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SARS-CoV2 InfectionCOVID-VITNCT05092698

The Efficacy of Vitamin D Supplementation in Patients With Severe and Extremely Severe COVID-19

A study testing Vitamin D (cholecalciferol) and Herbal oil in people with SARS-CoV2 Infection, run by Federal Research Clinical Center of Federal Medical & Biological Agency, Russia at 1 site in Russia.

Completed

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

Official record
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Trial summary

Despite the successful treatment of patients with moderate coronavirus disease 2019 (COVID-19), outcomes for patients with severe disease remain unsatisfactory. In this category of patients, the course of the disease is complicated by the development of acute respiratory distress syndrome (ARDS) and the need for… Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
SARS-CoV2 Infection
What is being tested?
Vitamin D (cholecalciferol) and Herbal oil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
110 participants
Where
1 siteRussia
Study dates
1 May 2020to 31 Jan 2022
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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • all patients with COVID-19 admitted to the ICU with vitamin D deficiency [25-hydroxyvitamin D (25(OH)D) ≤ 30 ng/ml]

Who cannot join

  • less than 24 hours in ICU by any reason
  • chronic decompensated disease with extrapulmonary organ dysfunction (tumour progression, liver cirrhosis, congestive heart failure) with a life expectancy of less than 48 hours
  • atonic coma
  • allergic reaction on cholecalciferol or herbal oil

Trial locations and contacts

1 site in 1 country.

Russia1 site
  • Federal Research Clinical Center of Federal Medical & Biological Agency

    Moscow, 115682

Other trials in Russia

About this study

Despite the successful treatment of patients with moderate coronavirus disease 2019 (COVID-19), outcomes for patients with severe disease remain unsatisfactory. In this category of patients, the course of the disease is complicated by the development of acute respiratory distress syndrome (ARDS) and the need for mechanical ventilation in the intensive care unit (ICU). Mortality in this category of patients reaches 85%. The lack of effective treatment for COVID-19 has prompted scientists to look for new strategies to reduce the incidence and severity of COVID-19, disease progression, and mortality.

Disease severity and mortality rates due to COVID-19 infection are greater in the elderly and chronically ill patients, populations at high risk for vitamin D deficiency. Vitamin D plays an important role in immune function and inflammation.

Read more

A number of experimental studies have shown that stimulation of vitamin D receptors can improve the course of ARDS due to inhibition of the hyperimmune inflammatory response, regulation of the renin-angiotensin system, modulation of neutrophil activity, maintenance of the integrity of the pulmonary epithelial barrier and stimulation of epithelial repair, as well as by reducing hypercoagulation.

Several studies on ICU patients have reported that low vitamin D (25(OH)D) concentrations are associated with a higher risk of negative outcomes such as death, organ failure, prolonged mechanical ventilation, a higher rate of ventilation-associated pneumonia, and sepsis.

While the available evidence to-date, from largely poor-quality observational studies, may be viewed as showing a trend for an association between low serum 25(OH)D levels and COVID-19 related health outcomes, this relationship was not found to be statistically significant. Calcifediol supplementation may have a protective effect on COVID-19 related ICU admissions.

Read the detailed description

The aim of the study is to evaluate the efficacy of vitamin D (cholecalciferol) supplementation in patients with severe and extremely severe disease caused by the SARS-CoV-2 virus, admitted to an ICU of the COVID-center on the first day and in dynamics until discharge from the hospital or death. Patients with vitamin D deficiency [25-hydroxyvitamin D (25(OH)D) ≤ 30 ng/ml] will be randomized to two groups: 1 - patients will receive 60,000 IU of cholecalciferol supplementation; 2 - patients will receive matched placebo.

