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Honey & Nigella Sativa-COVID-Pakistan 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. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT04347382
Recruitment Status : Recruiting
First Posted : April 15, 2020
Last Update Posted : May 15, 2020
Information provided by (Responsible Party):
Sohaib Ashraf, Sheikh Zayed Federal Postgraduate Medical Institute

Brief Summary:
To evaluate the effectiveness of Nigella Sativa/ Black Cummins (1gm seed powder in a capsule orally) and 30ml of honey stirred in 250ml of distilled water 12 hourly till patient becomes asymptomatic or a maximum of 14 days with standard hospital care vs standard hospital care alone with placebo capsule and 250ml 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. Investigators will follow up with participants every 4th day to access clinically the severity of symptoms along with RT-PCR and HRCT chest or X-ray to access the disease progression.Those positive on 8th day will be followed up further for monitoring of primary end points. Findings of this trial are expected to help establishing a new remedy for the treatment of this pandemic giving mortality benefit along with earlier decrease in viral load and lesser complications rate caused by SARS-Cov-2 virus

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, 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 Lahore, Pakistan
Estimated Study Start Date : May 20, 2020
Estimated Primary Completion Date : July 25, 2020
Estimated Study Completion Date : July 30, 2020

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Nigella Sativa & Honey Group

Drug: Nigella Sativa seed Powder (2gm twice daily in capsule upto a max of 14 days) Drug: Natural Honey (30ml orally twice a day upto a max of 14 days)

along with standard medical care

Drug: Honey
30ml Natural Honey orally BD

Drug: Nigella Sativa / Black Cumin
Capsule 2gm seed powder orally BD

Placebo Comparator: Standard Medical Care
Standard supportive medical care given in Corona center of Mayo Hospital, 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 ]
    RT-PCR will be done on admission day (0 day) and then after every 4th day for 14 days or till the symptoms resolved and RT-PCR gets negative. RT-PCR will only be shown as positive or negative (as per limitation of Pakistan).

  2. HRCT/ X-ray findings of disease progression [ Time Frame: upto max 14 days ]
    HRCT will be conducted at admission day (0-day) and a total of maximum four CT-scan will be conducted after every 4th day. The minimum and score at which we label covid-19 positive will be 5 and 25 respectively using internationally standard nomenclature as described by Fleischner Society glossary and peer-reviewed literature on viral pneumonia.

  3. 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.

  4. 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.

  5. 30 day mortality [ Time Frame: 30 days ]
    30 days mortality rate in each arm

Secondary Outcome Measures :
  1. Oxygen Saturation at room air [ Time Frame: upto max of 14 days ]
    every 4th day oxygen saturation at room air will be checked to evaluate the disease progression

  2. Incidence of viral myocarditis [ Time Frame: upto max 14 days ]
    Involvement of cardiac complications will be assessed

  3. Incidence of Acute respiratory Distress Syndrome [ Time Frame: upto max 14 days ]
    Lethal complication like ARDS will be assessed to evaluate disease severity

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:   5 Years and older   (Child, 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 center of Mayo Hospital

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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Contact: Sohaib Ashraf, MBBS +923334474523
Contact: Muhammad Ahmad Imran, MBBS +923338110708

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Mayo Hospital, Kingedward Medical University Recruiting
Lahore, Punjab, Pakistan, 54600
Contact: Sohaib Ashraf, MBBS    +923334474523   
Contact: Ahmad Imran, MBBS    +923338110708   
Principal Investigator: Sohaib Ashraf, MBBS         
Principal Investigator: Ahmad Imran, MBBS         
Principal Investigator: Ayesha Hamayun, PhD         
Sponsors and Collaborators
Sohaib Ashraf
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Study Chair: Shoaib Ashraf, PhD Harvard University, Boston, USA
Study Director: Muhammad Ashraf, 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, 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
First Posted: April 15, 2020    Key Record Dates
Last Update Posted: May 15, 2020
Last Verified: May 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 Cumin
Additional relevant MeSH terms:
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Coronavirus Infections
Severe Acute Respiratory Syndrome
Coronaviridae Infections
Nidovirales Infections
RNA Virus Infections
Virus Diseases
Respiratory Tract Infections
Respiratory Tract Diseases