NCT04893668

Brief Summary

Background : Depression and Anxiety are linked to COVID (Coronavirus Disease)-19 long-term impact through several mechanisms. The possible way is the alteration of neurotransmitter regulation from the interaction of severe acute respiratory syndrome -Coronavirus-2 (SARS-COV2) with Angiotensin-Converting Enzyme 2 (ACE2) receptor, and Dopa Decarboxylase (DDC), an enzyme that associated with the production of dopamine, serotonin, and other neurotransmitters. However, some arguments exist that depression and anxiety occur naturally due to external stressors, as the impact of public health measures, and not associated with physiological changes due to viral infection. Objective:

  1. 1.This study aims to identify whether the patient discharged after COVID 19 treatment has significant changes in serotonin and dopamine level which might induce depression and anxiety internally and,
  2. 2.To distinguish external etiologies that might induce depression and anxiety such as social isolation and stress due to public health restriction.

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
165

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Oct 2021

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

May 11, 2021

Completed
8 days until next milestone

First Posted

Study publicly available on registry

May 19, 2021

Completed
5 months until next milestone

Study Start

First participant enrolled

October 1, 2021

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2022

Completed
Last Updated

June 7, 2021

Status Verified

June 1, 2021

Enrollment Period

6 months

First QC Date

May 11, 2021

Last Update Submit

June 3, 2021

Conditions

Keywords

Covid19SerotoninDopamineDepressionAnxiety

Outcome Measures

Primary Outcomes (2)

  • Level of Serotonin

    The level of serotonin (5-hydroxytryptamine) measured from the blood serum with the normal range between 50 to 200 ng/mL

    Changes of Serotonin level from the baseline to 60 days and 120 days

  • Level of Dopamine

    The level of serotonin (4- (2-aminoethyl) benzene-1, 2-diol) measured from the blood serum with the normal range between 0 to 30 pg/mL

    Changes of Dopamine level from the baseline to 60 days and 120 days

Secondary Outcomes (2)

  • Prevalence of Depression

    changes of prevalence of depression from the baseline to 60 days and 120 days

  • Prevalence of Anxiety

    changes of prevalence of Anxiety from the baseline to 60 days and 120 days

Study Arms (2)

Exposed with COVID 19

The participant with confirmed RT-PCR Covid 19 at the beginning of the study

Other: DepressionOther: Anxiety

Unexposed with COVID 19

The participant without confirmed RT-PCR Covid 19 at the beginning of the study until 6 month follow up period

Other: DepressionOther: Anxiety

Interventions

Any participants who develop depression symptoms according to DSM 5 criteria

Exposed with COVID 19Unexposed with COVID 19
AnxietyOTHER

Any participants who develop anxiety symptoms according to DSM 5 criteria

Exposed with COVID 19Unexposed with COVID 19

Eligibility Criteria

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

Three clusters will be appointed as the study center. The level of the cluster is at the municipality level where participants will be recruited consecutively

You may qualify if:

  • Age minimum 18 years old
  • For exposed group should be confirmed with RT-PCR
  • Not being diagnosed by depression or anxiety prior to recruitment

You may not qualify if:

  • The unexposed participants will be excluded from the unexposed group if contracted with the virus within the 6-month observation.
  • Patient falls into critical condition and it is unlikely to attend at least one follow-up measurement
  • Patient refuses to continue observation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hasanuddin University Medical Research Center / HUMRC

Makassar, South Sulawesi, 90245, Indonesia

Location

Related Publications (5)

  • Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, Kang L, Guo L, Liu M, Zhou X, Luo J, Huang Z, Tu S, Zhao Y, Chen L, Xu D, Li Y, Li C, Peng L, Li Y, Xie W, Cui D, Shang L, Fan G, Xu J, Wang G, Wang Y, Zhong J, Wang C, Wang J, Zhang D, Cao B. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021 Jan 16;397(10270):220-232. doi: 10.1016/S0140-6736(20)32656-8. Epub 2021 Jan 8.

    PMID: 33428867BACKGROUND
  • Nataf S. An alteration of the dopamine synthetic pathway is possibly involved in the pathophysiology of COVID-19. J Med Virol. 2020 Oct;92(10):1743-1744. doi: 10.1002/jmv.25826. Epub 2020 Apr 8. No abstract available.

    PMID: 32246784BACKGROUND
  • Antonini A, Leta V, Teo J, Chaudhuri KR. Outcome of Parkinson's Disease Patients Affected by COVID-19. Mov Disord. 2020 Jun;35(6):905-908. doi: 10.1002/mds.28104. Epub 2020 May 28. No abstract available.

    PMID: 32347572BACKGROUND
  • Adhanom Ghebreyesus T. Addressing mental health needs: an integral part of COVID-19 response. World Psychiatry. 2020 Jun;19(2):129-130. doi: 10.1002/wps.20768. No abstract available.

    PMID: 32394569BACKGROUND
  • Basagana X, Xiaomei Liao, Spiegelman D. Power and sample size calculations for longitudinal studies estimating a main effect of a time-varying exposure. Stat Methods Med Res. 2011 Oct;20(5):471-87. doi: 10.1177/0962280210371563. Epub 2010 Jun 14.

    PMID: 20547587BACKGROUND

Biospecimen

Retention: NONE RETAINED

Blood Sample

MeSH Terms

Conditions

COVID-19DepressionAnxiety Disorders

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract DiseasesBehavioral SymptomsBehaviorMental Disorders

Study Officials

  • Bumi Herman, M.D Ph.D

    Chulalongkorn University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Bumi Herman, M.D.Ph.D

CONTACT

Study Design

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

Study Record Dates

First Submitted

May 11, 2021

First Posted

May 19, 2021

Study Start

October 1, 2021

Primary Completion

April 1, 2022

Study Completion

June 1, 2022

Last Updated

June 7, 2021

Record last verified: 2021-06

Locations