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Sars-CoV-2 InfectionDECRYPTNCT04990531

Low-field Magnetic Resonance Imaging of Pediatric COVID-19

A study testing Low-field magnetic resonance imaging and Blood sample in people with Sars-CoV-2 Infection and Lung Fibrosis, run by University of Erlangen-Nürnberg Medical School at 1 site in Germany.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus type 2) is a new coronavirus and identified causative agent of COVID-19 disease. They predominantly cause mild colds but can sometimes cause severe pneumonia. Read more about this study

Who is it for?
Ages 5 to 18 yearsHealthy volunteers can take part
Conditions the study is for
Sars-CoV-2 Infection, Lung Fibrosis, Covid19
What is being tested?
Low-field magnetic resonance imaging and Blood sample
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 siteGermany
Study dates
9 Aug 2021to 1 Jan 2022
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 5 to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • (Past) Positive SARS-CoV-2 Infection (PCR proven)
  • Age 5 to <18 years
  • Age 5 to <18 years

Who cannot join

  • Acute SARS-CoV-2 Infection and Isolation
  • Quarantine
  • Pregnancy
  • Critical Illness
  • No consent to LF_MRI
  • General contraindications for LF-MRI, such as electrical implants, pace makers, perfusion pumps)
Show all 16Show fewer
  • Healthy controls
  • (Past) Positive SARS-CoV-2 Infection (PCR or antigen test proven)
  • Suspect for lung disease
  • Acute respiratory infection/symptomatic
  • Acute SARS-CoV-2 Infection and Isolation
  • Quarantine
  • Pregnancy
  • Critical Illness
  • No consent to LF_MRI
  • General contraindications for LF-MRI, such as electrical implants, pace makers, perfusion pumps)

Trial locations and contacts

1 site in 1 country.

Germany1 site, 1 recruiting
  • Department of Pediatrics and Adolescent Medicine

    Erlangen, Bavaria, 91054

    Alexandra L Wagner, MD, +49 9131 8533118, alexandra.l.wagner@uk-erlangen.de

    Ferdinand Knieling, MD, +49 9131 8533118, ferdinand.knieling@uk-erlangen.de

    Recruiting

Other trials in Germany

About this study

Official title: Low-fielD magnEtiC Resonance Imaging of pulmonarY Parenchyma Changes Associated wiTh Confirmed SARS-CoV-2 Infection in Children and Adolescents

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus type 2) is a new coronavirus and identified causative agent of COVID-19 disease. They predominantly cause mild colds but can sometimes cause severe pneumonia. The long-term consequences are still largely unexplained and misunderstood, especially in children and adolescents. The aim of this study is to assess the frequency of pulmonary skeletal changes in pediatric and adolescent patients using low-field magnetic resonance imaging (LF-MRI) in the setting of proven past SARS-CoV-2 infection.

Read the detailed description

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus type 2) is a new coronavirus and identified causative agent of COVID-19 disease. They predominantly cause mild colds, but can sometimes cause severe pneumonia. While the molecular basis for the changes in lung tissue or multi-organ involvement has been described, the age-specific long-term consequences, especially in children and adolescents, are still largely unexplained and not understood. Early publications from the primarily affected Chinese provinces described rather mild, partly asymptomatic courses in children. This is consistent with the observation that the risk of severe COVID-19 disease increases steeply from the age of 70 years, and is also determined by the severity of obesity and other risk factors. Developmental expression of tissue factors may be one reason for the relative protection of younger patients from severe courses of the disease.

However, it is now becoming increasingly clear that some individuals with milder initial symptoms of COVID-19 may suffer from variable and persistent symptoms for many months after initial infection - this includes children. A modern low-field MRI is located in Erlangen, Germany. This technique has already been used to demonstrate persistent damage to lung tissue in adult patients after COVID-19. The device with a field strength of 0.55 Tesla (T) currently has the world's largest bore (and is thus particularly suitable for patients with claustrophobia, among other things), a very quiet operating noise, and lower energy absorption in the tissue due to the weaker magnetic field than MRI scanners with 1.5T or 3T. This allows MRI imaging in a very wide pediatric population without the need for sedation.

The purpose of this study is to assess the frequency of lung parenchymal changes using low-field magnetic resonance imaging (LF-MRI) in pediatric and adolescent patients with past SARS-CoV-2 infection detected by PCR.

