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WithdrawnNCT04828538NUTROVIDUpdated Nov 8, 2022

Vitamin D, Omega-3, and Combination Vitamins B, C and Zinc Supplementation for the Treatment and Prevention of COVID-19

An interventional study of Vitamin D and Omega DHA / EPA in Covid19, sponsored by Hospital de la Soledad. Withdrawn at 1 site in Mexico. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-11-08.

Sponsored by Hospital de la Soledad · Not applicable, Interventional, and Other

Why this study was withdrawn
Recruitment failure
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The NUTROVID Factorial Trials

The purpose of the NUTROVID-Prevent and NUTROVID-Treat Factorial Trials is to determine whether Vitamin B Complex, Vitamin C, and Zinc; Vitamin D; and Omega3, taken at dosages approximating recommended dosages, can reduce the risk of COVID-19 infection, hospitalization, mortality.

Read the detailed description

Inadequate vitamin intake is common in Mexico. Vitamin deficiency is hypothesized as a risk factor for COVID-19 infection and severe outcomes. Specifically, Vitamin D has been hypothesized as a regulator of the inflammatory cytokine response; Vitamin C may help reduce the risk of a cytokine storm and support the immune system; Vitamin B reduces pro-inflammatory cytokine levels, helps improve respiratory function, reduces hypercoagulability, and promotes endothelial structural integrity; Resolvins, derived from Omega3s, are a type of specialized pro-resolving lipid autacoid mediators hypothesized to prevent cytokine storms. Elemental Zinc is hypothesized to inhibit the replication of viruses.

The NUTROVID-Prevent and NUTROVID-Treat Factorial Trials are testing the efficacy of these supplements (Vitamins B, C, D, Zinc, and Omega 3) when used over a 60 day period among those who test positive (Treat) and negative (Prevent) for SARS-COV-2 via a PCR test.

The NUTROVID Trials utilize an innovative and cost-efficient approach, leveraging the existing infrastructure of the hospital system in San Luis Potosí province of Mexico. For NUTROVID-Treat, we aim to enroll \~1,800 adults who have recently tested positive for SARS-Cov-2 and who have given informed consent. These \~1,800 adult females and males age 18 or older will be enrolled and randomized into the NUTROVID Treat Factorial Trial's 2x2x2 arms, in which 50% of the population will have a chance to receive any combination of the 3 supplement formulations; the other 50% will receive the respective placebos.

Those who test negative will be randomized into the NUTROVID-Prevent Factorial Trial's 2x2x2 arms, in which 50% of the population will have a chance to receive any combination of the 3 supplement formulations; the other 50% will receive the respective placebos. For NUTROVID-Prevent, we also aim to recruit \~1,800 adults, females and males.

Hospital staff will review medical records for vital events and conduct patient and family follow-up until \~November 2021.

02

Conditions studied

  • Covid19

Keywords

  • Covid19
  • Nutritional supplements
  • Vitamin B
  • Vitamin C
  • Elemental Zinc
  • Cytokine storm
  • Vitamin D
  • Vitamin B Complex
  • Omega 3
03

In context

COVID-19

7,774 studies on the registry are indexed under COVID-19; 482 are open to participants now.

Browse COVID-19 studies →

Lead sponsor

This is the only study on the registry with Hospital de la Soledad as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Positive SARS-CoV-2 Test group (Target enrollment: N=1,800) NUTROVID Treat Trial: Adult men/women recently diagnosed with COVID-19 (positive PCR test for SARS-CoV-2 coronavirus) within \<=5 days of symptom onset; and satisfying one of these risk factors: >=50 years old; or Diabetic \& >=40 years old; or Obese \& >=40 years old.

Negative SARS-CoV-2 Test group (Target enrollment: N=1,800) NUTROVID Prevent Trial: Adult men/women recently tested negative for COVID-19 (negative PCR test for SARS-CoV-2 coronavirus); and satisfying one of these risk factors: >=50 years old; or Diabetic \& >=40 years old; or Obese \& >=40 years old.

Signed Informed Consent Form

Exclusion Criteria:

  • Patients requiring immediate intubation or deemed likely to die within 48 hours.
  • Patients deemed likely for transfer to an ICU within 48 hours.
  • Patients currently taking oral corticosteroids for any reason at the time of presentation for care.
  • Patients included in any other interventional trial.
  • Uncontrolled bacterial superinfection.
  • Severe chronic kidney disease (stage 4) or requiring dialysis (i.e. eGFR \< 30).
  • Pregnant women or women who are breastfeeding.
  • Immunocompromised patients.
  • Any patient with recent treatment (past 30 days) of immunosuppressive agents including (but not restricted to) DMARDs, corticosteroids, antibody therapy, intravenous immunoglobulins etc.
  • Patients with acute myocardial infarction.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Care provider)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    1 - Vitamin D, Omega 3, Vitamins B, C, Zinc

