InfectionsOnCOVInfNCT05080920
Rosmalip® for Cancer Infections Prevention
A study testing Rosmalip® in people with Infections and Covid19, run by Fundación Investigación E Innovación Biomédica Hospital Universitario Infanta Sofia-Henares at 1 site in Spain.
Trial summary
This study is designed to assess the safety and efficacy of Rosmalip® nutritional supplement compared to placebo in subjects with solid cancer for the prevention of infections including COVID-19. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Infections, Covid19, Cancer
- What is being tested?
- Rosmalip®
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 109 participants
- Where
- 1 siteSpain
- Study dates
- 28 Oct 2020to 31 Dec 2022
- 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 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with a solid cancer under active Anticancer Treatment (including Chemotherapy, Immunotherapy, Hormone Therapy, Targeted Therapy)
- Informed consent signature
Who cannot join
- Allergies to fish
- Vitamin, Antioxidants consumers and who would no accept to stop taking them 1 week before and during the study
- Disphagia
- Bilirrubin higher than 1.5 Upper Normal Limit (UNL)/ Creatinin > 1.5 UNL
- Severe organic dysfunction
- Cardiac dysfunction
Show all 11Show fewer
- Cholangitis/ Biliary tract obstruction
- Immunodeficiency or Immflamatory disease (HIV, Inflammatory Bowel Disease, Collagenosis)
- Dementia or Psychiatric severe disease
- Pregnancy or Breastfeeding
- Previous diseases that interfere lipid carrier absorption
Trial locations and contacts
1 site in 1 country.
Spain1 site
Servicio de Oncología. Hospital Infanta Sofía.
San Sebastián de los Reyes, Madrid, 28134
About this study
Official title: A Pilot, Randomized, Double Blind, Placebo Controlled Study to Evaluate an Immune System Modulator Nutritional Supplement for the Prevention of Infections in Cancer Patients Receiving Oncologic Treatment During the COVID-19 Pandemia.
This study is designed to assess the safety and efficacy of Rosmalip® nutritional supplement compared to placebo in subjects with solid cancer for the prevention of infections including COVID-19.
Read the detailed description
Cancer patients undergoing oncologic treatments frequently have comorbidities and suffer immunosuppresion, toxicities and exposure to nosocomial pathogens. As a result, they are at increased risk of infections, including COVID-19. It is of utmost importance to find therapies that can prevent infections with as less toxicity as possible. Rosmalip® is a nutritional supplement developed as a molecular nutrition, composed of a rosemary supercritical extract at concentrations approved by EFSA -with in vitro and in vivo antitumor effects that are independent of its antioxidant and anti-inflammatory properties- in a lipidic vehicle that has shown in preclinical and clinical studies to potentiate innate immunity without apparent toxicity. Being a product of easy synthesis its effects on immunity, inflammation and cancer, could be of interest to prevent and ameliorate infections, including COVID-19.
In this pilot study it is hypothesized that Rosmalip® could help to prevent or ameliorate infections, including COVID-19, in oncologic patients under active treatment. Secondarily, it is also hypothesized to have metabolic beneficial effects.
- Conditions
- Infections, Covid19, Cancer
- Being tested
- Rosmalip®, Placebo
- Medical subject headings
- Infections, COVID-19, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rosmalip®Dietary supplement
Nutritional Supplement+Usual Care
PlaceboOther
Placebo+Usual Care
| Study group | Role | What they receive |
|---|---|---|
| Rosmalip® | Experimental | Participants receive Rosmalip® (diterpene phenols 11,25 mg) 1 capsule orally once daily for 16 weeks Receives: Dietary Supplement: Rosmalip® |
| Placebo | Placebo comparator | Participants receive Placebo 1 capsule matching Rosmalip® orally once daily for 16 weeks Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of infectious events
Number of infectious events according to International Sepsis Forum Consensus
Measured: 6 months
Secondary outcomes (8)
Number of SARSCoV2 infections
Number of PCR confirmed SARSCoV2 infections
Measured: 6 months
Changes in NLR (neutrophils to lymphocytes ratio).
Evolution of inflammatory markers
Measured: 6 months
Changes in C-reactive protein
Evolution of inflammatory markers
Measured: 6 months
Changes in ferritin
Evolution of inflammatory markers
Measured: 6 months
Changes in transferrin
Evolution of inflammatory markers
Measured: 6 months
Changes in number of peripheral blood mononuclear cells
Evolution of immune profile
Measured: 6 months
Changes in number of CD4 and CD8 lymphocyte populations
Evolution of immune profile
Measured: 6 months
Evolution of Quality of life
Changes is quality of life according to the SF-36 (Short Form Health Survey) questionnaire. The score values goes from 0 to 100 and higher scores indicate better health status, and a mean score of 50 has been articulated as a normative value for all scales.
