Efficacy of Micronutrient Dietary Supplementation in Reducing Hospital Admissions for COVID-19: A Double-blind, Placebo-controlled, Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 252
- 试验地点
- 2
- 主要终点
- Need for hospital admission
研究概览
简要总结
A double-blind, placebo-controlled, randomized clinical trial to assess efficacy of micronutrient dietary supplementation in reducing hospital admissions for COVID-19 and incidence of Long Covid.
We want to assess the need for hospital admission for severe acute respiratory syndrome Corona Virus-2 (SARS-CoV-2) infection in outpatients diagnosed of COVID-19 disease, taking a micronutrient supplementation for 14 days. The outcome Will be measured within 1 month after beginning the study treatment. The patients will be followed-up for a period of 180 days for the incidence of Long Covid
详细描述
- Type of study/ Design: Randomized, double-blind, placebo-controlled clinical trial.
- Sponsor: Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol / Hospital Universitari Germans Trias i Pujol ( IGTP / HUGTIP)
- Title of the clinical trial: Efficacy of micronutrient dietary supplementation in reducing hospital admissions for COVID-19 and Long Covid: A double-blind, placebo-controlled, randomized clinical trial.
- Protocol code: CoVIT Clinical Trial
- NºClinicaltrials.gov: Pending
- Coordinating researcher: Dra. Teresa-Maria Tomasa-Irriguible.
- Recruiting Center: Germans Trias i Pujol University Hospital (HUGTIP)
- Ethical Committee for clinical Investigation (CEI): Germans Trias i Pujol University Hospital CEI.
- Monitoring: Clinical Research Associate at UPIC (Unitat Polivalent d'Investigació Clínica) Clinical Trial Unit- IGTP
- Study treatments: Dietary supplement with micronutrients and Placebo
- Test phase: Not applicable.
- Main objective: Evaluation of the effectiveness of supplementation with a dietary supplement to improve the need for hospital admission for SARS-CoV-2 infection, and incidence of Long Covid.
- Study pathology: COVID-19.
- Main variable: The need for hospital admission of SARS-CoV-2 documented infection and the incidence of Long Covid
- Study population and total number of patients: Patients of the health system of the Northern Metropolitan Area of Catalan Health Institution with symptoms compatible with SARS-CoV-2 infection. A total of 300 people (150 treated with dietary supplement and 150 with placebo).
- Duration of treatment: 14 days.
- Patients follow-up: 180 days
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Placebo tablets with the same external aspect than the dietary supplement, the same administration route, containing only the excipients
入排标准
- 年龄范围
- 18 Years 至 90 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Informed Consent Form signed.
- •Patients with symptoms compatible with COVID-19: cough and fever who not fulfil criteria of hospitalization and will be in outpatient care.
- •Positive polymerase chain reaction (PCR) or transcription-mediated amplification (TMA) test or rapid antigen test for severe acute respiratory syndrome Corona Virus-2 (SARS-CoV-2) or diagnostic test available.
- •Age ≥ 18 years
- •Availability to meet the requirements of the protocol.
排除标准
- •Intake of any micronutrient supplement during the month prior to inclusion.
- •Patients fulfilling hospitalization criteria.
- •Previous allergies to the micronutrient components and excipients.
- •Age ≥ 90 years with any comorbidity (diabetes, hypertension, obesity, heart disease, respiratory disease)
- •Participation in other research that requires experimental intervention (does not include observational studies) in the previous month before signing the informed consent form.
- •Detection by the researcher of lack of knowledge or willingness to participate and comply with all the requirements of the protocol.
- •Any other findings that at the discretion of the researcher may compromise protocol performance or significantly influence the interpretation or results of the effects of the nutritional supplement
- •Pregnancy or breastfeeding
结局指标
主要结局
Need for hospital admission
时间窗: From baseline to 1 month after beginning the study treatment
The need for hospitalization of documented SARS-CoV-2 infection (positive polymerase chain reaction or transcription-mediated amplification test or antigen test or positive serology or diagnostic test available) over the course of the disease
Incidence of Long Covid.
时间窗: 6 months after beginning the study treatment
Incidence of long Covid or symptoms persistence following World Health Organization definition
次要结局
- Micronutrient basal status (Vitamin B12)(Within day 1 at study inclusion)
- Micronutrient basal status (Vitamin A and Vitamin E)(Within day 1 at study inclusion)
- Micronutrient status at hospital admission (Iron, Zinc and Copper)(Within the first day of hospital admission)
- Micronutrient status at hospital admission (Vitamin C)(Within the first day of hospital admission)
- Micronutrient basal status (Iron, Zinc and Copper )(Within day 1 at study inclusion)
- Micronutrient basal status (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid(Within day 1 at study inclusion)
- Micronutrient status at end of study (Vitamin A and Vitamin E)(Within 90 days of the study treatment ending)
- Micronutrient status at end of study (Selenium)(Within 90 days of the study treatment ending)
- Thromboembolic disease(From baseline to 30 days of the study treatment ending)
- Death(From baseline to the study follow-up period: Maximum 3 months)
- Intensive Care Unit Admission(From baseline to the study follow-up period: Maximum 3 months)
- Hospitalization needs (days)(From baseline to the study follow-up period: Maximum 3 months)
- Adverse events(From baseline to the study follow-up period: Maximum 3 months)
- Micronutrient basal status (Selenium )(Within day 1 at study inclusion)
- Micronutrient status at hospital admission ( Vitamin B12)(Within the first day of hospital admission)
- Micronutrient status at hospital admission (Selenium)(Within the first day of hospital admission)
- Micronutrient status at end of study (Vitamin B12)(Within 90 days of the study treatment ending)
- Micronutrient status at end of study (Iron, Zinc, and Copper)(Within 90 days of the study treatment ending)
- High-Flow oxygen supplementation(From baseline to the study follow-up period: Maximum 3 months)
- Invasive mechanical ventilation(From baseline to the study follow-up period: Maximum 3 months)
- Cumulative hospital admission(From baseline to the study follow-up period: Maximum 3 months)
- Survival(From baseline to the study follow-up period: Maximum 3 months)
- Serious Adverse Events(From baseline to the study follow-up period: Maximum 3 months)
- Cognitive status(At baseline and at Day 180.)
- Micronutrient basal status (Vitamin C)(Within day 1 at study inclusion)
- Micronutrient status at hospital admission (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid)(Within the first day of hospital admission)
- Micronutrient status at hospital admission (Vitamin A and Vitamin E)(Within the first day of hospital admission)
- Oxygen supplementation(From baseline to the study follow-up period: Maximum 3 months)
- Tracheostomy(From baseline to the study follow-up period: Maximum 3 months)
- Renal replacement(From baseline to the study follow-up period: Maximum 3 months)
- Micronutrient status at end of study (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid)(Within 90 days of the study treatment ending)
- Micronutrient status at end of study (Vitamin C)(Within 90 days of the study treatment ending)
- Inflammatory parameters(From baseline to 30 days of the study treatment ending)
- Persistence (or not) of Covid-19 Clinical Symptoms (directly asking patient for peristence of Neurologic, Psicologic, Digestive, Cardiovascular, Respiratory and Osteomuscular Symptoms).(From baseline to the study follow-up period: Maximum 6 months.)
- EQ-5D(At baseline and at Day 180.)
