Covid19NCT04828629
Complications and the Influence of COVID-19 on Myocardial Function and Exercise Capacity
An observational study of Covid19 and Heart Failure, run by Polish Mother Memorial Hospital Research Institute at 1 site in Poland.
Trial summary
The subject of the study is the impact of COVID-19 on the indicators of myocardial efficiency and exercise capacity. As a result of the observed dependencies, it will be possible to start an appropriate diagnostic procedure early, select personalized treatment and develop a model of cardiological care for people with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Covid19, Heart Failure
- What is being tested?
- Diagnostic tests
- How many people
- 100 participants
- Where
- 1 sitePoland
- Study dates
- 23 Dec 2020to 1 Jan 2025
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The 100 consecutive adult patients (18 years of age or older) hospitalized in the Department of Cardiology and Congenital Heart Diseases of Adults who had recovered from COVID-19 will be included in the study.
Who may be able to join
- Age equal to or older than 18 years
- infection with the SARS-CoV-2 in past medical history
- current hospitalization
Who cannot join
- severe hypertension;
- unstable angina;
- acute pulmonary embolism;
- decompensated heart failure;
- recent myocardial infarction;
- unstable heart rhythm disturbances;
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- acute myocarditis or pericarditis;
- active endocarditis;
- advanced atrioventricular block;
- diagnosis of cardiomyopathy (hypertrophic, dilated, restrictive, peripartum, arrhythmogenic)
- lysosomal storage disorders
- severe hyper- and hypothyroidism
- pregnancy and lactation
- chronic kidney disease (IV, V stadium according to NKF) and dialysis treatment
- documented neoplastic process
- the patient's inability to cooperate and/or provide informed consent to participate in a research
- alcohol and drug abuse
- active autoimmune disease
- treatment using immunosuppressants, cytostatic drugs, glucocorticosteroids, or antiretroviral drugs
- a history of bone marrow transplant or other organ transplant, treatment with blood products within the last 6 months
- active systemic infection
- HBV, HCV or HIV carrier or positive for HbS antigen or antibodies to HCV
- surgery or serious injury within the last month
- patients who did not express their informed consent to participate in the study
Trial locations and contacts
1 site in 1 country.
Poland1 site
Heart Failure Unit; Department of Cardiology and Congenital Diseases of Adults, Polish Mother's Memorial Hospital Research Institute
Lodz, Polska, 93-338
About this study
The subject of the study is the impact of COVID-19 on the indicators of myocardial efficiency and exercise capacity. As a result of the observed dependencies, it will be possible to start an appropriate diagnostic procedure early, select personalized treatment and develop a model of cardiological care for people with a history of SARS-CoV-2 infection and improve the quality and extend their life.
Read the detailed description
About 100 adult patients hospitalized in the Department of Cardiology and Congenital Heart Diseases of Adults who had recovered from COVID-19 will be included in the study. Selected prognostic factors will be analyzed, among others: demographic data of the patient, physical examination, symptoms, co-morbidities, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic and echocardiographic data, patient's cooperation with the doctor, treatment applied, parameters in the spiroergometric study, body mass analysis. One year after inclusion in the study, a control hospitalization will be performed. The same factors will be analyzed.
- Conditions
- Covid19, Heart Failure
- Being tested
- Diagnostic tests
- Medical subject headings
- COVID-19, Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Diagnostic testsDiagnostic test
Selected prognostic factors will be analyzed, among others: demographic data of the patient, physical examination, symptoms, co-morbidities, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic and echocardiographic data, patient's cooperation with the doctor, treatment applied, parameters in the spiroergometric study, body mass analysis.
| Study group | Role | What they receive |
|---|---|---|
| Identification of prognostic factors in patients who have recovered from COVID-19 | Selected prognosis factors will be analyzed in patients who have recovered from COVID-19 Receives: Diagnostic Test: Diagnostic tests |
What is being measured
The primary outcome is the main question the study is designed to answer.
Prognosis in patients who have recovered from COVID-19
A control hospitalization will be conducted with patients. The same prognostic factors will be analyzed: physical examination, symptoms, co-morbidities, treatment applied, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic (ECG) and echocardiographic data, parameters in the spiroergometric study, body mass analysis.
