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| Name | Class |
|---|---|
| Germans Trias i Pujol Hospital | OTHER |
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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Micronutrient dietary supplement effervescent tablet | Experimental | Tablet containing:
|
|
| Placebo dietary supplement effervescent tablet | Placebo Comparator | Effervescent tablet with only the excipients.
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vitamin and trace elements | Dietary Supplement | Dietary supplement oral route, once a day, during 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Need for hospital admission | 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 | From baseline to 1 month after beginning the study treatment |
| Incidence of Long Covid. | Incidence of long Covid or symptoms persistence following World Health Organization definition | 6 months after beginning the study treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Micronutrient basal status (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid | Evaluation of micronutrient status prior to the nutritional supplement administration (in ng/mL) | Within day 1 at study inclusion |
| Micronutrient basal status (Vitamin B12) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Teresa M Tomasa-Irriguible, MD-PhD | Hospital Germans Trias i Pujol- Intensive Care Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitari Germans Trias i Pujol | Badalona | Barcelona | 08916 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33757717 | Derived | Shakoor H, Feehan J, Al Dhaheri AS, Cheikh Ismail L, Ali HI, Alhebshi SH, Apostolopoulos V, Stojanovska L. Role of vitamin D supplementation in aging patients with COVID-19. Maturitas. 2021 Oct;152:63-65. doi: 10.1016/j.maturitas.2021.03.006. Epub 2021 Mar 16. No abstract available. |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D014815 | Vitamins |
| D014131 | Trace Elements |
| ID | Term |
|---|---|
| D018977 | Micronutrients |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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A double-blind, placebo-controlled, randomized clinical trial
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Placebo tablets with the same external aspect than the dietary supplement, the same administration route, containing only the excipients
| Placebo | Dietary Supplement | Dietary supplement (placebo) oral route, once a day, during 14 days |
|
Evaluation of micronutrient status prior to the nutritional supplement administration in pg/mL |
| Within day 1 at study inclusion |
| Micronutrient basal status (Iron, Zinc and Copper ) | Evaluation of micronutrient status prior to the nutritional supplement administration in mcg/dL | Within day 1 at study inclusion |
| Micronutrient basal status (Vitamin A and Vitamin E) | Evaluation of micronutrient status prior to the nutritional supplement administration in mg/L | Within day 1 at study inclusion |
| Micronutrient basal status (Selenium ) | Evaluation of micronutrient status prior to the nutritional supplement administration in mcg/L | Within day 1 at study inclusion |
| Micronutrient basal status (Vitamin C) | Evaluation of micronutrient status prior to the nutritional supplement administration in mg/dL | Within day 1 at study inclusion |
| Micronutrient status at hospital admission (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid) | Evaluation of micronutrient status in patients requiring hospitalization in ng/mL | Within the first day of hospital admission |
| Micronutrient status at hospital admission ( Vitamin B12) | Evaluation of micronutrient status in patients requiring hospitalization in pg/mL | Within the first day of hospital admission |
| Micronutrient status at hospital admission (Iron, Zinc and Copper) | Evaluation of micronutrient status in patients requiring hospitalization in mcg/dL | Within the first day of hospital admission |
| Micronutrient status at hospital admission (Vitamin A and Vitamin E) | Evaluation of micronutrient status in patients requiring hospitalization in mg/L | Within the first day of hospital admission |
| Micronutrient status at hospital admission (Selenium) | Evaluation of micronutrient status in patients requiring hospitalization in mcg/L | Within the first day of hospital admission |
| Micronutrient status at hospital admission (Vitamin C) | Evaluation of micronutrient status in patients requiring hospitalization in mg/dL | Within the first day of hospital admission |
