NCT04382781

Brief Summary

SAM-COVID is a retrospective cohort study that aims to determine the impact of immunosuppressive drugs and immunoglubulins in the outcome of patients with COVID-19.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2020

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2020

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

May 6, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 11, 2020

Completed
Last Updated

May 12, 2020

Status Verified

May 1, 2020

Enrollment Period

Same day

First QC Date

May 6, 2020

Last Update Submit

May 9, 2020

Conditions

Keywords

COVID-19SARS-CoV-2ImmunosuppressiveImmunoglubulins

Outcome Measures

Primary Outcomes (1)

  • Invasive ventilation or death

    Days until invasive mechanical ventilation or death, whatever happened first.

    Up to 21 days

Secondary Outcomes (5)

  • Ventilation

    Up to 21 days

  • Death

    Up to 21 days

  • Secondary infections

    Up to 21 days

  • Digestive tract hemorrhage

    Up to 21 days

  • Change in 7 points scale

    Day 21

Study Arms (1)

COVID-19 infection

Consecutive patients admitted to Spanish hospitals with laboratory-confirmed COVID-19 infection by real-time polymerase chain reaction (RT-PCR) assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who showed clinical and analytical data suggestive of macrophage activation syndrome during admission until March 30, 2020 .

Drug: NO-ImmunosuppressiveDrug: ImmunosuppressiveDrug: Immunoglubulins

Interventions

Patients not receiving immunosuppressive drugs

COVID-19 infection

Patients receiving immunosuppressive drugs (overall, and specific drugs)

COVID-19 infection

Patients receiving immunoglubulins

COVID-19 infection

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Consecutive patients admitted to Spanish hospitals with laboratory-confirmed COVID-19 infection by real-time polymerase chain reaction (RT-PCR) assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who showed clinical and analytical data suggestive of macrophage activation syndrome during admission until March 30, 2020 .

You may qualify if:

  • Adult patients (≥18 years) admitted because of COVID-19 confirmed by PCR in nasopharyngeal swab or lower respiratory tract sample and presenting on a specific date (day 0) one clinical and one laboratory criteria of the following:
  • Clinical criteria:
  • Temperature ≥38ºC.
  • Worsening in oxygen requirements to achieve O2 saturation \>92%.
  • Laboratory criteria:
  • Ferritin \>2000 ng/mL or increment in \>1000 ng/ML since admission.
  • D-dimer \>1500 µg/mL (or duplicate in 24h)
  • IL6 \>50 pg/mL.

You may not qualify if:

  • Mechanical ventilation in day 0.
  • Decision of provide only palliative care before day 0.
  • Use of systemic steroids, tocilizumab, other immunosupressors, or immunoglobulins before day 0.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Virgen Macarena

Seville, 41071, Spain

RECRUITING

MeSH Terms

Conditions

COVID-19

Interventions

Immunosuppressive Agents

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Immunologic FactorsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and Uses

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of the Infectious Diseases Service of the HU Virgen Macarena

Study Record Dates

First Submitted

May 6, 2020

First Posted

May 11, 2020

Study Start

May 1, 2020

Primary Completion

May 1, 2020

Study Completion

May 1, 2020

Last Updated

May 12, 2020

Record last verified: 2020-05

Locations