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Carica papaya proteolytic enzyme

Papain

Research reviewed: Up until 03/2026

Papain (Carica papaya proteolytic enzyme) is a dietary supplement with 7 published peer-reviewed studies involving 680 participants, researched for Digestive Health, Anti-inflammatory Effects, Wound Healing and 1 more areas.

7
Studies
680
Participants
2001–2014
Research Span

Evidence at a Glance

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

Overall: Strong Evidence

Digestive Health

Strong
2 studies 2 of 2 positive 188 participants

Anti-inflammatory Effects

Moderate
2 studies 2 of 2 positive 96 participants 1 human

Wound Healing

Moderate
1 study 0 of 1 positive 60 participants

Immune Support

Moderate
2 studies 1 of 2 positive 354 participants 1 human

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

5/7
Randomised
4/7
Double-Blind
3/7
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2012)
126
Study 2 (2013)
62
Study 1 (2008)
96
Study 2 (2014)
0
Study 1 (2001)
60
Study 1 (2006)
90
Study 2 (2009)
264

Research Timeline

When the studies were published

1
2001
1
2006
1
2008
1
2009
1
2012
1
2013
1
2014

All Studies

Detailed breakdown of each trial. Click to expand.

Digestive Health

1

To evaluate papain-containing enzyme supplementation for functional dyspepsia.

2012 126 participants 8 weeks 225 mg/day papain-containing enzyme blend
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate papain-containing enzyme supplementation for functional dyspepsia.

Dose

225 mg/day papain-containing enzyme blend

Participants

126 adults with functional dyspepsia

Duration

8 weeks

Results

Papain significantly reduced dyspeptic symptoms including bloating, fullness, and nausea compared to placebo. Total GI symptom scores improved significantly at 8 weeks.

How They Measured It

Dyspepsia symptom questionnaire, bloating VAS, upper GI discomfort score

Read full study
2

To assess a papaya-derived enzyme preparation on irritable bowel syndrome symptoms.

2013 62 participants 40 days 10 g/day papaya preparation (containing papain and chymopapa...
Human Study RCT Double-Blind Positive

Study Type

Randomised, double-blind, controlled

Purpose

To assess a papaya-derived enzyme preparation on irritable bowel syndrome symptoms.

Dose

10 g/day papaya preparation (containing papain and chymopapain)

Participants

62 adults with IBS-D or IBS-M

Duration

40 days

Results

Papaya enzyme preparation significantly improved overall IBS symptom severity and quality of life. Constipation and bloating were markedly reduced. Stool consistency normalised in IBS-C patients.

How They Measured It

IBS symptom severity score, quality of life, stool frequency and consistency

Read full study

Anti-inflammatory Effects

1

To evaluate a systemic enzyme blend including papain on post-traumatic inflammation.

2008 96 participants 10 days 240 mg/day papain in enzyme blend
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate a systemic enzyme blend including papain on post-traumatic inflammation.

Dose

240 mg/day papain in enzyme blend

Participants

96 patients with sports injuries

Duration

10 days

Results

Systemic enzyme blend including papain significantly reduced swelling, pain, and fibrin degradation products compared to placebo. Recovery time was significantly shortened in the enzyme group.

How They Measured It

Oedema measurement, pain VAS, inflammatory markers (CRP, fibrin)

Read full study
2

To investigate papain's anti-inflammatory properties in a rodent carrageenan paw oedema model.

2014 ? participants Acute 50-200 mg/kg papain
Animal Study Positive

Study Type

Animal study

Purpose

To investigate papain's anti-inflammatory properties in a rodent carrageenan paw oedema model.

Dose

50-200 mg/kg papain

Participants

Sprague-Dawley rats

Duration

Acute

Results

Papain dose-dependently reduced paw oedema and inhibited COX-2 expression. Pro-inflammatory cytokines (IL-1β, TNF-α) were significantly reduced compared to vehicle control.

How They Measured It

Paw volume, pro-inflammatory cytokines, COX-2 expression

Read full study

Wound Healing

1

To evaluate topical papain for wound debridement and healing in chronic wounds.

2001 60 participants 8 weeks Topical papain-urea preparation
Human Study RCT Positive

Study Type

Randomised, controlled trial

Purpose

To evaluate topical papain for wound debridement and healing in chronic wounds.

Dose

Topical papain-urea preparation

Participants

60 patients with chronic non-healing wounds

Duration

8 weeks

Results

Topical papain significantly accelerated wound debridement and healing rate compared to standard wound care. The proteolytic action of papain removed necrotic tissue efficiently.

How They Measured It

Wound area, time to debridement, wound healing rate, pain

Read full study

Immune Support

1

To examine the immunomodulatory effects of oral papaya enzyme preparation.

2006 90 participants 12 weeks 5 g/day fermented papaya preparation containing papain
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To examine the immunomodulatory effects of oral papaya enzyme preparation.

Dose

5 g/day fermented papaya preparation containing papain

Participants

90 healthy adults

Duration

12 weeks

Results

Papaya enzyme supplementation significantly enhanced NK cell activity and lymphocyte proliferative responses. IL-12 and IFN-γ production were elevated, consistent with immunostimulatory effects.

How They Measured It

NK cell activity, lymphocyte proliferation, cytokine production

Read full study
2

To characterise papain's immunomodulatory effects on macrophage activation.

2009 264 participants N/A Varying papain concentrations
In Vitro Mixed

Study Type

In-vitro study

Purpose

To characterise papain's immunomodulatory effects on macrophage activation.

Dose

Varying papain concentrations

Participants

RAW264.7 macrophage cell line

Duration

N/A

Results

Papain at physiological concentrations enhanced macrophage phagocytic activity and modulated cytokine production toward an anti-inflammatory profile. Higher concentrations activated pro-inflammatory pathways, suggesting dose-dependent biphasic effects.

How They Measured It

Macrophage cytokine production, phagocytic activity, surface marker expression

Read full study

Frequently Asked Questions

Common questions about Papain research

What does the research say about Papain?

There are currently 7 peer-reviewed studies on Papain (Carica papaya proteolytic enzyme), involving 680 total participants. Research covers Digestive health, Anti-inflammatory effects, Wound healing and 1 more areas. The overall evidence strength is rated as Strong.

How strong is the evidence for Papain?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (5 human studies, 1 animal study), and reported outcomes.

What health goals has Papain been studied for?

Papain has been researched for: Digestive health, Anti-inflammatory effects, Wound healing, Immune support. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Papain based on human trials?

Yes, 5 out of 7 studies are human trials. The remaining 1 is an animal study. Human trials carry more weight in our evidence scoring system.