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ALACOVID Study for Vaccinated Subjects (COVID-19)

Primary Purpose

COVID-19 Respiratory Infection

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
150 mg 5-ALAPhosphate + SFC
Placebo
Sponsored by
Vedic Lifesciences Pvt. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for COVID-19 Respiratory Infection

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male & female aged ≥ 18 years and ≤70 years.
  2. Subjects with documented proof of 1st dose of vaccination within 3 months of planned 2nd dose. (If government of India implements booster dose then subjects needs to have a documented proof of 2nd dose)
  3. Subjects planning to have 2nd /3rd dose of COVID-19 vaccine (Covishield/ Covaxin). (If government of India implements booster dose then subjects planning to have a 3rd dose of vaccine will be included in this study)
  4. Subject willing and able to provide a written informed consent

Exclusion Criteria:

  1. Subjects with anemia (male: <12 g/dl, females: <11 g/dl)
  2. Subjects with more than 2.5 times upper limit of ALT & AST parameters.
  3. Subjects not willing to stop intake of any vitamin/s or mineral/s supplements during the trial except for those allowed in the study.
  4. Subjects with acute symptomatic COVID-19 infection indicated by fever, dry cough and severe respiratory distress.
  5. Subjects with SpO2 < 90%.
  6. Subjects with history of genetic disorders.
  7. Subjects with history of:

    1. Anaphylactic or allergic reaction to a previous dose of COVID-19 vaccine
    2. Immediate or delayed-onset anaphylaxis or allergic reaction to vaccines or injectable therapies, pharmaceutical products, food-items etc.
  8. Pregnancy & Lactation:

    a. Pregnant & Lactating women have not been part of any COVID-19 vaccine clinical trial so far. Therefore, women who are pregnant or not sure of their pregnancy; and lactating women should not receive COVID-19 vaccine at this time

  9. Provisional / temporary contraindications:

    1. Persons having active symptoms of SARS-CoV-2 infection.
    2. SARS-COV-2 patients who have been given anti-SARS-CoV-2 monoclonal antibodies or convalescent plasma
    3. Signs of acute infection or illness
    4. Hospitalized patients due to any illness.
  10. Subjects with known history (diagnosed case) of porphyria, or chronic serious liver disease, kidney disease or heart problems.
  11. Subjects with frequent complaints of cold, fever, cough.
  12. Subjects with irritable bowel syndrome.
  13. Subjects who are frequent travelers or are planning to travel.
  14. Subject has demonstrated previous intolerance of 5-ALA and/or SFC by topical or oral administration.
  15. Subjects with known allergy to 5-ALA containing foods (spinach, shitake mushroom, octopus, baker's yeast, wine, vinegar, sake less).
  16. Subjects on vitamin D supplements
  17. Males and females of reproductive potential who have not agreed to use an adequate method of contraception during the study

    1. For females, adequate birth control methods will be defined as: hormonal contraceptives, intrauterine device or double barrier contraception, i.e., condom

      + diaphragm, condom or diaphragm + spermicidal gel or foam.

    2. For males, adequate birth control methods will be defined as double barrier contraception, i.e., condom + diaphragm, condom or diaphragm + spermicidal gel or foam.
    3. For females, menopause is defined as one year without menses; if in question, a follicle-stimulating hormone of >40 U/ml must be documented. Hysterectomy, bilateral oophorectomy, or bilateral tubal ligation must be documented, as applicable.
  18. Subjects who are unable or unwilling to comply with requirements of the clinical trial.
  19. Participation in any other clinical trial of an experimental treatment for COVID-19.
  20. Subjects having any other family member participating in this study.
  21. Subjects who may be excluded at the Investigator's discretion.

Sites / Locations

  • BAJ RR Hospital and Research Centre
  • Leelawati Care Hospital-Nasik (SMO)
  • Ranka Hospital
  • JNU Institute for Medical Sciences and Research Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

150 mg 5-ALAPhosphate + SFC

Placebo

Arm Description

2 capsules in the morning after breakfast (before 11 AM) and 1 capsule in the evening after a snack or after dinner (before 8 PM) orally with water for 21 days.