The demographic and clinical data will be collected. Laboratory data (hemoglobin, lymphocytes, neutrophil to lymphocyte ratio, D-dimer level, Interleukin-6, procalcitonin, ferritin, glucose level, high-sensitive troponin Т, vitamin D level (25(OH)D), acid-base balance, signs of a secondary bacterial infection, immunogram, Von Willebrand factor antigen and Instrumental data (CT-scan, Electrocardiography, echocardiography, arterial and venous ultrasound investigation) will be analysed. The frequency of complications, duration of mechanical ventilation, length of stay in the ICU and in the hospital, and mortality will be evaluated.

This study is single-centre prospective randomized placebo-controlled trial.

Being tested
Vitamin D (cholecalciferol), Herbal oil
Keywords
severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), coronavirus disease 2019 (COVID-19), severe and extremely severe disease, Vitamin D, cholecalciferol
Medical subject headings
COVID-19

What participants receive

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

  • Vitamin D (cholecalciferol)Dietary supplement

    Patients will receive 60,000 IU of cholecalciferol dissolved in 45 ml herbal oil orally or via feeding tube after serum Vitamin D concentrations measurement followed by the same dose of cholecalciferol weekly and 5,000 IU of cholecalciferol (two drops) daily until discharge or death.

  • Herbal oilDietary supplement

    Also called Placebo

    Patients will receive 45 ml of herbal oil orally or via feeding tube after serum Vitamin D concentrations measurement followed by the same dose of pure herbal oil weekly and two drops of herbal oil daily until discharge or death.

Study groups in NCT05092698
Study groupRoleWhat they receive
Vit_D_supplActive comparatorPatients will receive 60,000 IU of cholecalciferol dissolved in 45 ml herbal oil orally or via feeding tube weekly followed by 5,000 IU of cholecalciferol (two drops) daily until discharge or death.
Receives: Dietary Supplement: Vitamin D (cholecalciferol)
Vit_D_placeboPlacebo comparatorPatients will receive 45 ml of herbal oil orally or via feeding tube followed by 45 ml of herbal oil weekly followed by two drops of herbal oil daily until discharge or death.
Receives: Dietary Supplement: Herbal oil

What is being measured

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

  1. Сomplete blood count

    Сomplete blood count

    Measured: Change from baseline on day 5 during ICU treatment

  2. Сomplete blood count dynamics 1

    Сomplete blood count

    Measured: Change from baseline on day 10 during ICU treatment

  3. Сomplete blood count dynamics 2

    Сomplete blood count

    Measured: Change from baseline on day 15 during ICU treatment

  4. Сomplete blood count dynamics 3

    Сomplete blood count

    Measured: Change from baseline on day 21 during ICU treatment

  5. C-reactive protein

    Concentration of C-reactive protein

    Measured: Change from baseline on day 5 during ICU treatment

  6. C-reactive protein 1

    Concentration of C-reactive protein

    Measured: Change from baseline on day 10 during ICU treatment

  7. C-reactive protein 2

    Concentration of C-reactive protein

    Measured: Change from baseline on day 15 during ICU treatment

  8. C-reactive protein 3

    Concentration of C-reactive protein

    Measured: Change from baseline on day 21 during ICU treatment

  9. Von Willebrand factor antigen

    Concentration of Von Willebrand factor antigen

    Measured: Change from baseline on day 7 during ICU treatment

  10. Thrombotic complications

    Arterial or venous thrombotic complications

    Measured: 60 days

  11. Immunogram

    The amount of NKT cells (CD3+CD56+CD16+), NK cells (CD3-CD56+CD16+)

