AzTrials
AzTrials

Covid19SaiseiCovUKRNCT04762628

Trial Efficacy of Saisei Pharma Dietary Supplements MAF Capsules, 148 mg and M Capsules, 148 mg in Hospitalized COVID-19 Patients

A study testing MAF capsules 148 mg and M capsules 148 mg in people with Covid19, run by Saisei Pharma at 2 sites in Ukraine.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The SaiseiCovUKR clinical study is a multicentric, randomized trial study targeting patients hospitalized with COVID-19 who do not require mechanical ventilation. This study aims to provide preliminary data on the activity and safety of MAF capsules and M capsules in the target population after 14 days of dosing. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Covid19
What is being tested?
MAF capsules 148 mg and M capsules 148 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
600 participants
Where
2 sitesUkraine
Study dates
27 Oct 2020to 6 Aug 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients found to have positive RT-PCR for SARS-CoV-2 in any specimen on 4 days prior to randomization, those who are hospitalized with evidence of respiratory disease during clinical assessment or imaging
  • Male or non-pregnant female adult ≥18 years of age subject (or legally authorized representative) provides informed consent prior to initiation of any study procedures
  • Subject (or legally authorized representative) understands and agrees to comply with planned study procedures
  • Has illness of not more than 7 days duration
  • At the time of enrolment does not require immediate resuscitation or mechanical ventilation
  • Respiration rate ≤ 29 per minute
  • SpO2 ≤ 95% on room air
  • Agrees to not participate in another clinical trial through Day 29

Who cannot join

  • Pregnant or breastfeeding women
  • Known allergy to dairy products
  • On corticosteroids for COVID-19 therapy at the time of screening
  • Subjects who are taking corticosteroids or other immunosuppressive drugs for other medical conditions
  • Concurrent malignancy requiring chemotherapy
  • Known renal insufficiency with glomerular filtration rate (eGFR) < 30 ml/min (including patients receiving hemodialysis or hemofiltration).
  • ALT or AST > 5 times the upper limit of normal
  • Subjects receiving other immune-based therapy for COVID-19, such as convalescent plasma, immunoglobulin products, interferons

Trial locations and contacts

2 sites in 1 country.

Ukraine2 sites
  • Municipal Kharkiv Regional Infectious Diseases Clinical Hospital

    Kharkiv, 61000

  • The Central Hospital of Rubizhne, Infection Disease Department

    Rubizhne, Luhansk Oblast, 93012

Other trials in Ukraine

About this study

Official title: Randomized Trial to Assess the Efficacy and Safety of Dietary Supplements MAF Capsules, 148 mg and M Capsules, 148 mg in Addition to the Standard of Care (SOC) Compared SOC in the Treatment of Hospitalized With COVID-19 Patients Who Not Requiring the Mechanical Ventilation

The SaiseiCovUKR clinical study is a multicentric, randomized trial study targeting patients hospitalized with COVID-19 who do not require mechanical ventilation. This study aims to provide preliminary data on the activity and safety of MAF capsules and M capsules in the target population after 14 days of dosing. MAF capsules and M capsules are dietary supplements targeting the gut's mucosal immunity to control local and systemic inflammation, limiting epithelial damage and preventing the accumulation of pathological macrophage populations at sites of SARS-CoV-2 infection.

Read the detailed description

Saisei Pharma is developing biologics using an enzymatic modification of Vitamin D binding protein and other glycoproteins in biological substrates, which have been shown to increase macrophage phagocytic and antigen processing activity without promoting the proinflammatory profile of macrophages. Bovine colostrum is the substrate for MAF capsules and bovine whey for M capsules. The enteric capsules formulation of the investigational dietary supplements is targeting the gut mucosa and its associated natural anti-inflammatory macrophages profile. The SaiseiCovUKR clinical study is multicentric, randomized, open-label in hospitalized patients with moderate and severe COVID-19 to provide data on the activity and safety of MAF capsules and M capsules in the target population after 14 days of dosing. The trial will use an adaptive design based on a pre-specified criteria, using an independent external Data Monitoring Committee (DMC) to monitor safety, efficacy, and review data at appropriate intervals. The general objectives of the study are to obtain a preliminary indication of activity of MAF capsules and M capsules on shortened time to recovery and decreased mortality in the target population (600 patients, age ≥ 18 years). The study results can provide a background for further investigation of the studied dietary supplements as new drugs in COVID-19.

