Coronavirus 2019 (COVID-19)- Using Ascorbic Acid and Zinc Supplementation
NCT ID: NCT04342728
Last Updated: 2021-02-16
Study Results
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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COMPLETED
NA
214 participants
INTERVENTIONAL
2020-04-08
2021-02-11
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
SINGLE_GROUP
SUPPORTIVE_CARE
NONE
Study Groups
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Ascorbic Acid
8000 mg of ascorbic acid divided into 2-3 doses/day with food.
Ascorbic Acid
Readily available marketed open label ascorbic acid
Zinc Gluconate
50 mg of zinc gluconate to be taken daily at bedtime
Zinc Gluconate
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.
Ascorbic Acid and Zinc Gluconate
Readily available marketed open label ascorbic acid and zinc gluconate
Standard of Care
Standard of care medications only as prescribed by patient's physician.
Standard of Care
Readily available prescribed medications/ supplements- None study supplements
Interventions
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Ascorbic Acid
Readily available marketed open label ascorbic acid
Zinc Gluconate
Readily available marketed open label zinc gluconate
Ascorbic Acid and Zinc Gluconate
Readily available marketed open label ascorbic acid and zinc gluconate
Standard of Care
Readily available prescribed medications/ supplements- None study supplements
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
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 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.
18 Years
ALL
No
Sponsors
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The Cleveland Clinic
OTHER
Responsible Party
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Milind Desai
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
Cleveland Clinic
Cleveland, Ohio, United States
Countries
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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.
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.
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.
Other Identifiers
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IRB 20-361
Identifier Type: -
Identifier Source: org_study_id
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