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2021
- Study start28 Oct 2020
- Primary completion30 Sep 2022
- Study completion31 Dec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for InfectionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants receive Rosmalip® capsule or Placebo tablet matching Rosmalip® orally once daily for 16 weeks.
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 109 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fundación Investigación E Innovación Biomédica Hospital Universitario Infanta Sofia-Henares
- Sponsor type
- University, hospital or other
- Collaborators
- IMDEA Food, Universidad Autonoma de Madrid
- Responsible party
- Principal investigator, Enrique Casado Sáenz, Fundación Investigación E Innovación Biomédica Hospital Universitario Infanta Sofia-Henares
- Investigators
- Enrique Casado Sáenz, MD, Principal investigator, Servicio de Oncología. Hospital Infanta SofíaAna Ramírez de Molina, PhD, Study director, IMDEA FoodGuillermo Reglero Rada, PhD, Study director, CIAL_UAM_CSIC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05080920
- Sponsor's protocol ID
- Rosmalip®-OnCOVInf
- Acronym
- OnCOVInf
- Status last verified
- Sep 2023
- First submitted
- 16 Oct 2020
- Last updated
- 21 Sep 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Mouhid L, Corzo-Martinez M, Torres C, Vazquez L, Reglero G, Fornari T, Ramirez de Molina A. Improving In Vivo Efficacy of Bioactive Molecules: An Overview of Potentially Antitumor Phytochemicals and Currently Available Lipid-Based Delivery Systems. J Oncol. 2017;2017:7351976. doi: 10.1155/2017/7351976. Epub 2017 May 7.
PubMed 28555156Gomez de Cedron M, Laparra JM, Loria-Kohen V, Molina S, Moreno-Rubio J, Montoya JJ, Torres C, Casado E, Reglero G, Ramirez de Molina A. Tolerability and Safety of a Nutritional Supplement with Potential as Adjuvant in Colorectal Cancer Therapy: A Randomized Trial in Healthy Volunteers. Nutrients. 2019 Aug 24;11(9):2001. doi: 10.3390/nu11092001.
PubMed 31450563Gonzalez-Vallinas M, Reglero G, Ramirez de Molina A. Rosemary (Rosmarinus officinalis L.) Extract as a Potential Complementary Agent in Anticancer Therapy. Nutr Cancer. 2015;67(8):1221-9. doi: 10.1080/01635581.2015.1082110. Epub 2015 Oct 9.
PubMed 26452641Gonzalez-Vallinas M, Molina S, Vicente G, Sanchez-Martinez R, Vargas T, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Modulation of estrogen and epidermal growth factor receptors by rosemary extract in breast cancer cells. Electrophoresis. 2014 Jun;35(11):1719-27. doi: 10.1002/elps.201400011. Epub 2014 Mar 20.
PubMed 24615943Gonzalez-Vallinas M, Molina S, Vicente G, Zarza V, Martin-Hernandez R, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Expression of microRNA-15b and the glycosyltransferase GCNT3 correlates with antitumor efficacy of Rosemary diterpenes in colon and pancreatic cancer. PLoS One. 2014 Jun 3;9(6):e98556. doi: 10.1371/journal.pone.0098556. eCollection 2014.
PubMed 24892299Gonzalez-Vallinas M, Molina S, Vicente G, de la Cueva A, Vargas T, Santoyo S, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Antitumor effect of 5-fluorouracil is enhanced by rosemary extract in both drug sensitive and resistant colon cancer cells. Pharmacol Res. 2013 Jun;72:61-8. doi: 10.1016/j.phrs.2013.03.010. Epub 2013 Apr 1.
PubMed 23557932Gomez de Cedron M, Moreno-Rubio J, de la O Pascual V, Alvarez B, Villarino M, Sereno M, Gomez-Raposo C, Roa S, Lopez Gomez M, Merino-Salvador M, Jimenez-Gordo A, Falagan S, Aguayo C, Zambrana F, Tabares B, Garrido B, Cruz-Gil S, Fernandez Diaz CM, Fernandez LP, Molina S, Crespo MC, Ouahid Y, Montoya JJ, Ramos Ruiz R, Reglero G, Ramirez de Molina A, Casado E. Randomized clinical trial in cancer patients shows immune metabolic effects exerted by formulated bioactive phenolic diterpenes with potential clinical benefits. Front Immunol. 2025 Feb 17;16:1519978. doi: 10.3389/fimmu.2025.1519978. eCollection 2025.