Conditions
Covid19
Being tested
MAF capsules 148 mg, M capsules 148 mg, Standard of care
Keywords
Covid19, Colostrum MAF, Supplements, Oxygen supply, Mortality, Clinical improvement, lymphocyte depletion prevention
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MAF capsules 148 mgDietary supplement

    enteric capsules based on enzymatically treated bovine colostrum

  • M capsules 148 mgDietary supplement

    enteric capsules based on enzymatically treated bovine whey

  • Standard of careOther

    Standard of care

Study groups in NCT04762628
Study groupRoleWhat they receive
MAF capsulesExperimentalMAF capsules 148 mg TID for 14 days + Standard of care
Receives: Dietary Supplement: MAF capsules 148 mg
M capsulesExperimentalM capsules 148 mg TID for 14 days + Standard of care
Receives: Dietary Supplement: M capsules 148 mg
ComparisonActive comparatorStandard of care
Receives: Other: Standard of care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The time to basic clinical improvement and to recovery defined as the following

    • Hospitalized, not requiring supplemental oxygen, requires ongoing medical care
    • Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care
    • Not hospitalized, limitation on activities and/or requiring home oxygen
    • Not hospitalized, no limitations on activities

    Measured: Day 1 through Day 29

  2. 14-day Participant Mortality

    The mortality rate will be determined as the proportion of participants who died by study Day 14

    Measured: Day 1 through Day 14

  3. 29-day Participant Mortality

    The mortality rate will be determined as the proportion of participants who died by study Day 29

    Measured: Day 1 through Day 29

Secondary outcomes (29)
  1. Percentage of Participants in Each Clinical Status Category as Assessed by a 9-Point Ordinal Scale on Day 14

    Clinical status derives from death, hospital discharge, and 9-Point Ordinal Scale as follows: score of "8" use for all days on or after the date of death; score of "0" use for all days on or after discharged alive date; last available assessment for missing value. The scale is as follows: 8. Death; 7. Hospitalized, on invasive mechanical ventilation with vasopressor or Extracorporeal Membrane Oxygenation; 6. Hospitalized, on invasive mechanical ventilation; 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 3. Hospitalized, not requiring supplemental oxygen - requires ongoing medical care (coronavirus (COVID-19) related or otherwise; 2. Not hospitalized, limitation on activities and/or requiring home oxygen; 1. Not hospitalized, no limitation on activities; 0. No clinical or virological evidence of infection

    Measured: Day 14

  2. Time to an improvement of one category from admission on 9-Point Ordinal Scale

    Time to reach an improvement of one category from admission on 9-Point Ordinal Scale. The scale is as follows: 8. Death; 7. Hospitalized, on invasive mechanical ventilation with vasopressor or Extracorporeal Membrane Oxygenation; 6. Hospitalized, on invasive mechanical ventilation; 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 3. Hospitalized, not requiring supplemental oxygen - requires ongoing medical care (coronavirus (COVID-19) related or otherwise; 2. Not hospitalized, limitation on activities and/or requiring home oxygen; 1. Not hospitalized, no limitation on activities; 0. No clinical or virological evidence of infection

    Measured: Day 1 through Day 29

  3. Time to an improvement of two categories from admission on 9-Point Ordinal Scale

    Time to reach an improvement of two categories from admission on 9-Point Ordinal Scale. The scale is as follows: 8. Death; 7. Hospitalized, on invasive mechanical ventilation with vasopressor or Extracorporeal Membrane Oxygenation; 6. Hospitalized, on invasive mechanical ventilation; 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 3. Hospitalized, not requiring supplemental oxygen - requires ongoing medical care (coronavirus (COVID-19) related or otherwise; 2. Not hospitalized, limitation on activities and/or requiring home oxygen; 1. Not hospitalized, no limitation on activities; 0. No clinical or virological evidence of infection

    Measured: Day 1 through Day 29

  4. Percentage of Participants in Each Clinical Status Category as Assessed by a 9-Point Ordinal Scale on Day at days 3, 5, 8, 11,14 and 29