| Micronutrient status at end of study (Vitamin B1, Vitamin B6, 25-OH-Vitamin D and Folic Acid) | Evaluation of micronutrient status after the study treatment in ng/mL | Within 90 days of the study treatment ending |
| Micronutrient status at end of study (Vitamin B12) | Evaluation of micronutrient status after the study treatment in pg/mL | Within 90 days of the study treatment ending |
| Micronutrient status at end of study (Iron, Zinc, and Copper) | Evaluation of micronutrient status after the study treatment in mcg/dL | Within 90 days of the study treatment ending |
| Micronutrient status at end of study (Vitamin A and Vitamin E) | Evaluation of micronutrient status after the study treatment in mg/L | Within 90 days of the study treatment ending |
| Micronutrient status at end of study (Selenium) | Evaluation of micronutrient status after the study treatment in mcg/L | Within 90 days of the study treatment ending |
| Micronutrient status at end of study (Vitamin C) | Evaluation of micronutrient status after the study treatment in mg/dL | Within 90 days of the study treatment ending |
| Inflammatory parameters | Evaluation of C-Reactive Protein, InterLeukin-6 and D-dimer progression during the clinical course of SARS-CoV-2 infection in outpatients | From baseline to 30 days of the study treatment ending |
| Thromboembolic disease | Evaluation of thromboembolic disease developed during the clinical course of SARS-CoV-2 infection | From baseline to 30 days of the study treatment ending |
| Oxygen supplementation | Assess the need for oxygen therapy during the clinical course of the infection | From baseline to the study follow-up period: Maximum 3 months |
| High-Flow oxygen supplementation | The need for high-flow oxygen therapy during the clinical course of infection | From baseline to the study follow-up period: Maximum 3 months |
| Invasive mechanical ventilation | The cumulative incidence of mechanical ventilation requirement for SARS-CoV-2 infection documented | From baseline to the study follow-up period: Maximum 3 months |
| Tracheostomy | The need for tracheostomy during the clinical course of SARS-CoV-2 infection | From baseline to the study follow-up period: Maximum 3 months |
| Renal replacement | The need for renal replacement therapies during the clinical course of SARS-CoV-2 infection | From baseline to the study follow-up period: Maximum 3 months |
| Death | The cumulative incidence of death from SARS-CoV-2 infection is documented | From baseline to the study follow-up period: Maximum 3 months |
| Intensive Care Unit Admission | The cumulative incidence of admission to intensive care for SARS-CoV-2 infection documented | From baseline to the study follow-up period: Maximum 3 months |
| Cumulative hospital admission | The cumulative incidence of hospital admission for a documented SARS-CoV-2 infection | From baseline to the study follow-up period: Maximum 3 months |
| Hospitalization needs (days) | Number of days hospitalized for a SARS-CoV-2 documented infection | From baseline to the study follow-up period: Maximum 3 months |
| Survival | Survival | From baseline to the study follow-up period: Maximum 3 months |
| Adverse events | Adverse events | From baseline to the study follow-up period: Maximum 3 months |
| Serious Adverse Events | Serious adverse events (hospital admissions and mortality) | From baseline to the study follow-up period: Maximum 3 months |
| Persistence (or not) of Covid-19 Clinical Symptoms (directly asking patient for peristence of Neurologic, Psicologic, Digestive, Cardiovascular, Respiratory and Osteomuscular Symptoms). | Assess the Post-Covid19 Persistent Symptoms, directly asking patient for Symptoms at the moment of an On site visit at Day 90 and at thelephonic contact on Day 180. Questionnaire to the patient to asess persistent symptoms on the following areas: Neurologic: Montreal Cognitive Assessment (Mo-CA-BLIND) and Persistent cefalea Psicologic: Anxiety, depression, sleep and mood transtorns Digestive: dispepsia, diarrea, constipation Cardiovascular: tachicardia, arrhythmia, acute mycardial infarction and Ictus Respiratory: dispnea, chest pain Osteomuscular: astenia, artralgia and myalgia and other symptoms expressed by the patient. | From baseline to the study follow-up period: Maximum 6 months. |
| Cognitive status | Assess the Post-Covid19 cognitive status with MoCA-Blind test. | At baseline and at Day 180. |
| EQ-5D | Assess the evolution of quality of life during the study. EQ-5D-5L quality of life questionnaire will be administered | At baseline and at Day 180. |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000078622 | Nutrients |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |