Evaluation of therapeutic effects of ZAX.1400.C05 on symptomatic treatment and clinical features of patients with coronavirus: a randomized controlled clinical trial
Determining the effect of ZAX.1400.C05 on the course of the disease and symptomatic treatment of COVID-19 patients hospitalized
Design
The double-blind clinical trial, two treatment groups and parallel control will be the third phase on 300 patients. For randomization, we will use the permutation block method using Random allocation software.
Settings and conduct
Patients with COVID-19 admitted to Vali-e-Asr Hospital in Fasa are divided into six similar groups of 50 people. The therapeutic effects of ZAX.1400.C05 on clinical and laboratory parameters of patients will be evaluated. The study will be blinded at the level of outcome assessor, physician, patient, and statistical analyst. Location: Fasa University of Medical Sciences
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Definitive diagnosis of COVID-19 disease by laboratory diagnostic kit from patient sputum
2. The degree of hemoglobin saturation (SPO2) of the patient is between 85% and 93% in patients
3. Diagnosis of lung involvement by CT scan in patients
4. The number of breaths per minute between 25 and 30 in patients
Exclusion criteria:
1. History of allergies to plant products
2. Pregnancy and lactation
3. Existence of liver and kidney diseases
4. Inability of the patient to receive oral medication
Intervention groups
Divide the patients into six groups of 50 similar A, B, C, D, E, F. One of the codes will be related to the placebo and the rest will be the drug. Capsule treatment groups containing ZAX.1400.C05 and placebo groups of capsules containing popcorn flour, every 12 hours. By introducing the patient's plan and justification, written consent is received.
Main outcome variables
Duration of hospitalization
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20210218050404N4
Registration date:2022-02-24, 1400/12/05
Registration timing:prospective
Last update:2022-02-24, 1400/12/05
Update count:0
Registration date
2022-02-24, 1400/12/05
Registrant information
Name
Amin Dakhili Ardestani
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 71 5335 9507
Email address
a.dakhili@fums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-04-03, 1401/01/14
Expected recruitment end date
2022-09-22, 1401/06/31
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of therapeutic effects of ZAX.1400.C05 on symptomatic treatment and clinical features of patients with coronavirus: a randomized controlled clinical trial
Public title
Evaluation of therapeutic effects of ZAX.1400.C05 on patients with coronavirus
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Definitive diagnosis of COVID-19 disease by laboratory diagnostic kit from patient sputum
Patient hemoglobin saturation (SPO2) between 85% and 93% in patients
Detection of lung involvement by CT scan in patients
The number of breaths per minute is between 25 and 30 in patients
Exclusion criteria:
History of allergies to herbal products
Pregnancy and lactation
Existence of liver and kidney diseases
Inability of the patient to receive oral medication
Age
No age limit
Gender
Both
Phase
3
Groups that have been masked
Participant
Outcome assessor
Data analyser
Data and Safety Monitoring Board
Sample size
Target sample size:
300
Randomization (investigator's opinion)
Randomized
Randomization description
This study was performed on patients with coronary artery and hospitalized in Vali-e-Asr Hospital in Fasa. Takes place. For hospitalized patients, the hospital code along with the relevant information (medication regimen, age and sex, severity of disease and severity of symptoms) is provided by the expert to the patient. The relevant expert divides the patients into a group of 250 people and a group of 50 people based on the treatment regimen, age group, sex, severity of the disease and symptoms, and randomly using the code numbers A, B, C, D and E will be done. One of the codes will be for the placebo and the rest will be for the drug. For randomization, the permutation block method is done using Random allocation software.
Blinding (investigator's opinion)
Double blinded
Blinding description
For the blinding of the study, the drug (capsule containing ZAX.1400.C05) and placebo (including capsule of roasted corn flour) are named in the same package and are prescribed to the patient by the doctor. (Capsules are made according to the principles of pharmacy by a pharmacist.) Before prescribing the drug to the patient, the plan is introduced and written consent is received. Study at the patient level, outcome assessor and statistical analyzer of the results will be blinded. 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 know about the codings. The results of the two groups under the headings of groups A, B, C, D and E will be submitted to the statistical analyzer.
