Coronavirus 2019 (COVID-19)- Using Ascorbic Acid and Zinc Supplementation

NCT ID: NCT04342728

Last Updated: 2021-02-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

214 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-08

Study Completion Date

2021-02-11

Brief Summary

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The purpose of this study is to examine the impact of ascorbic acid (vitamin c) and zinc gluconate in reducing duration of symptoms in patients diagnosed with coronavirus disease 2019 (COVID-19). Patients above the age of 18 who present to the Cleveland Clinic outpatient testing and receive a positive test for COVID-19 will be invited to participate.

Detailed Description

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We aim to see whether ascorbic acid and zinc gluconate which has limited side effect profile and is readily available over the counter can decrease the duration of symptoms seen in patients with new diagnosis of COVID-2019. A secondary purpose is to see whether Zinc and/or Ascorbic acid supplementation can prevent progression of the severe manifestations of the disease including development of dyspnea and acute respiratory distress syndrome which may require hospitalization, mechanical ventilation, and or lead to death.

This is a single-center, prospective, randomized study which plans to enroll 520 patients with a principal diagnosis of COVID-2019, managed in an outpatient setting, who presented after being sent by a healthcare provider to get tested and receive a PCR (Polymerase Chain Reaction) -assay based confirmed diagnosis of the disease. All patients who agree to participate in the study will answer a baseline questionnaire about their symptoms at the time of inclusion. Patients will then be randomized to one of 4 study arms. Patients in Arm A (n=130) will receive vitamin C (to be taken divided over 2-3 times a day with meals), patients in Arm B (n=130) will receive zinc gluconate to be taken at bedtime, patients in Arm C (n=130) will receive both vitamin C (to be taken divided over 2-3 times a day with meals) and zinc gluconate (taken at bedtime). Patients in arms A, B and C will take study supplements daily for 10 days. Patients in Arm D (n=130) will not receive any of the study medications and continue on standard of care. Patients will then track their symptoms daily from day 0 to day 28 answering 12 basic questions on illness severity.They will stop filling out their daily questions once they reach reach the end of the 28 day study period or at time of hospitalization; whichever comes first . Study team members will call patients at days 7, 14, 21, and 28 of the study period to assess need for hospitalization, ER visit, or additional medications prescribed by a healthcare provider, and any side effects from the supplements that the patient could have experienced.

Conditions

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COVID Corona Virus Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

A single-center, prospective, open label four arm study (1. Zinc only 2. Zinc and ascorbic acid 3. Ascorbic acid only 4. Standard of care.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Ascorbic Acid

8000 mg of ascorbic acid divided into 2-3 doses/day with food.

Group Type ACTIVE_COMPARATOR

Ascorbic Acid

Intervention Type DIETARY_SUPPLEMENT

Readily available marketed open label ascorbic acid

Zinc Gluconate

50 mg of zinc gluconate to be taken daily at bedtime

Group Type ACTIVE_COMPARATOR

Zinc Gluconate

Intervention Type DIETARY_SUPPLEMENT

Readily available marketed open label zinc gluconate

Ascorbic Acid and Zinc Gluconate

8000 mg of ascorbic acid divided into 2-3 doses/day with food and 50 mg of zinc gluconate to be taken daily at bedtime.

Group Type ACTIVE_COMPARATOR

Ascorbic Acid and Zinc Gluconate

Intervention Type DIETARY_SUPPLEMENT

Readily available marketed open label ascorbic acid and zinc gluconate

Standard of Care

Standard of care medications only as prescribed by patient's physician.

Group Type OTHER

Standard of Care

Intervention Type OTHER

Readily available prescribed medications/ supplements- None study supplements

Interventions

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Ascorbic Acid

Readily available marketed open label ascorbic acid

Intervention Type DIETARY_SUPPLEMENT

Zinc Gluconate

Readily available marketed open label zinc gluconate

Intervention Type DIETARY_SUPPLEMENT

Ascorbic Acid and Zinc Gluconate

Readily available marketed open label ascorbic acid and zinc gluconate

Intervention Type DIETARY_SUPPLEMENT

Standard of Care

Readily available prescribed medications/ supplements- None study supplements

Intervention Type OTHER

Other Intervention Names

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Vitamin C Zinc Vitamin C and Zinc Standard prescribed medications/ supplements

Eligibility Criteria

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Inclusion Criteria

* Outpatients ≥ 18 years presenting to Cleveland Clinic Health System in Ohio and Florida who test positive for COVID-19 having any of the following symptoms

1. Fever or chills
2. Shortness of breath or difficulty breathing
3. Cough
4. Fatigue
5. Muscle or body Aches
6. Headache
7. New loss of taste
8. New loss of smell
9. Congestion or runny nose
10. Nausea
11. Vomiting
12. Diarrhea

Women of child bearing potential:

1. have had a menstrual period within the past 30 days, or
2. have had previous sterilization, or
3. are perimenopausal (less than 1 year) who have a negative pregnancy test, or
4. women of childbearing potential who do not meet the above and have a negative pregnancy test.

Exclusion Criteria

* Patients who are found to be positive during hospitalization
* Patients who reside outside Ohio or Florida.
* Pregnant women:

1. Current known pregnancy
2. Positive pregnancy test (women of child bearing potential who have not had previous sterilization as defined as hysterectomy or tubal ligation)
* Women of childbearing potential who do not meet the above criteria, last menstrual period greater than 30 days and have a positive pregnancy test.
* Lactating Women
* End stage kidney disease
* Advanced liver disease awaiting transplant
* History of Calcium Oxalate kidney stones.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Milind Desai

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Milind Desai, M. D.

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Suma Thomas

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Cleveland Clinic

Weston, Florida, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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O'Byrne L, Webster KE, MacKeith S, Philpott C, Hopkins C, Burton MJ. Interventions for the treatment of persistent post-COVID-19 olfactory dysfunction. Cochrane Database Syst Rev. 2022 Sep 5;9(9):CD013876. doi: 10.1002/14651858.CD013876.pub3.

Reference Type DERIVED
PMID: 36062970 (View on PubMed)

O'Byrne L, Webster KE, MacKeith S, Philpott C, Hopkins C, Burton MJ. Interventions for the treatment of persistent post-COVID-19 olfactory dysfunction. Cochrane Database Syst Rev. 2021 Jul 22;7(7):CD013876. doi: 10.1002/14651858.CD013876.pub2.

Reference Type DERIVED
PMID: 34291813 (View on PubMed)

Thomas S, Patel D, Bittel B, Wolski K, Wang Q, Kumar A, Il'Giovine ZJ, Mehra R, McWilliams C, Nissen SE, Desai MY. Effect of High-Dose Zinc and Ascorbic Acid Supplementation vs Usual Care on Symptom Length and Reduction Among Ambulatory Patients With SARS-CoV-2 Infection: The COVID A to Z Randomized Clinical Trial. JAMA Netw Open. 2021 Feb 1;4(2):e210369. doi: 10.1001/jamanetworkopen.2021.0369.

Reference Type DERIVED
PMID: 33576820 (View on PubMed)

Other Identifiers

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IRB 20-361

Identifier Type: -

Identifier Source: org_study_id

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