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Effectiveness of L carnitine suplementation in COVID-19

Pilot phase II randomized, placebo-controlled clinical trial for the prevention and progression of SARS-CoV-2 infection of subjects and patients using a supplement treatment with LCT

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
REBEC
Registry ID
RBR-8ykm72j
Enrollment
Unknown
Registered
2021-04-08
Start date
2021-03-15
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pneumonia, COVID - 19

Interventions

Cohort 1: 220 Healthy subjects, of 55 to 85 years of age, with and close contact (cohabit) with a person or a cluster of persons with newly SARS-CoV-2 infection, and currently SARS-CoV-2 negative by P
G07.203.300.456

Sponsors

Lonza Consumer Health Inc.
Lead Sponsor
SENAI CIMATEC
Collaborator

Eligibility

Age
18 Years to 85 Years

Inclusion criteria

Inclusion criteria: Cohort 1, males and females between 55 years and 85 years of age; history of close contact (cohabit) with a family member or a person newly diagnosed with SARS-CoV-2 infection; negative RT-PCR COVID-19 test on the screening and prior to start treatment . Cohort 2, males and females between 18 years and 85 years of age;confirmed virology diagnostic of COVID-19; asymptomatic ou mild COVID 19 pneumonia.

Exclusion criteria

Exclusion criteria: Females of childbearing potential who are pregnant, lactating, or who have not adhered to an adequate contraception method from at least 30 days prior to study entry and who do not plan to do so for at least 1 month post last supplementation;Patients that are doing hormonal replacement therapy; severe COVID-19 pneumonia according to CDC criteria associated with CT Severe Illness Critical Illness: Individuals who have respiratory failure, septic shock, and/or multiple organ; positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies; known or suspected alcohol or drug abuse within the past 6 months prior to screening,participation in another experimental protocol and/or receipt of any investigational products within the past 3 months prior to screening;treatment with immunosuppressive cytotoxic therapies (e.g., chemotherapy drugs or radiation) in the past 6 months prior to screening;patients unable to sign the inform consent to participate into the study; History of any other acute or uncontrolled chronic illness (including, hypertension, cardiovascular, pulmonary, neurological, hepatic, rheumatic, hematological, metabolic or renal disorders) that is not on medication regimen for at least the past 6 months, or use of medication or supplements that, in the opinion of the Principal Investigator, may interfere with the evaluation of the safety and tolerability of the study drug such as ACE Inhibitors, Angiotensin II Receptor Blockers (ARBs)

Design outcomes

Primary

MeasureTime frame
In Cohort 1: incidence of new SARS-CoV-2 cases in the group of LCT recipients versus placebo recipients in family or close friend/contact/cohabitant contacts of index COVID-19 case; In Cohort 2: differences in the number of cases that progress from asymptomatic or mild disease to severe COVID-19 pneumonia of patients using LCT versus the placebo group.

Secondary

MeasureTime frame
To compare the levels of C-Reactive Protein (CRP) with CRP levels at the enrolment in the study and in Days 3, 7, 14 and 21 days after start the administration comparing the administration of LCT group with the placebo group in each cohort;Cohort 2: Evaluate differences in the number of cases that progress from asymptomatic or mild disease to severe COVID-19 pneumonia of patients using LCT versus the placebo group assessed by chest tomography;Cohort 1: To evaluate the disease severity and progression in the subjects who become COVID-19 positive by analyzing laboratory parameters after the disease onset;To compare the levels of plasma ACE1 and ACE2 receptors between the two groups of studied patients (LCT group versus placebo group) at baseline and every seven days until the end of the study of each cohort;To compare the ACE1/ACE2 ratio between the two groups of studied patients in cohort 1 and 2 (LCT group versus placebo group) at baseline and every seven days until the end of the study of each cohort;To evaluate ACE1, ACE2, TMPRSS2 and furin gene expression levels at the entry into the study and 21 days after the administration of supplement or placebo in each cohort;Cohort 2: To compare progression of the lung chest CT scan images between the two groups of patients (LCT group of patients versus placebo group) on the days of entry into the study and days 7, 14 and 21 for the progression of the presence of ground-glass opacity, consolidation, parenchymal bands, and crazy-paving pattern of = 25% lesions to = 40%. A semi-quantitative CT scoring system will be used for estimating lung abnormalities of each lobe;;To compare the serum levels of inflammatory cytokines IL-6, IL-2, IL-7, IL-10, granulocyte-colony stimulating factor (GM-CSF), interferon-? (IFN-?) and Tumor Necrosis Factor (TNF-a) on days 3, 7, 14 and 21 after the administration of LCT on supplement or placebo supplement. Difference of > 50% in the reduction on the levels at day 21 in com

Countries

Brazil

Outcome results

None listed

Source: REBEC (via WHO ICTRP)