CClinicalTrials.gg
CompletedNCT04401202Updated May 26, 2021Results posted

Nigella Sativa in COVID-19

A Phase 2 interventional study of Nigella sativa oil in COVID-19 and SARS-CoV-2, sponsored by King Abdulaziz University. Completed at 1 site in Saudi Arabia. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-05-26.

Sponsored by King Abdulaziz University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
183
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Natural products with immunomodulation and antiviral activity showed a promising improvement in the outcomes of some viral infectious diseases both in preclinical and primitive clinical studies. The aim of this study is to utilize Saudi FDA licensed Nigella sativa (NS) seed oil towards improving disease outcomes in adult patients diagnosed with mild COVID-19. The study will be a prospective, open-label, non-randomized controlled pilot trial. Patients will be supplemented (add-on) with one capsule of black seed oil twice daily for 10 days. The primary outcome will be the proportion of patients who clinically recovered on day 14. The secondary outcomes will be clinical parameters and routine laboratory tests. If encouraging outcomes occurred, NS supplementation may be recommended as an add-on to standard care protocol to enhance the recovery from COVID-19 disease in the current emerging situation.

02

Conditions studied

  • COVID-19
  • SARS-CoV-2

Browse trials for

Keywords

  • COVID-19
  • SARS-CoV-2
  • Nigella sativa
  • Herbal
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 183 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

King Abdulaziz University is the lead sponsor of 96 studies on the registry; 18 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with mild COVID19 upper respiratory tract infection and with no evidence of pneumonia
  • Adult (18 Years and above)
  • Written informed consent prior to initiation of any study procedures by the patient (or legally authorized representative).
  • Understands and agrees to comply with planned study procedures.
  • Has laboratory-confirmed novel coronavirus (SARS-CoV-2) infection as determined by polymerase chain reaction (PCR) available at KAUH.

Exclusion criteria

Exclusion Criteria:

  • Patients with pneumonia or severe illness requiring admission to ICU.
  • Severe chronic kidney disease (i.e. estimated glomerular filtration rate (eGFR) \< 30) or end stage renal disease requiring dialysis
  • Sever chronic liver disease (Alanine transaminase/aspartate transaminase (ALT/AST) > 5 times the upper limit of normal).
  • Pregnancy or breast feeding.
  • Anticipated transfer to another hospital which is not a study site within 72 hours.
  • Allergy to any study medication.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
183 participants (actual)

Study arms

  • Experimental
    NSO

    Nigella sativa oil 500mg softgel capsules in oral twice daily dose for 10 days

    Dietary Supplement: Nigella sativa oil

  • No intervention
    Control

    Standard of care

Interventions

  • Dietary supplementNigella sativa oil

    Nigella sativa oil 500mg softgel capsules in oral twice daily dose for 10 days

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Clinical Recovery Within 14 Days After Randomization

    The Percentage of patients who had clinical recovery within 14 days after randomization (clinical recovery was defined as three days of no symptoms)

    Time frame: Day 14

Secondary outcomes

  1. The Number of Days to Recovery

    The number of days to recovery (number of symptomatic days)

    Time frame: Day 14

  2. Duration of Each Symptom

    Duration of each symptom in days

    Time frame: Day 14

  3. Side Effects

    Side effects from the investigational treatment

    Time frame: Day 14

  4. Hospital Admission Due to Disease Complications

    High severity of COVID-19 (mild cases does not require hospitalization)

    Time frame: Day 14

07

Results

Posted May 26, 2021

Participant flow

Participant flow — Overall Study
MilestoneControlNigella Sativa Oil
Started9291
Completed8687
Not completed64
Withdrew: Lost to follow-up22
Withdrew: Adverse event01
Withdrew: Hospitalized41

Outcome measures

PrimaryPercentage of Participants With Clinical Recovery Within 14 Days After Randomization

The Percentage of patients who had clinical recovery within 14 days after randomization (clinical recovery was defined as three days of no symptoms)

