Protocol summary
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Study aim
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Determining the effect of ZAX.1399.C03 on the course of the disease, symptomatic treatment and reduction of inflammatory mediators in COVID-19 patients in home care
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Design
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The triple blind clinical trial, two treatment groups and parallel control, The stage will be over 60 patients. For randomization, we will use the method of permutation blocks with a number of 6 blocks using Random allocation software.
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Settings and conduct
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Patients with COVID19 in home care are divided into groups A and B. The anti-inflammatory effects of ZAX.1399.C03 evaluated. The study will be blinded at the level of outcome assessor and statistical analyst of results. Location: Fasa University of Medical Sciences
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Participants/Inclusion and exclusion criteria
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Admission requirements:
1. Definitive diagnosis of COVID-19
2. Age over 18 years
3. Both sexes (male and female)
4. Having informed and written consent to participate in the study
5. No history of any allergies
6. Do not take anticoagulants
7. Not getting pregnant and breastfeeding
8. No diabetes in the person
Conditions for not entering the study:
1. Disagreement of the physician in charge of the patient
2. History of any allergies
3. History of heart and kidney disease
4. Patient disagreement
5. History of high blood pressure
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Intervention groups
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Divide patients into two similar groups A and B. The treatment group contains capsules containing ZAX.1399.C03 and the placebo group contains capsules containing fried corn flour. By introducing the plan and justifying the patient, written consent is received.
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Main outcome variables
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1. Serum levels of inflammatory mediators IL6
2. Degree of hemoglobin saturation (SPO2) in the normal range
General information
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Reason for update
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1. In order to protect the intellectual property of the project, the name of the studied plant product has been removed and the phrase ZAX.1399.C03 has been replaced.
2. The English translation sections have been revised from a grammatical point of view and "minor" changes have been made.
3. The main outcome variable is described in the abstract of serum IL6 level and the degree of hemoglobin saturation of the blood.
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Acronym
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SICF (مطالعه التهاب و کرونا ویروس فسا)
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IRCT registration information
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IRCT registration number:
IRCT20210218050404N1
Registration date:
2021-03-10, 1399/12/20
Registration timing:
prospective
Last update:
2021-09-30, 1400/07/08
Update count:
1
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Registration date
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2021-03-10, 1399/12/20
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2021-06-21, 1400/03/31
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Expected recruitment end date
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2023-06-21, 1402/03/31
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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Evaluation of anti-inflammatory effect of ZAX.1399.C03 on airways inflammation in patients with coronavirus in home care
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Public title
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Control of inflammatory process in patients with coronavirus affected by ZAX.1399.C03
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Purpose
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Treatment
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Inclusion/Exclusion criteria
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Inclusion criteria:
COVID-19 is detected by PCR laboratory diagnostic kit
Age over 18 years
Both sexes (male and female)
Having informed and written consent to participate in the study
No history of any allergies
No uncontrolled hypertension
Do not take anticoagulants (aspirin, Plavix, warfarin)
Not pregnant and breastfeeding
No diabetes in the person
Exclusion criteria:
Disagreement of the responsible physician of the patient before randomization
History of any allergies to drugs, various substances, food and ...
History of liver and kidney disease
Patient disagreement
Inability of the patient to take the drug for any reason
History of hypertension and heart disease
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Age
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From 18 years old
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Gender
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Both
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Phase
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2-3
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Groups that have been masked
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- Participant
- Care provider
- Outcome assessor
- Data analyser
- Data and Safety Monitoring Board
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Sample size
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Target sample size:
60
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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This study is performed on patients referred to health centers and infectious disease specialists in the present study. For home care patients, the admit code along with the relevant information (medication regimen, age and sex, severity of the disease and severity of symptoms) is provided by the expert to the patient. The relevant expert divides the patients into two similar groups based on the treatment regimen, age group, sex, severity of the disease and symptoms, and randomly divides one group into group A and one group into group B using the patient code numbers. For randomization, the permutation block method with the number of blocks of 6 is done using Random allocation software.
