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Covid19NUTROVIDNCT04828538

Vitamin D, Omega-3, and Combination Vitamins B, C and Zinc Supplementation for the Treatment and Prevention of COVID-19

A study testing Vitamin D, Omega DHA / EPA and Vitamin C, Vitamin B complex and Zinc Acetate in people with Covid19, run by Hospital de la Soledad at 1 site in Mexico.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The NUTROVID Factorial Trials The purpose of the NUTROVID-Prevent and NUTROVID-Treat Factorial Trials is to determine whether Vitamin B Complex, Vitamin C, and Zinc; Vitamin D; and Omega3, taken at dosages approximating recommended dosages, can reduce the risk of COVID-19 infection, hospitalization, mortality. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Covid19
What is being tested?
Vitamin D, Omega DHA / EPA and Vitamin C, Vitamin B complex and Zinc Acetate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 siteMexico
Study dates
1 Jan 2021to 31 Dec 2021
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Patients requiring immediate intubation or deemed likely to die within 48 hours.
  • Patients deemed likely for transfer to an ICU within 48 hours.
  • Patients currently taking oral corticosteroids for any reason at the time of presentation for care.
  • Patients included in any other interventional trial.
  • Uncontrolled bacterial superinfection.
  • Severe chronic kidney disease (stage 4) or requiring dialysis (i.e. eGFR < 30).
Show all 10Show fewer
  • Pregnant women or women who are breastfeeding.
  • Immunocompromised patients.
  • Any patient with recent treatment (past 30 days) of immunosuppressive agents including (but not restricted to) DMARDs, corticosteroids, antibody therapy, intravenous immunoglobulins etc.
  • Patients with acute myocardial infarction.

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • Hospital de Soledad

    San Luis Potosí City, San Luis Potosí, 78435

Other trials in Mexico

About this study

Official title: Prevent and Treat Double-Blind Factorial Randomized Trials of Daily Oral Vitamin D, Omega 3, and Combination Vitamins B, C and Zinc Supplementation for the Treatment and Prevention of COVID-19

The NUTROVID Factorial Trials

The purpose of the NUTROVID-Prevent and NUTROVID-Treat Factorial Trials is to determine whether Vitamin B Complex, Vitamin C, and Zinc; Vitamin D; and Omega3, taken at dosages approximating recommended dosages, can reduce the risk of COVID-19 infection, hospitalization, mortality.

Read the detailed description

Inadequate vitamin intake is common in Mexico. Vitamin deficiency is hypothesized as a risk factor for COVID-19 infection and severe outcomes. Specifically, Vitamin D has been hypothesized as a regulator of the inflammatory cytokine response; Vitamin C may help reduce the risk of a cytokine storm and support the immune system; Vitamin B reduces pro-inflammatory cytokine levels, helps improve respiratory function, reduces hypercoagulability, and promotes endothelial structural integrity; Resolvins, derived from Omega3s, are a type of specialized pro-resolving lipid autacoid mediators hypothesized to prevent cytokine storms. Elemental Zinc is hypothesized to inhibit the replication of viruses.

The NUTROVID-Prevent and NUTROVID-Treat Factorial Trials are testing the efficacy of these supplements (Vitamins B, C, D, Zinc, and Omega 3) when used over a 60 day period among those who test positive (Treat) and negative (Prevent) for SARS-COV-2 via a PCR test.

The NUTROVID Trials utilize an innovative and cost-efficient approach, leveraging the existing infrastructure of the hospital system in San Luis Potosí province of Mexico. For NUTROVID-Treat, we aim to enroll ~1,800 adults who have recently tested positive for SARS-Cov-2 and who have given informed consent. These ~1,800 adult females and males age 18 or older will be enrolled and randomized into the NUTROVID Treat Factorial Trial's 2x2x2 arms, in which 50% of the population will have a chance to receive any combination of the 3 supplement formulations; the other 50% will receive the respective placebos.

Those who test negative will be randomized into the NUTROVID-Prevent Factorial Trial's 2x2x2 arms, in which 50% of the population will have a chance to receive any combination of the 3 supplement formulations; the other 50% will receive the respective placebos. For NUTROVID-Prevent, we also aim to recruit ~1,800 adults, females and males.

