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Honey & Nigella Sativa Trial Against COVID-19 (HNS-COVID-PK)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT04347382
Recruitment Status : Completed
First Posted : April 15, 2020
Last Update Posted : November 12, 2020
Information provided by (Responsible Party):
Sohaib Ashraf, Sheikh Zayed Federal Postgraduate Medical Institute

Brief Summary:
To evaluate the effectiveness of Nigella Sativa and honey stirred in 250 ml of distilled water 12 hourly till patient becomes asymptomatic or a maximum of 14 days with standard hospital care versus standard hospital care alone with placebo capsule and 250 ml water, in clearing the COVID-19 nucleic acid from throat and nasal swab, lowering disease detrimental effects on HRCT chest/X-ray and severity of symptoms along with duration of hospital stay till day 14th day of follow up and 30 days mortality (primary outcomes).

Condition or disease Intervention/treatment Phase
Coronavirus Infection Sars-CoV2 Drug: Honey Drug: Nigella Sativa / Black Cumin Drug: Placebos Phase 3

Detailed Description:
This cohort, adaptive, randomized, double armed group, controlled, Investigator Initiated interventional study is designed to demonstrate the superiority of a combination of black cumin with honey over standard care in SARS-CoV-2 (COVID-19) infected patients who consent to randomization following a new diagnosis in Pakistan with an SSC-2 score of > 5 with positive RT-PCR of COVID-19.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 313 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Role of Honey and Nigella Sativa in the Management of COVID-19; A Randomized Controlled, Open-label, Add-on Trial in Pakistan
Actual Study Start Date : April 30, 2020
Actual Primary Completion Date : August 30, 2020
Actual Study Completion Date : August 30, 2020

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Nigella Sativa & Honey Group

Drug: Nigella Sativa seed Powder 80 mg/Kg/day grinded in capsule upto a max of 14 days) Drug: Natural Honey 1gm/kg/day orally upto a max of 14 days)

along with standard medical care

Drug: Honey

Drug: Nigella Sativa / Black Cumin

Placebo Comparator: Standard Medical Care
Standard supportive medical care prescribed by treating physician, Lahore which includes standard symptomatic care along with use of antibacterial or antiviral (if advised by pulmonologist or infectious disease specialist)
Drug: Placebos
Empty capsule with 250ml of distilled water

Primary Outcome Measures :
  1. Days required to get a positive COVID-19 PCR to negative [ Time Frame: upto max 14 days ]
  2. Severity of symptoms progression [ Time Frame: upto max 14 days ]
    Clinically disease progression will be evaluated depending upon the severity of symptoms being classified as mild, moderate and severe.

  3. Duration of Hospital Saty [ Time Frame: upto max 14 day ]
    Duration of hospital stay would be categorized as the number of days the patient stayed in the ward during treatment. The date of admission and date of discharge would give us total duration of stay.

  4. 30 day mortality [ Time Frame: 30 days ]
    30 days mortality rate in each arm

  5. Clinical Grade Status [ Time Frame: 0, 4, 6, 8, 10 and 12 day ]
    grade 1 (not hospitalized, no evidence of infection and resumption of normal activities), grade 2 (not hospitalized, but unable to resume normal activities), grade 3 (hospitalized, not requiring supplemental oxygen), grade 4 (hospitalized, requiring supplemental oxygen), grade 5 (hospitalized, requiring nasal high-flow oxygen therapy and/or noninvasive mechanical ventilation), grade 6 (hospitalized, requiring ECMO and/or invasive mechanical ventilation) and grade 7 (death).

  6. Fever [ Time Frame: 13 days ]
    Degree of fever

Secondary Outcome Measures :
  1. Oxygen Saturation at room air [ Time Frame: upto max of 14 days ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Confirmed SARS-CoV-2 (COVID-19) infection by a positive test result with SSC-2 score> 5
  • Patients admitted in Corona centers

Exclusion Criteria:

  • Participants not giving consent.
  • Pregnant and lactating females.
  • History of allergy to any drug being administered in this study
  • Severely terminally ill patients
  • Patients on Nil Per Oral

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT04347382

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Federal Post-Graduate Medical Institute, Shaikh Zayed Hospital
Lahore, Punjab, Pakistan, 54600
Services Institute of Medical Sciences, Services Hospital
Lahore, Punjab, Pakistan, 54600
Sponsors and Collaborators
Sohaib Ashraf
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Study Director: Shoaib Ashraf, PhD Massachusetts General Hospital, Harvard Medical School, USA
Study Chair: Muhammad Ashraf, DVM, PhD University Of Veterinary & Animal Sciences, Lahore
Principal Investigator: Sohaib Ashraf, MBBS Federal Post-Graduate Medical Institute, Lahore
Principal Investigator: Muhammad Ahmad Imran, MBBS Shaikh Zayed Hospital, Lahore
Principal Investigator: Ayesha Hamayun, MBBS, PhD Shaikh Khalifa Bin Zayed Al-Nahyan Medical & Dental College, Lahore
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Responsible Party: Sohaib Ashraf, Post-Graduate Resident Cardiology, Sheikh Zayed Federal Postgraduate Medical Institute Identifier: NCT04347382    
Other Study ID Numbers: SZMC/IRB/Internal/0026/2020
IRB/2020/658/SIMS ( Other Identifier: Services Institute of Medical Sciences, Services Hospital, Lahore, Pakistan )
First Posted: April 15, 2020    Key Record Dates
Last Update Posted: November 12, 2020
Last Verified: November 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Sohaib Ashraf, Sheikh Zayed Federal Postgraduate Medical Institute:
Nigella Sativa
Black Cummin
Herbal Medicine
Additional relevant MeSH terms:
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Coronavirus Infections
Pneumonia, Viral
Respiratory Tract Infections
Virus Diseases
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Lung Diseases
Respiratory Tract Diseases