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Effect of Palmitoylethanolamide on Proinflammatory Markers in Adults Recently Diagnosed With COVID-19

Primary Purpose

Inflammation, COVID19

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
palmitoylethanolamide
Placebo
Curcumin
Control (microcrystalline cellulose)
Sponsored by
Arizona State University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Inflammation focused on measuring palmitoylethanolamide, curcumin

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and females 18-65 years old
  • Generally healthy
  • Able to provide informed consent
  • Recent positive COVID-19 test (per RT-PCR Test)*

Exclusion Criteria:

  • Unstable or serious illness (e.g. kidney, liver, GIT, heart conditions, diabetes, thyroid gland function, malignancy, HIV, lung conditions or chronic asthma)
  • Serious mood disorders, neurological disorders such as MS, or cognitive damage
  • Active smokers and/or nicotine or drug abuse
  • Active, regular marijuana or other cannabinoid use, other street/recreational drug use
  • Chronic past and/or current alcohol use (>14 alcoholic drinks week)
  • Allergic to any of the ingredients in active or placebo formula including peanuts, eggs or turmeric
  • Pregnant or lactating woman
  • People medically prescribed to take drugs that would affect the immune and/or the inflammatory response
  • People who have had treatment (last 5 years) for cancer, or chronic use of steroids
  • BMI >40

Sites / Locations

  • Arizona Biomedical Collaborative

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

palmitoylethanolamide

Placebo

HydroCurc

Control

Arm Description

Levagen

microcrystalline cellulose

curcumin

microcrystalline cellulose

Outcomes

Primary Outcome Measures

IL6 concentration
interleukin-6

Secondary Outcome Measures

serum CRP concentration
C-reactive protein (high sensitivity)
serum ferritin concentration
serum ferritin
serum ICAM concentration
Intercellular Adhesion Molecule 1
serum NFk-beta concentration
nuclear factor kappa-light-chain-enhancer of activated B cells
serum white blood cell differential
white blood cell differential
serum p-selectin concentration
cell adhesion molecule

Full Information

First Posted
October 15, 2020
Last Updated
March 7, 2023
Sponsor
Arizona State University
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1. Study Identification

Unique Protocol Identification Number
NCT04912921
Brief Title
Effect of Palmitoylethanolamide on Proinflammatory Markers in Adults Recently Diagnosed With COVID-19
Official Title
Effect of Palmitoylethanolamide on Proinflammatory Markers in Adults Recently Diagnosed With COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
October 20, 2020 (Actual)
Primary Completion Date
May 15, 2022 (Actual)
Study Completion Date
May 15, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arizona State University

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
Two randomized controlled trials will be conducted to examine the effect of a food supplement on proinflammatory cytokines and biomarkers in an adult population recently diagnosed with COVID-19 who are asymptomatic or experiencing only mild symptoms. The supplement, palmitoylethanolamide (PEA), is marketed under the trademarked product with increased bioavailability and format versatility: Levagen+™ (Gencor Pacific Limited, Irvine, CA). The supplement curcumin is marketed under the trademarked product with increased bioavailability: HydroCurc (Gencor Pacific Limited, Irvine, CA)
Detailed Description
Inflammation is at the core of many chronic conditions and exacerbates infectious conditions, and inflammatory responses appear to be key determinants of the severity of COVID-19 infection. Hence, controlling inflammation is considered a key strategy for slowing the progression of disease and tissue pathology. This research offers a natural, dietary approach to managing inflammation by reducing the mediators of inflammation. The beneficial effects of palmitoylethanolamide (PEA) and for curcumin for reducing inflammation is documented in the research literature. The proposed research will expand this literature in a novel manner. The investigators propose to demonstrate the efficacy of these dietary supplements in individuals from a campus population with robust immune protection - those who recently tested positive for COVID-19 but were asymptomatic or mildly symptomatic. Since a college population is under many stressors which raise inflammatory profiles during the academic year, and since a college population is exposed to infectious agents on campus, maintaining strong protective immune system following a COVID-19 infection is important.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammation, COVID19
Keywords
palmitoylethanolamide, curcumin