Hospital staff will review medical records for vital events and conduct patient and family follow-up until ~November 2021.

Conditions
Covid19
Being tested
Vitamin D, Omega DHA / EPA, Vitamin C, Vitamin B complex and Zinc Acetate, Placebo
Keywords
Covid19, Nutritional supplements, Vitamin B, Vitamin C, Elemental Zinc, Cytokine storm, Vitamin D, Vitamin B Complex, Omega 3
Medical subject headings
COVID-19, Cytokine Release Syndrome

What participants receive

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

  • Vitamin DDietary supplement

    Daily 4000 IU Vitamin D for 60 days

  • Omega DHA / EPADietary supplement

    Daily 1000mg Omega DHA/EPA for 60 days

  • Vitamin C, Vitamin B complex and Zinc AcetateDietary supplement

    Combination 1000 mg Vitamin C, Vitamin B complex** and Zinc Acetate, 100 mg/day for 60 days

    **(Vitamin B complex components: B12=1 mg; B6=50 mg; B9=2.5 mg; B1=100 mg; B2=100 mg; B3=14 mg; B7=50 mg)

  • PlaceboOther

    Placebo

Study groups in NCT04828538
Study groupRoleWhat they receive
1 - Vitamin D, Omega 3, Vitamins B, C, ZincActive comparatorVitamin D of F1 Omega 3 of F2 Vitamins B, C, Zinc of F3 [60 days]
Receives: Dietary Supplement: Vitamin D; Dietary Supplement: Omega DHA / EPA; Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate
2 - Vitamin D, Omega 3Active comparatorVitamin D of F1 Omega 3 of F2 Placebo of F3 [60 days]
Receives: Dietary Supplement: Vitamin D; Dietary Supplement: Omega DHA / EPA
3 - Vitamin D, Vitamins B, C, ZincActive comparatorVitamin D of F1 Placebo of F2 Vitamins B, C, Zinc of F3 [60 days]
Receives: Dietary Supplement: Vitamin D; Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate
4 - Vitamin DActive comparatorVitamin D of F1 Placebo of F2 Placebo of F3 [60 days]
Receives: Dietary Supplement: Vitamin D
5 - Omega 3, Vitamins B, C, Zinc,Active comparatorPlacebo of F1 Omega 3 of F2 Vitamins B, C, Zinc of F3 [60 days]
Receives: Dietary Supplement: Omega DHA / EPA; Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate
6 - Omega 3Active comparatorPlacebo of F1 Omega 3 of F2 Placebo of F3 [60 days]
Receives: Dietary Supplement: Omega DHA / EPA
7 - Vitamins B, C, ZincActive comparatorPlacebo of F1 Placebo of F2 Vitamins B, C, Zinc of F3 [60 days]
Receives: Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate
8 - No InterventionsPlacebo comparatorPlacebo of F1 Placebo of F2 Placebo of F3 [60 days]
Receives: Other: Placebo

What is being measured

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

  1. Covid infection rate (PREVENT Trial only)

    1.a. Incidence of positive PCR at ~1 month and ~2 months; 1.b. Incidence of symptomatic positive PCR and asymptomatic positive PCR at 1 month and 2 months.

    Measured: 30 and 60 days

  2. Incidence of severe outcome (TREAT Trial only)

    1.a. Incidence of severe outcome (mortality or ICU admission or intubation) up to 30 days.

    1.b. Incidence of severe outcome (mortality or ICU admission or intubation) from 30-60 days.

    1.c. Incidence of severe outcome (mortality or ICU admission or intubation), from 30 days to ~ November 2021.

    1.d. Incidence of severe outcome (mortality or ICU admission or intubation), from 60 days to

    ~ November 2021.

    Measured: 1.a. 1-30 days; 1.b. 30-60; 1.c. 30 days to ~November 2021; 1.d. 60 days to ~ November 2021

Secondary outcomes (2)
  1. Incidence of hospitalization and death (PREVENT Trial only)

    2.a. Incidence of hospitalization, follow-up to ~ November 2021. 2.b. Incidence of severe outcome (mortality or ICU admission or intubation), follow-up to ~November 2021.

