Official Title
Randomized, Controlled, 3-arm, Open, Prospective Clinical Trial to Assess Antiviral Properties of Echinacea Reducing Oropharyngeal Concentration and Infectivity of SARS-CoV-2: The Shedding Study
Brief Summary

Respiratory viruses pose a permanent threat to humans and society as demonstrated by the current Covid-19 pandemic. Novel drugs and vaccines provide a means for controlling illness. Infections and symptomatic presentation of illness may be reduced, but it remains to be determined to which extent viral shedding and transmission (e.g. by silent transmitters) can be controlled. Lack of such activity may result in continuing viral spread by assumed healthy but asymptomatic spreaders. Echinacea is an established and readily-accessible product with demonstrated in vitro antiviral activity (including coronaviruses). This study aims to estimate the potential of different Echinacea formulations (head-to-head) to reduce concentration infectivity and shedding of SARS-CoV-2 under in vivo conditions.

Recruiting
COVID-19 Respiratory Infection
SARS-CoV2 Infection

Drug: Echinaforce Forte tablets

Tincture of fresh Echinacea purpurea (L) MOENCH: Herba rec. T. aerial part DER = 1:12-13 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)* with an approx. dry plant equivalent of 32 mg per tablet Dry weight content in 1 tablet: 5.9 mg
Echinacea purpurea: (L) MOENCH: Radix rec. root part DER = 1:11-12 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)* with an approx. dry plant equivalent of 1.8 mg per tablet Dry weight content in1 tablet: 0.3 mg
the tablet contain additional excipients

Drug: Echinaforce Chewable tablets

Tincture of fresh Echinacea purpurea (L) MOENCH: Herba rec. T. aerial part DER = 1:12-13 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)* with an approx. dry plant equivalent of 32 mg per tablet Dry weight content in 1 tablet: 5.9 mg
Echinacea purpurea: (L) MOENCH: Radix rec. root part DER = 1:11-12 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)* with an approx. dry plant equivalent of 1.8 mg per tablet Dry weight content in1 tablet: 0.3 mg
The tablets contain additional excipients

Drug: Echinaforce tincture

Tincture of fresh Echinacea purpurea (L) MOENCH: Herba rec. T. aerial part DER = 1:12-13 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)
Echinacea purpurea: (L) MOENCH: Radix rec. root part DER = 1:11-12 (Drug to extraction solvent ratio) extraction solvent = ethanol 65.1 % (V/V) = 57.3 % (m/m)
Other Name: Echinaforce drops

Eligibility Criteria

Inclusion Criteria:

- Age 12 - 75 years.

- Written informed consent.

- Ability and willingness to give oropharyngeal swab samples.

- Positive pre-screening SARS-CoV-2 RT-PCR virus test with an above threshold viral load
as per qPCR (Cq ≤ 27).

Exclusion Criteria:

- ≥76 years

- <12 years.

- Participation in another clinical study in the past 30 days or planned during study
conduct.

- Severe COVID19

- Intake of antimicrobial, antiviral, immune suppressive substances.

- Surgical intervention in the 3 months prior enrolment

- Known diabetes mellitus.

- Known and medicated atopy or asthma.

- Cystic Fibrosis, bronchopulmonary dysfunction, COPD.

- Known immune system disorders and degenerative disorders (autoimmune disorders, AIDS,
leukemia, lymphoma, myeloma).

- Known metabolic or resorption disorders.

- Known liver or kidney illnesses (chronic hepatitis, liver cirrhosis, chronic kidney
insufficiency).

- Serious health conditions (limited general condition, auto-immune diseases, tumorous
diseases, neurological disorders or serious Covid-19)

- Known allergies to plants of the compositae family (e.g. chamomile or dandelion) or to
one of the compounds in the investigational product

- Known pregnancy.

Eligibility Gender
All
Eligibility Age
Minimum: 12 Years ~ Maximum: 75 Years
Countries
Bulgaria
Locations

Diagnostics and Consultation Center Convex EOOD
Sofia, Bulgaria

Investigator: Lilyana Mircheva, Msc
Contact: + 359 2 9863 109
lilly@convex.bg

NCT Number
Keywords
SARS-CoV2 infectivity
Viral load reduction
antiviral treatment
Oropharynx
Throat
MeSH Terms
Infections
Communicable Diseases
COVID-19
Respiratory Tract Infections