    Measured: Change from baseline on day 7 during ICU treatment

  12. Proinflammatory marker

    Concentration of D-dimer

    Measured: Change from baseline on day 5 during ICU treatment

  13. Proinflammatory marker 1

    Concentration of D-dimer

    Measured: on day 10 during ICU treatment

  14. Proinflammatory marker 2

    Concentration of D-dimer

    Measured: on day 15 during ICU treatment

  15. Proinflammatory marker 3

    Concentration of D-dimer

    Measured: on day 21 during ICU treatment

  16. inflammatory marker

    Concentration of Interleukin-6

    Measured: Change from baseline on day 5 during ICU treatment

  17. inflammatory marker 1

    Concentration of Interleukin-6

    Measured: Change from baseline on day 10 during ICU treatment

  18. inflammatory marker 2

    Concentration of Interleukin-6

    Measured: Change from baseline on day 15 during ICU treatment

  19. inflammatory marker 3

    Concentration of Interleukin-6

    Measured: Change from baseline on day 21 during ICU treatment

  20. Infection marker

    Concentration of Procalcitonin

    Measured: Change from baseline on day 5 during ICU treatment

  21. Infection marker 1

    Concentration of Procalcitonin

    Measured: Change from baseline on day 10 during ICU treatment

Secondary outcomes (6)
  1. Mortality

    The dead and survived patients ratio

    Measured: 60 days

  2. Mechanical ventilation duration

    The amount of mechanical ventilation days

    Measured: 30 days

  3. Non-invasive Mechanical ventilation duration

    The amount of Non-invasive mechanical ventilation days

    Measured: 30 days

  4. Length of stay in the ICU

    The amount of day of ICU treatment

    Measured: 60 days

  5. Length of stay in the hospital

    The amount of day of hospital treatment

    Measured: 60 days

  6. Infection complications

    The amount of Infection complications

    Measured: 60 day

Timeline

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

  1. First posted25 Oct 2021
  2. Study start1 May 2020
  3. Primary completion31 Dec 2021
  4. Study completion31 Jan 2022

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
Double blind
Who is masked
Participant, Care provider
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05092698
Sponsor's protocol ID
COVID-VIT
Acronym
COVID-VIT
Status last verified
Nov 2021
First submitted
22 Oct 2021
Last updated
7 Mar 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Bassatne A, Basbous M, Chakhtoura M, El Zein O, Rahme M, El-Hajj Fuleihan G. The link between COVID-19 and VItamin D (VIVID): A systematic review and meta-analysis. Metabolism. 2021 Jun;119:154753. doi: 10.1016/j.metabol.2021.154753. Epub 2021 Mar 24.

    PubMed 33774074
  • Bychinin MV, Klypa TV, Mandel IA, Andreichenko SA, Baklaushev VP, Yusubalieva GM, Kolyshkina NA, Troitsky AV. Low Circulating Vitamin D in Intensive Care Unit-Admitted COVID-19 Patients as a Predictor of Negative Outcomes. J Nutr. 2021 Aug 7;151(8):2199-2205. doi: 10.1093/jn/nxab107.

    PubMed 33982128
  • Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS; China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28.

    PubMed 32109013
  • Kong J, Zhu X, Shi Y, Liu T, Chen Y, Bhan I, Zhao Q, Thadhani R, Li YC. VDR attenuates acute lung injury by blocking Ang-2-Tie-2 pathway and renin-angiotensin system. Mol Endocrinol. 2013 Dec;27(12):2116-25. doi: 10.1210/me.2013-1146. Epub 2013 Nov 6.

    PubMed 24196349
  • Bychinin MV, Klypa TV, Mandel IA, Yusubalieva GM, Baklaushev VP, Kolyshkina NA, Troitsky AV. Effect of vitamin D3 supplementation on cellular immunity and inflammatory markers in COVID-19 patients admitted to the ICU. Sci Rep. 2022 Nov 3;12(1):18604. doi: 10.1038/s41598-022-22045-y.

    PubMed 36329227

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D (cholecalciferol) and Herbal oil in people with SARS-CoV2 Infection, run by Federal Research Clinical Center of Federal Medical & Biological Agency, Russia at 1 site in Russia.

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 1 inclusion and 4 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 7 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Russia. 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. Some participants in this study may receive a placebo. 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?

Сomplete blood count (time frame: Change from baseline on day 5 during ICU treatment). The study lists 21 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 NCT05092698, which also lists 5 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 7 Mar 2022.

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