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Covid19CoVITNCT04751669

Efficacy of a Dietary Supplementation in Reducing Hospital Admissions for COVID-19. Randomized Clinical Trial

A study testing Vitamin and trace elements in people with Covid19, run by Fundació Institut Germans Trias i Pujol at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Covid19
What is being tested?
Vitamin and trace elements
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
252 participants
Where
1 siteSpain
Study dates
9 Aug 2021to 26 Oct 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed Consent Form signed.
  • Patients with symptoms compatible with COVID-19: cough and fever who not fulfil criteria of hospitalization and will be in outpatient care.
  • Positive polymerase chain reaction (PCR) or transcription-mediated amplification (TMA) test or rapid antigen test for severe acute respiratory syndrome Corona Virus-2 (SARS-CoV-2) or diagnostic test available.
  • Age ≥ 18 years
  • Availability to meet the requirements of the protocol.

Who cannot join

  • Intake of any micronutrient supplement during the month prior to inclusion.
  • Patients fulfilling hospitalization criteria.
  • Previous allergies to the micronutrient components and excipients.
  • Age ≥ 90 years with any comorbidity (diabetes, hypertension, obesity, heart disease, respiratory disease)
  • Participation in other research that requires experimental intervention (does not include observational studies) in the previous month before signing the informed consent form.
  • Detection by the researcher of lack of knowledge or willingness to participate and comply with all the requirements of the protocol.
  • Any other findings that at the discretion of the researcher may compromise protocol performance or significantly influence the interpretation or results of the effects of the nutritional supplement
  • Pregnancy or breastfeeding

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona, 08916

Other trials in Spain

About this study

Official title: Efficacy of Micronutrient Dietary Supplementation in Reducing Hospital Admissions for COVID-19: A Double-blind, Placebo-controlled, Randomized Clinical Trial

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

Read the detailed description
  • Type of study/ Design: Randomized, double-blind, placebo-controlled clinical trial.
  • Sponsor: Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol / Hospital Universitari Germans Trias i Pujol ( IGTP / HUGTIP)
  • Title of the clinical trial: Efficacy of micronutrient dietary supplementation in reducing hospital admissions for COVID-19 and Long Covid: A double-blind, placebo-controlled, randomized clinical trial.
  • Protocol code: CoVIT Clinical Trial
  • NºClinicaltrials.gov: Pending
  • Coordinating researcher: Dra. Teresa-Maria Tomasa-Irriguible.
  • Recruiting Center: Germans Trias i Pujol University Hospital (HUGTIP)
  • Ethical Committee for clinical Investigation (CEI): Germans Trias i Pujol University Hospital CEI.
  • Monitoring: Clinical Research Associate at UPIC (Unitat Polivalent d'Investigació Clínica) Clinical Trial Unit- IGTP
  • Study treatments: Dietary supplement with micronutrients and Placebo
  • Test phase: Not applicable.
  • Main objective: Evaluation of the effectiveness of supplementation with a dietary supplement to improve the need for hospital admission for SARS-CoV-2 infection, and incidence of Long Covid.
  • Study pathology: COVID-19.
  • Main variable: The need for hospital admission of SARS-CoV-2 documented infection and the incidence of Long Covid
  • Study population and total number of patients: Patients of the health system of the Northern Metropolitan Area of Catalan Health Institution with symptoms compatible with SARS-CoV-2 infection. A total of 300 people (150 treated with dietary supplement and 150 with placebo).
  • Duration of treatment: 14 days.
  • Patients follow-up: 180 days
Conditions
Covid19
Being tested
Vitamin and trace elements, Placebo
Keywords
Dietary Supplement
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vitamin and trace elementsDietary supplement

    Dietary supplement oral route, once a day, during 14 days

  • PlaceboDietary supplement

    Dietary supplement (placebo) oral route, once a day, during 14 days

Study groups in NCT04751669
Study groupRoleWhat they receive
Micronutrient dietary supplement effervescent tabletExperimentalTablet containing: * Retinol (Vitamin A) 700 mcg * Cholecalciferol (Vitamin D3) 10 mcg * Alpha-Tocopherol (Vitamin E) 45 mg * Ascorbic acid (vitamin C) 1000 mg * Pyridoxine (Vitamin B6) 6.5 mg * Cyanocobalamin (Vitamin B12) 9.6 mg * Folic acid 400 mg * Iron 5 mg * Zinc 10 mg * Selenium 110 mg * Copper 0.9 mg * Excipients
Receives: Dietary Supplement: Vitamin and trace elements
Placebo dietary supplement effervescent tabletPlacebo comparatorEffervescent tablet with only the excipients. * Sucralose 13 mg * Sodium Chloride 20 mg * Potassium Acesulfam 22.5 mg * Orange P 55 mg * Sodium Carbonate 70 mg * Betacarotene 100 mg * Malic Acid 800 mg * Citric Acid 960 mg * Sodium bicarbonate 1,000 mg * Isomalt 1,459.50 mg
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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

    Measured: From baseline to 1 month after beginning the study treatment

  2. Incidence of Long Covid.

    Incidence of long Covid or symptoms persistence following World Health Organization definition

    Measured: 6 months after beginning the study treatment

Secondary outcomes (35)
  1. 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)

    Measured: Within day 1 at study inclusion

  2. Micronutrient basal status (Vitamin B12)

    Evaluation of micronutrient status prior to the nutritional supplement administration in pg/mL

    Measured: Within day 1 at study inclusion

  3. Micronutrient basal status (Iron, Zinc and Copper )

    Evaluation of micronutrient status prior to the nutritional supplement administration in mcg/dL