    Vitamin D of F1 Omega 3 of F2 Vitamins B, C, Zinc of F3 \[60 days\]

    Dietary Supplement: Vitamin D · Dietary Supplement: Omega DHA / EPA · Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate

  • Active comparator
    2 - Vitamin D, Omega 3

    Vitamin D of F1 Omega 3 of F2 Placebo of F3 \[60 days\]

    Dietary Supplement: Vitamin D · Dietary Supplement: Omega DHA / EPA

  • Active comparator
    3 - Vitamin D, Vitamins B, C, Zinc

    Vitamin D of F1 Placebo of F2 Vitamins B, C, Zinc of F3 \[60 days\]

    Dietary Supplement: Vitamin D · Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate

  • Active comparator
    4 - Vitamin D

    Vitamin D of F1 Placebo of F2 Placebo of F3 \[60 days\]

    Dietary Supplement: Vitamin D

  • Active comparator
    5 - Omega 3, Vitamins B, C, Zinc,

    Placebo of F1 Omega 3 of F2 Vitamins B, C, Zinc of F3 \[60 days\]

    Dietary Supplement: Omega DHA / EPA · Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate

  • Active comparator
    6 - Omega 3

    Placebo of F1 Omega 3 of F2 Placebo of F3 \[60 days\]

    Dietary Supplement: Omega DHA / EPA

  • Active comparator
    7 - Vitamins B, C, Zinc

    Placebo of F1 Placebo of F2 Vitamins B, C, Zinc of F3 \[60 days\]

    Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate

  • Placebo comparator
    8 - No Interventions

    Placebo of F1 Placebo of F2 Placebo of F3 \[60 days\]

    Other: Placebo

Interventions

  • Dietary supplementVitamin D

    Daily 4000 IU Vitamin D for 60 days

  • Dietary supplementOmega DHA / EPA

    Daily 1000mg Omega DHA/EPA for 60 days

  • Dietary supplementVitamin C, Vitamin B complex and Zinc Acetate

    Drug pages: Ascorbic Acid · Zinc Acetate

    Combination 1000 mg Vitamin C, Vitamin B complex\*\* and Zinc Acetate, 100 mg/day for 60 days \*\*(Vitamin B complex components: B12=1 mg; B6=50 mg; B9=2.5 mg; B1=100 mg; B2=100 mg; B3=14 mg; B7=50 mg)

  • OtherPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Covid infection rate (PREVENT Trial only)

    1.a. Incidence of positive PCR at \~1 month and \~2 months; 1.b. Incidence of symptomatic positive PCR and asymptomatic positive PCR at 1 month and 2 months.

    Time frame: 30 and 60 days

  2. Incidence of severe outcome (TREAT Trial only)

    1.a. Incidence of severe outcome (mortality or ICU admission or intubation) up to 30 days. 1.b. Incidence of severe outcome (mortality or ICU admission or intubation) from 30-60 days. 1.c. Incidence of severe outcome (mortality or ICU admission or intubation), from 30 days to \~ November 2021. 1.d. Incidence of severe outcome (mortality or ICU admission or intubation), from 60 days to \~ November 2021.

    Time frame: 1.a. 1-30 days; 1.b. 30-60; 1.c. 30 days to ~November 2021; 1.d. 60 days to ~ November 2021

Secondary outcomes

  1. Incidence of hospitalization and death (PREVENT Trial only)

    2.a. Incidence of hospitalization, follow-up to \~ November 2021. 2.b. Incidence of severe outcome (mortality or ICU admission or intubation), follow-up to \~November 2021. 2.c. Incidence of death, follow-up to \~November 2021.

    Time frame: 1-10 months

  2. Length of hospitalization and death after discharge (TREAT Trial only)

    2.a. Length of hospitalization for admissions less than 30 days from baseline versus for admissions after 30 days from baseline. 2.b. \[If available\] Incidence of hospital readmission after discharge, follow-up to \~November 2021. 2.c. Incidence of death after discharge, follow-up to \~November 2021.

    Time frame: 2.a. 1-30 days; 2.b. 1 day(s) to ~November 2021, 2.c. 30 days to ~November 2021

Other outcomes

  1. Changes in HbA1c (PREVENT Trial only)

    Change in HbA1c at 1 month and 2 months

    Time frame: 1-30; 1-60 days

  2. Change in diabetes status (PREVENT Trial only)

    Change in diabetes status at 1 month and 2 months

    Time frame: 1-30; 1-60 days

  3. Change in weight (PREVENT Trial only)

    Change in weight at 1 month and 2 months

    Time frame: 1-30; 1-60 days

  4. Incidence of COVID -19 symptoms at 1 month and 2 months (PREVENT Trial only)

    \[If available\] Incidence of COVID -19 symptoms at 1 month and 2 months

    Time frame: 1-30; 1-60 days

  5. Incidence of hospital readmission (PREVENT Trial only)

    \[If available\] Incidence of COVID -19 symptoms at 1 month and 2 months with follow-up to \~November 2021

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  6. Incidence of ICU admission (PREVENT Trial only)

    \[If available\] Incidence of ICU admission (PREVENT Trial only)

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  7. Incidence of intubation (PREVENT Trial only)

    \[If available\] Incidence of intubation (PREVENT Trial only)

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  8. Incidence of Vaccination (PREVENT Trial only)

    \[If available\] Incidence of vaccination

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  9. Change in HbA1c at 1 month and 2 months (TREAT Trial only)

    \[If available\] Change in HbA1c at 1 month and 2 months.

