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JINZHEN for Treatment of Mild to Moderate COVID-19

Primary Purpose

COVID-19

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
JINZHEN Granules for Oral Solution
Placebo
Sponsored by
Lianyungang Kanion Group, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult ≥ 18 years of age at time of enrollment.
  2. Have presence of SARS-CoV-2 infection confirmed by reverse transcription polymerase chain reaction (RT-PCR) test with sample collection ≤ 3 days prior to randomization.
  3. Fever ≥ 38.0℃ (oral temperature) or ≥ 38.6℃ (tympanic temperature) within 48 hours before screening; and at least one of respiratory rate > 24/min or cough.
  4. Initial onset of signs/symptoms for ≤ 5 days prior to randomization.
  5. Participant provides written informed consent prior to initiation of any study procedures.
  6. Participant is willing to accept randomization to any assigned treatment arm. And participant understands and agrees to comply with planned study procedures.

Exclusion Criteria:

  1. SARS-CoV-2 infection confirmed participants who are currently hospitalized or are expected to need hospitalization (for COVID-19 within 48 hours of randomization).
  2. Participants who have SpO2 < 94%, or arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) < 300 mmHg, or respiratory frequency > 30/min, or lung infiltrates > 50%.
  3. Require mechanical ventilation or anticipated impending need for mechanical ventilation.
  4. Pre-existing pulmonary conditions such as chronic obstructive pulmonary disease or asthma. Imaging confirmed the existence of severe lung interstitial lesions, bronchiectasis and other basic pulmonary diseases.
  5. Have any other active infectious diseases. Such as influenza, bacterial infections of the respiratory system (suppurative tonsillitis, acute tracheobronchitis, etc.) and other respiratory diseases affecting the evaluation of clinical trials.
  6. ALT/AST > 3×ULN, TBIL ≥ 1.5×ULN, creatinine ≥ 1.5×ULN.
  7. Patients with recurrent diarrhea or abnormal intestinal function.
  8. Patients with electrolyte disturbances during screening.
  9. Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study. Such as, unresectable malignant tumor, blood disease, active bleeding, cachexia, nervous system disease, endocrine system disease, cardiovascular disease (NYHA ≥ grade 3), etc.
  10. Suffering from diseases that seriously affect the immune system, such as HIV infection, splenectomy, organ transplantation, etc.
  11. Participants who are using any herb supplements.
  12. Nursing women or women of pregnancy test positive or planning to be pregnant throughout the study period.
  13. Psychiatric or cognitive illness or recreational drug/alcohol use.
  14. Participants Receipt of any interventional experimental treatment for COVID-19 within the 30 days prior to the time of the screening evaluation.
  15. Participants unable to take oral medications.
  16. Other conditions inappropriate for participation in this clinical trial considered by the investigators.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    JINZHEN low dose arm

    JINZHEN middle dose arm

    JINZHEN high dose arm

    Placebo arm

    Arm Description

    Patients will take 0.375 gram of JINZHEN Granules twice a day for 14 days.

    Patients will take 0.75 gram of JINZHEN Granules twice a day for 14 days.

    Patients will take 1.5 gram of JINZHEN Granules twice a day for 14 days.

    Patients will take placebo granules twice a day for 14 days.

    Outcomes

    Primary Outcome Measures

    Proportion of participants who experience any of following events within 14 days after beginning of administration.
    COVID-19 related hospitalization (defined as ≥ 24 hours of acute care) COVID-19 related emergency room visit
    Proportion of participants with clinical recovery of symptomatic reliefs within 14 days after beginning of administration.
    - Clinical recovery is defined as subjects with normalization of fever, respiratory rate, and oxygen saturation sustained for at least 72 hours. Fever, respiratory rate, and oxygen saturation will be combined to report using a score system.

    Secondary Outcome Measures

    Time to Clinical Recovery (TTCR).
    - TTCR is defined as the time (in hours) from initiation of study treatment (active or placebo) until clinical recovery.
    Viral load change.
    - Viral load change from the time of screening to Day 7 and Day 14.
    Adverse events.
    - Proportion of participants experiencing adverse events, including laboratory assessments.

    Full Information

    First Posted
    October 6, 2021
    Last Updated
    October 21, 2021
    Sponsor
    Lianyungang Kanion Group, Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05092503
    Brief Title
    JINZHEN for Treatment of Mild to Moderate COVID-19
    Official Title
    A Randomized Controlled Proof-of-concept Study to Evaluate the Safety and Efficacy of JINZHEN Granules for Oral Solution in Participants With Mild to Moderate COVID-19
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 2022 (Anticipated)
    Primary Completion Date
    December 2022 (Anticipated)
    Study Completion Date
    March 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Lianyungang Kanion Group, Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    JINZHEN is a botanical drug that contains eight chemical constituents extracted from plant, mineral and animal origin raw materials. This study is to evaluate the safety and efficacy of JINZHEN Granules for Oral Solution compared to placebo for treatment of mild to moderate COVID-19 outpatients.
    Detailed Description
    The study is a randomized, double-blind, placebo-controlled, proof of concept study with four groups (low dose treatment group, middle dose treatment group, high dose treatment group, and placebo group). Study eligibility will be assessed during screening. Study participants will be randomized in a 3:1 ratio to receive JINZHEN Granules for Oral Solution or placebo granules for 14 days. During the 14-day clinical study, participants will be assessed daily at home using e-diary to collect clinical data and in person visit on Day 7 and Day14. All subjects will undergo a series of efficacy, safety, and laboratory assessments. Clinical observation endpoints will be assessed at day 7 and day 14. Interim analysis will be performed to evaluate efficacy and safety of 7-day and 14-day treatment.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    COVID-19

