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AzTrials

Covid19NCT04679168

Study on Kidney Disease and EnviromenTal Chemical

An observational study of Covid19 and Environmental Exposure, run by Seoul National University Hospital at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

1. Purpose: To confirm the changes in lifestyle due to differences in perceptions of infectious disease risk after the COVID-19 pandemic, decrease in exposure levels of environmentally hazardous chemicals and changes in indicators related to chronic kidney disease 2. Read more about this study

Who is it for?
Ages 19 years and older
How many people
310 participants
Where
1 siteSouth Korea
Study dates
1 Jun 2020to 31 Dec 2021
How long will I take part?
24 Months
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
  • No healthy volunteers
  • Adult, Older adult

Study population: * Target number: around 310 * The total number of participants in the study is around 300-350. In order to figure outcomes, data from the Basic Survey on National Environmental Health were used, and the preceding study (intervention study) was referred to. * In multiple regression analysis, the correlation between eGFR and ethylparaben (EtP) was examined by adjusting age, BMI, smoking history, and drinking history. In the full model, where all variables were corrected, R2 was 0.478, and when the independent variable EtP was excluded, R2 decreased by 0.012. Based on these values, as a result of setting the power of 0.7, 0.8, and 0.9 in the multiple regression model, n = 283, 359, and 479, respectively. Based on this result, the number of study participants was set to around 300-350.

Who may be able to join

  • aged 19 years or older
  • who have been treated twice or more with chronic kidney disease as their main diagnosis in an outpatient department of kidney medicine for more than 3 months

Who cannot join

  • Patients who do not observe the rapid deterioration of renal function (AKI)
  • Patients who are likely to significantly change their lifestyle and exposure levels of environmentally hazardous chemicals due to the rapid progression of the disease itself, accompanied by the following chronic diseases (malignant tumors, dementia, immunosuppressants Use, stroke within 1 year, cerebral hemorrhage, myocardial infarction)
  • Other patients who have difficulty in general communication or who are unable to carry out their daily life on their own

Trial locations and contacts

1 site in 1 country.

Jung Pyo Lee, M.D., Ph.D contact

+82-2-870-3206

nephrolee@gmail.com

Jeonghwan Lee, Dr. contact

woogaelee@naver.com

South Korea1 site, 1 recruiting
  • Seoul National University Boramae Medical Center

    Seoul, 07061

    Jeonghwan Lee, Prof., 82-2-870-3243, woogaelee@naver.com

    Yaerim Kim, Prof., 82-53-258-7745, yaerim86@gmail.com

    Recruiting

Other trials in South Korea

About this study

Official title: Change of Environmental Chemical Exposures and Prevalence of Chronic Kidney Disease After Epidemiological Spread of SARS-CoV-2 (COVID-19)

