NCT04409847

Brief Summary

The current COVID-19 pandemic (caused by the SARS-CoV-2 virus) represents the biggest medical challenge in decades. Whilst COVID-19 mainly affects the lungs it also affects multiple organ systems, including the cardiovascular system. There are documented associations between severity of disease and risk of death and To provide all the information required by review bodies and research information systems, we ask a number of specific questions. This section invites you to give an overview using language comprehensible to lay reviewers and members of the public. Please read the guidance notes for advice on this section. 5 DRAFT Full Set of Project Data IRAS Version 5.13 advancing age, male sex and associated comorbid disease (hypertension, ischaemic heart disease, diabetes, obesity, COPD and cancer). The most common complications include cardiac dysrhythmia, cardiac injury, myocarditis, heart failure, pulmonary embolism and disseminated intravascular coagulation. It is thought that the mechanism of action of the virus involves binding to a host transmembrane enzyme (angiotensin- converting enzyme 2 (ACE2)) to enter some lung, heart and immune cells and cause further damage. While ACE2 is essential for viral invasion, it is unclear if the use of the common antihypertensive drugs ACE inhibitors or angiotensin receptor blockers (ARBs) alter prognosis. This study aims to look closely at the health of the vascular system of patients after being treated in hospital for COVID-19 (confirmed by PCR test) and compare them to patients who had a hospital admission for suspected COVID-19 (negative PCR test) . Information from this study is essential so that clinicians treating patients with high blood pressure understand the impact of the condition and these hypertension medicines in the context of the current COVID-19 pandemic. This will allow doctors to effectively treat and offer advice to patients currently prescribed these medications or who are newly diagnosed with hypertension.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
52

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jun 2020

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

May 22, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

June 1, 2020

Completed
Same day until next milestone

Study Start

First participant enrolled

June 1, 2020

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2021

Completed
Last Updated

November 9, 2023

Status Verified

February 1, 2021

Enrollment Period

1.1 years

First QC Date

May 22, 2020

Last Update Submit

November 8, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • ABPM systolic blood pressure

    Ambulatory Blood Pressure Monitoring systolic blood pressure

    24 hours (all day and night)

Secondary Outcomes (12)

  • 24-hr ABPM DBP

    24 hours (all day and night)

  • day ABPM SBP

    8am to 8pm

  • day ABPM DBP

    8am to 8pm

  • night ABPM SBP

    8pm to 8am

  • night ABPM DBP

    8pm to 8am

  • +7 more secondary outcomes

Study Arms (2)

COVID+ PCR

Subjects who are SARS-CoV-2 PCR+ve and/or have diagnostic CXR or CT chest features of COVID -19

Diagnostic Test: ABPMDiagnostic Test: ECGDiagnostic Test: FMDDiagnostic Test: PWVDiagnostic Test: Rarefaction

COVID- PCR

subjects admitted with COVID-19 like symptoms but are SARS-CoV-2 PCR-ve and have CXR or CT chest that show low probability of COVID-19 will form the control group

Diagnostic Test: ABPMDiagnostic Test: ECGDiagnostic Test: FMDDiagnostic Test: PWVDiagnostic Test: Rarefaction

Interventions

ABPMDIAGNOSTIC_TEST

24 hour ambulatory blood pressure monitoring

COVID+ PCRCOVID- PCR
ECGDIAGNOSTIC_TEST

Electrocardiogram

COVID+ PCRCOVID- PCR
FMDDIAGNOSTIC_TEST

Flow mediated dilatation

COVID+ PCRCOVID- PCR
PWVDIAGNOSTIC_TEST

Pulse wave velocity

COVID+ PCRCOVID- PCR
RarefactionDIAGNOSTIC_TEST

nailbed capillaroscopy

COVID+ PCRCOVID- PCR

Eligibility Criteria

Age30 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Patients admitted through QEUH immediate assessment unit and acute receiving units with suspected or confirmed COVID-19 during 01/04/20 - 31/12/20 and who are alive at discharge. Clinically suspected COVID-19 should have at least two of the following presenting features (fever, new onset cough, fatigue, myalgia, breathlessness, GI symptoms, anosmia/dysgeusia, contact with known COVID-19 positive patient).

You may qualify if:

  • Admission between 01/04/2020 and 31/12/2020 Clinically suspected or PCR confirmed COVID-19 Age 30-60 years No history of hypertension or current drug treatment for hypertension

You may not qualify if:

  • Inability to give informed consent/lack of capacity Non-English speakers BMI \>40 eGFR \<60 ml/min Pregnancy History of Cancer within 5 years Persistent atrial fibrillation Severe illness, at investigator discretion Prescription of BP lowering drugs Corticosteroid (chronic use) Immunosupressive agents NSAIDs (chronic use)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NHS Greater Glasgow and Clyde

Glasgow, United Kingdom

Location

Biospecimen

Retention: SAMPLES WITH DNA

blood and urine samples for vascular phenotpying marker, immuno phenotyping markers and future biomarker studies

MeSH Terms

Conditions

Hypertension

Interventions

Electrocardiography

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Heart Function TestsDiagnostic Techniques, CardiovascularDiagnostic Techniques and ProceduresDiagnosisElectrodiagnosis

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 22, 2020

First Posted

June 1, 2020

Study Start

June 1, 2020

Primary Completion

July 1, 2021

Study Completion

July 1, 2021

Last Updated

November 9, 2023

Record last verified: 2021-02

Locations