NCT04802044

Brief Summary

COVID-19 pandemic has made a tremendous impact on Indonesian economic and health care system especially with the double burden of diseases facing by Indonesia as a developing country. The prevalence of non-communicable diseases such as obesity, type diabetes, and cardiovascular diseases is increasing. These diseases along with older age have been known as an established risk factors for higher mortality and severe clinical disease entity in COVID-19 infection. Although, there is still some part of patients with these co-morbidities that only present with mild symptoms when infected with SARS-CoV-2, even for some without any symptoms. Thus, it would be very interesting to evaluate how are these role of aging and cardiometabolic parameters in the clinical disease course of COVID-19 infection, and how are the relationship with the immune system.

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
440

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2020

Typical duration for all trials

Geographic Reach
1 country

2 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

December 8, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

January 30, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

March 17, 2021

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

April 18, 2022

Status Verified

April 1, 2022

Enrollment Period

2.1 years

First QC Date

January 30, 2021

Last Update Submit

April 11, 2022

Conditions

Keywords

COVID-19adipositydiabetesinsulin resistanceaginginflammationimmune system

Outcome Measures

Primary Outcomes (4)

  • Correlation of Body Mass Index with Clinical Disease Severity

    To compare the body mass index, which calculated from body height (in meters) and body weight (in kilograms), in groups of COVID-19 patients with various disease severity based on WHO criteria

    Baseline

  • Correlation of Visceral Fat with Clinical Disease Severity

    To compare the visceral fat that measures using a bio-impedance analyzer, in groups of COVID-19 patients with various disease severity based on WHO criteria

    Baseline

  • Correlation of Blood Glucose Levels with Clinical Disease Severity

    To compare the random blood glucose levels during admission in groups of COVID-19 patients with various disease severity based on WHO criteria

    Baseline

  • Correlation of HbA1c with Clinical Disease Severity

    To compare the HbA1c levels during admission in groups of COVID-19 patients with various disease severity based on WHO criteria

    Baseline

Secondary Outcomes (11)

  • Changes of Insulin Resistance Levels in COVID-19 Patients Overtime

    Baseline, 6, and 12 month

  • Changes of Leptin/Adiponectin Ratio in COVID-19 Patients Overtime

    Baseline, 6, and 12 month

  • Systemic Immune Profiles in Diabetic COVID-19 Patients

    Baseline

  • Nasal Mucosal Immune Profiles in Diabetic COVID-19 Patients

    Baseline

  • Aging Parameter (ACE-2 gene expression) in COVID-19 Patients

    Baseline

  • +6 more secondary outcomes

Eligibility Criteria

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

COVID-19 patients in hospital and community setting

You may qualify if:

  • Patients newly diagnosed with COVID-19 at hospital setting or community screening, confirmed with biological proof (RT-PCR)

You may not qualify if:

  • Subjects opposed to the use of their data
  • Minors, adults under guardianship, protected persons
  • History of malignancy
  • History of autoimmune disease
  • Pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Dr. Cipto Mangunkusumo National General Hospital

Jakarta Pusat, DKI Jakarta, 10430, Indonesia

Location

Metabolic Disorder, Cardiovascular, and Aging Research Cluster IMERI-FKUI, Research Tower, 5th Floor

Jakarta Pusat, DKI Jakarta, 10430, Indonesia

Location

Related Publications (32)

  • Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. J Infect. 2020 Jun;80(6):e14-e18. doi: 10.1016/j.jinf.2020.03.005. Epub 2020 Mar 27.

    PMID: 32171866BACKGROUND
  • Iannelli A, Favre G, Frey S, Esnault V, Gugenheim J, Bouam S, Schiavo L, Tran A, Alifano M. Obesity and COVID-19: ACE 2, the Missing Tile. Obes Surg. 2020 Nov;30(11):4615-4617. doi: 10.1007/s11695-020-04734-7. No abstract available.

    PMID: 32451913BACKGROUND
  • Apicella M, Campopiano MC, Mantuano M, Mazoni L, Coppelli A, Del Prato S. COVID-19 in people with diabetes: understanding the reasons for worse outcomes. Lancet Diabetes Endocrinol. 2020 Sep;8(9):782-792. doi: 10.1016/S2213-8587(20)30238-2. Epub 2020 Jul 17.

    PMID: 32687793BACKGROUND
  • Wu H, Ballantyne CM. Metabolic Inflammation and Insulin Resistance in Obesity. Circ Res. 2020 May 22;126(11):1549-1564. doi: 10.1161/CIRCRESAHA.119.315896. Epub 2020 May 21.

    PMID: 32437299BACKGROUND
  • Andersen CJ, Murphy KE, Fernandez ML. Impact of Obesity and Metabolic Syndrome on Immunity. Adv Nutr. 2016 Jan 15;7(1):66-75. doi: 10.3945/an.115.010207. Print 2016 Jan.

    PMID: 26773015BACKGROUND
  • Exley MA, Hand L, O'Shea D, Lynch L. Interplay between the immune system and adipose tissue in obesity. J Endocrinol. 2014 Nov;223(2):R41-8. doi: 10.1530/JOE-13-0516. Epub 2014 Sep 16.

