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Cardiac Manifestation in Adolescent After Pfizer COVID-19 Injection in Thailand

29. maj 2022 opdateret af: Chayasin Mansanguan, Mahidol University

Rationale Recently, a CDC advisory Committee on Immunization Practices identified a likely association between the 2 COVID-19 mRNA vaccines from Pfizer-BioNTech and Moderna and cases of myocarditis and pericarditis. For the cardiovascular system, 4863 adverse events (AEs) were reported from the Pfizer vaccine. Common findings observed with vaccines under study were tachycardia(16.41%), flushing (12.17%), hypertension (5.82%), hypotension (3.6%), and increased heart rate (9.03%). In this study we characterized, classified, evaluate the dynamic of cardiac function and ECG abnormality after the Pfizer vaccine injection.

This is a prospective cohort study. All participants aged 13-18 years old and above who visited the second dose Pfizer covid-19 vaccine injection to determine cardiac manifestation.

Methods for analyzing research data The data will be collected from students enrollment at Kong thabbok upatham changkol kho so tho bo school and Wachirathamsatit school. The participant's history, physical exam, and laboratory data will be reviewed and data will be extracted based on the case record form (CRF). All data will be stored securely and analyzed using the SPSS® Statistics Version 23 developed by IBM®. Data entry will be carried out using coding and verification. Quantitative data will be expressed as mean with standard deviation (SD) or median (IQR) and qualitative data will be presented as a number of observations with percentage (%). Descriptive statistics will be used to summarize the baseline values and demographic data.

All p-values will be derived using the 2-tailed testing, and statistical significance will be set at 0.05 probability. All the categorical variables will be analyzed using the chi-square (x2) or Fisher's exact test whichever is appropriate. Normality of the distribution will be tested for the continuous variable using the Kolmogorov- Smirnov test. All the variables with normal distributions will be compared using the independent t-test and will be reported as mean ± standard deviation (SD). The variables that do not pass the normality test will be compared by means of the Mann-Whitney U test and will be reported as the median and interquartile range (IQR).

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Data Collection Methods

  1. Participants' demographics will be collected at baseline using case record form.
  2. Laboratory tests include: at 3 clinical visits (Baseline, Day3, Day7 and Day 14 (optional if have cardiac manifestation) after 2nd dose of Pfizer COVID-19 vaccine) 2.1. Cardiac biomarker (Troponin-T, CK-MB) 2.2. Echocardiography 2.3. ECG (Electrocardiography)

After getting approval from the Ethics Committee and before the start of the trial, the study team informed the interesting participants about the study by invitation letter with ZOOM or line meeting. Informed consent printed to the parents who interested in this project and bring to the team investigator before enrollment. A contact address and phone number will be provided for the interesting participants to call for more information about the study.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

314

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Thailand
      • BAngkok, Thailand, 10400
        • Faculty of Tropical Medicine

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

13 år til 18 år (Barn, Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Student age 13-18 who received 1st dose of pfizer COVID-19 vaccine from

  1. Kong thabbok upatham changkol kho so tho bo school
  2. Wachirathamsatit school

Beskrivelse

Inclusion Criteria:

  1. Age 13-18 years old
  2. Both males and females
  3. Received 1st dose Pfizer COVID-19 vaccine injection

Exclusion Criteria:

  1. Unable to obtain written informed consent from the participants or their legal representatives
  2. History of cardiomyopathy, tuberculous pericarditis, and constrictive pericarditis
  3. Severe allergic reaction to COVID-19 vaccine

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at baseline
Tidsramme: Day 0
cardiac manifestation defined as sinus tachycardia, hypertension at baseline
Day 0
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 3
Tidsramme: Day 3
cardiac manifestation defined as sinus tachycardia, hypertension at day 3
Day 3
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 7
Tidsramme: Day 7
cardiac manifestation defined as sinus tachycardia, hypertension at day 7
Day 7

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at baseline
Tidsramme: Day 0
frequency (%) of participant with myocarditis at baseline
Day 0
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 3
Tidsramme: Day 3
frequency (%) of participant with myocarditis at day 3
Day 3
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 7
Tidsramme: Day 7
frequency (%) of participant with myocarditis at day 7
Day 7
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at baseline
Tidsramme: Day 0
frequency (%) of participant with pericarditis at baseline
Day 0
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 3
Tidsramme: Day 3
frequency (%) of participant with pericarditis at day 3
Day 3
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 7
Tidsramme: Day 7
frequency (%) of participant with pericarditis at day 7
Day 7
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at baseline
Tidsramme: Day 0
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at baseline
Day 0
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 3
Tidsramme: Day 3
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at day 3
Day 3
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 7
Tidsramme: Day 7
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at day 7
Day 7

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Mahidol University

Efterforskere

  • Ledende efterforsker: Chayasin Mansanguan, M.D., Mahidol University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

3. november 2021

Primær færdiggørelse (Faktiske)

29. november 2021

Studieafslutning (Faktiske)

15. marts 2022

Datoer for studieregistrering

Først indsendt

17. marts 2022

Først indsendt, der opfyldte QC-kriterier

17. marts 2022

Først opslået (Faktiske)

21. marts 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. juni 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. maj 2022

Sidst verificeret

1. maj 2022

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • Cardiac and pfiizer

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Data or leftover specimens will be shared for future study ONLY subjects who consent allow using their specimens. Sharing will be done without specimen identification.

IPD-delingstidsramme

2 years after publication

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • ICF

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Malawi

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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