    Measured: Within day 1 at study inclusion

  4. Micronutrient basal status (Vitamin A and Vitamin E)

    Evaluation of micronutrient status prior to the nutritional supplement administration in mg/L

    Measured: Within day 1 at study inclusion

  5. Micronutrient basal status (Selenium )

    Evaluation of micronutrient status prior to the nutritional supplement administration in mcg/L

    Measured: Within day 1 at study inclusion

  6. Micronutrient basal status (Vitamin C)

    Evaluation of micronutrient status prior to the nutritional supplement administration in mg/dL

    Measured: Within day 1 at study inclusion

  7. 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

    Measured: Within the first day of hospital admission

  8. Micronutrient status at hospital admission ( Vitamin B12)

    Evaluation of micronutrient status in patients requiring hospitalization in pg/mL

    Measured: Within the first day of hospital admission

  9. Micronutrient status at hospital admission (Iron, Zinc and Copper)

    Evaluation of micronutrient status in patients requiring hospitalization in mcg/dL

    Measured: Within the first day of hospital admission

  10. Micronutrient status at hospital admission (Vitamin A and Vitamin E)

    Evaluation of micronutrient status in patients requiring hospitalization in mg/L

    Measured: Within the first day of hospital admission

  11. Micronutrient status at hospital admission (Selenium)

    Evaluation of micronutrient status in patients requiring hospitalization in mcg/L

    Measured: Within the first day of hospital admission

  12. Micronutrient status at hospital admission (Vitamin C)

    Evaluation of micronutrient status in patients requiring hospitalization in mg/dL

    Measured: Within the first day of hospital admission

  13. 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

    Measured: Within 90 days of the study treatment ending

  14. Micronutrient status at end of study (Vitamin B12)

    Evaluation of micronutrient status after the study treatment in pg/mL

    Measured: Within 90 days of the study treatment ending

  15. Micronutrient status at end of study (Iron, Zinc, and Copper)

    Evaluation of micronutrient status after the study treatment in mcg/dL

    Measured: Within 90 days of the study treatment ending

  16. Micronutrient status at end of study (Vitamin A and Vitamin E)

    Evaluation of micronutrient status after the study treatment in mg/L

    Measured: Within 90 days of the study treatment ending

  17. Micronutrient status at end of study (Selenium)

    Evaluation of micronutrient status after the study treatment in mcg/L

    Measured: Within 90 days of the study treatment ending

  18. Micronutrient status at end of study (Vitamin C)

    Evaluation of micronutrient status after the study treatment in mg/dL

    Measured: Within 90 days of the study treatment ending

  19. Inflammatory parameters

    Evaluation of C-Reactive Protein, InterLeukin-6 and D-dimer progression during the clinical course of SARS-CoV-2 infection in outpatients

    Measured: From baseline to 30 days of the study treatment ending

  20. Thromboembolic disease

    Evaluation of thromboembolic disease developed during the clinical course of SARS-CoV-2 infection

    Measured: From baseline to 30 days of the study treatment ending

  21. Oxygen supplementation

    Assess the need for oxygen therapy during the clinical course of the infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  22. High-Flow oxygen supplementation

    The need for high-flow oxygen therapy during the clinical course of infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  23. Invasive mechanical ventilation

    The cumulative incidence of mechanical ventilation requirement for SARS-CoV-2 infection documented

    Measured: From baseline to the study follow-up period: Maximum 3 months

  24. Tracheostomy

    The need for tracheostomy during the clinical course of SARS-CoV-2 infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  25. Renal replacement

    The need for renal replacement therapies during the clinical course of SARS-CoV-2 infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  26. Death

    The cumulative incidence of death from SARS-CoV-2 infection is documented

    Measured: From baseline to the study follow-up period: Maximum 3 months

  27. Intensive Care Unit Admission

    The cumulative incidence of admission to intensive care for SARS-CoV-2 infection documented

    Measured: From baseline to the study follow-up period: Maximum 3 months

  28. Cumulative hospital admission

    The cumulative incidence of hospital admission for a documented SARS-CoV-2 infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  29. Hospitalization needs (days)

    Number of days hospitalized for a SARS-CoV-2 documented infection

    Measured: From baseline to the study follow-up period: Maximum 3 months

  30. Survival

    Survival

    Measured: From baseline to the study follow-up period: Maximum 3 months

  31. Adverse events

    Adverse events

    Measured: From baseline to the study follow-up period: Maximum 3 months

  32. Serious Adverse Events

    Serious adverse events (hospital admissions and mortality)

    Measured: From baseline to the study follow-up period: Maximum 3 months

  33. 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.

    Measured: From baseline to the study follow-up period: Maximum 6 months.

  34. Cognitive status

    Assess the Post-Covid19 cognitive status with MoCA-Blind test.

    Measured: At baseline and at Day 180.

  35. EQ-5D

    Assess the evolution of quality of life during the study.

    EQ-5D-5L quality of life questionnaire will be administered

    Measured: At baseline and at Day 180.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2021
  2. Study start9 Aug 2021
  3. Primary completion26 Oct 2023
  4. Study completion26 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A double-blind, placebo-controlled, randomized clinical trial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
252 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04751669
Sponsor's protocol ID
CoVIT Clinical Trial
Acronym
CoVIT
Status last verified
Mar 2024
First submitted
11 Feb 2021
Last updated
25 Mar 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 33757717

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin and trace elements in people with Covid19, run by Fundació Institut Germans Trias i Pujol at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Need for hospital admission (time frame: From baseline to 1 month after beginning the study treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04751669, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2024.

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