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Blinding (investigator's opinion)
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Triple blinded
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Blinding description
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For blinding, the study of the drug and placebo with the names A and B in the same package are prescribed by the doctor to the patient. (Capsules according to The principles of pharmacy are created by a pharmacist.) A patient-level study, outcome evaluator, and statistical analyst of the results will be blind. Only the manufacturer of the drug can decode the contents of each capsule based on the original retained form of the randomization results The person in charge of drug delivery and the patient, the doctor, the person in charge of evaluating the consequences will not be aware of the coding. The results of the two groups under the headings of groups A and B will be delivered to the statistical analyzer.
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2021-02-06, 1399/11/18
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Ethics committee reference number
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IR.FUMS.REC.1399.156
Health conditions studied
1
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Description of health condition studied
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Incidence of inflammation due to the mechanism of COVID19
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ICD-10 code
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U07.1
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ICD-10 code description
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COVID-19
Primary outcomes
1
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Description
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Inflammatory mediators of IL6
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Timepoint
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Before the intervention and seven days after the start of consumption of mango leaf extract
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Method of measurement
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ELISA test
2
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Description
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Dry cough
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Timepoint
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Daily
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Method of measurement
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Check list
3
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Description
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Sputum cough
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Timepoint
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Daily
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Method of measurement
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Check list
4
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Description
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Shortness of breath
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Timepoint
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Daily
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Method of measurement
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Check list
5
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Description
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Gastrointestinal manifestations
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Timepoint
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Daily
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Method of measurement
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Check list
6
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Description
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Fever
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Timepoint
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Daily
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Method of measurement
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Check list
7
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Description
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Muscle and joint pain
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Timepoint
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Daily
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Method of measurement
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Check list
8
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Description
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Fatigue and laziness
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Timepoint
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Daily
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Method of measurement
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Check list
9
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Description
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Shiver
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Timepoint
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Daily
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Method of measurement
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Check list
10
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Description
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Odor and taste activity
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Timepoint
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Daily
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Method of measurement
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Check list
Secondary outcomes
1
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Description
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hospitalization in medical centers with normal activity
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Timepoint
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daily
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Method of measurement
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Check list
Intervention groups
1
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Description
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Intervention group: The medicinal composition of ZAX.1399.C03 in two daily doses, is consumed for 7 to 14 days.
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Category
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Treatment - Drugs
2
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Description
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Control group: The composition of popcorn flour is consumed, in two daily doses, for a period of 7 to 14 days.
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Fasa University of Medical Sciences
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Proportion provided by this source
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100
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Public or private sector
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Public
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Academic
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Yes - There is a plan to make this available
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Study Protocol
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Yes - There is a plan to make this available
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Statistical Analysis Plan
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Yes - There is a plan to make this available
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Informed Consent Form
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Yes - There is a plan to make this available
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Clinical Study Report
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Yes - There is a plan to make this available
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Analytic Code
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Yes - There is a plan to make this available
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Data Dictionary
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Yes - There is a plan to make this available
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Title and more details about the data/document
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Some of the information obtained will be available based on changes in initial outcomes.
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When the data will become available and for how long
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Start of access period 6 months after production and publication of results
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To whom data/document is available
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People engaged in research in medical universities of the country
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Under which criteria data/document could be used
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The methods and data contained in this clinical trial should be used solely to advance similar projects. It is also necessary to mention the research center of this study (Fasa University of Medical Sciences) if information is used
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From where data/document is obtainable
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Dr. Seyyed Amin Kouhpayeh
Email address: kouhpayeha@gmail.com
Contact number: 09177087247
Address: Department of Pharmacology, Fasa University of Medical Sciences and Health Services, Fasa, Iran.
Email Address: Amindakhiliardestani@yahoo.com
Contact number: 09228584505
Address: Fasa University, Fasa University of Medical Sciences and Health Services, Fasa, Iran.
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What processes are involved for a request to access data/document
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1. Contact the scientific or general respondent of the study
2. Sending their official request to the respondent
3. Apply to the University Research Council
4. In case of a positive response from the council, it will be provided to the applicant in accordance with the ethical principles.
5. The total duration of the process from the time of receiving the request is 20 days.
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Comments
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