Benefits
High elemental copper on the label
Cupric oxide contains roughly 80% copper by weight, more than any common nutritional form, so a tiny amount satisfies a large label claim at low cost. This is the main reason manufacturers choose it, though the label number does not reflect absorbed copper.
Inexpensive copper for fortification
As a cheap, stable, odorless powder, cupric oxide is convenient to blend into mass-market multivitamins. It can contribute to a product's stated copper content, but better-absorbed forms are preferable when the goal is actually raising copper status.
Provides copper only if it dissolves
Copper is essential for antioxidant, iron-handling, and connective-tissue enzymes. Cupric oxide can in principle supply that copper, but only the small fraction that dissolves and is absorbed contributes, which is why more soluble forms are generally recommended.
Stable, shelf-friendly ingredient
Cupric oxide is chemically stable and does not readily oxidize other nutrients in a blend, which helps formulation shelf life. Its drawback is the same property that makes it stable also makes it poorly soluble and poorly absorbed in the gut.
Mechanism of action
Poor solubility limits absorption
Cupric oxide is largely insoluble in water and only sparingly soluble in stomach acid, so little ionic copper is released for uptake by the intestinal CTR1 transporter. Bioavailability depends on dissolution, and CuO dissolves too poorly to deliver much copper.
Near-zero measured bioavailability
In controlled chick feeding studies measuring liver copper accumulation, cupric oxide provided essentially no bioavailable copper compared with copper sulfate, while cuprous oxide and copper-lysine matched sulfate. The defect is specific to cupric oxide.
Copper enzyme roles when absorbed
Any copper that is absorbed supports ceruloplasmin, copper-zinc superoxide dismutase, lysyl oxidase, and cytochrome c oxidase. The limitation with cupric oxide is delivery, not the downstream biochemistry of copper itself.
Clinical trials
Two-week chick feeding trial comparing copper bioavailability of cupric oxide, cuprous oxide, and a copper-lysine complex against copper sulfate, using liver copper accumulation as the endpoint.
Young chicks (controlled feeding).
Cuprous oxide and copper-lysine furnished copper as efficiently as copper sulfate, but cupric oxide provided no bioavailable copper to the chicks. This directly demonstrates that the high elemental percentage of cupric oxide does not translate into absorbable copper.
Journal of Nutrition editorial reviewing the accumulated evidence on cupric oxide copper bioavailability in animals and humans.
Evidence review/editorial.
The editorial concluded that the copper in analytical-grade cupric oxide is unavailable for absorption, with bioavailability relative to copper sulfate not significantly different from zero, and stated plainly that cupric oxide should not be used as a copper supplement for either animals or humans.