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COVIDRECOVER-19NCT04466800

Functional and Respiratory Rehabilitation and Nutritional Care of COVID-19 Patients (RECOVER-19)

A study testing Intervention group_rehabilitation program in people with COVID, run by Rennes University Hospital at 5 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Following the acute phase of COVID, some patients may have sequelae, such as breathing difficulties or malnutrition. We hypothesize that a functional and respiratory rehabilitation program associated with personalized nutritional care will improve quality of life, physical performance and respiratory capacities and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID
What is being tested?
Intervention group_rehabilitation program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
5 sitesFrance
Study dates
30 Jul 2020to 13 Jan 2023
Phase
Interventional
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age above 18 years
  • Laboratory (RT-PCR and/or serology) confirmed infection with SARS-CoV-2
  • Date of first symptoms of SARS-CoV-2 infection > 4 weeks and < 4 months
  • Persisting functional and/or respiratory deficit and/or asthenia and/or malnutrition beyond the first 4 weeks after COVID, defined as :
  • Increase of mMRC (Modified Medical Research Council) score ≥ 1 between the month before COVID and beyond the first 4 weeks after COVID and/or
  • Asthenia score (Pichot asthenia scale) > 22 beyond the first 4 weeks after COVID, if patient had no asthenia before COVID (asthenia score <8) and/or
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  • Weight loss > 5% within 6 months, comparing minimum weight between the month before COVID and beyond the first 4 weeks after COVID and/or
  • BMI (Body Mass Index) < 20 (if age < 70 years) or < 22 (if age ≥ 70 years) if BMI (Body Mass Index) ≥ 20 (if age < 70 years) or ≥ 22 (if age ≥ 70 years) the month before COVID
  • Patient affiliated to social security system
  • Patient gave written informed consent

Who cannot join

  • Patient unable to undergo a rehabilitation program due to comorbidities, such as major cardio-vascular disease or severe dementia
  • Patient currently benefiting from physiotherapy sessions, in particular motor and / or respiratory therapy and / or an exercise re-training and / or respiratory rehabilitation program
  • Patient living in a residential facility for dependent elderly people
  • Patient not speaking french
  • Pregnant women

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

France5 sites
  • Hôtel Dieu Paris

    Paris

  • Centre Hospitalier de Cornouaille

    Quimper

  • CHU Rennes

    Rennes

  • Centre Hospitalier de Saint-Brieuc

    Saint-Brieuc

  • Centre Hospitalier Bretagne Atlantique

    Vannes

Other trials in France

About this study

Official title: Functional and Respiratory Rehabilitation and Nutritional Care of COVID-19 Patients

Following the acute phase of COVID, some patients may have sequelae, such as breathing difficulties or malnutrition. We hypothesize that a functional and respiratory rehabilitation program associated with personalized nutritional care will improve quality of life, physical performance and respiratory capacities and will decrease the prevalence of malnutrition among those patients.

Read the detailed description

In France, more than 150 000 patients have been infected by the SARS-CoV-2 virus and COVID has been responsible for more than 100 000 hospitalizations. Following the acute phase of this disease, some patients may have sequelae, such as breathing difficulties or malnutrition. However, the prevalence and intensity of those sequelae still remain unknown. Thus, a functional and respiratory rehabilitation program associated with personalized nutritional care may be necessary to improve those patients' prognosis.

This study aims to evaluate the effectiveness of a 4-week rehabilitation program following the acute phase of COVID. This program includes regular physical activity supervised by a physical acticity educator, a systematic malnutrition screening and a nutritional follow-up performed by a dietitian. Patients will be randomized in two groups: rehabilitation program (intervention group) or usual care (control group). Quality of life, physical performance, respiratory capacities and nutritional status will be assessed in both groups at inclusion and one month later (corresponding to the end of the rehabilitation program for the intervention group).

Conditions
COVID
Being tested
Intervention group_rehabilitation program
Keywords
COVID, Rehabilitation, Adapted physical activity, Malnutrition
Medical subject headings
Malnutrition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intervention group_rehabilitation programOther

    Regular physical activity, supervised by a physical education educator, a systematic malnutrition screening and a nutritional follow-up performed by a dietetician.

