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Trial record 1 of 80 for:    Tannins | Covid19
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Tannin Specific Natural Extract for COVID-19 Infection (TaCOVID)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04403646
Recruitment Status : Not yet recruiting
First Posted : May 27, 2020
Last Update Posted : May 27, 2020
Sponsor:
Collaborator:
SILVATEAM
Information provided by (Responsible Party):
Maria Marta Piskorz, Hospital de Clinicas José de San Martín

Brief Summary:
There is an urgent need to evaluate interventions that could be effective against the infection with SARS-CoV 2. Tannins based wood extracts are an inexpensive and safe product with protective effect in both bacterial and viral infections likely due to its anti- inflammatory, anti-oxidative effects and their modulation of the intestinal microbiota. This randomized controlled trial seeks to evaluate the efficacy of the tannins based dietary supplement ARBOX in positive COVID-19 patients.

Condition or disease Intervention/treatment Phase
COVID-19 SARS-CoV 2 Coronavirus Infection Dietary Supplement: ARBOX Other: PLACEBO Not Applicable

Detailed Description:

The epidemic of 2019 novel coronavirus (causing the disease Covid-19) has expanded from Wuhan throughout China and is being exported to a growing number of countries, some of which have seen onward transmission. COVID-19 caused clusters of severe respiratory illness and was associated with 2% mortality. There is currently no vaccine and no specific antiviral treatment recommended for COVID-19. About 20% of the patients were severe and the mainstay of clinical management is largely symptomatic treatment, with organ support in intensive care for seriously ill patients. Therefore, it is urgent to find a safe and effective therapeutic approach to COVID-19.

Tannins have been shown to have antioxidant, anti-inflammatory, antimicrobial properties and a regulatory effect on the gastrointestinal metabolism.

The investigators will realize a prospective, double-blind, randomized trial to assess the effect of treatment with a dietary supplement (ARBOX), a molecular complex of quebracho and chestnut tannins extract and Vit B12, compared with placebo. 140 COVID-19 patients will be recruited in a single center in Buenos Aires Argentina. 70 patients will receive conventional treatment plus ARBOX (treated group) and 70 patients will receive conventional treatment plus placebo (control group). The effects will be evaluated during the 28 days follow up. The primary end point will be the time of discharge from the hospital. A panel of 27 cytokines level, intestinal microbiota composition and its metabolites will be assessed at day 1 and 14.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 140 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: Efficacy of Tannin Specific Natural Extract for Coronavirus Disease (COVID-19): Randomized Controlled Trial
Estimated Study Start Date : June 1, 2020
Estimated Primary Completion Date : September 30, 2020
Estimated Study Completion Date : October 31, 2020

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: TREATED

Participants will receive a supply of 28 -- 390 mg ARBOX capsules for 14 days. Patients will be supplemented with 2 capsules of ARBOX per day and standard therapy.

Standard treatment includes: Antipyretics or Lopinavir / Ritonavir, Azithromycin and Hydroxychloroquine, as appropriate (treatment currently recommended by the department of Infectious Diseases of the Hospital de Clínicas that could undergo to modifications). In addition, if necessary: supplemental O2, non-invasive ventilation, antibiotic therapy.

Dietary Supplement: ARBOX
dry extract of polyphenols (tannins) form quebracho and chestnut 240 mg, B12 vitamin 0.72 µg

Placebo Comparator: CONTROL

Participants will receive placebo supply for 14 days. The placebo will be administrated with the identical dose as described for the test product.

Beside patients will receive the standard theraphy, which includes Antipyretics or Lopinavir / Ritonavir, Azithromycin and Hydroxychloroquine, as appropriate (treatment currently recommended by the department of Infectious Diseases of the Hospital de Clínicas that could undergo to modifications). In addition, if necessary: supplemental O2, non-invasive ventilation, antibiotic therapy.

Other: PLACEBO
Matching placebo, twice-daily administration BID as described for the test product, identical number of tablets as given for ARBOX




Primary Outcome Measures :
  1. Time to hospital discharge [ Time Frame: Throughout the Study (Day 0 to Day 28) ]
    defined as the time from first dose of polyphenol extract to hospital discharge


Secondary Outcome Measures :
  1. 28-day all-cause mortality [ Time Frame: Throughout the Study (Day 0 to Day 28) ]
    proportion

  2. invasive ventilation on day 28 [ Time Frame: Throughout the Study (Day 0 to Day 28) ]
    proportion

  3. Difference in Pro and antiinflammatory citoquine levels [ Time Frame: day 1-14 ]
    mean difference

  4. Difference in fecal intestinal microbiota composition [ Time Frame: day 1-14 ]
  5. Negativization of COVID-PCR at day 14 [ Time Frame: day 14 ]
    proportion



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Over 18 years of age hospitalized in the general hospitalization room, who meet the definition of "Confirmed case COVID-19" (https://www.argentina.gob.ar/salud/coronavirus-COVID-19/definicion -of-case)

Exclusion Criteria:

  • Pregnancy
  • Lactancy
  • Hypersensitivity to polyphenols
  • Patients unable to receive oral medication (severe cognitive impairment, assisted ventilation, impaired state of consciousness)
  • Lack of consent
  • Participation in any other interventional clinical trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04403646


Contacts
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Contact: Maria M Piskorz, MD +5491133192885 neurogastrohc@gmail.com

Sponsors and Collaborators
Hospital de Clinicas José de San Martín
SILVATEAM
Publications:
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Responsible Party: Maria Marta Piskorz, MD, Hospital de Clinicas José de San Martín
ClinicalTrials.gov Identifier: NCT04403646    
Other Study ID Numbers: HCJSM-20-005
First Posted: May 27, 2020    Key Record Dates
Last Update Posted: May 27, 2020
Last Verified: May 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Infection
Coronavirus Infections
Severe Acute Respiratory Syndrome
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Virus Diseases
Respiratory Tract Infections
Respiratory Tract Diseases