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COVID-19 Respiratory InfectionNCT06452069

Efficacy and Safety Study of Essential Oil-Based Preparation Administered to COVID-19 Patients

A study testing IMMUNO19 in people with COVID-19 Respiratory Infection and COVID-19, run by Biodex S.A at 10 sites in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of this study was to compare the efficacy and safety of the essential oil-based product in patients with mild to moderate symptomatic COVID-19 Positive infection confirmed by PCR. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
COVID-19 Respiratory Infection, COVID-19
What is being tested?
IMMUNO19
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
280 participants
Where
10 sitesTurkey (Türkiye)
Study dates
15 Sep 2024to 15 Sep 2025
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must be between 18<X< 65 years of age.
  • The participant must be willing and able to give written informed consent. The volunteer must provide his/her consent on his or her behalf, a legally acceptable representative (i.e., an International Harmonization Council [ICH] and adopted by local law as appropriate can be used) must give informed consent on his/her behalf.
  • PCR test COVID-19 positive diagnosis and mild to moderate disease stage is required.
  • The participant must agree not to receive vaccines administered for COVID-19 during the study.

Who cannot join

  • Patients < 18 years of age,
  • Positive diagnosis of severe COVID-19 with symptoms of basic severity: patients with respiratory distress, signs of mental confusion and impaired consciousness that develop depending on the severity of the stage of the disease,
  • Patients on active antiviral therapy,
  • Patients with creatine clearance < 30 ml/min and renal impairment,
  • NYHA III-IV, Stage D heart failure patients requiring frequent hospitalization,
  • Uncontrolled coagulopathy,
Show all 16Show fewer
  • Patients with advanced liver failure,
  • Patients with active infections such as hepatitis B, hepatitis C and HIV, diseases requiring systemic treatment,
  • Patients with active malignancy and known history of cancer,
  • Those who do not have sufficient psychic state to disrupt working rounds,
  • Active drug users,
  • Known hypersensitivity and allergic reaction to the components of the preparation,
  • Current participation in another interventional treatment study with an investigational agent,
  • Recent use of the investigational product within 28 days of the first dose of the investigational product use or presence of a research device during screening,
  • Pregnant or breastfeeding women,
  • Patients who did not give written informed consent.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Turkey (Türkiye)10 sites
  • Akdeniz University

    Antalya, Konyaaltı, 07070

  • Antalya Atatürk Public Hospital

    Antalya, 07040

  • Bağcılar Training and Research Hospital

    Istanbul, Bagcılar, 34212

  • Gaziosmanpaşa Training and Research Hospital

    Istanbul, Gaziosmanpaşa, 34255

  • Göztepe Süleyman Yalçın City Hospital

    Istanbul, Kadıköy, 34722

  • Kartal Dr. Lütfi Kırdar City Hospital

    Istanbul, Kartal, 34865

  • Süreyyapaşa Chest Disease and Thoracic Surgery Training and Research Hospital

    Istanbul, Maltepe, 34844

  • Umraniye Training and Research Hospital

    Istanbul, Umraniye, 34764

  • Cemil Taşcıoğlu City Hospital

    Istanbul, Şişli, 34384

  • Kocaeli City Hospital

    Kocaeli, İzmit, 41060

Other trials in Turkey (Türkiye)

About this study

Official title: A Multicentre, Randomised, Prospective Study Investigating the Efficacy and Safety of an Essential Oil-Based Preparation Administered to Mild and Moderately Severe COVID-19 Positive Patients

The aim of this study was to compare the efficacy and safety of the essential oil-based product in patients with mild to moderate symptomatic COVID-19 Positive infection confirmed by PCR. A computational simulation approach of the molecular interaction (binding) of the main components of essential oils exhibiting antiviral activity with known intracellular protein targets of SARS-CoV-2 (nsp5: Main Protease) was adopted as a rationale for this study. SARS-CoV-2, a single-stranded RNA virus, has four major structural proteins Spike (S), Membrane (M), Envelope glycoprotein (E) and Nucleocapsid (N) protein and non-structural proteins (nsp). These non-structural proteins, of which there are 16 in total in the genome of the virus, play key roles in the mechanisms of the virus life cycle, including replication, transcription, protein synthesis and modification of RNA. Main protease (Main protease, Mpro, 3CLpro), virus Since they are directly involved in the maturation of these nsp proteins, which have an important role in many mechanisms of the life cycle, they have been the target enzyme in the development of new antiviral drugs for the treatment of COVID-19. In this study, our main rationale is to investigate the effect of essential oils on nsp5: Main Protease enzyme activations.

Read the detailed description

The indiscriminate use of antimicrobial agents has led to the emergence of a number of drug-resistant bacteria, fungi and viruses. To overcome the increasing resistance of pathogenic microbes, more effective antimicrobial agents with new modes of action must be developed.