    Patients will follow a 4-week rehabilitation program, comprising 3 physical activity sessions per week for 4 weeks. First sessions will be supervised by a physical activity educator and patients will perform the following sessions at home, using physical training software. The physical activity educator will call patients once a week to ensure the sessions are correctly performed and adapt the program if necessary. Patients will also undergo a nutritional assessment carried out by a dietitian at the beginning of the program. A dietitian will call patients once a week to ensure their nutritional status is appropriate.

Study groups in NCT04466800
Study groupRoleWhat they receive
Intervention group_rehabilitation programExperimentalmultidisciplinary and personalized rehabilitation program
Receives: Other: Intervention group_rehabilitation program
Control groupNo interventionUsual care of each site, including delivery of an information sheet concerning recommended physical activity (based on WHO recommendations) and nutrition. One month after inclusion, patients of this group will be offered a rehabilitation program (as described in the intervention group, but with only one session with a physical activity educator at home) and one dietitian consultation.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Impact of a multidisciplinary and personalized rehabilitation program on COVID patients's quality of life

    Physical component score of the Short-Form 36 health survey between the beginning and the end of the rehabilitation program (from 0 to 100; highers scores mean better outcome)

    Measured: 1 month

Secondary outcomes (47)
  1. Impact of a multidisciplinary and personalized rehabilitation program in terms of Physical capacities

    Number of repeated chair rises during 3 minutes

    Measured: 1 month

  2. Impact of a multidisciplinary and personalized rehabilitation program in terms of Physical capacities

    Aerobic physical capacity using Eval-DM software

    Measured: 1 month

  3. Impact of a multidisciplinary and personalized rehabilitation program in terms of Respiratory capacities

    Modified Medical Research Council scale (mMRC) (from 0 to 4, highers scores mean worse outcome)

    Measured: 1 month

  4. Impact of a multidisciplinary and personalized rehabilitation program in terms of Respiratory capacities

    Modified Medical Research Council scale (mMRC) (from 0 to 4, highers scores mean worse outcome)

    Measured: 3 months

  5. Impact of a multidisciplinary and personalized rehabilitation program in terms of Respiratory capacities

    Modified Medical Research Council scale (mMRC) (from 0 to 4, highers scores mean worse outcome)

    Measured: 6 months

  6. Impact of a multidisciplinary and personalized rehabilitation program in terms of Respiratory capacities

    Borg scale (from 0 to 10, highers scores mean worse outcome)

    Measured: 1 month

  7. Impact of a multidisciplinary and personalized rehabilitation program in terms of Functional capacities

    Barthel scale (from 0 to 100, highers scores mean worse outcome)

    Measured: 1 month

  8. Impact of a multidisciplinary and personalized rehabilitation program in terms of Functional capacities

    Barthel scale (from 0 to 100, highers scores mean worse outcome)

    Measured: 3 months

  9. Impact of a multidisciplinary and personalized rehabilitation program in terms of Functional capacities

    Barthel scale (from 0 to 100, highers scores mean worse outcome)

    Measured: 6 months

  10. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Weight loss

    Measured: 1 month

  11. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Weight loss

    Measured: 3 months

  12. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Weight loss

    Measured: 6 months

  13. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Body mass index

    Measured: 1 month

  14. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Body mass index

    Measured: 3 months

  15. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Body mass index

    Measured: 6 months

  16. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    Muscular mass by brachial circumference or grip strength

    Measured: 1 month

  17. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    SEFI® score (from 0 to 10, highers scores mean better outcome)

    Measured: 1 month

  18. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    SEFI® score (from 0 to 10, highers scores mean better outcome)

    Measured: 3 months

  19. Impact of a multidisciplinary and personalized rehabilitation program in terms of Malnutrition prevalence rate using GLIM malnutrition diagnostic criteria

    SEFI® score (from 0 to 10, highers scores mean better outcome)

