Coronavirus Disease 2019CORONANCT04386083
Neurologic Manifestations of COVID-19
An observational study of Coronavirus Disease 2019, run by University of the Philippines at 1 site in Philippines.
Trial summary
This study will determine the neurological profile and predictors of outcomes in patients with COVID-19 disease in the Philippines. It will also evaluate if there is significant difference between COVID-19 patients with neurological manifestations compared to those COVID-19 patients without neurological manifestations… Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Coronavirus Disease 2019
- How many people
- 1,342 participants
- Where
- 1 sitePhilippines
- Study dates
- 10 Jun 2020to Mar 2021
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 years and older
- All sexes
- Adult, Older adult
Study population: Adult patients with confirmed COVID-19 disease
Who may be able to join
- Cases confirmed by testing approved patient samples (i.e. nasal swabs, sputum, bronchoalveolar lavage fluid) employing the real-time reverse transcriptase polymerase chain reaction (RT-PCR) from COVID-19 testing centers accredited by the DOH;
- adult patients at least 19 years of age;
- male or female;
- cases with clinical symptoms and signs attributable to COVID-19 disease (i.e. respiratory as well as non-respiratory clinical signs and symptoms), with or without the availability of ancillary tests (i.e. complete blood count, chest x-ray); cases with disposition (i.e. discharged or died) at the end of the study period.
Who cannot join
- Pediatric patients ≤18 years
- Cases with conditions of diseases caused by other organisms (i.e. bacteria, other viruses, fungi, etc.) or caused by other pathologies unrelated to COVID-19 disease (i.e., trauma).
Trial locations and contacts
1 site in 1 country.
Philippines1 site, 1 recruiting
- Recruiting
Philippine General Hospital - University of the Philippines Manila
Manila
Adrian I Espiritu, MD, +639258520341, aiespiritu@up.edu.ph
Roland Dominic G Jamora, MD, +639985438062, rgjamora@up.edu.ph
About this study
Official title: COVID-19 Outcomes: A Retrospective Study of Neurological Manifestations and Associated Symptoms (The Philippine CORONA Study)
This study will determine the neurological profile and predictors of outcomes in patients with COVID-19 disease in the Philippines. It will also evaluate if there is significant difference between COVID-19 patients with neurological manifestations compared to those COVID-19 patients without neurological manifestations in terms of various prespecified clinical outcomes. Furthermore, the likelihood of these outcomes in COVID-19 patients with neurological manifestations compared to those without neurological manifestation will be determined in this study.
Read the detailed description
This quantitative, retrospective, cohort study will determine the following: 1) demographic, clinical and neurological profile of patients with COVID-19 disease in the Philippines; 2) the frequency of neurological symptoms and new-onset neurological disorders/complications in patients with COVID-19 disease; 3) the neurological manifestations that are significant predictors of mortality, respiratory failure, duration of ventilator dependence, intensive care unit (ICU) admission, length of ICU stay, and length of hospital stay; 4) if there is significant difference between COVID-19 patients with neurological manifestations compared to those COVID-19 patients without neurological manifestations in terms of mortality, respiratory failure, duration of ventilator dependence, ICU admission, length of ICU stay and length of hospital stay; and 5) the likelihood of mortality, respiratory failure and ICU admission in COVID-19 patients with neurological manifestations compared to those without neurological manifestations.
