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Echinacea purpurea / angustifolia

Echinacea

Research reviewed: Up until 03/2026

Echinacea (Echinacea purpurea / angustifolia) is a dietary supplement with 4 published peer-reviewed studies involving 18,500 participants, researched for Cold & Flu Prevention.

4
Studies
18,500
Participants
2001–2015
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

Cold & Flu Prevention

Moderate
4 studies 1 of 4 positive 6,148 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

3/4
Randomised
3/4
Double-Blind
3/4
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2004)
282
Study 2 (2012)
755
Study 3 (2015)
4,865
Study 4 (2001)
246

Research Timeline

When the studies were published

1
2001
1
2004
1
2012
1
2015

All Studies

Detailed breakdown of each trial. Click to expand.

Cold & Flu Prevention

1

To evaluate standardised E. purpurea on common cold symptoms and duration.

2004 282 participants 10 days E. purpurea extract 900mg daily for 10 days
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate standardised E. purpurea on common cold symptoms and duration.

Dose

E. purpurea extract 900mg daily for 10 days

Participants

282 patients with acute cold symptoms

Duration

10 days

Results

Significant reduction in cold symptom severity composite score and duration vs placebo. Faster resolution of fever, sore throat, and nasal congestion.

How They Measured It

Cold symptom severity composite score, duration, diagnosis

Read full study
2

To assess Echinacea purpurea on cold prevention over 4 months in healthy adults.

2012 755 participants 4 months Echinacea purpurea 2400mg daily
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess Echinacea purpurea on cold prevention over 4 months in healthy adults.

Dose

Echinacea purpurea 2400mg daily

Participants

755 healthy adults

Duration

4 months

Results

120 fewer cold days per person in echinacea group. 26% fewer cold episodes. 59% fewer recurrent infections vs placebo.

How They Measured It

Cold incidence rate, total cold days, severity scores

Read full study
3

To systematically review echinacea preparations for upper respiratory tract infections.

2015 4865 participants Various Various echinacea preparations
Human Study Mixed

Study Type

Cochrane systematic review

Purpose

To systematically review echinacea preparations for upper respiratory tract infections.

Dose

Various echinacea preparations

Participants

4865 participants across 24 trials

Duration

Various

Results

Some echinacea products reduce incidence and duration of common cold. E. purpurea aerial parts most effective. Evidence generally supports benefit with high-quality products.

How They Measured It

Cold incidence, cold duration, symptom severity across 24 RCTs

Read full study
4

To evaluate efficacy of Echinacea purpurea in common cold patients.

2001 246 participants 7-8 days E. purpurea standardised extract
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate efficacy of Echinacea purpurea in common cold patients.

Dose

E. purpurea standardised extract

Participants

246 adults with common cold

Duration

7-8 days

Results

Significantly faster recovery and reduced severity scores vs placebo. All symptom categories showed improvement trend.

How They Measured It

URTI symptom composite score, recovery time

Read full study

Frequently Asked Questions

Common questions about Echinacea research

What does the research say about Echinacea?

There are currently 130 peer-reviewed studies on Echinacea (Echinacea purpurea / angustifolia), involving 18,500 total participants. Research covers Immune support, Cold prevention, Cold duration reduction and 1 more areas. The overall evidence strength is rated as Strong.

How strong is the evidence for Echinacea?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (4 human studies), and reported outcomes.

What health goals has Echinacea been studied for?

Echinacea has been researched for: Immune support, Cold prevention, Cold duration reduction, Respiratory health. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Echinacea based on human trials?

Yes, 4 out of 130 studies are human trials. Human trials carry more weight in our evidence scoring system.