    2.c. Incidence of death, follow-up to ~November 2021.

    Measured: 1-10 months

  2. Length of hospitalization and death after discharge (TREAT Trial only)

    2.a. Length of hospitalization for admissions less than 30 days from baseline versus for admissions after 30 days from baseline. 2.b. [If available] Incidence of hospital readmission after discharge, follow-up to ~November 2021.

    2.c. Incidence of death after discharge, follow-up to ~November 2021.

    Measured: 2.a. 1-30 days; 2.b. 1 day(s) to ~November 2021, 2.c. 30 days to ~November 2021

Timeline

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

  1. First posted2 Apr 2021
  2. Study start1 Jan 2021
  3. Primary completion31 Dec 2021
  4. Study completion31 Dec 2021

Why it stopped: Recruitment failure

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
Other
Allocation
Randomised
Intervention model
Factorial
Model description
Double-blind randomized, placebo-controlled double blinded 2x2x2 factorial trials (includes 2 trials: treatment cohort and prevention cohort) of the following oral supplementation treatments for up to 60 days per person: Factorial 1 (F1): 4000 IU Vitamin D vs placebo Factorial 2 (F2): 1000mg Omega DHA/EPA vs. placebo Factorial 3 (F3): Combination 1000 mg Vitamin C, Vitamin B complex\*\* and Zinc Acetate, 100 mg/day vs. placebo \*\*(Vitamin B complex components: B12=1 mg; B6=50 mg; B9=2.5 mg; B1
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04828538
Sponsor's protocol ID
102020
Acronym
NUTROVID
Status last verified
Nov 2022
First submitted
12 Mar 2021
Last updated
8 Nov 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Laird E, Rhodes J, Kenny RA. Vitamin D and Inflammation: Potential Implications for Severity of Covid-19. Ir Med J. 2020 May 7;113(5):81.

    PubMed 32603576
  • Boretti A, Banik BK. Intravenous vitamin C for reduction of cytokines storm in acute respiratory distress syndrome. PharmaNutrition. 2020 Jun;12:100190. doi: 10.1016/j.phanu.2020.100190. Epub 2020 Apr 21.

    PubMed 32322486
  • Panigrahy D, Gilligan MM, Huang S, Gartung A, Cortes-Puch I, Sime PJ, Phipps RP, Serhan CN, Hammock BD. Inflammation resolution: a dual-pronged approach to averting cytokine storms in COVID-19? Cancer Metastasis Rev. 2020 Jun;39(2):337-340. doi: 10.1007/s10555-020-09889-4.

    PubMed 32385712
  • Shakoor H, Feehan J, Mikkelsen K, Al Dhaheri AS, Ali HI, Platat C, Ismail LC, Stojanovska L, Apostolopoulos V. Be well: A potential role for vitamin B in COVID-19. Maturitas. 2021 Feb;144:108-111. doi: 10.1016/j.maturitas.2020.08.007. Epub 2020 Aug 15. No abstract available.

    PubMed 32829981
  • Entrenas Castillo M, Entrenas Costa LM, Vaquero Barrios JM, Alcala Diaz JF, Lopez Miranda J, Bouillon R, Quesada Gomez JM. "Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study". J Steroid Biochem Mol Biol. 2020 Oct;203:105751. doi: 10.1016/j.jsbmb.2020.105751. Epub 2020 Aug 29.

    PubMed 32871238
  • Singh M, Das RR. Zinc for the common cold. Cochrane Database Syst Rev. 2013 Jun 18;(6):CD001364. doi: 10.1002/14651858.CD001364.pub4.

    PubMed 23775705

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D, Omega DHA / EPA and Vitamin C, Vitamin B complex and Zinc Acetate in people with Covid19, run by Hospital de la Soledad at 1 site in Mexico.

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 0 inclusion and 10 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: withdrawn, as of the sponsor's last update on 8 Nov 2022. 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 Mexico. 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 was withdrawn before enrolling participants, so there are no results.

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?

Covid infection rate (PREVENT Trial only) (time frame: 30 and 60 days). 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 NCT04828538, which also lists 6 linked publications.

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 8 Nov 2022.

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