AzTrials
AzTrials

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)PRISMNCT04588363

COVID-19: Pediatric Research Immune Network on SARS-CoV-2 and MIS-C

An observational study of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Multisystem Inflammatory Syndrome in Children (MIS-C), run by National Institute of Allergy and Infectious Diseases (NIAID) at 20 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The primary objectives of this study are: To determine the proportion of children with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) related death, rehospitalization or major complications after infection with SARS-CoV-2 and/or Multisystem Inflammatory Syndrome in Children (MIS-C), and To determine… Read more about this study

Who is it for?
Ages Up to 20 years
What is being tested?
SARS-CoV-2 and/or MIS-C Exposure
How many people
244 participants
Where
20 sitesUnited States
Study dates
19 Nov 2020to 3 Mar 2023
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 Up to 20 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Individuals less than 21 years of age who fulfill one or more of the following criteria: * SARS-CoV-2 detection from a respiratory specimen, and/or * Meets criteria for MIS-C, and/or * Meets criteria for MIS-C, except has involvement of only 1 organ system

Who may be able to join

  • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) detection from a respiratory specimen, and/or
  • Meets criteria for Multisystem Inflammatory Syndrome in Children (MIS-C), and/or
  • Meets criteria for MIS-C, except has involvement of only 1 organ system
  • Cases meeting clinical criteria for MIS-C but without known SARS-CoV-2 exposure, and who are being treated as MIS-C by the treating physician, but with negative SARS-CoV-2 PCR and pending or negative antibody testing, may be enrolled as subjects. If subsequent antibody testing is positive, cases will be labelled as confirmed MIS-C. If SARS-CoV-2 antibody testing is negative, subjects will be labeled at the end of the study as suspected/not confirmed MIS-C.

Who cannot join

  • 1. Subject and/or parent/guardian who are not able to understand or be willing to provide informed consent and where applicable assent
  • --Note, for this observational cohort study, participation in other COVID-19 studies is not an automatic exclusionary criterion.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

United States20 sites
  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30322

  • NewYork-Presbyterian Brooklyn Methodist Hospital

    Brooklyn, New York, 11215

  • Medical University of South Carolina, Pediatric Rheumatology

    Charleston, South Carolina, 29425

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Duke University Children's Health Center

    Durham, North Carolina, 27710

  • NewYork-Presbyterian Queens Hospital

    Flushing, New York, 11355

  • Loma Linda University Health

    Loma Linda, California, 92354

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • Children's Hospital Los Angeles

    Los Angeles, California, 91011

  • Monroe Carell Jr. Children's Hospital at Vanderbilt

    Nashville, Tennessee, 37232

  • Cohen Children's Medical Center - Northwell Health

    New Hyde Park, New York, 11040

  • Hassenfeld Children's Hospital at NYU Langone

    New York, New York, 10016

  • NewYork-Presbyterian Komansky Children's Hospital

    New York, New York, 10021

  • Mount Sinai Kravis Children's Hospital

    New York, New York, 10029

  • Lucile Packard Children's Hospital Stanford

    Palo Alto, California, 94303

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

  • St. Louis Children's Hospital

    St Louis, Missouri, 63110

  • Children's Hospital at Montefiore

    The Bronx, New York, 10467

Other trials in United States

About this study

Official title: An Observational Cohort Study to Determine Late Outcomes and Immunological Responses After Infection With SARS-CoV-2 in Children With and Without Multisystem Inflammatory Syndrome (MIS-C)

The primary objectives of this study are:

  • To determine the proportion of children with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) related death, rehospitalization or major complications after infection with SARS-CoV-2 and/or Multisystem Inflammatory Syndrome in Children (MIS-C), and
  • To determine immunologic mechanisms and immune signatures associated with disease spectrum and subsequent clinical course during the year of follow-up.
Read the detailed description

This is a prospective, multicenter, observational cohort study to assess short and long-term clinical outcomes and immune responses after Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection and/or Multisystem Inflammatory Syndrome in Children (MIS-C) in children (e.g., defined as individuals who have not reached their 21st birthday at the time of enrollment). SARS-CoV-2 causes Coronavirus Disease 2019 (COVID-19)

Participants will be identified through active recruitment measures within hospitals and through ambulatory and laboratory-based databases of SARS-CoV-2 positive individuals <21 years of age. The study will enroll a minimum of 250 subjects from a diverse racial/ethnic background, from participating medical centers in the United States. The study period of participation is 1 year (12 months).

