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CompletedNCT04853199QUERCOVUpdated Jul 6, 2023

Quercetin In The Treatment Of SARS-COV 2

An Early Phase 1 interventional study of Quercetin and Placebo in SARS (Severe Acute Respiratory Syndrome), sponsored by Hôpital Universitaire Sahloul. Completed at 2 sites in Tunisia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-06.

Sponsored by Hôpital Universitaire Sahloul · Early Phase 1, Interventional, and Treatment

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Phase
Early Phase 1
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

In 1937, Albert Szent-Gyorgyi received a Nobel Prize for discovering vitamin C and flavonoids, as well as for exploring their biochemical properties. Originally, he gave the flavonoids the name "vitamin P" because of their effectiveness in reducing the permeability of blood vessels. This name was abandoned when it was realized that these substances were not really vitamins.

Quercetin is extracted from a variety of plant sources, including the onion peel and the seeds and pods of Dimorphandra mollis, a legume tree native to South America.

Although we are far from knowing everything about quercetin, its antioxidant, anti-inflammatory, and antihistamine (antiallergic) properties have been observed in numerous in vitro and animal studies.

Read the detailed description

Properties

  • Anti-oxidant, vascular protector
  • Inhibition of platelet aggregation, vasorelaxant , arterial relaxant
  • Anti-hypertensive , especially by certain derivatives (quercetin-3-glucuronic acid)
  • Nephroprotective in rats, protects against the nephrotoxicity of gentamicin
  • Anticancer , with immunostimulatory activity and inducer of apoptosis, with activity on the shock proteins HSP (heat shock proteins) hsp27 and hsp70
  • Antitumor activity against prostate cancer and certain breast cancer cells
  • Prevention of cardiac toxicity from doxorubicin, with resveratrol
  • Protection against gastric inflammation associated with Helicobacter pylori infection by activity on MAPK, BCL-2, BAX.
  • Increases the antitoxic activity of the liver
  • Pancreatic lipase inhibitor, potential action in weight gain
  • Anti-inflammatory
  • Anti-allergic, inhibition of mast cell degranulation, with a preventive effect, reduction of inflammation linked to eosinophils (such as isoquercitrin regulates the Th1 / Th2 balance
  • Antiviral (dose-dependent reduction of infectivity, decreases intracellular replication)
  • Inhibition of rhinovirus replication
  • Influenza prophylaxis by quercetin or its derivatives (quercetin-3-O-α-L-rhamnopyranoside), opposes the pro-oxidant effects induced by the influenza virus, antioxidant therapy could be used to prevent serious complications associated with influenza
  • In vitro inhibition of the penetration of the Ebola virus by quercetin-3-O-glucoside
  • Antiviral activity against Zika virus, hepatitis B virus, hepatitis C, Epstein-Barr virus EBV and antitumor against human gastric carcinoma
02

Conditions studied

  • SARS (Severe Acute Respiratory Syndrome)
03

In context

Severe Acute Respiratory Syndrome

376 studies on the registry are indexed under Severe Acute Respiratory Syndrome; 15 are open to participants now.

This study's enrollment of 200 is above the median of 145 across 211 interventional studies indexed under Severe Acute Respiratory Syndrome.

Browse Severe Acute Respiratory Syndrome studies →

Lead sponsor

Hôpital Universitaire Sahloul is the lead sponsor of 17 studies on the registry; 2 are open to participants now.

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
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

    • Clinical score greater than 6

      • Patients with clinical symptoms less than 5 days old.
      • Men and women at least 40 years old, able and willing to give ;
      • Any patient over the age of 18 with a CT scan in favor of COVID-19;
      • Ambulatory or hospitalized environment;
      • Patient with dyspnea or with a positive gait test;
      • The patient must have at least one of the following high risk criteria: 70 years or older, obesity ( ≥ 30 kg / m2), diabetes mellitus, uncontrolled hypertension (systolic blood pressure ≥ 150 mm Hg), respiratory disease known (including asthma or ), known heart failure, known coronary artery disease, fever ≥ 38.4 ° C within the last 48 hours, dyspnea at the time of presentation, bicytopenia, pancytopenia or a combination of a number high neutrophils and low lymphocytes count;
      • The patient is not of childbearing age, defined as for at least 1 year or surgically sterile, or is of childbearing age and uses at least one method of and preferably two complementary forms of contraception comprising a method of barrier throughout the study and for 30 days after the end of the study;
      • The patient must be able and willing to comply with the requirements of this study protocol.

