Can SARS-CoV-2 Viral Load and COVID-19 Disease Severity be Reduced by Resveratrol-assisted Zinc Therapy

Study Overview
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Brief Summary
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Administration of Zinc and resveratrol or double placebo for a period of 5 days and will be monitored for a 14 day period in covid-19 positive patients in an outpatient setting

Detailed Description
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Research Question: In ambulatory, non-hospitalized patients with SARS-CoV-2 infection, is it possible to utilize resveratrol as a transporter for zinc treatment as means to minimize viral load and severity of resulting COVID-19 disease? 60 ambulatory SARS-CoV-2 positive volunteers who will be randomized into one of two treatment arms to receive either Zinc and resveratrol or double placebo for a period of 5 days and will be monitored for a 14 day period. It is anticipated to take approximately 20 weeks to accrue this cohort resulting in an estimated active project period of 22 weeks, although it may take up to 12 additional weeks to collect all of the data related to COVID-19 admissions in the cohort.

Official Title
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Can SARS-CoV-2 Viral Shedding in COVID-19 Disease be Reduced by Resveratrol-assisted Zinc Ingestion, a Direct Inhibitor of SARS-CoV-2-RNA Polymerase? A Single Blinded Phase II Protocol (Reszinate Trial)

Conditions
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Covid19, SARS-CoV Infection

Intervention / Treatment
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* Dietary Supplement: Zinc Picolinate
* Dietary Supplement: Resveratrol
* Dietary Supplement: Zinc Picolinate Placebo
* Dietary Supplement: Resveratrol Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults (18 - 75) with a nasal swab confirmed SARS-CoV-2 infection; testing positive within 4 days of enrollment Ability to read, understand and provide informed consent (no legally authorized representatives may consent on their behalf) and study assessments in English Ability for subject to comply with the requirements of the study (must/will have a valid email address, internet connection and phone number) Willingness to self limit medications and supplements and report what they are taking Comfortable self-administering oral medication and nasal swab sampling Willingness to permit a review of their medical history and to provide medical data from their electronic medical record for the period of enrollment (14 days) and until resolution of Covid-19 related events. Individuals who are not current Swedish patients will be asked to identify their provider of record and provide access to specific elements of their electronic health record. Reside within twenty-five miles of one of the Swedish campuses: First Hill, Ballard, Edmonds, Issaquah, Cherry Hill. Exclusion Criteria: Reported history or evidence of impaired liver or kidney function: GFR <30 or bilirubin >2x ULT or INR > 2x ULT in the absence of anticoagulants Known hypersensitivity to zinc or resveratrol Diagnosis of COVID-19 or SARS-CoV-2 infection >4 days before enrollment Preexisting severe pulmonary disease requiring supplemental oxygen Clinically evident impairment of cognitive function, per physician discretion Active substance abuse that may prevent the subject from completing the protocol requirements, per physician discretion. Active psychotic or affective disorder that may prevent the subject from completing the protocol requirements, per physician discretion. Pregnant or lactating females. Coumadin treatment that can not be halted during the study period

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: Placebo controlled Resveratrol and Zinc combination therapy
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Resveratrol and Zinc Picolinate combination therapy<br>Resveratrol and Zinc Picolinate combination therapy | Dietary Supplement: Zinc Picolinate<br>* Zinc Picolinate (50 mg PO TID x 5 days)<br>Dietary Supplement: Resveratrol<br>* Resveratrol 2 grams po BID x 5 days<br>|
| Placebo Comparator: Resveratrol Placebo and Zinc Placebo combination therapy<br>Placebo Resveratrol and Placebo Zinc combination therapy | Dietary Supplement: Zinc Picolinate Placebo<br>* Zinc Picolinate Matched Placebo PO TID x 5 days<br>Dietary Supplement: Resveratrol Placebo<br>* Resveratrol Matched Placebo PO BID x 5 days<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in SARS-CoV-2 Viral load | Viral AUCs normalized to peak viral load and housekeeper genes will be calculated, the AUCs on subjects with complete data will be used as dependent measures in t-tests, regressions and repeated measures mixed ANOVAs to compare viral load reduction between groups | 1 year | 
| Reduction in Severity of COVID-19 Disease | Review of healthcare resource utilization during study period | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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covid19, SARS-CoV-2, zinc, resveratrol