NCT04785157

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

87
On Track

Trial Health Score

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

Enrollment
7

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Jun 2021

Geographic Reach
1 country

2 active sites

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

March 2, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 5, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

June 1, 2021

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2022

Completed
Last Updated

August 24, 2023

Status Verified

August 1, 2023

Enrollment Period

1.1 years

First QC Date

March 2, 2021

Last Update Submit

August 22, 2023

Conditions

Keywords

COVID-19deliriummicroglial activationSARS-CoV-2 neurotropism

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.

Biological: serology testing profiles descriptionBiological: immune response characterizationOther: in vivo brain PET-TSPO acquisitionsOther: brain MRI assessmentBehavioral: neurocognitive assessment

Interventions

SARS-CoV-2 quasispecies detection and associated serology testing profiles description (peripheral blood and cerebrospinal fluid - CSF)

Also known as: biomarkers
severe COVID-19 patients with delirium

systemic and central immune response characterization , associated to the assessment of CNS damage biomarkers (peripheral blood and CSF)

severe COVID-19 patients with delirium

in vivo brain PET-TSPO acquisitions (Positon Emission Tomography using a radioligand that targets the Translocator Protein, which is upregulated in activated microglia)

severe COVID-19 patients with delirium

structural/functional brain MRI assessment (PWI/DWI mismatch imaging, quantification of gray and white matter microstructural integrity, DTI, functional connectivity)

severe COVID-19 patients with delirium

multi-domains neurocognitive assessment

severe COVID-19 patients with delirium

Eligibility Criteria

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

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

Location

CHRU Tours

Tours, France

Location

Biospecimen

Retention: SAMPLES WITH DNA

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

COVID-19DeliriumStress Disorders, Post-Traumatic

Interventions

BiomarkersMental Status and Dementia Tests

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesConfusionNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsNeurocognitive DisordersMental DisordersStress Disorders, TraumaticTrauma and Stressor Related Disorders

Intervention Hierarchy (Ancestors)

Biological FactorsNeuropsychological TestsPsychological TestsBehavioral Disciplines and Activities

Study Officials

  • Stein SILVA, MD, PhD

    University Hospital, Toulouse

    PRINCIPAL INVESTIGATOR

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

Locations