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Effect of Daily Oral Administration of Food Supplement NLC-V in Patients Diagnosed With COVID-19

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
NLC-V
Sponsored by
Todos Medical, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring Coronavirus, SARS-CoV-2

Eligibility Criteria

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

Inclusion Criteria:

  1. Men and Women aged 18 (inclusive) and above.
  2. Confirmed SARS-CoV-2 infection by RT-PCR If confirmed >5 days before the randomization, another test will be taken on day 1.
  3. Hospitalized COVID-19 patient in stable moderate condition to upper scale of severe condition (i.e., not requiring full respiratory assessment).
  4. Oxygenation < 96% on room air.
  5. Subjects must be under observation or admitted to a controlled facility or hospital due to lung infection / respiratory infection only (home quarantine is not sufficient).

    -

Exclusion Criteria:

  1. Tube feeding or parenteral nutrition.
  2. Respiratory decompensation requiring mechanical ventilation.
  3. Pregnant or lactating women.
  4. Any condition which, in the opinion of the Principal Investigator, would prevent full participation in this trial or would interfere with the evaluation of the trial endpoints (for examples social condition other non-related medical illness).
  5. Known to have severe allergic reactions to one of the study drug components.
  6. Active tuberculosis (TB) infection.
  7. Subjects diagnosed to suffer from concomitant active infection: bacterial, fungal, viral, or other infection cause besides COVID-19.
  8. In the opinion of the investigator, progression to death is imminent and inevitable within the next 24-36 hours, irrespective of the provision of treatments.
  9. Treatment with immunosuppressive or immunomodulatory therapy (including tocilizumab) within the past 3 months (steroids are permitted).
  10. Participating in other drug clinical trial.
  11. Estimated glomerular filtration rate (eGFR) < 30 mL/min (including patients receiving hemodialysis or hemofiltration).
  12. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 x upper limit of normal (ULN) detected within 24 hours of screening (according to local laboratory reference ranges).
  13. Absolute neutrophil count (ANC) < 1000/uL at screening.
  14. Platelet count < 50,000/uL at screening.
  15. Body weight < 40 kg or >120 kg.
  16. Treatment with other investigational drug within 5 half-lives or 30 days (whichever is longer) of randomization.

Sites / Locations

  • Shaare Zedek Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Active Arm

Placebo

Arm Description

Patients who receive treatment with the NLC-V research product depending on the weight of the patients, as follows - Patients weighing less than 70 kg will receive 2 capsules, 4 times a day (80 mg in total per day) Patients weighing between 70 kg and 100 Kg will receive 3 capsules, 4 times a day (a total of 120 mg per day). Patients weighing over 100 kg will receive 4 capsules, 4 times a day (a total of 160 mg per day). NLC-V capsules Will be taken during days 1-10 for the patient's hospitalization NLC-V capsules will be taken during days 1-10 for the patient's hospitalization

Patients who receive placebo in addition to the usual treatment for COVID-19. The placebo consists of the same solvent, but without the active ingredients of NLC-V. Placebo will be given to patients in the same manner and with the same frequency as NLC-V

Outcomes

Primary Outcome Measures

Time relapsed from hospitalization (1st day) until hospital discharge in patients receiving NLC-V treatment.
Time to clinical improvement, defined as a national Early Warning Score 2 (NEWS2) of </= 2 maintained for 24 hours, in the treatment group (NLC-V) compared to the control group.

Secondary Outcome Measures

Rate of change of measured parameters.
Rate of change in vital signs (blood pressure, heart rate, respiratory rate, saturation, body temperature).
Time from the 1st day of receiving NLC-V treatment to negative test result by RT-PCR for COVID-19.
COVID-19 - related death in the treatment group (NLC-V) compared to the control group.
Incidence of deterioration and need to mechanical ventilation in both treatment group (NLC-V) and control group.
Incidence and duration of time on supplemental oxygen in both treatment group (NLC-V) and control group.
Sensitivity and specificity of NLC's COVID-19 diagnostic test

