NCT04903834

Brief Summary

This project aims to undertake a high-resolution analysis of previous cases of COVID19 infection to determine from all available clinical data recorded over the timeline of admission, who might benefit best from specific interventions designed to target a hyper inflammatory response in this condition. This approach offers a timely contribution to the field where the first phase of unselected clinical trials is already underway, and the second phase will require a more targeted approach. Southampton offers a unique opportunity to undertake this work, as it is widely accepted that the investigators lead the UK in clinical data informatics. This project links the investigators research efforts at the clinical level to current understanding of disease pathways, for which the investigators have effective interventions and the problem the investigators aim to solve is, who will benefit from the available novel anti-inflammatory approaches and when should this treatment be given?

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 Jun 2020

Longer than P75 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

Study Start

First participant enrolled

June 30, 2020

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

May 25, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 27, 2021

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 24, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 24, 2024

Completed
Last Updated

May 27, 2021

Status Verified

May 1, 2021

Enrollment Period

4 years

First QC Date

May 25, 2021

Last Update Submit

May 25, 2021

Conditions

Keywords

hyperinflammationSARS-CoV-2COVID-19

Outcome Measures

Primary Outcomes (1)

  • Mortality in those groups with high Soton hyperinflammation score vs low score

    Death recorded. Higher scores associated with increased mortality.

    Day 28

Secondary Outcomes (2)

  • Mortality in those groups with and without secondary Haemophagocytic lymphohistiocytosis

    Day 28

  • Comparison of HScore (0-302) vs Soton hyperinflammation score (0-44)

    within 2 days following virus diagnosis

Study Arms (2)

COVID-19 - no hyperinflammation

Confirmed Sars-CoV-2 infection Hospitalised case

Diagnostic Test: Soton hyperinflammation scoreDiagnostic Test: HScore

COVID-19 - hyperinflammation

Sars-CoV-2 infection Hospitalised case

Diagnostic Test: Soton hyperinflammation scoreDiagnostic Test: HScore

Interventions

Score for hyperinflammation defined by blood parameters and other physiological measurements

Also known as: HI5-NEWS2
COVID-19 - hyperinflammationCOVID-19 - no hyperinflammation
HScoreDIAGNOSTIC_TEST

Score for secondary haemophagocytic lymphohistiocytosis validated in prior publications

COVID-19 - hyperinflammationCOVID-19 - no hyperinflammation

Eligibility Criteria

Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All individuals with possible COVID19 at University Hospitals NHS Foundation Trust will be included. As a further control group, a control cohort will be recruited, reflecting various key stratification aspects of the COVID19 patient cohort (e.g. by age and sex, or by hyperinflammation status) from hospital inpatients without a COVID19 diagnosis.

You may qualify if:

  • Sars-CoV-2 confirmed
  • Hospitalized case

You may not qualify if:

  • Sars-CoV-2 not confirmed

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospitals Southampton NHS Foundation Trust

Southampton, Hampshire, SO16 6YD, United Kingdom

Location

Related Links

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Michael R Ardern-Jones, DPhil FRCP

    University of Southampton

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

May 25, 2021

First Posted

May 27, 2021

Study Start

June 30, 2020

Primary Completion

June 24, 2024

Study Completion

June 24, 2024

Last Updated

May 27, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will share

Data will be disclosed only upon request and approval of the proposed use of the data by the chief investigator of the INFLAME study, and in alignment with the relevant governance and ethical approval. Data will be de-identified for participant, key identifying factors and will be available with a signed data access agreement.

Shared Documents
STUDY PROTOCOL, ANALYTIC CODE
Time Frame
starting 6 months after publication

Locations