NCT04860219

Brief Summary

Background: Preventive, adjunctive and curative properties of lactoferrin have been evaluated since the first wave of severe acute respiratory syndrome coronavirus (SARS-CoV), viral respiratory disease, emerged 18 years ago. Despite the discovery of new vaccine candidates, there is currently no widely approved treatment for SARS-CoV-2 (COVID-19). Strict adherence to infection prevention and control procedures, as well as vaccines, can, however, prevent the spread of SARS-CoV-2. Objective: Hence, this study evaluated the efficacy of lactoferrin treatment in improving clinical symptoms and laboratory indices among individuals with mild to moderate coronavirus disease-19 (COVID-19). Design and Participants: A randomized, prospective, interventional pilot study conducted between July 8 and September 18, 2020 used a hospital-based sample of 54 laboratory confirmed participants with mild to moderate symptoms of COVID-19. Randomization into a control and two treatment groups ensured all groups received the approved Egyptian COVID-19 management protocol; only treatment group participants received lactoferrin at different doses for seven days. Clinical symptoms and laboratory indices were assessed on Days 0, 2 and 7 after starting treatments. Mean values with standard deviation and one-way analysis of variance with least significant difference post hoc of demographic and laboratory data between control and treatment groups were calculated. Key Results: Our study showed no stastically significant difference among studied groups regarding recovery of symptoms or laboratory improvement. Conclusion: Further research into therapeutic properties particularly related to dosage, duration and follow-up after treatment with lactoferrin in individuals with COVID-19 is required.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
54

participants targeted

Target at P25-P50 for not_applicable covid19

Timeline
Completed

Started Jul 2020

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 8, 2020

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 18, 2020

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

April 21, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 26, 2021

Completed
4 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2021

Completed
Last Updated

April 27, 2021

Status Verified

April 1, 2021

Enrollment Period

2 months

First QC Date

April 21, 2021

Last Update Submit

April 23, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • time to be symptoms free and normal laboratory results

    duration from day 0 symptoms till 7 days symptoms free and normal laboratory findings

    7 days after enrollment

Study Arms (3)

Control Group

NO INTERVENTION

None of the participants in the Control Group received lactoferrin

200 mg lactoferrin orally once daily Group

ACTIVE COMPARATOR

received 200 mg lactoferrin orally once daily

Dietary Supplement: Lactoferrin

200 mg lactoferrin orally twice daily Group

ACTIVE COMPARATOR

received 200 mg lactoferrin orally twice daily

Dietary Supplement: Lactoferrin

Interventions

LactoferrinDIETARY_SUPPLEMENT

7 successive days treatment of Lactoferrin started within day 0 of COVID-19 diagnosis by RT-PCR

200 mg lactoferrin orally once daily Group200 mg lactoferrin orally twice daily Group

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • participants over 20 years of age
  • positive for nasopharyngeal swab reverse transcriptase polymerase chain reaction (RT-PCR) for COVID-19
  • blood oxygen saturation (SpO2) \> 93%.

You may not qualify if:

  • pregnant and breastfeeding women
  • individuals confirmed to be allergic to milk protein
  • those with a medical history of bronchial hyperactivity or pre-existing respiratory diseases
  • ICU inpatients with COVID-19.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Medicine -Zagazig University

Zagazig, Egypt

RECRUITING

MeSH Terms

Conditions

COVID-19

Interventions

Lactoferrin

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Serine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesGlycoproteinsGlycoconjugatesCarbohydratesTransferrinsIron-Binding ProteinsCarrier ProteinsProteinsAmino Acids, Peptides, and ProteinsLactoglobulinsWhey ProteinsMilk ProteinsAnimal Proteins, DietaryDietary ProteinsGlobulinsMetalloproteins

Central Study Contacts

mohamed ghoniem, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Internal Medicine- Faculty of Medicine

Study Record Dates

First Submitted

April 21, 2021

First Posted

April 26, 2021

Study Start

July 8, 2020

Primary Completion

September 18, 2020

Study Completion

April 30, 2021

Last Updated

April 27, 2021

Record last verified: 2021-04

Data Sharing

IPD Sharing
Will not share

The datasets generated and/or analyzed during the current study are available from the corresponding author upon request.

Locations