- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04354610
Cardiovascular and Renal Biomarkers to Predict Acute Heart or Kidney Injury in Severe Covid-19 Infection (Nancy-CovH-AKI)
Prediction of Acute Heart or Kidney Injury With Cardiovascular-renal Biomarkers in Patients Hospitalised for Severe or Critical Covid-19 Infection
The Nancy Cov-H-AKI: study is a prospective, non-randomized, monocenter study performed in patients hospitalised for either the severe or the critical form of Covid-19.
The main objective of the Nancy Cov-H-AKI study is to evaluate the association of variations (from inclusion to 72H post-inclusion) of 5 blood-based cardio-vascular-renal biomarkers selected a priori, cardiac (NT-proBNP), coagulation (D-dimers), related to the renin angiotensin aldosterone system (ACE2) and renal (Penkid, and NGAL) with the appearance of acute kidney injury KDIGO grade 1 or higher OR cardiac injury in patients hospitalised for either the severe or the critical form of Covid-19
Study Overview
Status
Conditions
Detailed Description
Secondary objectives
Evaluate the association of the concentrations at inclusion AND of the variations (between inclusion and 72H post-inclusion) of blood and urine cardiovascular-renal biomarkers of interest (selected a priori: cardiac (NT-proBNP, (bio)-Adrenomedullin), coagulation (D-dimers), linked to the renin angiotensin aldosterone system (renin, ACE2, Angiotensin 2), inflammatory (ceramides), oxidative stress, and renal (PENKID, cystatin C) and renal glomerulo-tubulopathy ( renal functional exploration in blood and urine, and AKI (blood (NGAL, KIM-1) and urinary (IGFBP7-TIMP2)) biomarkers, AND WITHOUT a priori by an analysis of 184 blood protein biomarkers in connection with cardiovascular and inflammatory damage * ) with the appearance of:
- AKI KDIGO grade 1 or higher or elevation of troponin >99th percentile in hospitalisation (approach with AND without a priori)
- AKI KDIGO grade 1 or higher
- Elevation of troponin >99th percentile in hospitalisation
- Elevated serum creatinine >30% in hospital
- Chronic renal failure (eDFG <60 ml / min / 1.73m2) three months after discharge from hospital
- Cardiovascular events (stroke, myocardial infarction, hospitalization for heart failure, cardiovascular death) and mortality in hospital and at three months after discharge from hospital
Considering future exploratory analyses (biological collection of plasma, serum, saliva, urine, viruses) (for example other OLINK panels) on the previous endpoints
- NGAL (Neutrophil Gelatinase Associated Lipocalin), Cystatin C, Kidney Injury Molecule-1 (Kim-1), ACE-2, renin, Brain-type Natriuretic Peptide (BNP), Adrenomedullin, FGF (fibroblast growth factor-23 are all included in the 2 Olink panels "CVDII" (https://www.olink.com/products/cvd-ii-panel/: listing) and "cardiometabolic" (https://www.olink.com/products/cardiometabolic-panel /)
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Nancy, France, 54000
- CHRU de Nancy
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Vandœuvre-lès-Nancy, France, 54500
- CHRU de Nancy
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients over the age of 18,
- Admission for less than 3 days in the medical service (or in intensive care) for proven serious form of Covid 19 infection (respiratory rate >30 / min, or desaturation in air ≤ 93%, or PaO2 / FiO2 ≤ 300mmHg)
- OR Admission for less than 2 days in intensive care (or resuscitation intensive care) for critical form of Covid 19 (shock or respiratory failure).
- GFR greater than 30 ml / min / 1.73m2.
- Troponin <99th percentile.
- Patient affiliated to a social security scheme or beneficiary of such a scheme
- The patient or their representative received complete information on the study and signed and dated the emergency situation informed consent/inclusion form in accordance with article L1122-1-3 of the French Public Health Code (Code de la Santé Publique).
Exclusion Criteria:
Exclusion criterion for patients taking part in clinical research.
