Home » Trials » SLCTR/2021/005


Assessment of the efficacy of the indigenous polyherbal drug “Desandun Kalka” against SARS-CoV- 2 infection

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SLCTR Registration Number

SLCTR/2021/005


Date of Registration

28 Feb 2021

The date of last modification

Mar 01, 2021



Application Summary


Scientific Title of Trial

Assessment of the efficacy of the indigenous polyherbal drug “Desandun Kalka” against SARS-CoV- 2 infection


Public Title of Trial

Assessment of efficacy of the Indigenous poly herbal drug “Desandun Kalka” against mild symptomatic patients with SARS-CoV- 2 infection - A randomized clinical trial


Disease or Health Condition(s) Studied

SARS-CoV- 2 infection


Scientific Acronym

ASDEK-COV2


Public Acronym

ASDEK-COV2


Brief title

Poly herbal formula for treatment of patients with COVID -19


Universal Trial Number

U1111-1264-9556


Any other number(s) assigned to the trial and issuing authority

FMS/USJP ERC/ COVID 15/20


Trial Details


What is the research question being addressed?

Is the polyherbal preparation, "Desandun kalka" efficacious in reducing the clinical symptoms and viral shedding for mild symptomatic patients with COVID-19 infection?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 2


Intervention(s) planned

  1. Study setting: “National Institute of Infectious Diseases” (NIID) and University of Sri Jayewardenepura (USJP) will be the research study places.

  2. Randomization method: Simple random sampling will be used to select the patients by electronic randomization (random e-numbers will be generated by using Research randomizer software) from the participants who are satisfying the eligible criteria.

3.Intervention : I. Desandun kalka (DK) will be given to the study group in addition to standard treatment and the control group will be given only the standard treatment.Test group will receive 1250 mg of DK, three times a day for 10 days, in addition to the treatment guidelines.

II. The ingredients of DK poly herbal medicine are; Dolichos biflous Linn. - Kollu Glycyrrhiza glabra Linn. – Welmee Acorus calamus Linn. ` - Wadakaha Ptrocarpus santalinus Linn. - Rathandun Santalum album Linn. - Suduhandun Rock salt - Savindalunu

III. Both intervention and control groups will receive standard treatment along with the trial drug. Standard therapy will be as guided by the circular issued by Ministry of Health, Sri Lanka, and will be carried out according to the National guide lines issued by Ministry of Health for Treating Covid 19 patients.


Inclusion criteria

  • Age > 18 years • Both male and female
  • PCR positive for SARS-CoV- 2
  • The patient clinically assessed and categorized according to the tool published by Min. of Health, Sri Lanka, “Provisional Guidelines for Clinical Management of COVID-19, (March 2020)” as patients with mild symptoms of SARS COVID-19 infection and defined as below:
    • Respiratory Rate (RR/min) 12 – 20
    • Heart Rate (HR/min) < 100
    • O2 Saturation – on room air (% by Pulse Oxymeter) > 94

Exclusion criteria

  • Pregnant and breast feeding mothers
  • Those with severe and moderate illness (COVID 19)
  • Chronic Liver Cell Disease (CLCD),
  • Chronic Kidney Disease (CKD)
  • Those who are unable to take the drug orally


Primary outcome(s)

1.

A more than 50% reduction in the duration of illness (cough, fever, sore throat & anosmia) - defined below

[

at baseline, day 7, and day 10 from the time of treatment begins

]
2.

Number of days taken for the patient to be afebrile for 72 hours

[

at baseline, day 7, and day 10 from the time treatment begins

]
3.

Number of days taken for a more than 50% reduction in cough by clinical assessment

[

at baseline, day 7, and day 10 from the time treatment begins

]
4.

Number of days taken for a more than 50% reduction of sore throat by clinical assessment

[

at baseline, day 7, and day 10 from the time treatment begins

]
5.

Number of days taken for a more than 50% reduction in resolution of anosmia by clinical assessment

[

at baseline, day 7, and day 10 from the time treatment begins

]

Secondary outcome(s)

1.

Clinical improvement using the Ordinal Scale for Clinical Improvement COVID 19 Therapeutic Trial Synopsis, February 18, 2020, Geneva, Switzerland (WHO – Outcome scale, World Health Organization 2020)

[

Day 1, day 7 and day 10 from the time treatment begins

]
2.

Proportion of patients with a negative PCR & cycle threshold (Ct) value of over 24 (negative RT-qPCR) with positive antibody response

[

Day 7 and day 10 from the time treatment begins

]
3.

Proportion of patients with 50% reduction in lymphocytopenia by assessing the full blood count

[

Day 7 and day 10 from the time treatment begins

]
4.

Proportion of patients with 50% reduction in degree of inflammation by evaluation of inflammatory markers (C-Reactive Protein, ESR) as per standards [ESR 1-13mm/hr for males & 1-20 mm/hr for females and CRP measured as less than 10 mg /l]

[

Day 7 and day 10 from the time treatment begins

]
5.

Proportion of patients with any adverse effects of DK assessed by carrying out FBC, liver function tests (,AST, ALT) and renal function tests (GFR, Serum creatinine)

[

Day 7, day 10, and day 28 from the time treatment begins

]
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Target number/sample size

152 (76 in a group)


Countries of recruitment

Sri Lanka


Anticipated start date

2021-03-10


Anticipated end date

2021-09-15


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Department of Ayurveda


Regulatory approvals

N/A



State of Ethics Review Approval


Status

Approved


Date of Approval

2021-02-03


Approval number

COVID 15/20


Details of Ethics Review Committee

Name: Ethics Review Committee , FMS/USJP ERC
Institutional Address:Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura Gangodawila, Nugegoda, Sri Lanka
Telephone:94-11-2758588,
Email: erc.fms.usjp@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Rameeladevi Thatparan
Medical Officer
"Bandaranaike Memorial Ayurveda Research Institute" Old Kottawa road .Nawinna, Maharagama.
0112850333
0777317696

rameela10@gmail.com

Contact Person for Public Queries

Dr. Ananda Wijewickrama
Consultant Physician
National Institute of Infectious Diseases. New Gothatuwa, Angoda, Sri Lanka
0112411284
0777559398
0112410031
anandawijewickrama@hotmail.com


Primary study sponsor/organization

Department of Ayurveda

Old Kottawa road ,Nawinna, Maharagama
0112896912
0112896912
departmentofayurveda@gmail.com

Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

All individual Participant data collected during the trial will be shared after de-identification. Study protocol, and statistical analysis will be available immediately after the publication and up to 5 years. Data will be shared with investigators whose proposed use of the data has been approved by an independent review committee identified and authorised for this purpose, to utilize for further research purpose in an approved proposal. The data may be requested by sending the proposals to the e mail as - rameela10@gmail.com,to obtain the data.


Study protocol available

Yes


Protocol version and date

version14, - 04.01.2021


Protocol URL


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results