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Can SARS-CoV-2 Viral Load and COVID-19 Disease Severity be Reduced by Resveratrol-assisted Zinc Therapy (Reszinate)

Primary Purpose

Covid19, SARS-CoV Infection

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Zinc Picolinate
Resveratrol
Zinc Picolinate Placebo
Resveratrol Placebo
Sponsored by
Swedish Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Covid19 focused on measuring covid19, SARS-CoV-2, zinc, resveratrol

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adults (18 - 75) with a nasal swab confirmed SARS-CoV-2 infection; testing positive within 4 days of enrollment
  2. Ability to read, understand and provide informed consent (no legally authorized representatives may consent on their behalf) and study assessments in English
  3. Ability for subject to comply with the requirements of the study (must/will have a valid email address, internet connection and phone number)
  4. Willingness to self limit medications and supplements and report what they are taking
  5. Comfortable self-administering oral medication and nasal swab sampling
  6. Willingness to permit a review of their medical history and to provide medical data from their electronic medical record for the period of enrollment (14 days) and until resolution of Covid-19 related events. Individuals who are not current Swedish patients will be asked to identify their provider of record and provide access to specific elements of their electronic health record.
  7. Reside within twenty-five miles of one of the Swedish campuses: First Hill, Ballard, Edmonds, Issaquah, Cherry Hill.

Exclusion Criteria:

  1. Reported history or evidence of impaired liver or kidney function: GFR <30 or bilirubin >2x ULT or INR > 2x ULT in the absence of anticoagulants
  2. Known hypersensitivity to zinc or resveratrol
  3. Diagnosis of COVID-19 or SARS-CoV-2 infection >4 days before enrollment
  4. Preexisting severe pulmonary disease requiring supplemental oxygen
  5. Clinically evident impairment of cognitive function, per physician discretion
  6. Active substance abuse that may prevent the subject from completing the protocol requirements, per physician discretion.
  7. Active psychotic or affective disorder that may prevent the subject from completing the protocol requirements, per physician discretion.
  8. Pregnant or lactating females.
  9. Coumadin treatment that can not be halted during the study period

Sites / Locations

  • Swedish Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Resveratrol and Zinc Picolinate combination therapy

Resveratrol Placebo and Zinc Placebo combination therapy

Arm Description

Resveratrol and Zinc Picolinate combination therapy

Placebo Resveratrol and Placebo Zinc combination therapy

Outcomes

Primary Outcome Measures

Reduction in SARS-CoV-2 Viral load
Viral AUCs normalized to peak viral load and housekeeper genes will be calculated, the AUCs on subjects with complete data will be used as dependent measures in t-tests, regressions and repeated measures mixed ANOVAs to compare viral load reduction between groups
Reduction in Severity of COVID-19 Disease
Review of healthcare resource utilization during study period

Secondary Outcome Measures

Full Information

First Posted
September 8, 2020
Last Updated
July 26, 2022
Sponsor
Swedish Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT04542993
Brief Title
Can SARS-CoV-2 Viral Load and COVID-19 Disease Severity be Reduced by Resveratrol-assisted Zinc Therapy
Acronym
Reszinate
Official Title
Can SARS-CoV-2 Viral Shedding in COVID-19 Disease be Reduced by Resveratrol-assisted Zinc Ingestion, a Direct Inhibitor of SARS-CoV-2-RNA Polymerase? A Single Blinded Phase II Protocol (Reszinate Trial)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Terminated
Why Stopped
Difficulty accruing patients
Study Start Date
September 8, 2020 (Actual)
Primary Completion Date
February 5, 2021 (Actual)
Study Completion Date
February 5, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Swedish Medical Center

