Evaluation the effect of berberine in covid-19 patients
Design
A randomized, blinded, placebo controlled clinical trial with a parallel group design of 40 patients,
randomizing with the table of random numbers.
Settings and conduct
This study will be performed on outpatients. In this study, 40 patients with covid-19 disease were selected and randomly assigned to two groups of 20 individuals. Patients in the standard diet control group will receive standard coronavirus treatment with placebo. In addition to the standard diet, patients in the treatment group will be treated with 300 mg of berberine three times a day for at least 2 weeks. Patients are monitored at intervals of 3 days, 1 week and 2 weeks after receiving the drug or placebo in terms of time interval until clinical and laboratory symptoms improve.
Participants/Inclusion and exclusion criteria
People over 18 years of age with a diagnosis of coronavirus based on clinical and laboratory symptoms;home quarantine and outpatients
Intervention groups
The control group receives standard anti-coronavirus drugs with placebo. In addition to the common anti-corona virus drugs, the treatment group also receives berberine.
Main outcome variables
Time interval until lymphopenia improves
Time interval until CRP normalizes
Time interval until clinical symptoms improve (fever, cough and myalgia)
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20081019001369N2
Registration date:2020-04-07, 1399/01/19
Registration timing:prospective
Last update:2020-04-07, 1399/01/19
Update count:0
Registration date
2020-04-07, 1399/01/19
Registrant information
Name
Hossein Hosseinzadeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 51 3180 1193
Email address
hosseinzadehh@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-04-20, 1399/02/01
Expected recruitment end date
2020-07-22, 1399/05/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Clinical trial of berberine against COVID-19
Public title
Effect of berberine on COVID-19
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with covid-19 symptoms
Indication of home quarantine and outpatient medication
Exclusion criteria:
Patients over 65 years of age
Patients connected to a catheter or under chemotherapy
Patients taking cytotoxic drugs or corticosteroids
Child patients
Pregnant and lactating patients
Diabetic patients
Patients with severe renal insufficiency as well as liver failure
Age
From 18 years old to 65 years old
Gender
Both
Phase
2
Groups that have been masked
Participant
Care provider
Outcome assessor
Data analyser
Data and Safety Monitoring Board
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization in three stages:
1- Random sequence generation: this step simple or limited randomization will be done based on a table of random numbers
2- Allocation concealment: which is done in the form of coded boxes (numbered drug containers) with a random sequence. In this method, a number of boxes with the same shape and size are numbered based on random sequences and contain drugs or placebo that have a completely similar appearance.
3- Execution of random allocation process:
A: Identify the person who creates the random sequence
B: A person who evaluates and registers researchers in terms of inclusion and exclusion criteria
C: The person who assigned the participants to the groups: infectious diseases specialist
The main researcher of the project, who creates a random sequence, does not interfere in other stages of randomization, including registration and allocation of participants, and the person involved in creating a random program is separate from other researchers.
Blinding (investigator's opinion)
Double blinded
Blinding description
The drug and placebo are given as a same-color and –size capsules in boxes labeled with the letters A and B in box. The medical staff, the patient and the data collector are not aware of the nature of the drug or placebo, and only the executor of research project is aware of the nature of the contents of the two capsules.
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Medical Ethics Committee of Mashhad University of Medical Sciences
Street address
Blv.Vakilabad 2- School of Pharmacy-1365-91775
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948954
Approval date
2020-03-31, 1399/01/12
Ethics committee reference number
IR.MUMS.REC.1399.030
Health conditions studied
1
Description of health condition studied
Covid-19
ICD-10 code
U07.1
ICD-10 code description
COVID-19 Disease
Primary outcomes
1
Description
Time interval until clinical symptoms improve
Timepoint
3 days, 1 week and 2 weeks after treatment
Method of measurement
time of recovery
Secondary outcomes
1
Description
Fever
Timepoint
3 days, 1 week and 2 weeks after treatment
Method of measurement
Thermometer
2
Description
lymphopenia
Timepoint
3 days, 1 week and 2 weeks after treatment
Method of measurement
Cell counter device
3
Description
CRP
Timepoint
3 days, 1 week and 2 weeks after treatment
Method of measurement
CRP kit
Intervention groups
1
Description
In addition to the standard treatment regimen for COVID-19, the berberine hydrochloride capsule (Pharmaceutical grade) 300 mg will be given three times a day for 2 weeks. Berberine capsule (300 mg) is formulated at the School of Pharmacy with the inert ingredients of aerosol and avicel.
Category
Treatment - Drugs
2
Description
Control group: Patients on the standard treatment regimen for COVID-19 will receive placebo capsules three times a day for 2 weeks. The placebo is formulated in capsules of the same shape and size as the drug capsules and contains avicel and aerosil.
Category
Treatment - Drugs
Recruitment centers
1
Recruitment center
Name of recruitment center
Imam Reza Hospital
Full name of responsible person
Javad Dehghan Nayyeri
Street address
Imam Reza Square
City
Mashhad
Province
Razavi Khorasan
Postal code
٩١٣٧٩١٣٣١۶
Phone
+98 51 3854 3031
Email
DehghanMJ@mums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Mohsen Tafaghdi
Street address
Daneshgah St.
City
Mashhad
Province
Razavi Khorasan
Postal code
9138813944
Phone
+98 51 3841 1538
Email
TafaghodiM@mums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hossein Hosseinzadeh
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
Blv. Vakilabad2-School of Pharmacy, 1365-91775
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948954
Phone
+98 51 3180 1193
Fax
+98 51 1882 3251
Email
hosseinzadehh@mums.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hossein Hosseinzadeh
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
Blv. Vakilabad2-School of Pharmacy, 1365-91775
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948954
Phone
+98 51 3180 1193
Fax
+98 51 1882 3251
Email
hosseinzadehh@mums.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hossein Hosseinzadeh
Position
Professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Pharmacy
Street address
Blv. Vakilabad2-School of Pharmacy, 1365-91775
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948954
Phone
+98 51 3180 1193
Fax
+98 51 1882 3251
Email
hosseinzadehh@mums.ac.ir
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available