty ratings, contributing trials and the reasoning for each rating.

Document identifier
CEI-MN-046/3
Series
Compound monograph
Version
1.3
Published
06 May 2026
Last reviewed
06 May 2026
Next review
06 May 2028
Identifier
10.71829/cei.mono.46
Certainty
Low
Cycle
2026 Q2

§3Clinical evidence

Assessed outcomes for GlutathionePoint estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.60.8Standardised direction and relative magnitude of the recorded effectIndicationEffect as recordedCognition1 trial · LowSmall randomised trials of intravenous…Ageing0 trials · Very lowNo randomised evidence for any ageing…Immune modulation0 trials · Very lowNo assessable randomised evidence for…
Moderate or high certaintyLow or very low certainty
Figure 3. Illustrative. Assessed outcomes plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision, not the published confidence intervals. Published intervals appear in the per-indication extracts and in the text below.

§3.1Cognitive performance and neuroprotection

Anchor outcome. Domain-specific cognitive test scores.

Effect as recorded. Small randomised trials of intravenous and intranasal glutathione in Parkinson disease reported no significant benefit over placebo on motor endpoints; negative results in small samples.[1,2]

Certainty. Low certainty The available randomised evidence is negative rather than absent, which the Institute distinguishes.

Contributing trials. GSH-PD-PH2. Full structured abstracts are published for each.

Full evidence extract for cognitive performance and neuroprotection · Indication assessment

§3.2Biological ageing and healthspan endpoints

Anchor outcome. Epigenetic age acceleration.

Effect as recorded. No randomised evidence for any ageing endpoint; —.[2,3]

Certainty. Very low certainty

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for biological ageing and healthspan endpoints · Indication assessment

§3.3Immune modulation and adjunctive immunotherapy

Anchor outcome. CD4 and CD8 counts.

Effect as recorded. No assessable randomised evidence for immune outcomes; —.[3,4]

Certainty. Very low certainty

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for immune modulation and adjunctive immunotherapy · Indication assessment

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. D’Hondt M, Bracke N, Taevernier L, Gevaert B, Verbeke F, Wynendaele E, De Spiegeleer B. Related impurities in peptide medicines. Journal of Pharmaceutical and Biomedical Analysis 2014;101:2–30. doi:10.1016/j.jpba.2014.06.012 · PMID 25044089
  2. Manning MC, Chou DK, Murphy BM, Payne RW, Katayama DS. Stability of protein pharmaceuticals: an update. Pharmaceutical Research 2010;27(4):544–575. doi:10.1007/s11095-009-0045-6 · PMID 20143256
  3. United States Pharmacopeial Convention. General Chapter ⟨85⟩ Bacterial Endotoxins Test. United States Pharmacopeia — National Formulary (USP–NF) 2024;USP 2024 Issue 1. identifier not held by the Institute
  4. United States Pharmacopeial Convention. General Chapter ⟨71⟩ Sterility Tests. United States Pharmacopeia — National Formulary (USP–NF) 2024;USP 2024 Issue 1. identifier not held by the Institute

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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