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
Administration of Zinc and resveratrol or double placebo for a period of 5 days and will be monitored for a 14 day period in covid-19 positive patients in an outpatient setting
Detailed Description
Research Question: In ambulatory, non-hospitalized patients with SARS-CoV-2 infection, is it possible to utilize resveratrol as a transporter for zinc treatment as means to minimize viral load and severity of resulting COVID-19 disease? 60 ambulatory SARS-CoV-2 positive volunteers who will be randomized into one of two treatment arms to receive either Zinc and resveratrol or double placebo for a period of 5 days and will be monitored for a 14 day period. It is anticipated to take approximately 20 weeks to accrue this cohort resulting in an estimated active project period of 22 weeks, although it may take up to 12 additional weeks to collect all of the data related to COVID-19 admissions in the cohort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, SARS-CoV Infection
Keywords
covid19, SARS-CoV-2, zinc, resveratrol

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Model Description
Placebo controlled Resveratrol and Zinc combination therapy
Masking
Participant
Masking Description
single blinded
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Resveratrol and Zinc Picolinate combination therapy
Arm Type
Active Comparator
Arm Description
Resveratrol and Zinc Picolinate combination therapy
Arm Title
Resveratrol Placebo and Zinc Placebo combination therapy
Arm Type
Placebo Comparator
Arm Description
Placebo Resveratrol and Placebo Zinc combination therapy
Intervention Type
Dietary Supplement
Intervention Name(s)
Zinc Picolinate
Intervention Description
Zinc Picolinate (50 mg PO TID x 5 days)
Intervention Type
Dietary Supplement
Intervention Name(s)
Resveratrol
Intervention Description
Resveratrol 2 grams po BID x 5 days
Intervention Type
Dietary Supplement
Intervention Name(s)
Zinc Picolinate Placebo
Intervention Description
Zinc Picolinate Matched Placebo PO TID x 5 days
Intervention Type
Dietary Supplement
Intervention Name(s)
Resveratrol Placebo
Intervention Description
Resveratrol Matched Placebo PO BID x 5 days
Primary Outcome Measure Information:
Title
Reduction in SARS-CoV-2 Viral load
Description
Viral AUCs normalized to peak viral load and housekeeper genes will be calculated, the AUCs on subjects with complete data will be used as dependent measures in t-tests, regressions and repeated measures mixed ANOVAs to compare viral load reduction between groups
Time Frame
1 year
Title
Reduction in Severity of COVID-19 Disease
Description
Review of healthcare resource utilization during study period
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults (18 - 75) with a nasal swab confirmed SARS-CoV-2 infection; testing positive within 4 days of enrollment Ability to read, understand and provide informed consent (no legally authorized representatives may consent on their behalf) and study assessments in English Ability for subject to comply with the requirements of the study (must/will have a valid email address, internet connection and phone number) Willingness to self limit medications and supplements and report what they are taking Comfortable self-administering oral medication and nasal swab sampling Willingness to permit a review of their medical history and to provide medical data from their electronic medical record for the period of enrollment (14 days) and until resolution of Covid-19 related events. Individuals who are not current Swedish patients will be asked to identify their provider of record and provide access to specific elements of their electronic health record. Reside within twenty-five miles of one of the Swedish campuses: First Hill, Ballard, Edmonds, Issaquah, Cherry Hill. Exclusion Criteria: Reported history or evidence of impaired liver or kidney function: GFR <30 or bilirubin >2x ULT or INR > 2x ULT in the absence of anticoagulants Known hypersensitivity to zinc or resveratrol Diagnosis of COVID-19 or SARS-CoV-2 infection >4 days before enrollment Preexisting severe pulmonary disease requiring supplemental oxygen Clinically evident impairment of cognitive function, per physician discretion Active substance abuse that may prevent the subject from completing the protocol requirements, per physician discretion. Active psychotic or affective disorder that may prevent the subject from completing the protocol requirements, per physician discretion. Pregnant or lactating females. Coumadin treatment that can not be halted during the study period
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hank Kaplan, MD
Organizational Affiliation
Swedish Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Swedish Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Currently no plan to make IPD available

Learn more about this trial

Can SARS-CoV-2 Viral Load and COVID-19 Disease Severity be Reduced by Resveratrol-assisted Zinc Therapy

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