Medicinal plants used in traditional medicines to treat infectious diseases are an abundant source of new bioactive secondary metabolites. Therefore, in the last few years, various medicinal plants and plant extracts have been screened for their antimicrobial activities . Essential oils obtained from aromatic medicinal plants (e.g. fennel (Foeniculum vulgare), mint (Mentha piperita), thyme (Thymus vulgaris)) have been shown to have antimicrobial activity against gram-positive and gram-negative bacteria as well as yeasts, It has been reported to be active against fungi and viruses. They are mixtures of different lipophilic and volatile substances such as monoterpenes, sesquiterpenes and/or phenylpropanoids and have a pleasant odour. They are also part of the pre-formed defence system of higher plants are thought to be . Monoterpenes have been widely studied, especially for their antiviral properties.

Nowadays, the use of essential oils is becoming increasingly widespread both in pharmacies and in various stores. The use of essential oils for therapeutic purposes is expanding. The molecules that make up certain essential oils have shown various antiviral properties:

  • Either by neutralising the virus before it enters the cell,
  • By changing the capsid or envelope of the virus,
  • Either by binding to receptors used by viruses and preventing their access to cells.

Herbal products are an important source of herbal remedies and other medicines. Essential oils have shown various pharmacological activities, such as antiviral activity, and have therefore been implicated in SARS-CoV- It has been suggested to have potential activity against 2. Essential oils can easily penetrate the viral membrane due to their lipophilicity and can cause rupture of the viral membrane.

In addition, crude essential oils often have many active components that can act on different parts of the virus, including cell entry, translation, transcription and assembly. Anti-inflammatory, immune regulation on the respiratory system of the host, have other beneficial pharmacological effects, including bronchiectasis and mucolytics.

Essential oils have many advantages because they promise volatile antiviral molecules, making them useful either alone or in combination with other chemotherapeutic drugs, making them potential drug targets for the prevention and treatment of COVID-19.

In this study, a computational simulation approach of the molecular interaction (binding) of the main components of essential oils exhibiting antiviral activity with known intracellular protein targets of SARS-CoV-2 (nsp5: Master Protease) was adopted as a rationale. A single-chain.

The RNA virus SARS-CoV-2 has four main structural proteins Spike (S), Membrane (M), Envelope glycoprotein (E) and Nucleoapsid (N) proteins and non-structural proteins (nsp) .

These non-structural proteins, of which there are 16 in total in the genome of the virus, play a key role in the mechanisms of the virus life cycle, including replication, transcription, protein synthesis and modification of RNA. Main protease (Mpro, 3CLpro) has been the target enzyme for the development of new antiviral drugs for the treatment of COVID-19 , as they are directly involved in the maturation of these nsp proteins, which have an important role in many mechanisms of the virus life cycle. Our main rationale in this study is to investigate the effect of essential oils on nsp5: Main Protease enzyme activations.

Being tested
IMMUNO19
Keywords
Essential Oil, antiviral, Main Protease, COVID 19
Medical subject headings
COVID-19

What participants receive

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

  • IMMUNO19Other

    Also called Essential Oils Combination

    280 participants will be divided into 2 groups. There will be 140 participants in the groups.

    The 1st group will receive IMMUNO19 10 mL one time, The 2nd group will receive Placebo 10 mL for one time.

Study groups in NCT06452069
Study groupRoleWhat they receive
Group 1ExperimentalGroup 1: (n=140) Investigational Product 10 ml, drinkable ampoule (1 ampoule) (1 time only)
Receives: Other: IMMUNO19
Group 2Placebo comparatorGroup 2: (n=140) Placebo 10 ml (1 ampoule) (1 time only)
Receives: Other: IMMUNO19

What is being measured

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

  1. Clinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product

    Day 0 Participant symptoms and quantitative PCR of viral load

    Measured: 0th Day

  2. Clinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product

    Day 2 Participant symptoms

    Measured: 2nd Day

  3. Clinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product

    Day 6 Participant symptoms and quantitative PCR of viral load

    Measured: 6th Day

  4. Clinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product

    Day 10 Participant symptoms and quantitative PCR of viral load

    Measured: 10th Day

  5. TClinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product.

    Day 20 Participant symptoms and quantitative PCR of viral load

    Measured: 20th Day

  6. Clinical recovery defined by the absence of clinical signs of infection

    Clinical signs of acute respiratory infection disappearance (cough and difficulty breathing),Fever within normal temperature ranges, clinical improvement, although the participant has pseudo-symptoms

    Measured: 0th Day

  7. Clinical recovery defined by the absence of clinical signs of infection

    Clinical signs of acute respiratory infection disappearance (cough and difficulty breathing),Fever within normal temperature ranges, clinical improvement, although the participant has pseudo-symptoms