    Time frame: 1-30 days and 1-60 days

  10. Change in diabetes status at 1 month and 2 months (TREAT Trial only)

    \[If available\] Change in diabetes status at 1 month and 2 months.

    Time frame: 1-30 days and 1-60 days

  11. Change in weight at 1 month and 2 months (TREAT Trial only)

    \[If available\] Change in weight at 1 month and 2 months

    Time frame: 1-30 days and 1-60 days

  12. Incidence of COVID -19 symptoms at 1 month and 2 months (TREAT Trial only)

    \[If available\] Incidence of COVID -19 symptoms at 1 month and 2 months.

    Time frame: 1-30 days and 1-60 days

  13. Incidence of depression (TREAT Trial only)

    \[If available\] Incidence of depression

    Time frame: ~1-60 days

  14. Incidence of vaccination (TREAT Trial only)

    \[If available\] Incidence of vaccination

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  15. Incidence of vaccine hesitancy (TREAT Trial only)

    \[If available\] Incidence of vaccine hesitancy

    Time frame: ~1-60 days

  16. ICU readmission (TREAT Trial only)

    \[If available\] ICU readmission

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

  17. Incidence of Intubation (upon readmission) (TREAT Trial only)

    \[If available\] Incidence of Intubation

    Time frame: 1-30; 1-60 days; 1 day to ~November 2021

07

Study locations

1 site
  • Hospital de Soledad
    San Luis Potosí City, San Luis Potosí 78435, Mexico
08

References and documents

Publications

  • Laird E, Rhodes J, Kenny RA. Vitamin D and Inflammation: Potential Implications for Severity of Covid-19. Ir Med J. 2020 May 7;113(5):81. PubMed 32603576 ↗
  • Boretti A, Banik BK. Intravenous vitamin C for reduction of cytokines storm in acute respiratory distress syndrome. PharmaNutrition. 2020 Jun;12:100190. doi: 10.1016/j.phanu.2020.100190. Epub 2020 Apr 21. PubMed 32322486 ↗
  • Panigrahy D, Gilligan MM, Huang S, Gartung A, Cortes-Puch I, Sime PJ, Phipps RP, Serhan CN, Hammock BD. Inflammation resolution: a dual-pronged approach to averting cytokine storms in COVID-19? Cancer Metastasis Rev. 2020 Jun;39(2):337-340. doi: 10.1007/s10555-020-09889-4. PubMed 32385712 ↗
  • Shakoor H, Feehan J, Mikkelsen K, Al Dhaheri AS, Ali HI, Platat C, Ismail LC, Stojanovska L, Apostolopoulos V. Be well: A potential role for vitamin B in COVID-19. Maturitas. 2021 Feb;144:108-111. doi: 10.1016/j.maturitas.2020.08.007. Epub 2020 Aug 15. No abstract available. PubMed 32829981 ↗
  • Entrenas Castillo M, Entrenas Costa LM, Vaquero Barrios JM, Alcala Diaz JF, Lopez Miranda J, Bouillon R, Quesada Gomez JM. "Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study". J Steroid Biochem Mol Biol. 2020 Oct;203:105751. doi: 10.1016/j.jsbmb.2020.105751. Epub 2020 Aug 29. PubMed 32871238 ↗
  • Singh M, Das RR. Zinc for the common cold. Cochrane Database Syst Rev. 2013 Jun 18;(6):CD001364. doi: 10.1002/14651858.CD001364.pub4. PubMed 23775705 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2021 to primary completion in Dec 2021, 11 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 12, 2021
First posted
Apr 2, 2021
StartActual
Jan 1, 2021
Primary completionActual
Dec 31, 2021
CompletionActual
Dec 31, 2021
Last update
Nov 8, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04828538
Lead sponsor
Hospital de la Soledad
Responsible party
A Yáñez Admin (On-site Principal Investigator, Hospital de la Soledad) — Principal investigator
First posted
Apr 2, 2021
Start date
Jan 1, 2021
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Nov 8, 2022

Study contacts

José Yañez
principal investigator · General Hospital Soledad

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 withdrawn, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Vitamin D · Ascorbic Acid · Zinc Acetate

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