RT Journal Article T1 Safety Evaluation of α-Lipoic Acid Supplementation: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Clinical Studies A1 Fogacci, Federica A1 Rizzo, Manfredi A1 Krogager, Christoffer A1 Kennedy, Cormac A1 Georges, Coralie M.G. A1 Knežević, Tamara A1 Liberopoulos, Evangelos A1 Vallée, Alexandre A1 Pérez-Martínez, Pablo A1 Wenstedt, Eliane F.E. A1 Šatrauskienė, Agnė A1 Vrablík, Michal A1 Cicero, Arrigo F.G. K1 Alpha-lipoic acid K1 Thioctic acid K1 Dietary supplement K1 Safety K1 Meta-analysis K1 Ácido tióctico K1 Suplementos dietéticos K1 Seguridad K1 Metaanálisis K1 Revisión sistemática AB Alpha-lipoic acid (ALA) is a natural short-chain fatty acid that has attracted great attention in recent years as an antioxidant molecule. However, some concerns have been recently raised regarding its safety profile. To address the issue, we aimed to assess ALA safety profile through a systematic review of the literature and a meta-analysis of the available randomized placebo-controlled clinical studies. The literature search included EMBASE, PubMed Medline, SCOPUS, Google Scholar, and ISI Web of Science by Clarivate databases up to 15th August 2020. Data were pooled from 71 clinical studies, comprising 155 treatment arms, which included 4749 subjects with 2558 subjects treated with ALA and 2294 assigned to placebo. A meta-analysis of extracted data suggested that supplementation with ALA was not associated with an increased risk of any treatment-emergent adverse event (all p > 0.05). ALA supplementation was safe, even in subsets of studies categorized according to smoking habit, cardiovascular disease, presence of diabetes, pregnancy status, neurological disorders, rheumatic affections, severe renal impairment, and status of children/adolescents at baseline. PB MDPI YR 2020 FD 2020-10-19 LK http://hdl.handle.net/10668/3792 UL http://hdl.handle.net/10668/3792 LA en NO Fogacci F, Rizzo M, Krogager C, Kennedy C, Georges CMG, Knežević T, et al. Safety Evaluation of α-Lipoic Acid Supplementation: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Clinical Studies. Antioxidants. 2020 Oct 19;9(10):1011 DS RISalud RD Apr 17, 2025