Outcomes

Primary Outcome Measures

Adverse product reaction
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Adverse product reaction
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Adverse product reaction
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Adverse product reaction
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.

Secondary Outcome Measures

Absolute change in GMT of IgG levels against Covid-19 spike protein
Elecsys Anti-SARS-CoV-2 S kit will be used to measure the levels of IgG post vaccination on baseline and at the end of the study (day 21).
European Quality of Life Five Dimension Five level questionnaire
The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The subject is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the subject's health state. The Lower level is denoted as 1 and the highest level is denoted as 5. The EQ-5D-5L QoL questionnaire will be completed by the subject.
World Health Organization Well-Being Index questionnaire
The 5-item World Health Organization Well-Being Index (WHO-5) is a short and generic global rating scale measuring subjective well-being.
Visual Analogue Scale for pain and fatigue
The subjects is asked to place a line perpendicular to the VAS line at the point that represents their current situation for pain and fatigue (question 4). Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity

Full Information

First Posted
February 5, 2022
Last Updated
July 8, 2022
Sponsor
Vedic Lifesciences Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05234346
Brief Title
ALACOVID Study for Vaccinated Subjects
Acronym
COVID-19
Official Title
An Open-Label, Pilot Study to Evaluate the Safety, Tolerability, and Efficacy of 5-ALA-Phosphate + SFC as an Immune System Enhancer Along With Vaccination Against SARS-CoV-2 Virus Infection
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
March 15, 2022 (Actual)
Primary Completion Date
June 18, 2022 (Actual)
Study Completion Date
June 18, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vedic Lifesciences Pvt. Ltd.

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
In this study, it is hypothesized that administration of 5-ALA-Phosphate + SFC in subjects vaccinated against Covid-19 could contribute in enhancing the targeted function of the immune system, which might lead to re-activation and/or increase of the vaccination response. Thus, in the present study, we will be evaluating the safety and efficacy of 5-ALA-Phosphate + SFC in subjects receiving the Covid-19 vaccine.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
An Open-Label, Pilot Study
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
150 mg 5-ALAPhosphate + SFC
Arm Type
Experimental
Arm Description
2 capsules in the morning after breakfast (before 11 AM) and 1 capsule in the evening after a snack or after dinner (before 8 PM) orally with water for 21 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
150 mg 5-ALAPhosphate + SFC
Intervention Description
2 capsules in the morning after breakfast (before 11 AM) and 1 capsule in the evening after a snack or after dinner (before 8 PM) orally with water for 21 days.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
No Description for the intervention
Primary Outcome Measure Information:
Title
Adverse product reaction
Description
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Time Frame
Day 0
Title
Adverse product reaction
Description
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Time Frame
Day 1
Title
Adverse product reaction
Description
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Time Frame
Day 7
Title
Adverse product reaction
Description
To determine the safety of 21 days oral administration of 5-ALA-Phosphate + SFC in subjects vaccinated with COVID-19 vaccine.
Time Frame
Day 21
Secondary Outcome Measure Information:
Title
Absolute change in GMT of IgG levels against Covid-19 spike protein
Description
Elecsys Anti-SARS-CoV-2 S kit will be used to measure the levels of IgG post vaccination on baseline and at the end of the study (day 21).
Time Frame
Day 0 and Day 21
Title
European Quality of Life Five Dimension Five level questionnaire
Description
The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The subject is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the subject's health state. The Lower level is denoted as 1 and the highest level is denoted as 5. The EQ-5D-5L QoL questionnaire will be completed by the subject.
Time Frame
Day 0 , Day 1, Day 7 and Day 21
Title
World Health Organization Well-Being Index questionnaire
Description
The 5-item World Health Organization Well-Being Index (WHO-5) is a short and generic global rating scale measuring subjective well-being.
Time Frame
Day 0 , Day 1, Day 7 and Day 21
Title
Visual Analogue Scale for pain and fatigue
Description
The subjects is asked to place a line perpendicular to the VAS line at the point that represents their current situation for pain and fatigue (question 4). Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity
Time Frame
Day 0 , Day 1, Day 7 and Day 21