Being tested
Low-field magnetic resonance imaging, Blood sample
Medical subject headings
COVID-19, Pulmonary Fibrosis

What participants receive

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

  • Low-field magnetic resonance imagingDiagnostic test

    Imaging of lung parenchyma and function by LF-MRI

  • Blood sampleDiagnostic test

    Blood sample for diagnostic testing

Study groups in NCT04990531
Study groupRoleWhat they receive
Covid-19 subjectsExperimentalChildrens and adolescent with PCR-proven previous SARS-CoV-2 infection
Receives: Diagnostic Test: Low-field magnetic resonance imaging; Diagnostic Test: Blood sample
Healthy controlsActive comparatorHealthy controls negative for previous SARS-CoV-2 infection
Receives: Diagnostic Test: Low-field magnetic resonance imaging; Diagnostic Test: Blood sample

What is being measured

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

  1. Low-field magnetic resonance imaging

    Lung parenchymal changes (Ground-glass opacification/opacity (GGO))

    Measured: Single time point (1 day)

Secondary outcomes (17)
  1. Blood sample: Serum

    Antibodies against SarS-CoV-2 (spike proteine)

    Measured: Single time point (1 day)

  2. Blood sample: Serum

    Antibodies against SarS-CoV-2 (nuceleocapsid)

    Measured: Single time point (1 day)

  3. Blood sample: Leucocytes

    Physical properties of single cells: Deformation

    Measured: Single time point (1 day)

  4. Blood sample: Leucocytes

    Physical properties of single cells: Cells size [µm³]

    Measured: Single time point (1 day)

  5. Blood sample: Leucocytes

    Physical properties of single cells: Youngs modulus [kPa³]

    Measured: Single time point (1 day)

  6. Blood sample: Erythrocytes

    Physical properties of single cells: Deformation

    Measured: Single time point (1 day)

  7. Blood sample: Erythrocytes

    Physical properties of single cells: Cells size [µm³]

    Measured: Single time point (1 day)

  8. Blood sample: Erythrocytes

    Physical properties of single cells: Youngs modulus [kPa³]

    Measured: Single time point (1 day)

  9. Blood sample: Monocytes

    Physical properties of single cells: Deformation

    Measured: Single time point (1 day)

  10. Blood sample: Monocytes

    Physical properties of single cells: Cells size [µm³]

    Measured: Single time point (1 day)

  11. Blood sample: Monocytes

    Physical properties of single cells: Youngs modulus [kPa³]

    Measured: Single time point (1 day)

  12. Low-field magnetic resonance imaging

    Lung functional changes (Ventilation defects)

    Measured: Single time point (1 day)

  13. Low-field magnetic resonance imaging

    Lung functional changes (Perfusion defects)

    Measured: Single time point (1 day)

  14. Low-field magnetic resonance imaging

    Lung functional changes (Combined defects)

    Measured: Single time point (1 day)

  15. Blood sample: IL-6

    Serum level of IL-6

    Measured: Single time point (1 day)

  16. Blood sample: C-reactive protein

    Serum level of C-reactive protein

    Measured: Single time point (1 day)

  17. Blood sample: D-dimers

    Serum level of D-dimers

    Measured: Single time point (1 day)

Timeline

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

  1. First posted4 Aug 2021
  2. Study start9 Aug 2021
  3. Primary completion29 Dec 2021 (estimated)
  4. Study completion1 Jan 2022 (estimated)

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
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04990531
Sponsor's protocol ID
206_21 B
Acronym
DECRYPT
Status last verified
Jul 2021
First submitted
22 Jul 2021
Last updated
5 Jan 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in the primary publication, after deidentification (text, tables, figures, and appendices)

Publications

  • Sajuthi SP, DeFord P, Li Y, Jackson ND, Montgomery MT, Everman JL, Rios CL, Pruesse E, Nolin JD, Plender EG, Wechsler ME, Mak ACY, Eng C, Salazar S, Medina V, Wohlford EM, Huntsman S, Nickerson DA, Germer S, Zody MC, Abecasis G, Kang HM, Rice KM, Kumar R, Oh S, Rodriguez-Santana J, Burchard EG, Seibold MA. Type 2 and interferon inflammation regulate SARS-CoV-2 entry factor expression in the airway epithelium. Nat Commun. 2020 Oct 12;11(1):5139. doi: 10.1038/s41467-020-18781-2.