  1. Purpose: To confirm the changes in lifestyle due to differences in perceptions of infectious disease risk after the COVID-19 pandemic, decrease in exposure levels of environmentally hazardous chemicals and changes in indicators related to chronic kidney disease
  2. Methods:
  • Survey on health risk awareness and lifestyle for COVID-19
  • Blood and urine tests for exposure to environmentally hazardous chemicals
  • Collection of hospital clinical data utilization for indicators related to chronic kidney disease
Read more
  1. Clinical endpoints:
  • Verification of differences in health risk perception level and lifestyle changes
  • Verification of changes in lifestyle changes and exposure to environmentally hazardous chemicals
  • Verification of changes in indicators related to kidney disease according to changes in exposure to environmentally hazardous chemicals
  1. Statistical methods: chi-square test, independent mean comparison t-test, ANOVA test, regression analysis
Read the detailed description
  1. Background In daily life, people are exposed to various environmental hormones (Endocrine Disrupting Chemicals) such as phthalates, bisphenols, heavy metals, and perfluorinated compounds. Due to the recent pandemic of the COVID-19, behavior patterns such as wearing a mask and refraining from going out in daily life have changed. Such behavioral changes have the potential to change the level of exposure to environmental hazards, like intervention studies. In addition, studies have been reported that exposure to various environmental hormones can affect kidney function, but epidemiological studies are insufficient. Therefore, the research team is trying to determine whether exposure to environmental hormones changes due to changes in behavioral patterns according to the new corona epidemic, and to determine the effect on renal function indices in patients with chronic kidney disease.
  2. Hypothesis and Purpose
  • Differences in risk perception for disease after the COVID-19 pandemic can explain the degree of change in lifestyle.
  • The changed lifestyle will lead to reduced exposure to environmentally hazardous substances.
  • Reduction of exposure to environmentally harmful substances will reduce the level of exposure to harmful substances related to kidney disease, which will lead to changes in the prevalence of kidney disease and indicators related to kidney disease.
  • After the COVID-19 pandemic, it is verified whether the exposure level of environmentally hazardous chemicals decreases due to changes in the way of life and differences in perception of the risk of infectious diseases, and confirms which indicators related to chronic kidney disease change accordingly. Identify the role.
  1. Methods (1) During the COVID-19 pandemic
  • Acquisition of consent (using explanations and posters) by explaining the research purpose and method
  • Survey on changes in awareness of diseases and changes in hygiene activities since the COVID-19 pandemic compared to before
  • Measurement of the concentration of environmentally hazardous substances through the acquisition of blood (serum, residual samples after blood tests for treatment) and urine samples that are normally performed in the office (3 months cycle, 4 times)
  • Acquisition of clinical information related to kidney disease (2) Recovery period of the COVID-19 pandemic
  • Survey on changes in awareness of diseases and hygiene activities that have changed since the end of the COVID-19 outbreak
  • Measurement of the concentration of environmentally harmful substances by obtaining blood (serum, residual sample after blood test for medical treatment) and urine sample (once after 6 months of termination)
  • Acquisition of clinical information related to kidney disease (3) Investigation variable
  1. Survey
  • Demographic information
  • Anthropometric information
  • Risk perception for the COVID-19
  • Individual behavior associated with hygiene
  • Social distancing pattern b) Chemical material in human sample (blood, urine)
  • Phthalate metabolite
  • Paraben metabolite
  • Benzophenone
  • Triclosan and triclocarban
  • Bisphenols
  • Phosphate metabolites
  • Organochlorine pesticides
  • Polychlorinated biphenyls c) Clinical information including estimated glomerular filtration rate, urine protein/creatinine ratio
Keywords
COVID-19, Environmental Exposure, Behavioral changes, Chronic kidney disease
Medical subject headings
COVID-19, Renal Insufficiency, Chronic

What is being measured

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

  1. Identification of environmental hazard exposure levels and influencing factors

    • Collecting and organizing survey data
    • Calculation of technical statistics on exposure to major environmental hazards
    • Identification of determinants affecting the exposure level of environmentally hazardous substances

    Measured: From initial recruitment to after 21 (+/- 3) months

  2. Relationship between exposure and health related behavior change

    • Analysis of correlation of kidney disease occurrence according to exposure to harmful substances
    • Identify the possibility of health effects from exposure to environmentally harmful factors such as disease prevalence, glomerular filtration rate, and urine protein/creatinine ratio according to the definition of chronic kidney disease.

    Measured: From initial recruitment to after 21 (+/- 3) months

Timeline

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

  1. First posted22 Dec 2020
  2. Study start1 Jun 2020
  3. Primary completion31 Dec 2021 (estimated)
  4. Study completion31 Dec 2021 (estimated)

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
310 participants (estimated)
Target duration
24 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04679168
Sponsor's protocol ID
SKETCH
Status last verified
Dec 2020
First submitted
17 Dec 2020
Last updated
23 Dec 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Street ME, Angelini S, Bernasconi S, Burgio E, Cassio A, Catellani C, Cirillo F, Deodati A, Fabbrizi E, Fanos V, Gargano G, Grossi E, Iughetti L, Lazzeroni P, Mantovani A, Migliore L, Palanza P, Panzica G, Papini AM, Parmigiani S, Predieri B, Sartori C, Tridenti G, Amarri S. Current Knowledge on Endocrine Disrupting Chemicals (EDCs) from Animal Biology to Humans, from Pregnancy to Adulthood: Highlights from a National Italian Meeting. Int J Mol Sci. 2018 Jun 2;19(6):1647. doi: 10.3390/ijms19061647.

    PubMed 29865233
  • Grandjean P, Bellanger M. Calculation of the disease burden associated with environmental chemical exposures: application of toxicological information in health economic estimation. Environ Health. 2017 Dec 5;16(1):123. doi: 10.1186/s12940-017-0340-3.

    PubMed 29202828
  • Mascarelli A. Environment: toxic effects. Nature. 2012 Mar 15;483(7389):363-5. doi: 10.1038/nj7389-363a. No abstract available.