PubMed 40034703Bouzas A, Gomez de Cedron M, Colmenarejo G, Laparra-Llopis JM, Moreno-Rubio J, Montoya JJ, Reglero G, Casado E, Tabares B, Sereno M, Ramirez de Molina A. Phenolic diterpenes from Rosemary supercritical extract inhibit non-small cell lung cancer lipid metabolism and synergise with therapeutic drugs in the clinic. Front Oncol. 2022 Nov 9;12:1046369. doi: 10.3389/fonc.2022.1046369. eCollection 2022.
PubMed 36439419
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot, Randomized, Double Blind, Placebo Controlled Study to Evaluate an Immune System Modulator Nutritional Supplement for the Prevention of Infections in Cancer Patients Receiving Oncologic Treatment During the COVID-19 Pandemia.
- ClinicalTrials.gov ID
- NCT05080920
- Acronym / sponsor ID
- OnCOVInf / Rosmalip®-OnCOVInf
- Conditions
- Infections, Covid19, Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 109 participants (actual)
- Lead sponsor
- Fundación Investigación E Innovación Biomédica Hospital Universitario Infanta Sofia-HenaresUniversity, hospital or other
- Collaborators
- IMDEA Food, Universidad Autonoma de Madrid
- Study start
- 28 Oct 2020 (actual)
- Primary completion
- 30 Sep 2022 (actual)
- Study completion
- 31 Dec 2022 (actual)
- First posted
- 18 Oct 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to assess the safety and efficacy of Rosmalip® nutritional supplement compared to placebo in subjects with solid cancer for the prevention of infections including COVID-19.
Detailed description
Cancer patients undergoing oncologic treatments frequently have comorbidities and suffer immunosuppresion, toxicities and exposure to nosocomial pathogens. As a result, they are at increased risk of infections, including COVID-19. It is of utmost importance to find therapies that can prevent infections with as less toxicity as possible. Rosmalip® is a nutritional supplement developed as a molecular nutrition, composed of a rosemary supercritical extract at concentrations approved by EFSA -with in vitro and in vivo antitumor effects that are independent of its antioxidant and anti-inflammatory properties- in a lipidic vehicle that has shown in preclinical and clinical studies to potentiate innate immunity without apparent toxicity. Being a product of easy synthesis its effects on immunity, inflammation and cancer, could be of interest to prevent and ameliorate infections, including COVID-19.
In this pilot study it is hypothesized that Rosmalip® could help to prevent or ameliorate infections, including COVID-19, in oncologic patients under active treatment. Secondarily, it is also hypothesized to have metabolic beneficial effects.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- Participants receive Rosmalip® capsule or Placebo tablet matching Rosmalip® orally once daily for 16 weeks.
| Arm | Type | Receives |
|---|---|---|
| Rosmalip® | Experimental | Dietary Supplement: Rosmalip®Participants receive Rosmalip® (diterpene phenols 11,25 mg) 1 capsule orally once daily for 16 weeks |
| Placebo | Placebo comparator | Other: PlaceboParticipants receive Placebo 1 capsule matching Rosmalip® orally once daily for 16 weeks |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients with a solid cancer under active Anticancer Treatment (including Chemotherapy, Immunotherapy, Hormone Therapy, Targeted Therapy)
- Informed consent signature
Key exclusion criteria (11 listed)
- Allergies to fish
- Vitamin, Antioxidants consumers and who would no accept to stop taking them 1 week before and during the study
- Disphagia
- Bilirrubin higher than 1.5 Upper Normal Limit (UNL)/ Creatinin > 1.5 UNL
- Severe organic dysfunction
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rosmalip®Nutritional Supplement+Usual Care | Dietary supplement | Rosmalip® |
| PlaceboPlacebo+Usual Care | Other | Placebo |
Primary outcome
Number of infectious events
Time frame: 6 months
Number of infectious events according to International Sepsis Forum Consensus
8 secondary outcomes
Number of SARSCoV2 infections
Time frame: 6 months
Changes in NLR (neutrophils to lymphocytes ratio).
Time frame: 6 months
Changes in C-reactive protein
Time frame: 6 months
Changes in ferritin
Time frame: 6 months
Changes in transferrin
Time frame: 6 months
Changes in number of peripheral blood mononuclear cells
Time frame: 6 months
Changes in number of CD4 and CD8 lymphocyte populations
Time frame: 6 months
Evolution of Quality of life
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2023.