    Measured: 2nd Day

  8. Clinical recovery defined by the absence of clinical signs of infection

    Clinical signs of acute respiratory infection disappearance (cough and difficulty breathing),Fever within normal temperature ranges, clinical improvement, although the participant has pseudo-symptoms

    Measured: 6th Day

  9. Clinical recovery defined by the absence of clinical signs of infection

    Clinical signs of acute respiratory infection disappearance (cough and difficulty breathing),Fever within normal temperature ranges, clinical improvement, although the participant has pseudo-symptoms

    Measured: 10th Day

  10. Clinical recovery defined by the absence of clinical signs of infection

    Clinical signs of acute respiratory infection disappearance (cough and difficulty breathing),Fever within normal temperature ranges, clinical improvement, although the participant has pseudo-symptoms

    Measured: 20th Day

  11. Aggravation of the clinical picture

    Appearance of a new sign that was not present at the beginning (not requiring hospitalization),Indicator of hospitalization during the study period,Hospitalization,Hospitalization with oxygen requirement,Hospitalization in intensive care, Death due to COVID-19

    Measured: 0th Day

  12. Aggravation of the clinical picture

    Appearance of a new sign that was not present at the beginning (not requiring hospitalization),Indicator of hospitalization during the study period,Hospitalization,Hospitalization with oxygen requirement,Hospitalization in intensive care, Death due to COVID-19

    Measured: 2nd Day

  13. Aggravation of the clinical picture

    Appearance of a new sign that was not present at the beginning (not requiring hospitalization),Indicator of hospitalization during the study period,Hospitalization,Hospitalization with oxygen requirement,Hospitalization in intensive care, Death due to COVID-19

    Measured: 6th Day

  14. Aggravation of the clinical picture

    Appearance of a new sign that was not present at the beginning (not requiring hospitalization),Indicator of hospitalization during the study period,Hospitalization,Hospitalization with oxygen requirement,Hospitalization in intensive care, Death due to COVID-19

    Measured: 10th Day

  15. Aggravation of the clinical picture

    Appearance of a new sign that was not present at the beginning (not requiring hospitalization),Indicator of hospitalization during the study period,Hospitalization,Hospitalization with oxygen requirement,Hospitalization in intensive care, Death due to COVID-19

    Measured: 20th Day

  16. Virological evaluation

    Qualitative PCR Test and Quantitative PCR Test

    Measured: 0th Day

  17. Virological evaluation

    Qualitative PCR Test and Quantitative PCR Test

    Measured: 6th Day

  18. Virological evaluation

    Qualitative PCR Test and Quantitative PCR Test

    Measured: 10th Day

  19. Virological evaluation

    Qualitative PCR Test and Quantitative PCR Test

    Measured: 20th Day

Secondary outcomes (9)
  1. Evaluation of time from inclusion to recovery in days

    Negative PCR and viral load

    Measured: 0th Day

  2. Evaluation of time from inclusion to recovery in days

    Negative PCR and viral load

    Measured: 6th Day

  3. Evaluation of time from inclusion to recovery in days

    Negative PCR and viral load

    Measured: 10th Day

  4. Evaluation of time from inclusion to recovery in days

    Negative PCR and viral load

    Measured: 20th Day

  5. Incidence of adverse events and serious advers event

    Collection of adverse events and serious adverse events

    Measured: 0th Day

  6. Incidence of adverse events and serious advers event

    Collection of adverse events and serious adverse events

    Measured: 2nd Day

  7. Incidence of adverse events and serious advers event

    Collection of adverse events and serious adverse events

    Measured: 6th Day

  8. Incidence of adverse events and serious advers event

    Collection of adverse events and serious adverse events

    Measured: 10th Day

  9. Incidence of adverse events and serious advers event

    Collection of adverse events and serious adverse events

    Measured: 20th Day

Timeline

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

  1. First posted11 Jun 2024
  2. Study start15 Sep 2024 (estimated)
  3. Primary completion15 May 2025 (estimated)
  4. Study completion15 Sep 2025 (estimated)

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
Multicenter, Randomized, Prospective Study
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
280 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06452069
Sponsor's protocol ID
EC2021-ID19
Status last verified
Jun 2024
First submitted
6 Jun 2024
Last updated
13 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing IMMUNO19 in people with COVID-19 Respiratory Infection and COVID-19, run by Biodex S.A at 10 sites in Turkey (Türkiye).

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 4 inclusion and 16 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: status not confirmed, as of the sponsor's last update on 13 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Turkey (Türkiye). 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?

Results are not available in the source record.

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

Contact Mounir Bezzarga (+216 98 362260, mounir.bezzarga@yahoo.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical and virological cure rate in patients with PCR-confirmed mild to moderate symptomatic COVID-19 Positive infection treated with an essential oil-based product (time frame: 0th Day). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Jun 2024.

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