Measured: 12 months after inclusion in the study
Secondary outcomes (6)
Review of selected laboratory tests in patients who have recovered from COVID-19
Diagnostic blood samples will be collected from each patient: N-terminal pro b-type natriuretic peptide (NT-proBNP) and high sensitive cardiac Troponin T (hsTnT), the alanine aminotransferase (ALT) and aspartate transaminase (ASP), creatinine, glomerular filtration rate (GFR) estimate by Modification of Diet in Renal Disease (MDRD) parameters, inflammatory cytokine [C-reactive protein (CRP)], glucose level, lipoprotein profile: low density lipoprotein (LDL), high density lipoprotein (HDL), triglycerides (TG) and total cholesterol (TC). Also, the amount of hemoglobin will be performed.
Measured: 12 months after inclusion in the study
The imaging of pulmonary changes in patients who have recovered from COVID-19
Chest X-ray or lung computed tomography will be performed.
Measured: 12 months after inclusion in the study
Review of selected Holter ECG monitoring data in patients who have recovered from COVID-19
Analysis of average heart rate, ST segment abnormality (elevation or depression), the presence of: atrioventricular delay (AV block), bundle branch block, supraventricular and ventricular extrasystoles, atrial fibrillation (AF).
Measured: 12 months after inclusion in the study
Review of selected echocardiographic data in patients who have recovered from COVID-19
Measurement of left ventricular (LV) volume and ejection fraction (EF), left atrial (LA) volume, LA volume index (LAVi), maximal early (E) and late (A) transmitral velocities, ratio of early transmitral peak velocity to early diastolic peak annular velocity (E/E'), early diastolic (E'), late diastolic (A') mitral annular myocardial velocity of the left ventricle, LAVi/A', tricuspid annular plane systolic excursion (TAPSE).
Measured: 12 months after inclusion in the study
Review of parameters in the spiroergometric study in patients who have recovered from COVID-19
Forced vital capacity (FVC),forced expiratory volume in one second (FEV1), FEV1/FVC ratio, VO2max (represents the maximal achievable level of oxidative metabolism involving large muscle groups), ventilatory exchange (VE), oxygen uptake (VO2), CO2 expenditure (VCO2), respiratory exchange ratio (RER), anaerobic threshold (AT), oxygen uptake at anaerobic threshold (VO2 AT), the minute ventilation/carbon dioxide production slope (VE/VCO2 slope) will be performed.
Measured: 12 months after inclusion in the study
Body mass analysis in patients who have recovered from COVID-19
Body composition measurement will be conducted using bioelectrical impedance analysis (BIA). Fat mass (FM) and fat-free mass (FFM), total body water (TBW), extra-cellular (ECW) and intra-cellular (ICW) water, ECW/TBWx100% will be measured.
Measured: 12 months after inclusion in the study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Apr 2021
- Study start23 Dec 2020
- Primary completion1 Dec 2024 (estimated)
- Study completion1 Jan 2025 (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 Covid19Studies 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
- Other
- Time perspective
- Prospective
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Polish Mother Memorial Hospital Research Institute
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Agata Bielecka-Dabrowa, Study chair, Heart Failure Unit; Department of Cardiology and Congenital Diseases of Adults, PMMHRIMaciej Banach, Study chair, Heart Failure Unit; Department of Cardiology and Congenital Diseases of Adults, PMMHRI
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04828629
- Sponsor's protocol ID
- PMMHRI-BCO.75/2020
- Status last verified
- Nov 2023
- First submitted
- 12 Mar 2021
- Last updated
- 3 Apr 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Gryglewska-Wawrzak K, Sakowicz A, Banach M, Bytyci I, Bielecka-Dabrowa A. Diagnostic Usefulness of Spiroergometry and Risk Factors of Long COVID in Patients with Normal Left Ventricular Ejection Fraction. J Clin Med. 2023 Jun 20;12(12):4160. doi: 10.3390/jcm12124160.
PubMed 37373853Gryglewska-Wawrzak K, Sakowicz A, Banach M, Maciejewski M, Bielecka-Dabrowa A. Factors of Persistent Limited Exercise Tolerance in Patients after COVID-19 with Normal Left Ventricular Ejection Fraction. Biomedicines. 2022 Dec 15;10(12):3257. doi: 10.3390/biomedicines10123257.
