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The Effects of a Sublingual Sprayable Microemulsion of Vitamin D on Inflammatory Markers in COVID-19 Patients

Primary Purpose

COVID-19, Vitamin D Deficiency

Status
Completed
Phase
Not Applicable
Locations
Latvia
Study Type
Interventional
Intervention
Vitamin D 25 (OH) 12000 IU in the form of a sublingual sprayable microemulsion
Sponsored by
Pauls Stradins Clinical University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring COVID-19, CRP, Vitamin D insufficiency, Vitamin D spray

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female subjects aged 18 and over
  • Vitamin D level below 30 ng/ml
  • Positive SARS-CoV-2 test

Exclusion Criteria:

  • Patients with mental health problems,
  • eGFR ≤30 ml/min,
  • Vitamin D level ≥ 30 ng/ml,
  • Pregnant women
  • Any other illness or condition that the researcher deemed may interfere with the results
  • Patients who refuse the studies

Sites / Locations

  • Pauls Stradins Clinical Univeristy Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Vitamin D 25 (OH) 12000 IU, Sublingual sprayable microemulsion

Placebo

Arm Description

Vitamin D in the form of a sublingual sprayable microemulsion (4000 IU) will be given three times daily after breakfast, lunch, and dinner (daily dose 12,000 IU) to patients with blood vitamin D levels below 30 ng/ml for 5-day intervention

Placebo will be given to the control group. It will be administrated sublingually, with one spray three times per day for 5 days of the study period

Outcomes

Primary Outcome Measures

Evaluating the effects of a sprayable microemulsion of cholecalciferol on vitamin D levels in the blood of COVID-19 patients
The study's primary outcome is to demonstrate the efficacy of sprayable microemulsion of cholecalciferol on the increase in circulating vitamin D levels over a period of at least 5 days.

Secondary Outcome Measures

Evaluating the effects of a sprayable microemulsion of cholecalciferol on inflammatory markers in the blood of COVID-19 patients
The study's secondary outcome is to demonstrate the efficacy of sprayable microemulsion of cholecalciferol on inflammatory markers (blood cell count, CRP, fibrinogen, IL-6) in COVID-19 patients with vitamin D levels below 29.9 ng/ml.

Full Information

First Posted
August 15, 2022
Last Updated
August 15, 2022
Sponsor
Pauls Stradins Clinical University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05502068
Brief Title
The Effects of a Sublingual Sprayable Microemulsion of Vitamin D on Inflammatory Markers in COVID-19 Patients
Official Title
A Randomized, Placebo-controlled, Independent Study of the Positive, Quantifiable Effects of Sublingual Spray LYL Love Your Life® sunD3 LYLmicro™ (LYLmicro™) on Blood Levels of Vitamin D3 and Inflammatory Markers in Patients With COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
March 31, 2021 (Actual)
Study Completion Date
June 9, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pauls Stradins Clinical University Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This placebo-controlled five-day study will be performed on 100 hospitalized COVID-19 patients with vitamin D insufficiency randomized into two groups. Vitamin D in the form of a sublingual sprayable microemulsion (LYL love your life® sunD3 LYLmicro™) is given three times daily after breakfast, lunch, and dinner (daily dose 12,000 IU) to patients with blood vitamin D levels below 30 ng/ml. The control (placebo) group recieves a placebo spray in the same daily regimen.
Detailed Description
This placebo-controlled five-day study will be performed on 100 hospitalized COVID-19 patients with vitamin D insufficiency randomized into two groups. The aim of this study is to investigate the impact of the high dose vitamin D supplementation on laboratory markers of systemic inflammation such as CRP, ferritin and IL-6 in hospitalized patients with COVID-19. The blood samples are analyzed at the Joint Laboratory of the Pauls Stradins Clinical Univesity Hospital. Patients with confirmed SARS-CoV2 infection (PCR) will be randomly divided into two groups: the intervention group receives vitamin D in the form of a sublingual sprayable microemulsion (LYL love your life® sunD3 LYLmicro™) of 4,000 IU three times daily after breakfast, lunch and dinner; the control group receives the same regimen of placebo spray. A total of 100 inpatients will be selected for the study. All patients will receive standard care for COVID-19 and existing comorbidities (diabetes, arterial hypertension, etc) according to hospital-approved protocol. The primary outcome is defined as the change in the level of the inflammatory marker and the disease's severity. Population. Disease severity is defined by the blood oxygen saturation level. Mild clinical manifestation is characterized by SpO2≥94%, moderate 90%≤SpO2<94% and severe - SpO2<90%. Age, BMI, GFR, vitamin D and COVID-19 severity are considered as randomization parameters.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19, Vitamin D Deficiency
Keywords
COVID-19, CRP, Vitamin D insufficiency, Vitamin D spray

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
102 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vitamin D 25 (OH) 12000 IU, Sublingual sprayable microemulsion
Arm Type
Experimental
Arm Description
Vitamin D in the form of a sublingual sprayable microemulsion (4000 IU) will be given three times daily after breakfast, lunch, and dinner (daily dose 12,000 IU) to patients with blood vitamin D levels below 30 ng/ml for 5-day intervention
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo will be given to the control group. It will be administrated sublingually, with one spray three times per day for 5 days of the study period
Intervention Type
Dietary Supplement
Intervention Name(s)
Vitamin D 25 (OH) 12000 IU in the form of a sublingual sprayable microemulsion
Intervention Description
This is a prospective, randomized, double blind, and controlled clinical study to investigate the impact of the high dose vitamin D supplementation on laboratory markers of systemic inflammation such as CRP, ferritin and IL-6 in hospitalized patients with COVID-19. Patients included in the study will be randomized into two groups and receive a placebo (as a control group) or cholecalciferol administered sublingually for 5 day
Primary Outcome Measure Information:
Title
Evaluating the effects of a sprayable microemulsion of cholecalciferol on vitamin D levels in the blood of COVID-19 patients
Description
The study's primary outcome is to demonstrate the efficacy of sprayable microemulsion of cholecalciferol on the increase in circulating vitamin D levels over a period of at least 5 days.
Time Frame
month 1-4
Secondary Outcome Measure Information:
Title
Evaluating the effects of a sprayable microemulsion of cholecalciferol on inflammatory markers in the blood of COVID-19 patients
Description
The study's secondary outcome is to demonstrate the efficacy of sprayable microemulsion of cholecalciferol on inflammatory markers (blood cell count, CRP, fibrinogen, IL-6) in COVID-19 patients with vitamin D levels below 29.9 ng/ml.
Time Frame
Month 1-4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects aged 18 and over Vitamin D level below 30 ng/ml Positive SARS-CoV-2 test Exclusion Criteria: Patients with mental health problems, eGFR ≤30 ml/min, Vitamin D level ≥ 30 ng/ml, Pregnant women Any other illness or condition that the researcher deemed may interfere with the results Patients who refuse the studies
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Valdis Pirags, MD, PhD
Organizational Affiliation
Pauls Stradins Clinical University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pauls Stradins Clinical Univeristy Hospital
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

The Effects of a Sublingual Sprayable Microemulsion of Vitamin D on Inflammatory Markers in COVID-19 Patients

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