Exclusion criteria

Exclusion Criteria:

    • Patient currently in shock or exhibiting hemodynamic instability;

      • Patient with inflammatory bowel disease (Crohn's disease or ulcerative colitis), chronic diarrhea or malabsorption;
      • Pregnant or breastfeeding patient
      • Patient with a history of allergic reaction or significant sensitivity to Nigella;
      • The patient is considered by the investigator, for whatever reason, to be an unsuitable candidate for the study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    Quercetin group

    Each patient included, after signing the consent, will have a treatment for ten days: one tablet twice a day 30 minutes before the meal

    Drug: Quercetin

  • Placebo comparator
    Placebo Group

    Each patient included, after signing the consent, will have a treatment for ten days: one tablet twice a day 30 minutes before the meal

    Drug: Placebo

Interventions

  • Each patient should receive one tablet twice a day 30 minutes before the meal

  • DrugPlacebo

    Each placebo capsule contains 150 mg of microcrystalline cellulose and 1.5 mg of magnesium stearate.

06

What researchers measure

Primary outcomes

  1. Mortality rate

    death rate

    Time frame: 30 days

  2. Need for ICU admission

    Number of participants admitted to the Intensive care unit (ICU)

    Time frame: 30 days

  3. treatment safety

    rate of adverse events

    Time frame: 30 days

Secondary outcomes

  1. Need for hospitalization for patients followed up at home

    Need for hospitalization for patients followed up initially at home

    Time frame: 30 days

  2. lenghth of stay in Hospital

    days spent at hospital for patients followed up initially at home

    Time frame: 30 days

  3. resolution of COVID-19 symptoms

    Time to resolution of COVID-19 symptoms \[ Evaluated at day 15 and day 30 precising the Time at which the patient is completely symptom free and severity of symptoms

    Time frame: 30 days

  4. need for oxygen therapy

    Number of participants who needed oxygen therapy

    Time frame: 30 days

07

Study locations

2 sites
  • HU Sahloul, sousse, Tunisia
    Sousse, Itinéraire Ceinture Cité Sahloul 4054, Tunisia
  • Riadh Boukef
    Sahloul, Sousse, Tunisia
08

References and documents

Individual participant data

Plan to share: No — Two study groups will be included: 100 patients in the herbal medicine group and 100 patients in the Placebo group. For each patient included in the study, a PCR test for the detection of SARS-COV2 was performed with the prescription of a prescription containing: antibiotic therapy, paracetamol, cough syrup, mineral and vitamin supplements. A follow-up will be carried out for each patient included in the study every two days to note the clinical signs present and to verify compliance and adverse events for each. Data is entered on SPSS 21.0

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2021 to primary completion in Jul 2021, 1 month.

Of 18 phase 1 interventional studies under Severe Acute Respiratory Syndrome, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 15. This study's 1 month is below that.

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

Registered
Apr 18, 2021
First posted
Apr 21, 2021
StartActual
Jun 1, 2021
Primary completionActual
Jul 30, 2021
CompletionActual
Aug 30, 2021
Last update
Jul 6, 2023
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 Jul 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04853199
Lead sponsor
Hôpital Universitaire Sahloul
Responsible party
Riadh Boukef (Professor, Hôpital Universitaire Sahloul) — Principal investigator
First posted
Apr 21, 2021
Start date
Jun 1, 2021
Primary completion
Jul 30, 2021
Completion
Aug 30, 2021
Last update
Jul 6, 2023

Study contacts

Riadh Boukef, professor
principal investigator · CHU Sahloul, Sousse, Tunisia

Oversight

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

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This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Quercetin

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