Covid19
Conditions
Brief summary
This is an interventional, multi-center, randomized study. Adults with confirmed covid-19 disease not more than 10 days before enrollment date were recruited (n=361). Patients in same condition who had treated with standard of care were randomly assigned to the control group (n=178). The investigators analyzed the effect of a herbal compound, Xagrotin, and also investigated impact of different characteristics for instance gender, age, duration of disease, smoking habits and concomitant diseases on the outcome.
Detailed description
This is an interventional, multi-center, randomized study that has been performed in an outpatient setting (n=361). Adults with confirmed covid-19 disease not more than 10 days before enrollment date were recruited. Patients in same condition who had treated with standard of care were randomly assigned to the control group (n=178). The investigators analyzed the effect of a herbal compound, Xagrotin, and also investigated impact of different characteristics for instance gender, age, duration of disease, smoking habits and concomitant diseases on the outcome. Adverse events were registered.
Interventions
A group of patients were treated with Xagrotin with or without standard of care, the control group received stadard of care
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 or higher * Newly diagnosed (no longer than 10 days) * PCR or clinically confirmed Covid-19
Exclusion criteria
* Severe pulmonary disease * Severe cardiovascular disease * Severe hepatic disease * Severe renal disease * Diabetes mellitus type one * Metabolic acidosis * Oxygen saturation \<70% * Pregnancy * Breast feeding * Concomitant treatment with anticoagulation drugs * Concomitant treatment with CYP3A4 medicines with narrow therapeutic window
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 30 days | Number of Participants who died by day 30 after the enrollment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Disease From Beginning of Treatment | 30 days | Number of days the patient has experienced the symptoms |
| Hospitalization | 30 days | Number of participants who have been hospitalized for Covid-19 |
| Duration of Hospitalization When Occurred | 30 days | Days the participants were hospitalized |
Countries
Iraq
Participant flow
Recruitment details
All adult patients in an outpatient setting who were confirmed as coronavirus patients were eligible to be included in the study.
Pre-assignment details
Age 18 or higher, Newly diagnosed (no longer than 10 days), PCR or clinically confirmed Covid-19
Participants by arm
| Arm | Count |
|---|---|
| Treatment Arm Patients in the Treatment arm received Xagrotin in combination to the standard of care for Covid19.
Xagrotin: A group of patients were treated with Xagrotin with or without standard of care, the control group received stadard of care | 483 |
| Control Arm Patients in the Control arm received the standard of care for Covid19. | 178 |
| Total | 661 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Physician Decision | 15 | 0 |
| Overall Study | Protocol Violation | 81 | 0 |
| Overall Study | Withdrawal by Subject | 26 | 0 |
Baseline characteristics
| Characteristic | Control Arm | Total | Treatment Arm |
|---|---|---|---|
| Age, Categorical <=18 years | 5 Participants | 28 Participants | 23 Participants |
| Age, Categorical >=65 years | 23 Participants | 86 Participants | 63 Participants |
| Age, Categorical Between 18 and 65 years | 150 Participants | 547 Participants | 397 Participants |
| Age, Continuous | 44.297 years STANDARD_DEVIATION 17.16 | 44.1 years STANDARD_DEVIATION 17.16 | 43.9 years STANDARD_DEVIATION 17.16 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 178 Participants | 661 Participants | 483 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment Iraq | 178 participants | 661 participants | 483 participants |
| Sex: Female, Male Female | 91 Participants | 303 Participants | 212 Participants |
| Sex: Female, Male Male | 87 Participants | 358 Participants | 271 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 2 / 483 | 10 / 178 |
| other Total, other adverse events | 113 / 483 | 15 / 178 |
| serious Total, serious adverse events | 1 / 483 | 10 / 178 |
Outcome results
Mortality
Number of Participants who died by day 30 after the enrollment
Time frame: 30 days
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Treatment Arm | Mortality | 2 participants |
| Control Arm | Mortality | 10 participants |
Duration of Disease From Beginning of Treatment
Number of days the patient has experienced the symptoms
Time frame: 30 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Arm | Duration of Disease From Beginning of Treatment | 9.9 Days | Standard Deviation 5.5 |
| Control Arm | Duration of Disease From Beginning of Treatment | 18.1 Days | Standard Deviation 9.5 |
Duration of Hospitalization When Occurred
Days the participants were hospitalized
Time frame: 30 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Arm | Duration of Hospitalization When Occurred | 5.56 Days | Standard Deviation 4.94 |
| Control Arm | Duration of Hospitalization When Occurred | 5.5 Days | Standard Deviation 3.42 |
Hospitalization
Number of participants who have been hospitalized for Covid-19
Time frame: 30 days
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Treatment Arm | Hospitalization | 11 Participatnts |
| Control Arm | Hospitalization | 57 Participatnts |