Time frame:
Day 14
Reported as:
Count of participants · Participants
Percentage of Participants With Clinical Recovery Within 14 Days After Randomization
ParticipantsNigella Sativa OilControl
Percentage of Participants With Clinical Recovery Within 14 Days After Randomization5431
Statistical analysis
  • Nigella Sativa Oil vs Control · Chi-squared · p = 0.001
SecondaryThe Number of Days to Recovery

The number of days to recovery (number of symptomatic days)

Time frame:
Day 14
Reported as:
Median · days
The Number of Days to Recovery
daysNigella Sativa OilControl
The Number of Days to Recovery11 (8 to 14)14 (11 to 14)
SecondaryDuration of Each Symptom

Duration of each symptom in days

Time frame:
Day 14
Reported as:
Mean · days
Duration of Each Symptom
daysNigella Sativa OilControl
Anosmia8.5 ± 3.910.4 ± 3.6
Runny nose2.5 ± 1.63.7 ± 2.5
Loss of appetite3.5 ± 2.95.5 ± 3.1
Chills2.1 ± 14.9 ± 3.4
SecondarySide Effects

Side effects from the investigational treatment

Time frame:
Day 14
Reported as:
Count of participants · Participants
Side Effects
ParticipantsNigella Sativa OilControl
Side Effects30
SecondaryHospital Admission Due to Disease Complications

High severity of COVID-19 (mild cases does not require hospitalization)

Time frame:
Day 14
Reported as:
Count of participants · Participants
Hospital Admission Due to Disease Complications
ParticipantsNigella Sativa OilControl
Hospital Admission Due to Disease Complications04

Adverse events

Collected over 14 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nigella Sativa Oil0/87 (0%)0/87 (0%)3/87 (3.4%)
Control0/86 (0%)0/86 (0%)0/86 (0%)
Most frequent other events
Most frequent other events
EventNigella Sativa OilControl
Gastrointestinal symptomsGastrointestinal disorders3/870/86

Baseline characteristics

Age, Continuous
Age, Continuous(years)Nigella Sativa OilControlTotal
Mean35 ± 1035 ± 1135 ± 11
Sex: Female, Male
Sex: Female, Male(Participants)Nigella Sativa OilControlTotal
Female413980
Male464793
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Nigella Sativa OilControlTotal
Count of participants——0
BMI
BMI(kg/m^2)Nigella Sativa OilControlTotal
Mean27.1 ± 6.127.2 ± 5.527.1 ± 5.7
Smoker
Smoker(Participants)Nigella Sativa OilControlTotal
Count of participants12921
Pre-enrollment days
Pre-enrollment days(days)Nigella Sativa OilControlTotal
Mean3.5 ± 2.14 ± 3.13.7 ± 2.6
08

Study locations

1 site
  • King Abdulaziz University Hospital
    Jeddah, 21589, Saudi Arabia
09

References and documents

Publications

  • Koshak AE, Koshak EA, Mobeireek AF, Badawi MA, Wali SO, Malibary HM, Atwah AF, Alhamdan MM, Almalki RA, Madani TA. Nigella sativa for the treatment of COVID-19: An open-label randomized controlled clinical trial. Complement Ther Med. 2021 Sep;61:102769. doi: 10.1016/j.ctim.2021.102769. Epub 2021 Aug 15. PubMed 34407441 ↗
  • Koshak AE, Koshak EA, Mobeireek AF, Badawi MA, Wali SO, Malibary HM, Atwah AF, Alhamdan MM, Almalki RA, Madani TA. Nigella sativa supplementation to treat symptomatic mild COVID-19: A structured summary of a protocol for a randomised, controlled, clinical trial. Trials. 2020 Aug 8;21(1):703. doi: 10.1186/s13063-020-04647-x. PubMed 32771034 ↗

Study documents

  • Protocol and statistical analysis plan · Jul 14, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04401202
Lead sponsor
King Abdulaziz University
Responsible party
Dr Abdulrahman E. Koshak (Assistant Professor, King Abdulaziz University) — Principal investigator
First posted
May 26, 2020
Start date
May 21, 2020
Primary completion
Dec 31, 2020
Completion
Dec 31, 2020
Results posted
May 26, 2021
Last update
May 26, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion