- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04456101
Study on the Recovery of Pulmonary Function, Chest CT, Airway Microbiota, Hematologic, and Immune & Inflammatory Conditions in COVID-19 Rehabilitation Patients
March 22, 2023 updated by: Yang Jin, Wuhan Union Hospital, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
The intent of this study was to examine the health status of individuals who had been confirmed with COVID-19 in the year after their recovery.
Parameters studied included serum levels of SARS coronavirus 2 (SARS-CoV 2) IgG antibody, SARS-CoV-2 nucleic acid test, hematology indicators (blood routine, liver function, kidney function, myocardial enzymes, coagulation function, etc), lung function test, imaging data and airway microbiota data.
In addition, we explored the systematic Immune & Inflammation in some of the individuals recovering from COVID-19.
Study Overview
Status
Recruiting
Conditions
Detailed Description
About 20% of COVID-19 developed into a critical illness and about 2% died.
The global epidemic continues to develop, but some patients in China have entered the rehabilitation period, which is accompanied by a large number of respiratory symptoms and pulmonary fibrosis, bringing serious harm to the country.
Therefore, early accurate detection and prediction of the development trend of patients in rehabilitation period and targeted treatment measures for corresponding patients are the key to the success of COVID-19 rehabilitation period.
It will play a key role in the stratified management of the post-epidemic situation, which is crucial to improve the quality of life of COVID-19 patients.
We aim to explore the clinical characteristics of rehabilitation patients by detecting some indicators of patients in rehabilitation period, including serum IgG and IgM antibody of SARS-CoV 2, SARS-CoV-2 nucleic acid, hematology indicators (blood routine, liver function, kidney function, myocardial enzymes, coagulation function, etc), pulmonary function, chest CT imaging, systematic Immune & Inflammation states.
Study Type
Observational
Enrollment (Anticipated)
450
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Juanjuan Xu, professor
- Phone Number: 15972930101
- Email: whuhjy@126.com
Study Locations
-
-
Hubei
-
Wuhan, Hubei, China, 430000
- Recruiting
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Covid-19 rehabilitation was the experimental group, and the healthy control group was the conventional control group
Description
Inclusion Criteria:
- Individuals recovering from COVID-19, or asymptomatic COVID-19 patients with laboratory test for SRARS-COV2 turning negative, or healthy volunteers without COVID-19.
- The age range is 18-80 years.
- Subjects or their family members agree to participate in the study and sign informed consent.
- The previously diagnosed individuals have been cured for about 1 month.
Exclusion Criteria:
- Woman who is breastfeeding, pregnant, or preparing to become pregnant.
- Patients with cognitive impairment or poor compliance as determined by the investigator.
- Participants in other clinical trials.
- Subjects who were not suitable for clinical trials determined by the investigator.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
Control group
healthy individuals without COVID-19
|
Severe/Critical COVID-19 rehabilitation group
①Individuals recovering from Severe/Critical COVID-19
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mild/moderate COVID-19 rehabilitation group
Individuals recovering from mild/moderate COVID-19
|
asymptomatic COVID-19 rehabilitation group
Asymptomatic COVID-19 individuals with laboratory test for SRARS-COV2 turning negative
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pulmonary Function
Time Frame: an average of 1 to 3 months after recovery
|
Forced vital capacity (FVC), forced expiratory volume in one second (FEV1) for lung volume, peak expiratory flow (PEF) for velocity, carbon monoxide diffusion capacity (DLCO) for pulmonary diffusion function.
|
an average of 1 to 3 months after recovery
|
Chest CT
Time Frame: an average of 1 to 3 months after recovery
|
Percentage of lungs that contain reticular patterns, Percentage of lungs that contain pure ground-glass opacification, Percentage of lungs that contain honeycombing, Percentage of lungs that contain traction bronchiectasis, Percentage of lungs that contain strip-like consolidation.
|
an average of 1 to 3 months after recovery
|
Changes in hematology
Time Frame: an average of 1 to 3 months after recovery
|
blood routine indexes included leucocytes(×109/L), neutrophils(×109/L), lymphocytes(×109/L), monocytes(×109/L), eosinophils(×109/L), platelets(×109/L).
Biochemical and coagulation function indicators included total protein(umol/L), creatinine (umol/L), uric acid (umol/L), lactic dehydrogenase(U/L), C-reactive protein (mg/L), aspartate aminotransferase (U/L), glutamic-pyruvic transaminase (U/L), D-dimer,(ug/L), fibrinogen(g/L), Active part thrombin time (APTT), prothrombin time (PT), thrombin time (TT) and troponin (TNI).
|
an average of 1 to 3 months after recovery
|
Changes in immune and inflammatory states
Time Frame: an average of 1 to 3 months after recovery
|
Immune cells and related cell factors included CD8+T cell(×109/L), CD4+T cell(×109/L), bone marrow derived suppressor cells(×109/L), regulatory T cells(×109/L), natural killer cell(×109/L), dendritic cell(×109/L), macrophages(×109/L), interleukin-4(IL-4)ug/L, IL-2 ug/L, IL-17 ug/L, IL-15 ug/L, IL-16 ug/L, IL-1 ug/L, IL-6 ug/L, IL-10 ug/L, tumor necrosis factor ug/L, interferon gamma ug/L, eotaxin-3 ug/L, eotaxin ug/L.
|
an average of 1 to 3 months after recovery
|
St. George's Respiratory Questionnaire(SGRQ)
Time Frame: an average of 1 to 3 months after recovery
|
St. George's Respiratory Questionnaire total score(0-3989.4),
St. George's Respiratory Questionnaire symptoms score(0-662.5);
St. George's Respiratory Questionnaire impacts score(0-2117.8);
St. George's Respiratory Questionnaire activity score(0-1209.1).
The higher the score, the worse the lung.
|
an average of 1 to 3 months after recovery
|
Modified British medical research council (mMRC)
Time Frame: an average of 1 to 3 months after recovery
|
mMRC only reflects symptom of dyspnea.
A score of 0-1 is considered as fewer symptom, and ≥2 is considered as more symptom.
|
an average of 1 to 3 months after recovery
|
COPD Assessment test (CAT)
Time Frame: an average of 1 to 3 months after recovery
|
CAT score was a comprehensive symptom score ranging from 0 to 40 points.
The higher the score, the worse the lung.
|
an average of 1 to 3 months after recovery
|
Airway Microbiota
Time Frame: an average of 1 to 3 months after recovery
|
Airway Microbiota of exhaled breath condensate in individuals were detected.
|
an average of 1 to 3 months after recovery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Yang Jin, professor, Wuhan Union Hospital, China
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 19, 2020
Primary Completion (Anticipated)
December 12, 2023
Study Completion (Anticipated)
December 12, 2023
Study Registration Dates
First Submitted
June 30, 2020
First Submitted That Met QC Criteria
June 30, 2020
First Posted (Actual)
July 2, 2020
Study Record Updates
Last Update Posted (Actual)
March 27, 2023
Last Update Submitted That Met QC Criteria
March 22, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NCIP03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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