- Background: PubMed 28555156Mouhid L, Corzo-Martinez M, Torres C, Vazquez L, Reglero G, Fornari T, Ramirez de Molina A. Improving In Vivo Efficacy of Bioactive Molecules: An Overview of Potentially Antitumor Phytochemicals and Currently Available Lipid-Based Delivery Systems. J Oncol. 2017;2017:7351976. doi: 10.1155/2017/7351976. Epub 2017 May 7.
- Results publication: PubMed 31450563Gomez de Cedron M, Laparra JM, Loria-Kohen V, Molina S, Moreno-Rubio J, Montoya JJ, Torres C, Casado E, Reglero G, Ramirez de Molina A. Tolerability and Safety of a Nutritional Supplement with Potential as Adjuvant in Colorectal Cancer Therapy: A Randomized Trial in Healthy Volunteers. Nutrients. 2019 Aug 24;11(9):2001. doi: 10.3390/nu11092001.
- Results publication: PubMed 26452641Gonzalez-Vallinas M, Reglero G, Ramirez de Molina A. Rosemary (Rosmarinus officinalis L.) Extract as a Potential Complementary Agent in Anticancer Therapy. Nutr Cancer. 2015;67(8):1221-9. doi: 10.1080/01635581.2015.1082110. Epub 2015 Oct 9.
- Results publication: PubMed 24615943Gonzalez-Vallinas M, Molina S, Vicente G, Sanchez-Martinez R, Vargas T, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Modulation of estrogen and epidermal growth factor receptors by rosemary extract in breast cancer cells. Electrophoresis. 2014 Jun;35(11):1719-27. doi: 10.1002/elps.201400011. Epub 2014 Mar 20.
- Results publication: PubMed 24892299Gonzalez-Vallinas M, Molina S, Vicente G, Zarza V, Martin-Hernandez R, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Expression of microRNA-15b and the glycosyltransferase GCNT3 correlates with antitumor efficacy of Rosemary diterpenes in colon and pancreatic cancer. PLoS One. 2014 Jun 3;9(6):e98556. doi: 10.1371/journal.pone.0098556. eCollection 2014.
- Results publication: PubMed 23557932Gonzalez-Vallinas M, Molina S, Vicente G, de la Cueva A, Vargas T, Santoyo S, Garcia-Risco MR, Fornari T, Reglero G, Ramirez de Molina A. Antitumor effect of 5-fluorouracil is enhanced by rosemary extract in both drug sensitive and resistant colon cancer cells. Pharmacol Res. 2013 Jun;72:61-8. doi: 10.1016/j.phrs.2013.03.010. Epub 2013 Apr 1.
- Derived from this study: PubMed 40034703Gomez de Cedron M, Moreno-Rubio J, de la O Pascual V, Alvarez B, Villarino M, Sereno M, Gomez-Raposo C, Roa S, Lopez Gomez M, Merino-Salvador M, Jimenez-Gordo A, Falagan S, Aguayo C, Zambrana F, Tabares B, Garrido B, Cruz-Gil S, Fernandez Diaz CM, Fernandez LP, Molina S, Crespo MC, Ouahid Y, Montoya JJ, Ramos Ruiz R, Reglero G, Ramirez de Molina A, Casado E. Randomized clinical trial in cancer patients shows immune metabolic effects exerted by formulated bioactive phenolic diterpenes with potential clinical benefits. Front Immunol. 2025 Feb 17;16:1519978. doi: 10.3389/fimmu.2025.1519978. eCollection 2025.
- Derived from this study: PubMed 36439419Bouzas A, Gomez de Cedron M, Colmenarejo G, Laparra-Llopis JM, Moreno-Rubio J, Montoya JJ, Reglero G, Casado E, Tabares B, Sereno M, Ramirez de Molina A. Phenolic diterpenes from Rosemary supercritical extract inhibit non-small cell lung cancer lipid metabolism and synergise with therapeutic drugs in the clinic. Front Oncol. 2022 Nov 9;12:1046369. doi: 10.3389/fonc.2022.1046369. eCollection 2022.
- ALIBIRD\_Therapeutic strategies for precision nutrition in cancer patientsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Enrique Casado Sáenz, MD principal investigator
Servicio de Oncología. Hospital Infanta Sofía
Ana Ramírez de Molina, PhD study director
IMDEA Food
Guillermo Reglero Rada, PhD study director
CIAL_UAM_CSIC
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rosmalip® in people with Infections and Covid19, run by Fundación Investigación E Innovación Biomédica Hospital Universitario Infanta Sofia-Henares 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 2 inclusion and 11 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 21 Sep 2023. 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?
Number of infectious events (time frame: 6 months). 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 NCT05080920, which also lists 8 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 21 Sep 2023.