Full Information

First Posted
February 1, 2022
Last Updated
February 3, 2022
Sponsor
Todos Medical, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05226767
Brief Title
Effect of Daily Oral Administration of Food Supplement NLC-V in Patients Diagnosed With COVID-19
Official Title
A Phase II, Randomized, Double-blind, Placebo Controlled Clinical Study Designed to Evaluate the Effect of Daily Oral Administration of Food Supplement NLC-V in Patients Diagnosed With COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
January 30, 2021 (Actual)
Primary Completion Date
November 2, 2021 (Actual)
Study Completion Date
January 20, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Todos Medical, 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
This study is designed to evaluate the safety and efficacy of NLC-V in patients diagnosed with COVID-19.
Detailed Description
Herbal remedies and purified natural products provide a rich resource for the development of new antiviral drugs. The detection of antiviral mechanisms in these natural substances sheds light on where they interact with the viral life cycle, such as penetration, replication, assembly and release of the virus, as well as on tuning to specific host-virus interactions. CoV is a virus that belongs to the corona virus family. The CoV virus family causes infections in the upper respiratory tract and gastrointestinal tract in mammals and birds. In humans, it mainly causes colds, but complications can also occur, such as pneumonia and severe acute respiratory syndrome. Corona virus with the known acute respiratory syndrome caused a global threat with high mortality in 2003, and again in 2019 and 2020. The plant family of lithosperm, have been used in traditional Chinese medicine for the treatment of external wounds, burns or dermatitis for centuries. Studies conducted over the past 30 years have shown that there is a scientific basis and pharmacological properties. The active ingredients that were successfully extracted from the plant were found to be strong inhibitors of the enzyme family found in corona virus polypropylene 3C. Aim of the study: This study was designed to evaluate the efficacy of NLC-V in patients diagnosed with COVID-19. Details of the research and clinical follow-up phases: A total of 66 adult patients with a certified diagnosis of SARS-CoV-2 virus infection, who are hospitalized due to the infection, will be recruited. NLC-V study therapy is given in oral capsules. Each NLC-V capsule contains 100 mg of active ingredients in a special formulation. Patients will be randomly assigned a 1: 1 ratio to receive NLC-V or placebo, which are additionally given.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Coronavirus, SARS-CoV-2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Patients who receive treatment with the NLC-V research product depending on the weight of the patients, as follows - Patients weighing less than 70 kg will receive 2 capsules, 4 times a day (80 mg in total per day) Patients weighing between 70 kg and 100 Kg will receive 3 capsules, 4 times a day (a total of 120 mg per day). Patients weighing over 100 kg will receive 4 capsules, 4 times a day (a total of 160 mg per day). NLC-V capsules Will be taken during days 1-10 for the patient's hospitalization NLC-V capsules will be taken during days 1-10 for the patient's hospitalization Patients who receive placebo in addition to the usual treatment for COVID-19. The placebo consists of the same solvent, but without the active ingredients of NLC-V. Placebo will be given to patients in the same manner and with the same frequency as NLC-V
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Patients will be randomly assigned a 1: 1 ratio to receive NLC-V or placebo
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active Arm
Arm Type
Active Comparator
Arm Description
Patients who receive treatment with the NLC-V research product depending on the weight of the patients, as follows - Patients weighing less than 70 kg will receive 2 capsules, 4 times a day (80 mg in total per day) Patients weighing between 70 kg and 100 Kg will receive 3 capsules, 4 times a day (a total of 120 mg per day). Patients weighing over 100 kg will receive 4 capsules, 4 times a day (a total of 160 mg per day). NLC-V capsules Will be taken during days 1-10 for the patient's hospitalization NLC-V capsules will be taken during days 1-10 for the patient's hospitalization
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Patients who receive placebo in addition to the usual treatment for COVID-19. The placebo consists of the same solvent, but without the active ingredients of NLC-V. Placebo will be given to patients in the same manner and with the same frequency as NLC-V
Intervention Type
Dietary Supplement
Intervention Name(s)
NLC-V
Intervention Description
NLC-V
Primary Outcome Measure Information:
Title
Time relapsed from hospitalization (1st day) until hospital discharge in patients receiving NLC-V treatment.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge in patients receiving NLC-V treatment.
Title
Time to clinical improvement, defined as a national Early Warning Score 2 (NEWS2) of </= 2 maintained for 24 hours, in the treatment group (NLC-V) compared to the control group.
Time Frame
Time to clinical improvement, defined as a national Early Warning Score 2 (NEWS2) of </= 2 maintained for 24 hours, in the treatment group (NLC-V) compared to the control group.
Secondary Outcome Measure Information:
Title
Rate of change of measured parameters.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
Rate of change in vital signs (blood pressure, heart rate, respiratory rate, saturation, body temperature).
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
Time from the 1st day of receiving NLC-V treatment to negative test result by RT-PCR for COVID-19.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
COVID-19 - related death in the treatment group (NLC-V) compared to the control group.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
Incidence of deterioration and need to mechanical ventilation in both treatment group (NLC-V) and control group.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
Incidence and duration of time on supplemental oxygen in both treatment group (NLC-V) and control group.
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge
Title
Sensitivity and specificity of NLC's COVID-19 diagnostic test
Time Frame
Time relapsed from hospitalization (1st day) until hospital discharge

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and Women aged 18 (inclusive) and above. Confirmed SARS-CoV-2 infection by RT-PCR If confirmed >5 days before the randomization, another test will be taken on day 1. Hospitalized COVID-19 patient in stable moderate condition to upper scale of severe condition (i.e., not requiring full respiratory assessment). Oxygenation < 96% on room air. Subjects must be under observation or admitted to a controlled facility or hospital due to lung infection / respiratory infection only (home quarantine is not sufficient). - Exclusion Criteria: Tube feeding or parenteral nutrition. Respiratory decompensation requiring mechanical ventilation. Pregnant or lactating women. Any condition which, in the opinion of the Principal Investigator, would prevent full participation in this trial or would interfere with the evaluation of the trial endpoints (for examples social condition other non-related medical illness). Known to have severe allergic reactions to one of the study drug components. Active tuberculosis (TB) infection. Subjects diagnosed to suffer from concomitant active infection: bacterial, fungal, viral, or other infection cause besides COVID-19. In the opinion of the investigator, progression to death is imminent and inevitable within the next 24-36 hours, irrespective of the provision of treatments. Treatment with immunosuppressive or immunomodulatory therapy (including tocilizumab) within the past 3 months (steroids are permitted). Participating in other drug clinical trial. Estimated glomerular filtration rate (eGFR) < 30 mL/min (including patients receiving hemodialysis or hemofiltration). Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 x upper limit of normal (ULN) detected within 24 hours of screening (according to local laboratory reference ranges). Absolute neutrophil count (ANC) < 1000/uL at screening. Platelet count < 50,000/uL at screening. Body weight < 40 kg or >120 kg. Treatment with other investigational drug within 5 half-lives or 30 days (whichever is longer) of randomization.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dorit Arad, PhD
Organizational Affiliation
Todos Medical
Official's Role
Study Chair
Facility Information:
Facility Name
Shaare Zedek Hospital
City
Jerusalem
Country
Israel

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Effect of Daily Oral Administration of Food Supplement NLC-V in Patients Diagnosed With COVID-19

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