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
double-blind, randomized, controlled trial
Masking
ParticipantInvestigator
Masking Description
Palmitoylethanolamide and placebo tablets are identical in appearance and presented to participant in unlabeled opaque containers by investigators blinded to container content. Curcumin and control tablets are identical in appearance and presented to participant in unlabeled opaque containers by investigators blinded to container content
Allocation
Randomized
Enrollment
115 (Actual)

8. Arms, Groups, and Interventions

Arm Title
palmitoylethanolamide
Arm Type
Experimental
Arm Description
Levagen
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
microcrystalline cellulose
Arm Title
HydroCurc
Arm Type
Experimental
Arm Description
curcumin
Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
microcrystalline cellulose
Intervention Type
Dietary Supplement
Intervention Name(s)
palmitoylethanolamide
Other Intervention Name(s)
Levagen
Intervention Description
4 tablets taken daily (2 in the am and 2 in the pm)
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Other Intervention Name(s)
microcrystalline cellulose
Intervention Description
4 tablets taken daily (2 in am and 2 in pm)
Intervention Type
Dietary Supplement
Intervention Name(s)
Curcumin
Other Intervention Name(s)
Hydrocurc
Intervention Description
500 mg HydroCurc® twice a day
Intervention Type
Dietary Supplement
Intervention Name(s)
Control (microcrystalline cellulose)
Other Intervention Name(s)
microcrystalline cellulose
Intervention Description
2 tablets taken daily
Primary Outcome Measure Information:
Title
IL6 concentration
Description
interleukin-6
Time Frame
change from baseline at day 28
Secondary Outcome Measure Information:
Title
serum CRP concentration
Description
C-reactive protein (high sensitivity)
Time Frame
change from baseline at day 28
Title
serum ferritin concentration
Description
serum ferritin
Time Frame
change from baseline at day 28
Title
serum ICAM concentration
Description
Intercellular Adhesion Molecule 1
Time Frame
change from baseline at day 28
Title
serum NFk-beta concentration
Description
nuclear factor kappa-light-chain-enhancer of activated B cells
Time Frame
change from baseline at day 28
Title
serum white blood cell differential
Description
white blood cell differential
Time Frame
change from baseline at day 28
Title
serum p-selectin concentration
Description
cell adhesion molecule
Time Frame
change from baseline at day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and females 18-65 years old Generally healthy Able to provide informed consent Recent positive COVID-19 test (per RT-PCR Test)* Exclusion Criteria: Unstable or serious illness (e.g. kidney, liver, GIT, heart conditions, diabetes, thyroid gland function, malignancy, HIV, lung conditions or chronic asthma) Serious mood disorders, neurological disorders such as MS, or cognitive damage Active smokers and/or nicotine or drug abuse Active, regular marijuana or other cannabinoid use, other street/recreational drug use Chronic past and/or current alcohol use (>14 alcoholic drinks week) Allergic to any of the ingredients in active or placebo formula including peanuts, eggs or turmeric Pregnant or lactating woman People medically prescribed to take drugs that would affect the immune and/or the inflammatory response People who have had treatment (last 5 years) for cancer, or chronic use of steroids BMI >40
Facility Information:
Facility Name
Arizona Biomedical Collaborative
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85004
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
36084236
Citation
Fessler SN, Liu L, Chang Y, Yip T, Johnston CS. Palmitoylethanolamide Reduces Proinflammatory Markers in Unvaccinated Adults Recently Diagnosed with COVID-19: A Randomized Controlled Trial. J Nutr. 2022 Oct 6;152(10):2218-2226. doi: 10.1093/jn/nxac154.
Results Reference
derived

Learn more about this trial

Effect of Palmitoylethanolamide on Proinflammatory Markers in Adults Recently Diagnosed With COVID-19

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