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    JINZHEN low dose arm
    Arm Type
    Experimental
    Arm Description
    Patients will take 0.375 gram of JINZHEN Granules twice a day for 14 days.
    Arm Title
    JINZHEN middle dose arm
    Arm Type
    Experimental
    Arm Description
    Patients will take 0.75 gram of JINZHEN Granules twice a day for 14 days.
    Arm Title
    JINZHEN high dose arm
    Arm Type
    Experimental
    Arm Description
    Patients will take 1.5 gram of JINZHEN Granules twice a day for 14 days.
    Arm Title
    Placebo arm
    Arm Type
    Placebo Comparator
    Arm Description
    Patients will take placebo granules twice a day for 14 days.
    Intervention Type
    Drug
    Intervention Name(s)
    JINZHEN Granules for Oral Solution
    Other Intervention Name(s)
    JINZHEN
    Intervention Description
    JINZHEN granules will be dissolved in drinking water and administered orally.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo granules will be dissolved in drinking water and administered orally.
    Primary Outcome Measure Information:
    Title
    Proportion of participants who experience any of following events within 14 days after beginning of administration.
    Description
    COVID-19 related hospitalization (defined as ≥ 24 hours of acute care) COVID-19 related emergency room visit
    Time Frame
    14 days
    Title
    Proportion of participants with clinical recovery of symptomatic reliefs within 14 days after beginning of administration.
    Description
    - Clinical recovery is defined as subjects with normalization of fever, respiratory rate, and oxygen saturation sustained for at least 72 hours. Fever, respiratory rate, and oxygen saturation will be combined to report using a score system.
    Time Frame
    14 days
    Secondary Outcome Measure Information:
    Title
    Time to Clinical Recovery (TTCR).
    Description
    - TTCR is defined as the time (in hours) from initiation of study treatment (active or placebo) until clinical recovery.
    Time Frame
    up to 14 days
    Title
    Viral load change.
    Description
    - Viral load change from the time of screening to Day 7 and Day 14.
    Time Frame
    up to14 days
    Title
    Adverse events.
    Description
    - Proportion of participants experiencing adverse events, including laboratory assessments.
    Time Frame
    28 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adult ≥ 18 years of age at time of enrollment. Have presence of SARS-CoV-2 infection confirmed by reverse transcription polymerase chain reaction (RT-PCR) test with sample collection ≤ 3 days prior to randomization. Fever ≥ 38.0℃ (oral temperature) or ≥ 38.6℃ (tympanic temperature) within 48 hours before screening; and at least one of respiratory rate > 24/min or cough. Initial onset of signs/symptoms for ≤ 5 days prior to randomization. Participant provides written informed consent prior to initiation of any study procedures. Participant is willing to accept randomization to any assigned treatment arm. And participant understands and agrees to comply with planned study procedures. Exclusion Criteria: SARS-CoV-2 infection confirmed participants who are currently hospitalized or are expected to need hospitalization (for COVID-19 within 48 hours of randomization). Participants who have SpO2 < 94%, or arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) < 300 mmHg, or respiratory frequency > 30/min, or lung infiltrates > 50%. Require mechanical ventilation or anticipated impending need for mechanical ventilation. Pre-existing pulmonary conditions such as chronic obstructive pulmonary disease or asthma. Imaging confirmed the existence of severe lung interstitial lesions, bronchiectasis and other basic pulmonary diseases. Have any other active infectious diseases. Such as influenza, bacterial infections of the respiratory system (suppurative tonsillitis, acute tracheobronchitis, etc.) and other respiratory diseases affecting the evaluation of clinical trials. ALT/AST > 3×ULN, TBIL ≥ 1.5×ULN, creatinine ≥ 1.5×ULN. Patients with recurrent diarrhea or abnormal intestinal function. Patients with electrolyte disturbances during screening. Have any serious concomitant systemic disease, condition or disorder that, in the opinion of the investigator, should preclude participation in this study. Such as, unresectable malignant tumor, blood disease, active bleeding, cachexia, nervous system disease, endocrine system disease, cardiovascular disease (NYHA ≥ grade 3), etc. Suffering from diseases that seriously affect the immune system, such as HIV infection, splenectomy, organ transplantation, etc. Participants who are using any herb supplements. Nursing women or women of pregnancy test positive or planning to be pregnant throughout the study period. Psychiatric or cognitive illness or recreational drug/alcohol use. Participants Receipt of any interventional experimental treatment for COVID-19 within the 30 days prior to the time of the screening evaluation. Participants unable to take oral medications. Other conditions inappropriate for participation in this clinical trial considered by the investigators.

    12. IPD Sharing Statement

    Learn more about this trial

    JINZHEN for Treatment of Mild to Moderate COVID-19

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