NCT04510441

Brief Summary

Coronavirus Disease 2019 (COVID-19) has been widespread worldwide since December 2019. It is highly contagious, and severe cases can lead to acute respiratory distress or multiple organ failure. On 11 March 2020, the WHO made the assessment that COVID-19 can be characterised as a pandemic. With the development of machine learning, deep learning based artificial intelligence (AI) technology has demonstrated tremendous success in the field of medical data analysis due to its capacity of extracting rich features from imaging and complex clinical datasets. In this study, we aim to use clinical data collected as part of routine clinical care (heart tracings, X-rays and CT scans) to train artificial intelligence and machine learning algorithms, to accurately predict the course of disease in patients with Covid-19 infection, using these datasets.

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
2,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Geographic Reach
1 country

4 active sites

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 26, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

August 7, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 12, 2020

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2022

Completed
Last Updated

August 30, 2021

Status Verified

August 1, 2021

Enrollment Period

1.9 years

First QC Date

August 7, 2020

Last Update Submit

August 24, 2021

Conditions

Keywords

coronaviruselectrocardiogramartificial intelligenceCOVID-19

Outcome Measures

Primary Outcomes (2)

  • Accuracy of machine learning to be able to predict outcome of coronavirus (COVID-19) infection

    Accuracy with which computer based analysis (machine learning) can diagnose and/or prognosticate Covid-19 Number of Participants With COVID19 who died or survived following hospital admission

    At the end of data analyses, approximately 1 year

  • Accuracy of machine learning to be able to predict prognosis of coronavirus (COVID-19) infection

    Number of participants who required invasive vs non-invasive ventilation vs ward-based care vs died

    At the end of data analyses, approximately 1 year

Secondary Outcomes (2)

  • Accuracy of machine learning to be able to predict cardiac involvement of coronavirus (COVID-19) infection

    At the end of data analyses, approximately 1 year

  • Accuracy of machine learning vs human assessment to diagnose coronavirus (COVID-19) infection

    At the end of data analyses, approximately 1 year

Interventions

Nil intervention; retrospective cohort study

Eligibility Criteria

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

This is a retrospective data study on patients with suspicious and confirmed COVID-19. The study aims to recruit up to 2000 patients who will be referred to have ECGs, chest X-rays or CT scans at Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College Healthcare NHS Trust and London North West London University Healthcare NHS Trust.

You may qualify if:

  • have ECGs, Chest x-ray and/or chest CT imaging (with or without contrast)
  • positive laboratory Covid-19 virus nucleic acid test (RTPCR assay with throat swab samples) or clinical suspicion for Covid-19 infection
  • be aged \>18 years

You may not qualify if:

  • Suboptimal ECGs, chest radiographs or CT studies for deep learning methods due to artefacts including severe
  • motion artefacts which causes blurring of the contours of or significant artefacts due to metallic prosthesis which causes image degradation
  • Time-interval between ECGs, chest CT and the RT-PCR assay was longer than 7 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

London North West University Healthcare NHS Trust

London, HA1 3UJ, United Kingdom

RECRUITING

Chelsea and Westminster Hospital NHS Foundation Trust

London, TW7 6AF, United Kingdom

RECRUITING

Imperial College London (Hammersmith campus)

London, W12 0NN, United Kingdom

ACTIVE NOT RECRUITING

St Mary's Hospital

London, W2 1NY, United Kingdom

RECRUITING

MeSH Terms

Conditions

Coronavirus InfectionsCOVID-19

Condition Hierarchy (Ancestors)

Coronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsPneumonia, ViralPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract Diseases

Study Design

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

Study Record Dates

First Submitted

August 7, 2020

First Posted

August 12, 2020

Study Start

May 26, 2020

Primary Completion

May 1, 2022

Study Completion

May 1, 2022

Last Updated

August 30, 2021

Record last verified: 2021-08

Data Sharing

IPD Sharing
Will share

This is a study using retrospective, pseudo-anonymised data that were acquired as part of routine clinical care for the patients. There are no direct risks to the patients' health. The main issues revolve around data security and storage. In order to address this, members of the direct care team who are not members of the research team will perform the pseudo-anonymisation of the data and pass a set of pseudo-anonymised data to the research team with no access to the pseudo-anonymisation code. The research team will therefore be unable to identify the patients from those data. The pseudo-anonymised data will also be securely stored to further minimise risks.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
within study duration
Access Criteria
Researchers of the study

Locations