    PubMed 22432121
  • Watts N, Amann M, Ayeb-Karlsson S, Belesova K, Bouley T, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, Chambers J, Cox PM, Daly M, Dasandi N, Davies M, Depledge M, Depoux A, Dominguez-Salas P, Drummond P, Ekins P, Flahault A, Frumkin H, Georgeson L, Ghanei M, Grace D, Graham H, Grojsman R, Haines A, Hamilton I, Hartinger S, Johnson A, Kelman I, Kiesewetter G, Kniveton D, Liang L, Lott M, Lowe R, Mace G, Odhiambo Sewe M, Maslin M, Mikhaylov S, Milner J, Latifi AM, Moradi-Lakeh M, Morrissey K, Murray K, Neville T, Nilsson M, Oreszczyn T, Owfi F, Pencheon D, Pye S, Rabbaniha M, Robinson E, Rocklov J, Schutte S, Shumake-Guillemot J, Steinbach R, Tabatabaei M, Wheeler N, Wilkinson P, Gong P, Montgomery H, Costello A. The Lancet Countdown on health and climate change: from 25 years of inaction to a global transformation for public health. Lancet. 2018 Feb 10;391(10120):581-630. doi: 10.1016/S0140-6736(17)32464-9. Epub 2017 Oct 30. No abstract available.

    PubMed 29096948
  • Obrador GT, Schultheiss UT, Kretzler M, Langham RG, Nangaku M, Pecoits-Filho R, Pollock C, Rossert J, Correa-Rotter R, Stenvinkel P, Walker R, Yang CW, Fox CS, Kottgen A. Genetic and environmental risk factors for chronic kidney disease. Kidney Int Suppl (2011). 2017 Oct;7(2):88-106. doi: 10.1016/j.kisu.2017.07.004. Epub 2017 Sep 20.

    PubMed 30675423
  • Song JY, Yun JG, Noh JY, Cheong HJ, Kim WJ. Covid-19 in South Korea - Challenges of Subclinical Manifestations. N Engl J Med. 2020 May 7;382(19):1858-1859. doi: 10.1056/NEJMc2001801. Epub 2020 Apr 6. No abstract available.

    PubMed 32251568
  • Kang H, Kim S, Lee G, Lee I, Lee JP, Lee J, Park H, Moon HB, Park J, Kim S, Choi G, Choi K. Urinary metabolites of dibutyl phthalate and benzophenone-3 are potential chemical risk factors of chronic kidney function markers among healthy women. Environ Int. 2019 Mar;124:354-360. doi: 10.1016/j.envint.2019.01.028. Epub 2019 Jan 17.

    PubMed 30660848
  • Kang H, Lee J, Lee JP, Choi K. Urinary metabolites of organophosphate esters (OPEs) are associated with chronic kidney disease in the general US population, NHANES 2013-2014. Environ Int. 2019 Oct;131:105034. doi: 10.1016/j.envint.2019.105034. Epub 2019 Jul 30.

    PubMed 31374441
  • Lee J, Oh S, Kang H, Kim S, Lee G, Li L, Kim CT, An JN, Oh YK, Lim CS, Kim DK, Kim YS, Choi K, Lee JP. Environment-Wide Association Study of CKD. Clin J Am Soc Nephrol. 2020 Jun 8;15(6):766-775. doi: 10.2215/CJN.06780619. Epub 2020 May 22.

    PubMed 32628126
  • Kang MW, Kim Y, Lee I, Park H, Park JY, An JN, Yoo KD, Kim YC, Park NY, Kho Y, Choi K, Lee JP, Lee J. Longitudinal behavioral changes and factors related to reinforced risk aversion behavior among patients with chronic kidney disease during the COVID-19 pandemic. Sci Rep. 2022 Sep 22;12(1):15780. doi: 10.1038/s41598-022-19787-0.

    PubMed 36138060

Questions about this trial

What is this clinical trial studying?

An observational study of Covid19 and Environmental Exposure, run by Seoul National University Hospital at 1 site in South Korea.

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 2 inclusion and 3 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 23 Dec 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 South Korea. 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 Jung Pyo Lee, M.D., Ph.D (+82-2-870-3206, nephrolee@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Identification of environmental hazard exposure levels and influencing factors (time frame: From initial recruitment to after 21 (+/- 3) 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 NCT04679168, which also lists 10 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 23 Dec 2020.

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