    The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 8. Death; 7. Hospitalized, on invasive mechanical ventilation with vasopressor or Extracorporeal Membrane Oxygenation; 6. Hospitalized, on invasive mechanical ventilation; 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 3. Hospitalized, not requiring supplemental oxygen - requires ongoing medical care (coronavirus (COVID-19) related or otherwise; 2. Not hospitalized, limitation on activities and/or requiring home oxygen; 1. Not hospitalized, no limitation on activities; 0. No clinical or virological evidence of infection

    Measured: Days 3, 5, 8, 11,14 and 29

  5. Mean change in the ranking on 9-Point Ordinal Scale from baseline to days 3, 5, 8, 11, 14 and 29

    The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 8. Death; 7. Hospitalized, on invasive mechanical ventilation with vasopressor or Extracorporeal Membrane Oxygenation; 6. Hospitalized, on invasive mechanical ventilation; 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 3. Hospitalized, not requiring supplemental oxygen - requires ongoing medical care (coronavirus (COVID-19) related or otherwise; 2. Not hospitalized, limitation on activities and/or requiring home oxygen; 1. Not hospitalized, no limitation on activities; 0. No clinical or virological evidence of infection

    Measured: Days 3, 5, 8, 11, 14 and 29

  6. Duration of conventional oxygen therapy Use

    Duration of conventional oxygen therapy use measured in days among participants who were on conventional oxygen therapy use at baseline

    Measured: Day 1 through Day 29

  7. Duration of new conventional oxygen therapy use

    Duration of new conventional oxygen therapy use measured in days among participants who were not on conventional oxygen therapy use at baseline

    Measured: Day 1 through Day 29

  8. Duration of Non-invasive Ventilation or High Flow Oxygen Use

    Duration of non-invasive ventilation or high flow oxygen use measured in days among participants who were on non-invasive ventilation or high-flow oxygen use at baseline

    Measured: Day 1 through Day 29

  9. Duration of New Non-invasive Ventilation or High Flow Oxygen Use

    Duration of new non-invasive ventilation or high flow oxygen use measured in days among participants who were not on non-invasive ventilation or high-flow oxygen use at baseline

    Measured: Day 1 through Day 29

  10. Duration of Mechanical Ventilator or Extracorporeal Membrane Oxygenation (ECMO) Use

    Duration of Mechanical Ventilator or ECMO Use in days among all participants to whom it will be administrated

    Measured: Day 1 through Day 29

  11. Percentage of Participants Requiring New Oxygen Use

    The percentage of participants requiring new oxygen determined as the percentage of participants not requiring oxygen at baseline

    Measured: Day 1 through Day 29

  12. Percentage of Participants Requiring New Non-invasive Ventilation or High-flow Oxygen Use

    New non-invasive ventilation or high-flow oxygen use determined as the percentage of subjects not on non-invasive ventilation or high-flow oxygen at baseline.

    Measured: Day 1 through Day 29

  13. Percentage of Participants Requiring Ventilator or ECMO Use

    The percentage of participants requiring Ventilator or ECMO Use

    Measured: Day 1 through Day 29

  14. Incidents of post-COVID-19 related symptoms at Day 29

    Incidents of all post-COVID-19 symptoms, which will be reported in the post-COVID-19 questionnaire form

    Measured: Day 29

  15. Incidents of post-COVID-19 related symptoms at Day 60

    Incidents of all post-COVID-19 symptoms, which will be reported in the post-COVID-19 questionnaire form

    Measured: Day 60

  16. Percentage of participants with post-COVID-19 related symptoms at Day 29

    Percentage of participants with presents post-COVID-19 related symptoms

    Measured: Day 29

  17. Percentage of participants with post-COVID-19 related symptoms at Day 60

    Percentage of participants with presents post-COVID-19 related symptoms

    Measured: Day 60

  18. Percentage of Participants Reporting Grade 3 and 4 Clinical and/or Laboratory Adverse Events (AEs)

    Grade 3 AEs are defined as events interrupting daily living activities, or significantly affecting clinical status, or requiring intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as potentially life threatening.