    Measured: 6 months

  20. Impact of a multidisciplinary and personalized rehabilitation program in terms of mortality

    Mortality rate

    Measured: 1 month

  21. Impact of a multidisciplinary and personalized rehabilitation program in terms of mortality

    Mortality rate

    Measured: 3 months

  22. Impact of a multidisciplinary and personalized rehabilitation program in terms of mortality

    Mortality rate

    Measured: 6 months

  23. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Score of the Short-Form 36 health Survey (from 0 to 100, highers scores mean better outcome)

    Measured: 1 month

  24. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Score of the Short-Form 36 health Survey (from 0 to 100, highers scores mean better outcome)

    Measured: 3 months

  25. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Score of the Short-Form 36 health Survey (from 0 to 100, highers scores mean better outcome)

    Measured: 6 months

  26. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    EuroQol 5 Dimensions 5 Levels surveys (from 0 to 1, highers scores mean better outcome)

    Measured: 1 month

  27. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    EuroQol 5 Dimensions 5 Levels surveys (from 0 to 1, highers scores mean better outcome)

    Measured: 3 months

  28. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    EuroQol 5 Dimensions 5 Levels surveys (from 0 to 1, highers scores mean better outcome)

    Measured: 6 months

  29. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Proportion of patients returning to a professional activity

    Measured: 1 month

  30. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Proportion of patients returning to a professional activity

    Measured: 3 months

  31. Impact of a multidisciplinary and personalized rehabilitation program in terms of Quality of life

    Proportion of patients returning to a professional activity

    Measured: 6 months

  32. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Hospital and Anxiety Depression Scale (from 0 to 42, highers scores mean worse outcome)

    Measured: 1 month

  33. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Hospital and Anxiety Depression Scale (from 0 to 42, highers scores mean worse outcome

    Measured: 3 months

  34. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Hospital and Anxiety Depression Scale (from 0 to 42, highers scores mean worse outcome

    Measured: 6 months

  35. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Pichot asthenia scale (from 0 to 32, highers mean worse outcome)

    Measured: 1 month

  36. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Pichot asthenia scale (from 0 to 32, highers mean worse outcome)

    Measured: 3 months

  37. Impact of a multidisciplinary and personalized rehabilitation program in terms of Anxiety and depression

    Pichot asthenia scale (from 0 to 32, highers mean worse outcome)

    Measured: 6 months

  38. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Number of consultations with the healthcare professionals

    Measured: 1 month

  39. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Number of consultations with the healthcare professionals

    Measured: 3 months

  40. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Number of consultations with the healthcare professionals

    Measured: 6 months

  41. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Rehospitalisation rate (all causes)

    Measured: 1 month

  42. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Rehospitalisation rate (all causes)

    Measured: 3 months

  43. Impact of a multidisciplinary and personalized rehabilitation program in terms of Healthcare consumption

    Rehospitalisation rate (all causes)

    Measured: 6 months

  44. Impact of a multidisciplinary and personalized rehabilitation program in terms of Medico-economic evaluation

    Incremental cost-effectiveness ratio

    Measured: 3 months

  45. Impact of a multidisciplinary and personalized rehabilitation program in terms of Medico-economic evaluation

    Incremental cost-effectiveness ratio

    Measured: 6 months

  46. Patient's opinion concerning the rehabilitation program

    Satisfaction questionnaire with open-ended questions (no specific scale is available)

    Measured: 3 months

  47. Patient's opinion concerning the rehabilitation program

    Satisfaction questionnaire with open-ended questions (no specific scale is available)

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2020
  2. Study start30 Jul 2020
  3. Primary completion29 Aug 2022
  4. Study completion13 Jan 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multicenter, randomized, comparative, parallel-group trial
Masking
None (open label)
Enrolment
160 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04466800
Sponsor's protocol ID
35RC20_9875_RECOVER-19
Acronym
RECOVER-19
Status last verified
Jan 2023
First submitted
9 Jul 2020
Last updated
26 Jan 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Intervention group_rehabilitation program in people with COVID, run by Rennes University Hospital at 5 sites in France.

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 10 inclusion and 5 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: finished, as of the sponsor's last update on 26 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in France. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Impact of a multidisciplinary and personalized rehabilitation program on COVID patients's quality of life (time frame: 1 month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Jan 2023.

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