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Artemisia annua

Artemisia annua, or sweet wormwood, is a plant whose leaves contain artemisinin, a compound that damages malaria parasites in the blood. Artemisinin-based combination drugs became the WHO-recommended first-line option for malaria, and large studies found they cleared the infection in over 95% of uncomplicated cases. That strong evidence is for those combination medicines; work on arthritis and hay fever symptoms was small, and the evidence there is limited.

Best evidence
Grade A
Conditions studied
5
Outcomes
5
Graded outcomes
1040

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

5 conditions

Malaria P. Falciparum

Malaria P. Falciparum: outcomes studied for Artemisia annua
GradeOutcomeEffectSizeStudiesPeopleStudies list
Parasite Clearance

WHO-recommended first-line treatment; ACTs achieve >95% cure rates in uncomplicated malaria

Improves (the measure goes up)Large effect10,000 people
Rheumatoid Arthritis (RA): outcomes studied for Artemisia annua
GradeOutcomeEffectSizeStudiesPeopleStudies list
Disease Activity

Extract (30g/d) + methotrexate/leflunomide more effective than standard therapy alone over 48 weeks

Improves (the measure goes down)Moderate effect159 people

Osteoarthritis Hipknee

  • WOMAC Score (Pain/Stiffness/Function): improves
Osteoarthritis Hipknee: outcomes studied for Artemisia annua
GradeOutcomeEffectSizeStudiesPeopleStudies list
WOMAC Score (Pain/Stiffness/Function)

150mg twice daily significantly improved WOMAC total scores vs placebo at 12 weeks (p=0.0159)

Improves (the measure goes down)Moderate effect42 people

Osteoarthritis (OA)

  • Long-term Safety/Efficacy: changes; see studies
Osteoarthritis (OA): outcomes studied for Artemisia annua
GradeOutcomeEffectSizeStudiesPeopleStudies list
Long-term Safety/Efficacy

6-month open-label extension showed maintained benefits with continued safety

Changes; see studiesModerate effect42 people
Allergic Rhinitis (Seasonal Allergies / Hay Fever): outcomes studied for Artemisia annua
GradeOutcomeEffectSizeStudiesPeopleStudies list
Symptom Reduction

Sublingual pollen extract (2400 BU/day) reduced symptoms over 32 weeks

Improves (the measure goes down)Moderate effect40 people

Key findings

  • Parasite ClearanceImproves (the measure goes up)
  • Disease ActivityRheumatoid Arthritis (RA)Improves (the measure goes down)
  • WOMAC Score (Pain/Stiffness/Function)Improves (the measure goes down)

Shop the evidence-backed picks

Third-party tested Artemisia annua products, in the forms the graded studies used where we can match them.

  • Grade A

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Studies cited

6 studies from PubMed

  1. Artemisinin and Its Derivatives as Potential Anticancer AgentsMolecules, 2024 · PMID 39125055
  2. New clinical application prospects of artemisinin and its derivatives: a scoping reviewInfect Dis Poverty, 2023 · PMID 38160997
  3. Artemisinin relieves osteoarthritis by activating mitochondrial autophagy through reducing TNFSF11 expression and inhibiting PI3K/AKT/mTOR signaling in cartilageCell Mol Biol Lett, 2022 · PMID 36014407
  4. Effect of Artemisia annua extract on treating active rheumatoid arthritis: A randomized controlled trialChin J Integr Med, 2017 · PMID 28035541
  5. A pilot randomized, placebo-controlled clinical trial to investigate the efficacy and safety of an extract of Artemisia annua administered over 12 weeks, for managing pain, stiffness, and functional limitation associated with osteoarthritis of the hip and kneeClin Rheumatol, 2016 · PMID 26631103
  6. An open-label six-month extension study to investigate the safety and efficacy of an extract of Artemisia annua for managing pain, stiffness and functional limitation associated with osteoarthritis of the hip and kneeN Z Med J, 2016 · PMID 27806033