Testing PNMR plus standard care for long COVID
Official title: Phase II, Proof of Concept, Open-Label, Randomized-Controlled Trial Evaluating the Efficacy and Safety of PARAGON Novel Metabolic Regulator Formula (PNMR) in the Management of Long COVID
Run by ParagonClinicals Inc. · NCT07627815 · Data updated 2026-11-12
We’re trying PNMR along with standard care to see if it helps people with long COVID better than standard care alone.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 19 Years and up |
| Sex | All |
| Enrollment | 82 (estimated) |
| Sponsor | ParagonClinicals Inc. Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 4 sites (Brampton, Ontario and 3 other locations) |
| Status | Recruiting |
| Started | May 20, 2026 |
| Main results expected | August 26, 2026 |
| Study ends | December 26, 2026 |
| Registry record updated | June 4, 2026 |
| Trial ID | NCT07627815 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 19 years and older with a confirmed long COVID diagnosis persisting for several months and meeting the study’s eligibility criteria.
✕Probably not a fit
Patients whose symptoms do not respond to PNMR or who do not tolerate the regimen may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2, randomized, open-label study comparing Paragon Novel Metabolic Regulator (PNMR) plus standard of care (SOC) versus SOC alone over six weeks in adults with long COVID. Participants will have clinic assessments at screening/baseline, 3 and 6 weeks, plus a 4-week post-treatment call, and will keep a daily diary of their treatment. The study includes dietary and lifestyle recommendations aimed at supporting immune function and reducing viral activity, alongside the assigned treatment. The primary goal is to determine whether PNMR plus SOC improves outcomes in long COVID compared with SOC alone.
Why it matters
Potential benefit: If successful, PNMR plus SOC could improve symptoms and overall functioning in long COVID patients.
How similar studies have gone: Previous metabolic- or mitochondria-focused approaches have shown signals in related post-viral fatigue conditions, but this exact PNMR approach in long COVID is emerging.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: The patient must meet all the following criteria to be enrolled in the study:
1. ≥19 years of age.
2. Negative COVID-19 test for a minimum of four (4) weeks prior to enrollment in the study.
3. Confirmed COVID-19 diagnosis by Polymerase chain reaction (PCR) test, antibody test, or clinical diagnosis more than four (4) weeks prior to enrollment in the study.
4. Long COVID diagnosis according to the WHO criteria, specifically the continuation or development of new symptoms three months after the initial SARS-COV-2 infection, with these symptoms lasting for more than two months with no other explanation.
5. For women of childbearing potential involved in any sexual intercourse that could lead to pregnancy: Negative pregnancy test and willingness to use contraceptive (consistent with local regulations) during the study period. Approved contraceptive methods include contraceptive pills or patches, hormonal implants, intrauterine device (IUD), diaphragm or cervical cap with spermicide, and condos with spermicide.
Note: If participant become pregnant during the study, they must stop taking the study products immediately and inform the study investigator.
6. Patient agrees to stop taking any over the counter supplements, vitamins, or natural products as well as any of the prohibited medications during the study.
7. Patient agrees not to use medications affecting directly (or potentially) the objectives of the study such as fatigue and cognitive function during the study.
8. Willing to adhere to the study diet and exercise recommendations to the best of the patient's ability.
9. Willing to complete the 6MWT.
10. Willing to complete the patient self-administered questionnaires and diaries.
11. Signed informed consent form by any patient capable of giving consent, or, when the patient is not capable of giving consent, by his or her legal/authorized representatives.
Exclusion Criteria:
1. Subject is a female who is breastfeeding or pregnant or trying to conceive.
2. Subject with a vegetarian diet or not able to follow the dietary guidelines.
3. Known hypersensitivity to PNMR or its ingredients.
4. Participating in other drug clinical trials (participation in COVID-19 antiviral trials may be permitted if approved by sponsor).
5. Any condition that in the opinion of the investigator participation in the trial increases the risk to the patient.
6. 4 weeks or more of consecutive daily supplement use of 5000 IUs Vitamin D / day and/or 50mg Zinc (without copper) / day within 4 weeks of Day 0.
7. Use of any medications or treatments for which treatment with PNMR is counter-indicated.
8. Subject is not able to swallow a larger number of capsules.
9. Any condition that in the opinion of the investigator would confound the study results or would prevent the patient to complete the study.
10. Any patient for whom vitamin D3 (cholecalciferol) is contraindicated per the following patient situations:
1. Hypersensitivity to vitamin D, any of its analogues and derivatives or to any ingredient in the formulation
2. Hypercalcemia and/or hypercalciuria
3. Nephrolithiasis (renal calculi)
4. Severe renal impairment (eGFR \<30)
5. Malabsorption syndrome
6. Abnormal sensitivity to the toxic effects of vitamin D
7. Sarcoidosis
8. Hypervitaminosis D
Where it's running
-
Cardio Health
Brampton, Ontario, Canada Recruiting -
Cardio Health
London, Ontario, Canada Recruiting -
Cardio Health
Mississauga, Ontario, Canada Recruiting -
Cardio Health
North York, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Samuel H. O. Bock / CSO, BA Environmental Science
- Email: sbock@paragonsciences.com
- Phone: 514 998-3935
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Whole-body Cryotherapy for Fatigue in ME/CFS, Fibromyalgia, Long COVID
This study tests whether brief, repeated exposure to extreme cold can help reduce fatigue and related symptoms in adults with ME/CFS, fibromyalgia, or Long COVID compared to healthy controls.
-
Fatigue Investigation Using Digital Outcomes
This study tests whether digital monitoring with a smartphone app and wearables can track fatigue in people with MS or long COVID, compared with healthy volunteers.
-
Biomarker study to understand Long COVID using VIPER
This study tests biomarkers in people with Long COVID and those who recovered from COVID-19 to see how they can diagnose and track the condition over time.
-
PERCEIVE-Outreach: A scalable care model to help people with Long COVID manage heart and lung symptoms
This study tests a remote care model to see if a personalized, telehealth-based exercise program helps adults with Long COVID feel better and move more.
-
Combination therapy for Long COVID symptoms using valacyclovir, celecoxib, and Paxlovid
This study tests whether a three-drug combination can reduce Long COVID symptoms in adults compared with a placebo.
-
Right-sided stellate ganglion block for persistent long COVID symptoms
This trial will test whether a single right-sided stellate ganglion block with bupivacaine can help adults with long COVID who have ongoing breathlessness, fatigue, and cognitive problems.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.