- AKI KDIGO grade 1 on the day of visit 1
- Pregnant women, parturient, or nursing mothers
- A person of full age subject to a legal protection measure (guardianship, curatorship, safeguard of justice)
- Person deprived of their liberty by a judicial or administrative decision,
- Person undergoing psychiatric treatment under articles L. 3212-1 and L. 3213-1 of the Public Health Code.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Patients hospitalized for Covid-19 infection
Patients hospitalized for Covid-19 infection will undergo the following evaluations:
|
Blood samples, saliva collection, and urine collection to carry out biomarker assays and for the constitution of a biological collection.
Clinical examination
Telephone follow-up at 3 months after discharge from hospital
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Worsening of renal function by at least KDIGO grade 1 during hospitalization for Covid-19 infection
Time Frame: From inclusion to hospital discharge, an average of 21 days
|
Composite endpoint : Worsening of renal function by at least KDIGO grade 1 criteria from inclusion visit OR troponin greater than 99th percentile during hospitalization for Covid-19 infection (with Outcome 2).
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From inclusion to hospital discharge, an average of 21 days
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Troponin greater than 99th percentile during hospitalization for Covid-19 infection
Time Frame: From inclusion to hospital discharge, an average of 21 days
|
Composite endpoint : Worsening of renal function by at least KDIGO grade 1 criteria from inclusion visit OR troponin greater than 99th percentile during hospitalization for Covid-19 infection (with Outcome 1)
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From inclusion to hospital discharge, an average of 21 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
AKI KDIGO grade 1 or higher in hospitalisation (approach with AND without a priori)
Time Frame: From inclusion to hospital discharge, an average of 21 days
|
Composite endpoint : AKI KDIGO grade 1 or higher or Elevation of troponin> 99th percentile in hospitalisation (approach with AND without a priori) ((with Outcome 3 )
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From inclusion to hospital discharge, an average of 21 days
|
Elevation of troponin> 99th percentile in hospitalisation (approach with AND without a priori)
Time Frame: From inclusion to hospital discharge, an average of 21 days
|
Composite endpoint : AKI KDIGO grade 1 or higher or Elevation of troponin> 99th percentile in hospitalisation (approach with AND without a priori) (with Outcome 3)
|
From inclusion to hospital discharge, an average of 21 days
|
AKI KDIGO grade 1 or higher
Time Frame: From inclusion to hospital discharge, an average of 21 days
|
AKI KDIGO grade 1 in hospitalisation
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From inclusion to hospital discharge, an average of 21 days
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Association with troponin elevation >99th
Time Frame: From inclusion to hospital discharge, an average of 21 days
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Association with troponin elevation >99th percentile during hospitalisation
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From inclusion to hospital discharge, an average of 21 days
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Association with elevation of serum creatinine >30%
Time Frame: From inclusion to hospital discharge, an average of 21 days
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Association with elevation of serum creatinine >30% during hospitalisation
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From inclusion to hospital discharge, an average of 21 days
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With the onset of chronic renal failure (eDFG <60 ml / min / 1.73m2)
Time Frame: 3 months after discharge from hospital
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With the onset of chronic renal failure (eDFG <60 ml / min / 1.73m2) three months after discharge from hospital
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3 months after discharge from hospital
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The occurrence of cardiovascular events (stroke, myocardial infarction, hospitalisation for heart failure, cardiovascular death) during hospitalisation and three months after discharge from hospital
Time Frame: From inclusion to three months after discharge from hospital
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Composite outcome : the occurrence of cardiovascular events (stroke, myocardial infarction, hospitalisation for heart failure, cardiovascular death) and death from any cause during hospitalisation and three months after discharge from hospital
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From inclusion to three months after discharge from hospital
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The occurrence of death from any cause during hospitalisation and three months after discharge from hospital
Time Frame: From inclusion to three months after discharge from hospital
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Composite outcome : the occurrence of cardiovascular events (stroke, myocardial infarction, hospitalisation for heart failure, cardiovascular death) and death from any cause during hospitalisation and three months after discharge from hospital
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From inclusion to three months after discharge from hospital
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2020PI072
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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