A Randomized Controlled Trial Assessing the Efficacy of Lianhua Qingwen as an Adjuvant Treatment in Patients With Mild Symptoms of COVID-19

Nanyang Technological University

Overview

COVID-19 virus remains in infected patients for extended periods of time. A great resource burden is placed on the healthcare system and society at large to isolate COVID-19 patients for prolonged periods. Thus, being able to increase the rate of viral clearance, thus reducing the duration of COVID-19 infection, would allow patients to be discharged earlier to free up resources for those who require it. The investigators designed a randomized controlled trial, investigating the use of Lianhua Qingwen, a TCM treatment, in COVID-19 infected patients with mild symptoms. The investigators hypothesize that the use of Lianhua Qingwen will increase the proportion of patients who test negative for COVID-19 after 8 days of TCM treatment when compared to the group of patients provided with standard care and placebo. Patients will be recruited from community isolation facilities, and have onset of symptoms within 5 days prior to admission to the isolation facility. The trial also evaluates the time taken for relief of clinical symptoms associated with COVID-19 and assesses the safety of the TCM treatment given to patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Conditions

COVID-19

Interventions

Eligibility

Sex: ALLMin age: 21 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age ≥21 years 2. Positive laboratory test for COVID-19 by RT-PCR methods 3. Presenting with at least one symptom (symptoms include fever, dry cough, sore throat, nasal congestion, malaise, headache, muscle pain, anosmia, and diarrhoea) 4. Length of time between date of onset of symptoms and the date of recruitment should not exceed 5 days to ensure that trial participants are in the early stages of infection 5. No clinical or radiographic evidence of pneumonia 6. Able to provide informed consent Exclusion Criteria: 1. Individuals with underlying primary diseases such as cardiovascular, respiratory, liver, renal, diabetes, hepatitis A/B/C, gout or endocrinological diseases and neurological disorders which put them at a higher risk of developing severe disease 2. Individuals with compromised immune systems such as malignant tumors, organ or bone marrow transplants, HIV, or have taken immunosuppressants in the past three months. 3. Women who are pregnant or on lactation. 4. Individuals with mental illness. 5. History of allergy to any drug or food, or herb ingredient observed in this trial. 6. Individuals who are deemed not able to comply with trial procedure or follow-up

Outcomes

Primary Outcomes

Proportion of participants who test negative for COVID-19

Time frame: after 8 days of treatment

Secondary Outcomes

Time taken in days for relief of clinical symptoms

Time frame: during the 8-day course of treatment

Proportion of participants with mild symptoms of COVID-19 progressing to moderate or severe illness

Time frame: after 8 days of treatment and at the end of the trial

Proportion of participants who test positive for COVID-19 with Ct value>30

Time frame: after 8 days of treatment