Neurotropism and Neuroinflammation in COVID-19 Patients With Delirium.
BRAINSTORM
SARS-CoV-2 Neurotropism, micRoglial ActivatioN and Cytokine dySregulaTiOn in COVID-19 Patients With Delirium
2 other identifiers
observational
7
1 country
2
Brief Summary
Emerging evidence indicates that SARS-CoV-2, the etiologic agent of COVID-19, can cause neurological, neuropsychological and psychiatric complications. Given the global dimensions of the current pandemic, there is to consider the possible large-scale neurocognitive impact of COVID-19. Therefore, there is an urgent need for longitudinal studies to determine the acute and chronic effects that COVID-19 may have on the Central Nervous System. These putative effects include the possibility that the CNS serves as a reservoir for the virus, and that COVID-19 triggers CNS deleterious inflammatory cascades and neurodegenerative process. The public implications of these effects are very important in the long term.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jun 2021
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 2, 2021
CompletedFirst Posted
Study publicly available on registry
March 5, 2021
CompletedStudy Start
First participant enrolled
June 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2022
CompletedAugust 24, 2023
August 1, 2023
1.1 years
March 2, 2021
August 22, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
PET imaging examination
Intensity and topography of \[18F\]DPA-714-labeled microglial activation in vivo in PET imaging examination
Day 0
PET imaging examination
Intensity and topography of \[18F\]DPA-714-labeled microglial activation in vivo in PET imaging examination
Month 3
Secondary Outcomes (6)
SARS-CoV-2 quasispecies detection in acute delirium phase in blood specimen
Day 0
SARS-CoV-2 quasispecies detection 3 month after the acute delirium phase in blood specimen
Month 3
SARS-CoV-2 quasispecies detection in acute delirium phase in cerebrospinal fluid specimen
Day 0
SARS-CoV-2 quasispecies detection 3 month after the acute delirium phase in cerebrospinal fluid specimen
Month 3
multimodal MRI in acute delirium phase
Day 0
- +1 more secondary outcomes
Study Arms (1)
severe COVID-19 patients with delirium
i) SARS-CoV-2 quasispecies detection and associated serology testing profiles description (peripheral blood and cerebrospinal fluid - CSF) ii) systemic and central immune response characterization, associated to the assessment of CNS damage biomarkers (peripheral blood and CSF) iii) in vivo brain PET-TSPO acquisitions (Positon Emission Tomography using a radioligand that targets the Translocator Protein, which is upregulated in activated microglia) iv) structural/functional brain MRI assessment (PWI/DWI mismatch imaging, quantification of gray and white matter microstructural integrity, DTI, functional connectivity) v) multi-domains neurocognitive assessment.
Interventions
SARS-CoV-2 quasispecies detection and associated serology testing profiles description (peripheral blood and cerebrospinal fluid - CSF)
systemic and central immune response characterization , associated to the assessment of CNS damage biomarkers (peripheral blood and CSF)
in vivo brain PET-TSPO acquisitions (Positon Emission Tomography using a radioligand that targets the Translocator Protein, which is upregulated in activated microglia)
structural/functional brain MRI assessment (PWI/DWI mismatch imaging, quantification of gray and white matter microstructural integrity, DTI, functional connectivity)
multi-domains neurocognitive assessment
Eligibility Criteria
patients from hospital
You may qualify if:
- Adult patients (male or female \> or = 18 years)
- COVID-19 (positive respiratory track PCR test \< 30 days)
- Delirium (CAM-ICU criteria)
- informed and written consent to participate in the study by patient's surrogate.
You may not qualify if:
- medical decision of withdrawal of life sustaining treatments previous to patients recruitment
- former neurological or psychiatric disability
- MRI or PET scan contraindication
- pregnancy
- hemodynamic or respiratory failure precluding patient's transport / MRI or PET scanning
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University Hospital of Toulouse
Toulouse, France
CHRU Tours
Tours, France
Biospecimen
TSPO (Translocator protein) phenotype SARS-CoV-2 quasispecies detection and associated serology testing profiles description (peripheral blood and cerebrospinal fluid - CSF) systemic and central immune response characterization (peripheral blood and cerebrospinal fluid CSF)
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stein SILVA, MD, PhD
University Hospital, Toulouse
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 2, 2021
First Posted
March 5, 2021
Study Start
June 1, 2021
Primary Completion
June 30, 2022
Study Completion
June 30, 2022
Last Updated
August 24, 2023
Record last verified: 2023-08