    Measured: Day 1 through Day 29

  19. Percentage of Participants Reporting Serious Adverse Events (SAEs)

    An SAE is defined as an AE or a suspected adverse reaction is considered serious if, in the view of either the investigator or the sponsor, it results in death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions.

    Measured: Day 1 through Day 29

  20. Percentage of Participants Discontinued or Temporarily Suspended From Investigational dietary supplements

    Participants may have discontinued from investigational dietary supplements due to product intolerability, applied mechanical ventilation, swallowing impairment, or death. The discontinuation or temporary suspension intake of studied supplements for any reason will be collected.

    Measured: Day 1 through Day 14

  21. Change From Baseline in Alanine Transaminase (ALT)

    To evaluate ALT, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  22. Change From Baseline in Aspartate Transaminase (AST)

    To evaluate AST, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  23. Change From Baseline in Total Bilirubin

    To evaluate Total Bilirubin, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  24. Change From Baseline in Creatinine

    To evaluate serum Creatinine, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  25. Change From Baseline in Glucose

    To evaluate serum Glucose, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  26. Change From Baseline in Hemoglobin

    To evaluate Hemoglobin, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  27. Change From Baseline in Platelets

    To evaluate Platelets, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  28. Change From Baseline in White Blood Cell Count (WBC)

    To evaluate WBC, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

  29. Change From Baseline in Lymphocytes

    To evaluate Lymphocytes, blood will be collected at Days 1, 7, and 14 while participants are inpatient, and at Day 29, with the Day 1 assessment serving as the baseline. Participants who will be discharged will have blood collected if infection control measures allow in-person visits after discharge.

    Measured: Days 1, 7, 14 and 29

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2021
  2. Study start27 Oct 2020
  3. Primary completion5 Jul 2021
  4. Study completion6 Aug 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
600 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04762628
Sponsor's protocol ID
SaiseiMAF supplements COVID
Acronym
SaiseiCovUKR
Status last verified
Feb 2023
First submitted
11 Feb 2021
Last updated
27 Feb 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data will be shared via ISARIC COVID-19 Clinical Database.

Publications

  • Kawakatsu K, Ishikawa M, Mashiba R, Tran NK, Akamatsu M, Nishikata T. Characteristic Morphological Changes and Rapid Actin Accumulation in Serum-MAF-treated Macrophages. Anticancer Res. 2019 Aug;39(8):4533-4537. doi: 10.21873/anticanres.13630.

    PubMed 31366556
  • Uto Y, Kawai T, Sasaki T, Hamada K, Yamada H, Kuchiike D, Kubo K, Inui T, Mette M, Tokunaga K, Hayakawa A, Go A, Oosaki T. Degalactosylated/Desialylated Bovine Colostrum Induces Macrophage Phagocytic Activity Independently of Inflammatory Cytokine Production. Anticancer Res. 2015 Aug;35(8):4487-92.

    PubMed 26168491
  • Greilberger J, Herwig R. Vitamin D - Deglycosylated Vitamin D Binding Protein Dimer: Positive Synergistic Effects on Recognition, Activation, Phagocytosis and Oxidative Stress on Macrophages. Clin Lab. 2020 Jan 1;66(1). doi: 10.7754/Clin.Lab.2019.191121.

    PubMed 32013346
  • Inui T, Kruglova O, Martynenko O, Martynenko K, Tieroshyn V, Gavrylov A, Kubo K, Yamakage H, Kutsyn B, Kubashko A, Veklych Z, Terashima Y, Mette M, Kutsyna G. Effect of degalactosylated bovine glycoprotein formulations MAF and M small es, Cyrillicapsules on lymphopenia and clinical outcomes in hospitalized COVID-19 patients: a randomized clinical trial. BMC Infect Dis. 2024 May 23;24(1):519. doi: 10.1186/s12879-024-09286-0.

    PubMed 38783176

Questions about this trial

What is this clinical trial studying?

A study testing MAF capsules 148 mg and M capsules 148 mg in people with Covid19, run by Saisei Pharma at 2 sites in Ukraine.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Ukraine. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The time to basic clinical improvement and to recovery defined as the following (time frame: Day 1 through Day 29). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04762628, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in