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male & female aged ≥ 18 years and ≤70 years. Subjects with documented proof of 1st dose of vaccination within 3 months of planned 2nd dose. (If government of India implements booster dose then subjects needs to have a documented proof of 2nd dose) Subjects planning to have 2nd /3rd dose of COVID-19 vaccine (Covishield/ Covaxin). (If government of India implements booster dose then subjects planning to have a 3rd dose of vaccine will be included in this study) Subject willing and able to provide a written informed consent Exclusion Criteria: Subjects with anemia (male: <12 g/dl, females: <11 g/dl) Subjects with more than 2.5 times upper limit of ALT & AST parameters. Subjects not willing to stop intake of any vitamin/s or mineral/s supplements during the trial except for those allowed in the study. Subjects with acute symptomatic COVID-19 infection indicated by fever, dry cough and severe respiratory distress. Subjects with SpO2 < 90%. Subjects with history of genetic disorders. Subjects with history of: Anaphylactic or allergic reaction to a previous dose of COVID-19 vaccine Immediate or delayed-onset anaphylaxis or allergic reaction to vaccines or injectable therapies, pharmaceutical products, food-items etc. Pregnancy & Lactation: a. Pregnant & Lactating women have not been part of any COVID-19 vaccine clinical trial so far. Therefore, women who are pregnant or not sure of their pregnancy; and lactating women should not receive COVID-19 vaccine at this time Provisional / temporary contraindications: Persons having active symptoms of SARS-CoV-2 infection. SARS-COV-2 patients who have been given anti-SARS-CoV-2 monoclonal antibodies or convalescent plasma Signs of acute infection or illness Hospitalized patients due to any illness. Subjects with known history (diagnosed case) of porphyria, or chronic serious liver disease, kidney disease or heart problems. Subjects with frequent complaints of cold, fever, cough. Subjects with irritable bowel syndrome. Subjects who are frequent travelers or are planning to travel. Subject has demonstrated previous intolerance of 5-ALA and/or SFC by topical or oral administration. Subjects with known allergy to 5-ALA containing foods (spinach, shitake mushroom, octopus, baker's yeast, wine, vinegar, sake less). Subjects on vitamin D supplements Males and females of reproductive potential who have not agreed to use an adequate method of contraception during the study For females, adequate birth control methods will be defined as: hormonal contraceptives, intrauterine device or double barrier contraception, i.e., condom + diaphragm, condom or diaphragm + spermicidal gel or foam. For males, adequate birth control methods will be defined as double barrier contraception, i.e., condom + diaphragm, condom or diaphragm + spermicidal gel or foam. For females, menopause is defined as one year without menses; if in question, a follicle-stimulating hormone of >40 U/ml must be documented. Hysterectomy, bilateral oophorectomy, or bilateral tubal ligation must be documented, as applicable. Subjects who are unable or unwilling to comply with requirements of the clinical trial. Participation in any other clinical trial of an experimental treatment for COVID-19. Subjects having any other family member participating in this study. Subjects who may be excluded at the Investigator's discretion.
Facility Information:
Facility Name
BAJ RR Hospital and Research Centre
City
Dombivli
State/Province
Maharashtra
ZIP/Postal Code
421203
Country
India
Facility Name
Leelawati Care Hospital-Nasik (SMO)
City
Nashik
State/Province
Maharashtra
ZIP/Postal Code
422005
Country
India
Facility Name
Ranka Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411037
Country
India
Facility Name
JNU Institute for Medical Sciences and Research Centre
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302017
Country
India

12. IPD Sharing Statement

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ALACOVID Study for Vaccinated Subjects

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