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Fasa University of Medical Sciences
Street address
Ibn Sina square, Fasa.
City
Fasa
Province
Fars
Postal code
7461686688
Approval date
2022-01-05, 1400/10/15
Ethics committee reference number
IR.FUMS.REC.1400.120
Health conditions studied
1
Description of health condition studied
COVID-19 viral disease
ICD-10 code
B34.2
ICD-10 code description
Coronavirus infection, unspecified
Primary outcomes
1
Description
Clinical signs
Timepoint
daily
Method of measurement
Evaluation form (questionnaire)
2
Description
(VAS) Visual Analogue Scale
Timepoint
daily
Method of measurement
check list
3
Description
ESR (Erythrocyte sedimentation rate)
Timepoint
Zero and fourteen days after the start of the intervention
Method of measurement
Standard sedimentation rate method
4
Description
C-Reactive Protein – CRP
Timepoint
Zero and fourteen days after the start of the intervention
Method of measurement
Autoanalyzer
5
Description
Liver enzymes SGOT, ALT, SGPT
Timepoint
Zero and fourteen days after the start of the intervention
Method of measurement
Autoanalyzer
6
Description
Renal indicators BUN, Creatinine
Timepoint
Zero and fourteen days after the start of the intervention
Method of measurement
Autoanalyzer
Secondary outcomes
1
Description
Duration of hospitalization
Timepoint
daily
Method of measurement
check list
2
Description
Mortality
Timepoint
daily
Method of measurement
check list
Intervention groups
1
Description
Intervention group: Dried powder of ZAX.1400.C05, made in the laboratory of medicinal plants of Fasa University of Medical Sciences, based on plant flavonoids, in the form of capsules, is consumed in four daily doses for 14 days.
Category
Treatment - Drugs
2
Description
Control group: The composition of popcorn flour, made in the laboratory of medicinal plants of Fasa University of Medical Sciences, in the form of capsules, is consumed in four daily doses for 14 days.
Category
Placebo
Recruitment centers
1
Recruitment center
Name of recruitment center
Vali Asr Hospital, Fasa
Full name of responsible person
Sohrab Najafipour
Street address
Ibn Sina square, Fasa
City
Fasa
Province
Fars
Postal code
4737774617
Phone
+98 71 5331 5011
Fax
+98 71 5331 4021
Email
sohrabnajafipour@yahoo.com
Web page address
http://vh.fums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Yaser Mansouri
Street address
Ibn Sina square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 0994
Email
FUMS.mansoori@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Fasa 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
Fasa University of Medical Sciences
Full name of responsible person
Amin Dakhili Ardestani
Position
Expert
Latest degree
Bachelor
Other areas of specialty/work
Anesthesiology
Street address
Ibn Sina square, Fasa
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 9507
Email
amindakhiliardestani@yahoo.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Sohrab Najafipour
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Virology
Street address
Ibn Sina Square, Fasa.
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 9507
Email
sohrabnajafipour@yahoo.com
Person responsible for updating data
Contact
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Amin Dakhili Ardestani
Position
Expert
Latest degree
Bachelor
Other areas of specialty/work
Anesthesiology
Street address
Ibn Sina Square, Fasa.
City
Fasa
Province
Fars
Postal code
7461686688
Phone
+98 71 5335 9507
Email
amindakhiliardestani@yahoo.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
Some of the information obtained will be available based on changes in initial outcomes.
When the data will become available and for how long
Start of access period 6 months after production and publication of results
To whom data/document is available
People engaged in research in medical universities of the country
Under which criteria data/document could be used
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
From where data/document is obtainable
Amin Dakhili Ardestani, Email Address: Amindakhiliardestani@yahoo.com Contact Number: 09228584505 Address: Fasa University, Ibn Sina Square, Fasa University of Medical Sciences and Health Services
What processes are involved for a request to access data/document
1. Contacting the general respondent of study 2. Sending his formal request to respondent 3. The application form in the University Research Council 4. In case of a positive response from the council, it will be provided to the applicant by the ethical principles. 5. The total duration of the process is 20 days.