- Conditions
- Coronavirus Disease 2019
- Keywords
- COVID-19, neurological manifestations, outcomes, cohort study
- Medical subject headings
- COVID-19, Neurologic Manifestations
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| COVID-19 patients with neurologic manifestations | Patients with confirmed COVID-19 disease who presented with neurological symptoms or new-onset neurological disorders/complications | |
| COVID-19 patients without neurologic manifestations | Patients with confirmed COVID-19 disease who did not present with neurological symptoms or new-onset neurological disorders/complications |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mortality (binary outcome)
Defined as patients with confirmed COVID-19 who died
Measured: from admission until occurrence of mortality, assessed up to 6 months
Respiratory failure (binary outcome)
Defined as the patient with confirmed COVID-19 who experienced clinical symptoms and signs of respiratory insufficiency. Clinically, this condition may manifest as tachypnea, abnormal blood gases (hypoxemia or hypercapnia), signs of increased work of breathing, and requires oxygen supplementation
Measured: from admission until occurrence of respiratory failure, assessed up to 6 months
Secondary outcomes (2)
Duration of ventilator dependence (continuous outcome)
Defined as the number of days from initiation of assisted ventilation to extubation
Measured: day of intubation to day of extubation, assessed up to 6 months
Intensive care unit (ICU) admission (binary outcome)
Defined as the patients with confirmed COVID-19 who are admitted to an ICU or ICU-comparable setting
Measured: admission to ICU admission, assessed up to 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2020
- Study start10 Jun 2020
- Primary completionDec 2020 (estimated)
- Study completionMar 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Coronavirus Disease 2019Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 1,342 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of the Philippines
- Sponsor type
- University, hospital or other
- Collaborators
- Asian Hospital and Medical Center, Muntinlupa City, Philippines, Baguio General Hospital and Medical Center, Baguio City, Philippines, Cagayan Valley Medical Center, Tuguegarao City, Philippines, Capitol Medical Center, Quezon City, Philippines, Cardinal Santos Medical Center, San Juan City, Philippines, Chong Hua Hospital, Cebu City, Philippines, De La Salle University Medical Center, East Avenue Medical Center, Philippines, Jose B. Lingad Memorial Regional Hospital, San Fernando, Pampanga, Philippines, Jose R. Reyes Memorial Medical Center, Lung Center of the Philippines, Manila Doctors Hospital, Philippines, Manila Medical Center, Philippines, Makati Medical Center, New Era General Hospital, Philippines, Quirino Memorial Medical Center, Philippines, Ospital ng Makati, Philippines, Dr. Pablo O. Torre Memorial Hospital, Bacolod City, Philippines, Philippine Heart Center, Research Institute for Tropical Medicine, Philippines, San Juan De Dios Educational Foundation Inc. - Hospital, Philippines, San Lazaro Hospital, Philippines, Southern Isabela Medical Center, Philippines, St. Luke's Medical Center, Philippines, St Lukes Medical Center, Bonifacio Global City, Philippines, Southern Philippines Medical Center, The Medical City, Philippines, University of the East Ramon Magsaysay Memorial Medical Center, Inc, Philippines, University of Santo Tomas Hospital, Philippines, Veterans Memorial Medical Center, Philippines, Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium, Zamboanga City Medical Center, Zamboanga City, Western Visayas Medical Center, Iloilo City, Northern Mindanao Medical Center, Cagayan de Oro City, Vicente Sotto Memorial Medical Center, Cebu City, Perpetual Succor Hospital, Cebu City
- Responsible party
- Principal investigator, Adrian Espiritu, University of the Philippines
- Investigators
- Adrian I Espiritu, MD, Principal investigator, University of the Philippines
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04386083
- Sponsor's protocol ID
- RGAO-2020-0348
- Acronym
- CORONA
- Status last verified
- Jul 2020
- First submitted
- 4 May 2020
- Last updated
- 28 Jul 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Researchers may be able to request data through an official letter addressed to the Steering Committee of the "The Philippine CORONA Study" e-mailed to coronastudyph@gmail.com.
Publications
Espiritu AI, Sy MCC, Anlacan VMM, Jamora RDG; Philippine CORONA Study Group Investigators. COVID-19 outcomes of 10,881 patients: retrospective study of neurological symptoms and associated manifestations (Philippine CORONA Study). J Neural Transm (Vienna). 2021 Nov;128(11):1687-1703. doi: 10.1007/s00702-021-02400-5. Epub 2021 Aug 27.
PubMed 34448930Espiritu AI, Sy MCC, Anlacan VMM, Jamora RDG. The Philippine COVID-19 Outcomes: a Retrospective study Of Neurological manifestations and Associated symptoms (The Philippine CORONA study): a protocol study. BMJ Open. 2020 Nov 30;10(11):e040944. doi: 10.1136/bmjopen-2020-040944.
