Summary
Vitamin K2 is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. ClinicalTrials.gov lists 1 registered trial linking Vitamin K2 to Long COVID: 1 has completed. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 151 participants. Registered activity dates to 2022. The literature layer holds 17 publications for this pair: 17 PubMed search records. Publication years run from 2016 to 2026. Items here are search-derived or curated references rather than classified trial reports; treat them as leads to read, not as graded evidence.
Long COVID / PASC is tracked on the OSMF post-viral programme alongside ME/CFS, Long COVID, POTS and MCAS. Across the programme, 423 candidate agents are logged for Long COVID, most of them preliminary; this page isolates the record for one of them.
Evidence table
| Evidence tier | C · Preliminary |
|---|---|
| Evidence score | 24.5 (trials 2.5, literature 17.0, tier 5, approved bonus 0.0) |
| Registered trials | 1 total: 0 recruiting, 0 active / not yet recruiting, 1 completed, 0 other |
| Linked publications | 17 (17 PubMed search records) |
| Agent type | Supplement (Supplement / Nutraceutical) |
| Development stage (any indication) | Investigational |
| Mechanism / class | Not recorded |
| Data sources | OSMF therapeutic agent database, ClinicalTrials.gov, PubMed |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT05356936 | Pilot Study of Vitamin K2 (MK-7) and Vitamin D3 Supplementation and the Effects on PASC Symptomatology and Inflammatory Biomarkers University Hospitals Cleveland Medical Center · 2022 | completed | Not applicable | 151 |
Published literature
- PubMed record (biomarker-intervention search) Vitamin K(2) (MK-7) as a novel cytoprotective agent in ovarian ischemia-reperfusion: Promoting functional recovery.Tissue & cell · 2026 · PMID 42107193
- PubMed record (biomarker-intervention search) The Effects of Vitamin K2 on Recovery from Muscle-Damaging Resistance Exercise in Young and Older Adults: The TAKEOVER Randomized Controlled Trial.Medicine and science in sports and exercise · 2026 · PMID 41843412
- PubMed record (biomarker-intervention search) Exploring vitamin K2 and B12 as bioactive micronutrients for dentin conditioning in regenerative endodontics procedures.Naunyn-Schmiedeberg's archives of pharmacology · 2026 · PMID 41843132
- PubMed record (biomarker-intervention search) Vitamins and Cancer Risk: A Comprehensive Review of Epidemiologic and Clinical Evidence.Kansas journal of medicine · 2026 · PMID 42137389
- PubMed record (biomarker-intervention search) Efficacy of combined supplementation of vitamins A/D/K1/K2 on the growth and development of preterm infants: A randomized controlled trial.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026 · PMID 42125969
- PubMed record (biomarker-intervention search) Advances in the management of osteopenia: a case series.Journal of medical case reports · 2026 · PMID 41709348
- PubMed record (biomarker-intervention search) Vitamin K in dermatology.Clinics in dermatology · 2026 · PMID 41692082
- PubMed record (biomarker-intervention search) Integrative approaches to perimenopause.The American journal of medicine · 2026 · PMID 41520809
- PubMed record (biomarker-intervention search) Modulation of Cardiometabolic Risk by Vitamin D and K2: Simple Supplementation or Real Drug? Uncovering the Pharmacological Properties.International journal of molecular sciences · 2025 · PMID 41516172
- PubMed record (biomarker-intervention search) Effects of Bacillus subtilis Natto NB205 and Its Mutant NBMK308 on Egg Quality in Aging Laying Hens.Life (Basel, Switzerland) · 2023 · PMID 37240754
- PubMed record (biomarker-intervention search) Potential Cardioprotective Role of Menaquinone-4 Against Cardiac Ischemia-reperfusion Injury.Journal of cardiovascular pharmacology · 2023 · PMID 36857749
- PubMed record (biomarker-intervention search) Co-supplementation of Vitamin K2 and Selenium Synergistically Improves Metabolic Status and Reduces Cardiovascular Risk Markers in Dyslipidemic Rabbits.Biological trace element research · 2023 · PMID 36696048
- PubMed record (biomarker-intervention search) Influence of vitamin K2 on lipid precursors of inflammation and fatty acids pathway activities in HepG2 cells.European journal of cell biology · 2021 · PMID 34837768
- PubMed record (biomarker-intervention search) Sustained Drug Treatment Alters the Gut Microbiota in Rheumatoid Arthritis.Frontiers in immunology · 2021 · PMID 34721377
- PubMed record (biomarker-intervention search) Suppressive effect of vitamin K2 against mitogen-activated peripheral blood mononuclear cells of rheumatoid arthritis patients.International journal of clinical pharmacology and therapeutics · 2021 · PMID 33040843
- PubMed record (biomarker-intervention search) Effect of vitamin K supplementation on insulin sensitivity: a meta-analysis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2017 · PMID 28496349
- PubMed record (biomarker-intervention search) Effect of Vitamin K on Vascular Health and Physical Function in Older People with Vascular Disease--A Randomised Controlled Trial.The journal of nutrition, health & aging · 2016 · PMID 26892582
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
Clinical notes: Investigational for listed conditions. 1 associated trial(s) and 0 study reference(s) in current data. Review primary sources and consult specialists before use.
Safety: Limited specific safety data in these populations. Review full prescribing information and consult specialist. Many agents used off-label or investigational.
Dosing in studies: See linked studies/trials for reported doses and durations; typical protocols vary widely.
Frequently asked questions
Is Vitamin K2 approved for Long COVID?
Vitamin K2 is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Vitamin K2 in clinical trials for Long COVID?
ClinicalTrials.gov lists 1 registered trial linking Vitamin K2 to Long COVID: 1 has completed. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 151 participants. Registered activity dates to 2022.
What does the evidence show for Vitamin K2 in Long COVID?
Vitamin K2 has 1 completed trial and 17 linked publications for Long COVID. Completed trials may or may not have posted results; follow the NCT links to check. OSMF's existing evidence tier for this pair is C (Preliminary), taken from the OSMF therapeutic agent database, which grades agents by the volume and design of condition-specific evidence rather than by effect size.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-10-07. Page built 2026-10-07.