Being tested
SARS-CoV-2 and/or MIS-C Exposure
Keywords
participants <21 years of age, observational cohort study, immunological responses post infection
Medical subject headings
pediatric multisystem inflammatory disease, COVID-19 related, COVID-19

What participants receive

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

  • SARS-CoV-2 and/or MIS-C ExposureOther

    Also called Exposure: Severe Acute Respiratory Syndrome Coronavirus 2 Infection and/or Multisystem Inflammatory Syndrome in Children diagnosis

    This is an observational cohort study.

Study groups in NCT04588363
Study groupRoleWhat they receive
SARS-CoV-2 positive childrenIndividuals less than 21 years of age who fulfill one or more of the following criteria: * SARS-CoV-2 detection from a respiratory specimen, and/or * Meets criteria for MIS-C, and/or * Meets criteria for MIS-C, except has involvement of only 1 organ system
Receives: Other: SARS-CoV-2 and/or MIS-C Exposure

What is being measured

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

  1. Proportion of Participants With Either COVID-19-Related Death, Rehospitalization, Major Complications after SARS-CoV-2 Illness and/or MIS-C at 6 Months Post Illness Presentation

    Participants who experience Coronavirus Disease 2019 (COVID-19)-related death, rehospitalization or major complications after Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) illness and/or multisystem inflammatory syndrome in children (MIS-C).

    Measured: 6 Months Post Illness Presentation (Enrollment)

Secondary outcomes (23)
  1. Proportion of Participants with Coronavirus Disease 2019 (COVID-19)-Related Death after Multisystem Inflammatory Syndrome in Children (MIS-C) at 1 Year Post Illness Presentation

    Participants who experience Coronavirus Disease 2019 (COVID-19)-related death, rehospitalization or major complications after Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) illness and/or multisystem inflammatory syndrome in children (MIS-C).

    Measured: 1 Year Post Illness Presentation (Enrollment)

  2. All-Cause Mortality

    The occurrence of death in participants regardless of relationship to Coronavirus Disease 2019 (COVID-19) and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).

    Measured: 1 Year Post Illness Presentation (Enrollment)

  3. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Mortality

    The occurrence of SARS-CoV-2 related death in participants.

    Measured: 1 Year Post Illness Presentation (Enrollment)

  4. Hospitalization for Participants Enrolled as an Outpatient or Rehospitalization after First Admission in Hospitalized Participants

    Characterization of Participants who require:

    • Hospitalization subsequent to enrollment as an outpatient for SARS-CoV-2/COVID-19 related illness and/or MIS-C, or
    • Rehospitalization after discharge from their initial admission for SARS-CoV-2/COVID-19 related illness and/or MIS-C.

    Abbreviations:

    • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
    • Coronavirus Disease 2019 (COVID-19)
    • Multisystem Inflammatory Syndrome in Children (MIS-C)

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  5. Coagulation Abnormality by D-Dimer Biomarker

    Characterization of dysregulation involving the coagulation system by D-dimer laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  6. Coagulation Abnormality by Fibrinogen Biomarker

    Characterization of dysregulation involving the coagulation system by fibrinogen laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  7. Coagulation Abnormality by Prothrombin Time (PT) and Activated Partial Thromboplastin Time (PTT) Biomarkers

    Characterization of dysregulation involving the coagulation system by PT and PTT laboratory tests.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  8. Coagulation Abnormality by International Normalised Ratio (INR) Biomarker

    Characterization of dysregulation involving the coagulation system by INR laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  9. Coronary Artery Abnormalities

    Characterization of coronary artery abnormalities (e.g., by echocardiogram and, if performed for clinical indications, angiogram, as examples).