PubMed 36552013
Study at a glance
From the registry record, last updated by the sponsor on 3 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Complications and the Influence of COVID-19 on Myocardial Function and Exercise Capacity
- ClinicalTrials.gov ID
- NCT04828629
- Acronym / sponsor ID
- PMMHRI-BCO.75/2020
- Conditions
- Covid19, Heart Failure
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Polish Mother Memorial Hospital Research InstituteUniversity, hospital or other
- Study start
- 23 Dec 2020 (actual)
- Primary completion
- 1 Dec 2024 (estimated)
- Study completion
- 1 Jan 2025 (estimated)
- First posted
- 2 Apr 2021 (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.
The subject of the study is the impact of COVID-19 on the indicators of myocardial efficiency and exercise capacity. As a result of the observed dependencies, it will be possible to start an appropriate diagnostic procedure early, select personalized treatment and develop a model of cardiological care for people with a history of SARS-CoV-2 infection and improve the quality and extend their life.
Detailed description
About 100 adult patients hospitalized in the Department of Cardiology and Congenital Heart Diseases of Adults who had recovered from COVID-19 will be included in the study. Selected prognostic factors will be analyzed, among others: demographic data of the patient, physical examination, symptoms, co-morbidities, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic and echocardiographic data, patient's cooperation with the doctor, treatment applied, parameters in the spiroergometric study, body mass analysis. One year after inclusion in the study, a control hospitalization will be performed. The same factors will be analyzed.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Identification of prognostic factors in patients who have recovered from COVID-19 | – | Diagnostic Test: Diagnostic testsSelected prognosis factors will be analyzed in patients who have recovered from COVID-19 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The 100 consecutive adult patients (18 years of age or older) hospitalized in the Department of Cardiology and Congenital Heart Diseases of Adults who had recovered from COVID-19 will be included in the study.
Key inclusion criteria (3 listed)
- Age equal to or older than 18 years
- infection with the SARS-CoV-2 in past medical history
- current hospitalization
Key exclusion criteria (24 listed)
- severe hypertension;
- unstable angina;
- acute pulmonary embolism;
- decompensated heart failure;
- recent myocardial infarction;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Diagnostic testsSelected prognostic factors will be analyzed, among others: demographic data of the patient, physical examination, symptoms, co-morbidities, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic and echocardiographic data, patient's cooperation with the doctor, treatment applied, parameters in the spiroergometric study, body mass analysis. | Diagnostic test | Identification of prognostic factors in patients who have recovered from COVID-19 |
Primary outcome
Prognosis in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
A control hospitalization will be conducted with patients. The same prognostic factors will be analyzed: physical examination, symptoms, co-morbidities, treatment applied, results of selected laboratory tests, lung imaging (X-ray or computed tomography) selected electrocardiographic (ECG) and echocardiographic data, parameters in the spiroergometric study, body mass analysis.
6 secondary outcomes
Review of selected laboratory tests in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
The imaging of pulmonary changes in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
Review of selected Holter ECG monitoring data in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
Review of selected echocardiographic data in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
Review of parameters in the spiroergometric study in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
Body mass analysis in patients who have recovered from COVID-19
Time frame: 12 months after inclusion in the study
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Apr 2024.
- Derived from this study: PubMed 37373853Gryglewska-Wawrzak K, Sakowicz A, Banach M, Bytyci I, Bielecka-Dabrowa A. Diagnostic Usefulness of Spiroergometry and Risk Factors of Long COVID in Patients with Normal Left Ventricular Ejection Fraction. J Clin Med. 2023 Jun 20;12(12):4160. doi: 10.3390/jcm12124160.
- Derived from this study: PubMed 36552013Gryglewska-Wawrzak K, Sakowicz A, Banach M, Maciejewski M, Bielecka-Dabrowa A. Factors of Persistent Limited Exercise Tolerance in Patients after COVID-19 with Normal Left Ventricular Ejection Fraction. Biomedicines. 2022 Dec 15;10(12):3257. doi: 10.3390/biomedicines10123257.
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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.
Agata Bielecka-Dabrowa study chair
Heart Failure Unit; Department of Cardiology and Congenital Diseases of Adults, PMMHRI
Maciej Banach study chair
Heart Failure Unit; Department of Cardiology and Congenital Diseases of Adults, PMMHRI
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 Covid19 and Heart Failure, run by Polish Mother Memorial Hospital Research Institute at 1 site in Poland.
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 3 inclusion and 24 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 3 Apr 2024. 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 Poland. 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?
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?
Prognosis in patients who have recovered from COVID-19 (time frame: 12 months after inclusion in the study). 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 NCT04828629, 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 3 Apr 2024.