PubMed 33257488
Study at a glance
From the registry record, last updated by the sponsor on 28 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- COVID-19 Outcomes: A Retrospective Study of Neurological Manifestations and Associated Symptoms (The Philippine CORONA Study)
- ClinicalTrials.gov ID
- NCT04386083
- Acronym / sponsor ID
- CORONA / RGAO-2020-0348
- Conditions
- Coronavirus Disease 2019
- Keywords
- COVID-19, neurological manifestations, outcomes, cohort study
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 1,342 participants (estimated)
- Lead sponsor
- University of the PhilippinesUniversity, hospital or other
- Collaborators
- Asian Hospital and Medical Center, Muntinlupa City, Philippines, Baguio General Hospital and Medical Center, Baguio City, Philippines, Cagayan Valley Medical Center, Tuguegarao City, Philippines, Capitol Medical Center, Quezon City, Philippines, Cardinal Santos Medical Center, San Juan City, Philippines, Chong Hua Hospital, Cebu City, Philippines, De La Salle University Medical Center, East Avenue Medical Center, Philippines, Jose B. Lingad Memorial Regional Hospital, San Fernando, Pampanga, Philippines, Jose R. Reyes Memorial Medical Center, Lung Center of the Philippines, Manila Doctors Hospital, Philippines, Manila Medical Center, Philippines, Makati Medical Center, New Era General Hospital, Philippines, Quirino Memorial Medical Center, Philippines, Ospital ng Makati, Philippines, Dr. Pablo O. Torre Memorial Hospital, Bacolod City, Philippines, Philippine Heart Center, Research Institute for Tropical Medicine, Philippines, San Juan De Dios Educational Foundation Inc. - Hospital, Philippines, San Lazaro Hospital, Philippines, Southern Isabela Medical Center, Philippines, St. Luke's Medical Center, Philippines, St Lukes Medical Center, Bonifacio Global City, Philippines, Southern Philippines Medical Center, The Medical City, Philippines, University of the East Ramon Magsaysay Memorial Medical Center, Inc, Philippines, University of Santo Tomas Hospital, Philippines, Veterans Memorial Medical Center, Philippines, Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium, Zamboanga City Medical Center, Zamboanga City, Western Visayas Medical Center, Iloilo City, Northern Mindanao Medical Center, Cagayan de Oro City, Vicente Sotto Memorial Medical Center, Cebu City, Perpetual Succor Hospital, Cebu City
- Study start
- 10 Jun 2020 (actual)
- Primary completion
- Dec 2020 (estimated)
- Study completion
- Mar 2021 (estimated)
- First posted
- 13 May 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will determine the neurological profile and predictors of outcomes in patients with COVID-19 disease in the Philippines. It will also evaluate if there is significant difference between COVID-19 patients with neurological manifestations compared to those COVID-19 patients without neurological manifestations in terms of various prespecified clinical outcomes. Furthermore, the likelihood of these outcomes in COVID-19 patients with neurological manifestations compared to those without neurological manifestation will be determined in this study.
Detailed description
This quantitative, retrospective, cohort study will determine the following: 1) demographic, clinical and neurological profile of patients with COVID-19 disease in the Philippines; 2) the frequency of neurological symptoms and new-onset neurological disorders/complications in patients with COVID-19 disease; 3) the neurological manifestations that are significant predictors of mortality, respiratory failure, duration of ventilator dependence, intensive care unit (ICU) admission, length of ICU stay, and length of hospital stay; 4) if there is significant difference between COVID-19 patients with neurological manifestations compared to those COVID-19 patients without neurological manifestations in terms of mortality, respiratory failure, duration of ventilator dependence, ICU admission, length of ICU stay and length of hospital stay; and 5) the likelihood of mortality, respiratory failure and ICU admission in COVID-19 patients with neurological manifestations compared to those without neurological manifestations.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| COVID-19 patients with neurologic manifestations | – | –Patients with confirmed COVID-19 disease who presented with neurological symptoms or new-onset neurological disorders/complications |
| COVID-19 patients without neurologic manifestations | – | –Patients with confirmed COVID-19 disease who did not present with neurological symptoms or new-onset neurological disorders/complications |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Adult patients with confirmed COVID-19 disease
Key inclusion criteria (4 listed)
- Cases confirmed by testing approved patient samples (i.e. nasal swabs, sputum, bronchoalveolar lavage fluid) employing the real-time reverse transcriptase polymerase chain reaction (RT-PCR) from COVID-19 testing centers accredited by the DOH;
- adult patients at least 19 years of age;
- male or female;
- cases with clinical symptoms and signs attributable to COVID-19 disease (i.e. respiratory as well as non-respiratory clinical signs and symptoms), with or without the availability of ancillary tests (i.e. complete blood count, chest x-ray); cases with disposition (i.e. discharged or died) at the end of the study period.