    PMID: 25228503BACKGROUND
  • Agrawal M, Kern PA, Nikolajczyk BS. The Immune System in Obesity: Developing Paradigms Amidst Inconvenient Truths. Curr Diab Rep. 2017 Aug 15;17(10):87. doi: 10.1007/s11892-017-0917-9.

    PMID: 28812211BACKGROUND
  • Gerriets VA, MacIver NJ. Role of T cells in malnutrition and obesity. Front Immunol. 2014 Aug 11;5:379. doi: 10.3389/fimmu.2014.00379. eCollection 2014.

    PMID: 25157251BACKGROUND
  • Han JM, Levings MK. Immune regulation in obesity-associated adipose inflammation. J Immunol. 2013 Jul 15;191(2):527-32. doi: 10.4049/jimmunol.1301035.

    PMID: 23825387BACKGROUND
  • Rebello CJ, Kirwan JP, Greenway FL. Obesity, the most common comorbidity in SARS-CoV-2: is leptin the link? Int J Obes (Lond). 2020 Sep;44(9):1810-1817. doi: 10.1038/s41366-020-0640-5. Epub 2020 Jul 9.

    PMID: 32647360BACKGROUND
  • Misumi I, Starmer J, Uchimura T, Beck MA, Magnuson T, Whitmire JK. Obesity Expands a Distinct Population of T Cells in Adipose Tissue and Increases Vulnerability to Infection. Cell Rep. 2019 Apr 9;27(2):514-524.e5. doi: 10.1016/j.celrep.2019.03.030.

    PMID: 30970254BACKGROUND
  • Kwaifa IK, Bahari H, Yong YK, Noor SM. Endothelial Dysfunction in Obesity-Induced Inflammation: Molecular Mechanisms and Clinical Implications. Biomolecules. 2020 Feb 13;10(2):291. doi: 10.3390/biom10020291.

    PMID: 32069832BACKGROUND
  • Li M, Qian M, Xu J. Vascular Endothelial Regulation of Obesity-Associated Insulin Resistance. Front Cardiovasc Med. 2017 Aug 9;4:51. doi: 10.3389/fcvm.2017.00051. eCollection 2017.

    PMID: 28848738BACKGROUND
  • Engin A. Endothelial Dysfunction in Obesity. Adv Exp Med Biol. 2017;960:345-379. doi: 10.1007/978-3-319-48382-5_15.

    PMID: 28585207BACKGROUND
  • Meyers MR, Gokce N. Endothelial dysfunction in obesity: etiological role in atherosclerosis. Curr Opin Endocrinol Diabetes Obes. 2007 Oct;14(5):365-9. doi: 10.1097/MED.0b013e3282be90a8.

    PMID: 17940464BACKGROUND
  • van Deursen JM. The role of senescent cells in ageing. Nature. 2014 May 22;509(7501):439-46. doi: 10.1038/nature13193.

    PMID: 24848057BACKGROUND
  • Ni W, Yang X, Yang D, Bao J, Li R, Xiao Y, Hou C, Wang H, Liu J, Yang D, Xu Y, Cao Z, Gao Z. Role of angiotensin-converting enzyme 2 (ACE2) in COVID-19. Crit Care. 2020 Jul 13;24(1):422. doi: 10.1186/s13054-020-03120-0.

    PMID: 32660650BACKGROUND
  • Sungnak W, Huang N, Becavin C, Berg M, Queen R, Litvinukova M, Talavera-Lopez C, Maatz H, Reichart D, Sampaziotis F, Worlock KB, Yoshida M, Barnes JL; HCA Lung Biological Network. SARS-CoV-2 entry factors are highly expressed in nasal epithelial cells together with innate immune genes. Nat Med. 2020 May;26(5):681-687. doi: 10.1038/s41591-020-0868-6. Epub 2020 Apr 23.

    PMID: 32327758BACKGROUND
  • Khemais-Benkhiat S, Idris-Khodja N, Ribeiro TP, Silva GC, Abbas M, Kheloufi M, Lee JO, Toti F, Auger C, Schini-Kerth VB. The Redox-sensitive Induction of the Local Angiotensin System Promotes Both Premature and Replicative Endothelial Senescence: Preventive Effect of a Standardized Crataegus Extract. J Gerontol A Biol Sci Med Sci. 2016 Dec;71(12):1581-1590. doi: 10.1093/gerona/glv213. Epub 2015 Dec 15.

    PMID: 26672612BACKGROUND
  • Song J, Hu B, Qu H, Wang L, Huang X, Li M, Zhang M. Upregulation of angiotensin converting enzyme 2 by shear stress reduced inflammation and proliferation in vascular endothelial cells. Biochem Biophys Res Commun. 2020 May 7;525(3):812-818. doi: 10.1016/j.bbrc.2020.02.151. Epub 2020 Mar 10.

    PMID: 32169277BACKGROUND
  • Bunyavanich S, Do A, Vicencio A. Nasal Gene Expression of Angiotensin-Converting Enzyme 2 in Children and Adults. JAMA. 2020 Jun 16;323(23):2427-2429. doi: 10.1001/jama.2020.8707.