    PubMed 33046696
  • Ziegler CGK, Allon SJ, Nyquist SK, Mbano IM, Miao VN, Tzouanas CN, Cao Y, Yousif AS, Bals J, Hauser BM, Feldman J, Muus C, Wadsworth MH 2nd, Kazer SW, Hughes TK, Doran B, Gatter GJ, Vukovic M, Taliaferro F, Mead BE, Guo Z, Wang JP, Gras D, Plaisant M, Ansari M, Angelidis I, Adler H, Sucre JMS, Taylor CJ, Lin B, Waghray A, Mitsialis V, Dwyer DF, Buchheit KM, Boyce JA, Barrett NA, Laidlaw TM, Carroll SL, Colonna L, Tkachev V, Peterson CW, Yu A, Zheng HB, Gideon HP, Winchell CG, Lin PL, Bingle CD, Snapper SB, Kropski JA, Theis FJ, Schiller HB, Zaragosi LE, Barbry P, Leslie A, Kiem HP, Flynn JL, Fortune SM, Berger B, Finberg RW, Kean LS, Garber M, Schmidt AG, Lingwood D, Shalek AK, Ordovas-Montanes J; HCA Lung Biological Network. Electronic address: lung-network@humancellatlas.org; HCA Lung Biological Network. SARS-CoV-2 Receptor ACE2 Is an Interferon-Stimulated Gene in Human Airway Epithelial Cells and Is Detected in Specific Cell Subsets across Tissues. Cell. 2020 May 28;181(5):1016-1035.e19. doi: 10.1016/j.cell.2020.04.035. Epub 2020 Apr 27.

    PubMed 32413319
  • Huang J, Hume AJ, Abo KM, Werder RB, Villacorta-Martin C, Alysandratos KD, Beermann ML, Simone-Roach C, Lindstrom-Vautrin J, Olejnik J, Suder EL, Bullitt E, Hinds A, Sharma A, Bosmann M, Wang R, Hawkins F, Burks EJ, Saeed M, Wilson AA, Muhlberger E, Kotton DN. SARS-CoV-2 Infection of Pluripotent Stem Cell-Derived Human Lung Alveolar Type 2 Cells Elicits a Rapid Epithelial-Intrinsic Inflammatory Response. Cell Stem Cell. 2020 Dec 3;27(6):962-973.e7. doi: 10.1016/j.stem.2020.09.013. Epub 2020 Sep 18.

    PubMed 32979316
  • Karki R, Sharma BR, Tuladhar S, Williams EP, Zalduondo L, Samir P, Zheng M, Sundaram B, Banoth B, Malireddi RKS, Schreiner P, Neale G, Vogel P, Webby R, Jonsson CB, Kanneganti TD. Synergism of TNF-alpha and IFN-gamma Triggers Inflammatory Cell Death, Tissue Damage, and Mortality in SARS-CoV-2 Infection and Cytokine Shock Syndromes. Cell. 2021 Jan 7;184(1):149-168.e17. doi: 10.1016/j.cell.2020.11.025. Epub 2020 Nov 19.

    PubMed 33278357
  • Brodin P. Immune determinants of COVID-19 disease presentation and severity. Nat Med. 2021 Jan;27(1):28-33. doi: 10.1038/s41591-020-01202-8. Epub 2021 Jan 13.

    PubMed 33442016
  • Schuler BA, Habermann AC, Plosa EJ, Taylor CJ, Jetter C, Negretti NM, Kapp ME, Benjamin JT, Gulleman P, Nichols DS, Braunstein LZ, Hackett A, Koval M, Guttentag SH, Blackwell TS, Webber SA, Banovich NE; Vanderbilt COVID-19 Consortium Cohort; Human Cell Atlas Biological Network; Kropski JA, Sucre JM. Age-determined expression of priming protease TMPRSS2 and localization of SARS-CoV-2 in lung epithelium. J Clin Invest. 2021 Jan 4;131(1):e140766. doi: 10.1172/JCI140766.

    PubMed 33180746
  • Heiss R, Grodzki DM, Horger W, Uder M, Nagel AM, Bickelhaupt S. High-performance low field MRI enables visualization of persistent pulmonary damage after COVID-19. Magn Reson Imaging. 2021 Feb;76:49-51. doi: 10.1016/j.mri.2020.11.004. Epub 2020 Nov 18.

    PubMed 33220447
  • Heiss R, Tan L, Schmidt S, Regensburger AP, Ewert F, Mammadova D, Buehler A, Vogel-Claussen J, Voskrebenzev A, Rauh M, Rompel O, Nagel AM, Levy S, Bickelhaupt S, May MS, Uder M, Metzler M, Trollmann R, Woelfle J, Wagner AL, Knieling F. Pulmonary Dysfunction after Pediatric COVID-19. Radiology. 2023 Mar;306(3):e221250. doi: 10.1148/radiol.221250. Epub 2022 Sep 20.

    PubMed 36125379

Questions about this trial

What is this clinical trial studying?

A study testing Low-field magnetic resonance imaging and Blood sample in people with Sars-CoV-2 Infection and Lung Fibrosis, run by University of Erlangen-Nürnberg Medical School at 1 site in Germany.

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 16 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 5 Jan 2022. 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 Germany. 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 Alexandra Wagner, MD (+49913185 ext. 33118, alexandra.l.wagner@uk-erlangen.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Low-field magnetic resonance imaging (time frame: Single time point (1 day)). 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 NCT04990531, which also lists 8 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 5 Jan 2022.

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