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  10. Pulmonary Hypertension

    Prevalence of pulmonary hypertension by echocardiogram and standard of care assessments.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  11. Cardiovascular System Dysregulation by B-type natriuretic peptide (BNP) Biomarker

    Characterization of cardiovascular system dysregulation by BNP laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  12. Cardiovascular System Dysregulation by Troponin I Biomarker

    Characterization of cardiovascular system dysregulation by Troponin I laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  13. Cardiovascular System Dysregulation by Echocardiogram

    Characterization of cardiac function by echocardiogram (Echo), a test that uses high frequency sound waves (ultrasound) to make pictures of the heart. The test is also referred to as a diagnostic cardiac ultrasound.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  14. Cardiovascular System Dysregulation by Electrocardiogram (ECG)

    Characterization of cardiovascular system dysregulation(s) evaluated by standardized 12-lead electrocardiogram. ECG rhythms, intervals and voltages will be assessed. Cross reference: ECG and EKG are used interchangeably.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  15. Pulmonary Abnormalities

    Pulmonary fibrosis (i.e., scarring) or other abnormalities detected by computerized tomography (CT) imaging.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  16. Pulmonary Function Characteristics

    Characterization by pulmonary function tests (spirometry without bronchodilators).

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  17. Renal/Metabolic Biomarkers: Serum Creatinine and Blood Urea Nitrogen (BUN)

    Characterization of kidney/metabolic function by serum creatinine and blood urea nitrogen (BUN) laboratory tests

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  18. Renal/Metabolic Biomarker: Estimated glomerular filtration rate (eGFR)

    Characterization of kidney/metabolic function by the estimated glomerular filtration rate (eGFR) calculated value, using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  19. Hepatic/Metabolic Biomarkers: Serum Alkaline Phosphatase (Alk Phos), Alanine Aminotransferase ( ALT/SGPT)and Aspartate Aminotransferase (AST/SGOT)

    Characterization of liver/metabolic function by the following laboratory tests:

    • alkaline phosphatase
    • alanine aminotransferase (ALT/SGPT) and
    • aspartate aminotransferase (AST/SGOT).

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  20. Hepatic/Metabolic Biomarker: Total Bilirubin

    Characterization of liver/metabolic function by serum total bilirubin laboratory test.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  21. Neurologic Abnormalities

    Characterization of neurologic sequelae of infection/disease.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  22. Other End Organ and/or functional abnormalities Occurring After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection/ Coronavirus Disease 2019 (COVID-19) and/or Multisystem Inflammatory Syndrome in Children (MIS-C)

    Identified by and characterized during standard of care assessments.

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

  23. Health Related Quality of Life

    Assessment of health-related quality of life (HRQOL) after Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection/ Coronavirus Disease 2019 (COVID-19) and/or multisystem inflammatory syndrome in children (MIS-C).

    The Pediatric Quality of Life Inventory is a series of assessment instruments designed to measure the health-related quality of life of children. The PedsQL 4.0 provides an opportunity for the assessment of both overall (generic) quality of life as well as disease-specific quality of life.

    The PedsQL 4.0 Generic Core Scales are appropriate for assessing health-related quality of life in both healthy and chronically ill children. The four scales making up this generic battery include Physical Functioning (8 items), Emotional Functioning (5 items), Social Functioning (5 items), and School Functioning (5 items).

    Measured: Up to 1 Year Post Illness Presentation (Enrollment)

Timeline

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

  1. First posted19 Oct 2020
  2. Study start19 Nov 2020
  3. Primary completion3 Mar 2023
  4. Study completion3 Mar 2023

Resources

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
Prospective
Enrolment
244 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04588363
Sponsor's protocol ID
DAIT PRISM-01
Other IDs
NIAID CRMS ID#: 38772
Acronym
PRISM
Status last verified
Feb 2024
First submitted
12 Oct 2020
Last updated
29 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Multisystem Inflammatory Syndrome in Children (MIS-C), run by National Institute of Allergy and Infectious Diseases (NIAID) at 20 sites in United States.

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: finished, as of the sponsor's last update on 29 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States. 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?

Proportion of Participants With Either COVID-19-Related Death, Rehospitalization, Major Complications after SARS-CoV-2 Illness and/or MIS-C at 6 Months Post Illness Presentation (time frame: 6 Months Post Illness Presentation (Enrollment)). 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 29 Feb 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in