    PMID: 32432657BACKGROUND
  • Alsufyani HA, Docherty JR. The renin angiotensin aldosterone system and COVID-19. Saudi Pharm J. 2020 Aug;28(8):977-984. doi: 10.1016/j.jsps.2020.06.019. Epub 2020 Jul 2.

    PMID: 32788834BACKGROUND
  • Al-Benna S. Association of high level gene expression of ACE2 in adipose tissue with mortality of COVID-19 infection in obese patients. Obes Med. 2020 Sep;19:100283. doi: 10.1016/j.obmed.2020.100283. Epub 2020 Jul 18.

    PMID: 32835126BACKGROUND
  • Michalakis K, Ilias I. SARS-CoV-2 infection and obesity: Common inflammatory and metabolic aspects. Diabetes Metab Syndr. 2020 Jul-Aug;14(4):469-471. doi: 10.1016/j.dsx.2020.04.033. Epub 2020 Apr 29.

    PMID: 32387864BACKGROUND
  • Telles S, Reddy SK, Nagendra HR. Obesity, Inflammation and Endothelial Dysfunction. J Chem Inf Model. 2019;53(9):1689-99.

    BACKGROUND
  • Cervia C, Nilsson J, Zurbuchen Y, Valaperti A, Schreiner J, Wolfensberger A, Raeber ME, Adamo S, Weigang S, Emmenegger M, Hasler S, Bosshard PP, De Cecco E, Bachli E, Rudiger A, Stussi-Helbling M, Huber LC, Zinkernagel AS, Schaer DJ, Aguzzi A, Kochs G, Held U, Probst-Muller E, Rampini SK, Boyman O. Systemic and mucosal antibody responses specific to SARS-CoV-2 during mild versus severe COVID-19. J Allergy Clin Immunol. 2021 Feb;147(2):545-557.e9. doi: 10.1016/j.jaci.2020.10.040. Epub 2020 Nov 20.

    PMID: 33221383BACKGROUND
  • Peron JPS, Nakaya H. Susceptibility of the Elderly to SARS-CoV-2 Infection: ACE-2 Overexpression, Shedding, and Antibody-dependent Enhancement (ADE). Clinics (Sao Paulo). 2020;75:e1912. doi: 10.6061/clinics/2020/e1912. Epub 2020 May 15.

    PMID: 32428113BACKGROUND
  • Lopes-Paciencia S, Saint-Germain E, Rowell MC, Ruiz AF, Kalegari P, Ferbeyre G. The senescence-associated secretory phenotype and its regulation. Cytokine. 2019 May;117:15-22. doi: 10.1016/j.cyto.2019.01.013. Epub 2019 Feb 16.

    PMID: 30776684BACKGROUND
  • Asghar M, Yman V, Homann MV, Sonden K, Hammar U, Hasselquist D, Farnert A. Cellular aging dynamics after acute malaria infection: A 12-month longitudinal study. Aging Cell. 2018 Feb;17(1):e12702. doi: 10.1111/acel.12702. Epub 2017 Nov 16.

    PMID: 29143441BACKGROUND
  • Pathai S, Lawn SD, Gilbert CE, McGuinness D, McGlynn L, Weiss HA, Port J, Christ T, Barclay K, Wood R, Bekker LG, Shiels PG. Accelerated biological ageing in HIV-infected individuals in South Africa: a case-control study. AIDS. 2013 Sep 24;27(15):2375-84. doi: 10.1097/QAD.0b013e328363bf7f.

    PMID: 23751258BACKGROUND
  • van de Berg PJ, Griffiths SJ, Yong SL, Macaulay R, Bemelman FJ, Jackson S, Henson SM, ten Berge IJ, Akbar AN, van Lier RA. Cytomegalovirus infection reduces telomere length of the circulating T cell pool. J Immunol. 2010 Apr 1;184(7):3417-23. doi: 10.4049/jimmunol.0903442. Epub 2010 Feb 22.

    PMID: 20176738BACKGROUND
  • Robinson MW, McGuinness D, Swann R, Barclay S, Mills PR, Patel AH, McLauchlan J, Shiels PG. Non cell autonomous upregulation of CDKN2 transcription linked to progression of chronic hepatitis C disease. Aging Cell. 2013 Dec;12(6):1141-3. doi: 10.1111/acel.12125. Epub 2013 Aug 12.

    PMID: 23931242BACKGROUND

Biospecimen

Retention: SAMPLES WITH DNA

Serum Urine PBMC Nasal scrape Nasal swab

MeSH Terms

Conditions

COVID-19ObesityDiabetes MellitusMetabolic SyndromeImmune System DiseasesInsulin ResistanceInflammation

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsGlucose Metabolism DisordersMetabolic DiseasesEndocrine System DiseasesHyperinsulinismPathologic Processes

Study Officials

  • Dicky L Tahapary

    Indonesia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 30, 2021

First Posted

March 17, 2021

Study Start

December 8, 2020

Primary Completion

December 31, 2022

Study Completion

December 31, 2023

Last Updated

April 18, 2022

Record last verified: 2022-04

Locations