Key exclusion criteria (2 listed)
- Pediatric patients ≤18 years
- Cases with conditions of diseases caused by other organisms (i.e. bacteria, other viruses, fungi, etc.) or caused by other pathologies unrelated to COVID-19 disease (i.e., trauma).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Mortality (binary outcome)
Time frame: from admission until occurrence of mortality, assessed up to 6 months
Defined as patients with confirmed COVID-19 who died
Respiratory failure (binary outcome)
Time frame: from admission until occurrence of respiratory failure, assessed up to 6 months
Defined as the patient with confirmed COVID-19 who experienced clinical symptoms and signs of respiratory insufficiency. Clinically, this condition may manifest as tachypnea, abnormal blood gases (hypoxemia or hypercapnia), signs of increased work of breathing, and requires oxygen supplementation
2 secondary outcomes
Duration of ventilator dependence (continuous outcome)
Time frame: day of intubation to day of extubation, assessed up to 6 months
Intensive care unit (ICU) admission (binary outcome)
Time frame: admission to ICU admission, assessed up to 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jul 2020.
- Derived from this study: PubMed 34448930Espiritu AI, Sy MCC, Anlacan VMM, Jamora RDG; Philippine CORONA Study Group Investigators. COVID-19 outcomes of 10,881 patients: retrospective study of neurological symptoms and associated manifestations (Philippine CORONA Study). J Neural Transm (Vienna). 2021 Nov;128(11):1687-1703. doi: 10.1007/s00702-021-02400-5. Epub 2021 Aug 27.
- Derived from this study: PubMed 33257488Espiritu AI, Sy MCC, Anlacan VMM, Jamora RDG. The Philippine COVID-19 Outcomes: a Retrospective study Of Neurological manifestations and Associated symptoms (The Philippine CORONA study): a protocol study. BMJ Open. 2020 Nov 30;10(11):e040944. doi: 10.1136/bmjopen-2020-040944.
- Individual participant dataSharing planned: Yes. Researchers may be able to request data through an official letter addressed to the Steering Committee of the "The Philippine CORONA Study" e-mailed to coronastudyph@gmail.com.
Related trials for Coronavirus Disease 2019
Not yet recruitingPhase 1
Phase I Open-Label Safety Trial of Pembrolizumab for Neurological Post- Acute Sequelae of SARS-CoV-2 (PD1-PASC I)
Post-Acute COVID-19 Syndrome
Active, not recruitingPhase 1
A Safety and Immunogenicity Trial of OCU500, ChAd36 Vector Encoding SARS-CoV-2 Spike Vaccine Via Intranasal and Inhalational Routes in Previously Vaccinated Adults
COVID-19
Active, not recruiting
Intervention to Address Disparate Mental Health Consequences of COVID-19 Pandemic on Latinx and African Newcomers
Mental Health Issue, Mental Health Disorder
Recruiting
Home-Based Exercise Tele-Rehabilitation After COVID-19
Post SARS-CoV2 (COVID-19)
Not yet recruitingPhase 1
A Safety, Reactogenicity and Immunogenicity Trial of RVX-sCPD9 Booster Intranasal COVID-19 Vaccine
COVID -19
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Adrian I Espiritu, MD principal investigator
University of the Philippines
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Coronavirus Disease 2019, run by University of the Philippines at 1 site in Philippines.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 28 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Philippines. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Adrian I Espiritu, MD (+639258520341, aiespiritu@up.edu.ph), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mortality (binary outcome) (time frame: from admission until occurrence of mortality, assessed up to 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04386083, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2020.