Covid-19 VaccineNCT05288231
Cardiac Manifestation in Adolescent After Pfizer COVID-19 Injection in Thailand
An observational study of Covid-19 Vaccine, run by Mahidol University at 1 site in Thailand.
Trial summary
Rationale Recently, a CDC advisory Committee on Immunization Practices identified a likely association between the 2 COVID-19 mRNA vaccines from Pfizer-BioNTech and Moderna and cases of myocarditis and pericarditis. For the cardiovascular system, 4863 adverse events (AEs) were reported from the Pfizer vaccine. Read more about this study
- Who is it for?
- Ages 13 to 18 yearsHealthy volunteers can take part
- Conditions the study is for
- Covid-19 Vaccine
- What is being tested?
- Diagnostic of ECG
- How many people
- 314 participants
- Where
- 1 siteThailand
- Study dates
- 3 Nov 2021to 15 Mar 2022
- 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 13 to 18 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Study population: Student age 13-18 who received 1st dose of pfizer COVID-19 vaccine from 1. Kong thabbok upatham changkol kho so tho bo school 2. Wachirathamsatit school
Who may be able to join
- Age 13-18 years old
- Both males and females
- Received 1st dose Pfizer COVID-19 vaccine injection
Who cannot join
- Unable to obtain written informed consent from the participants or their legal representatives
- History of cardiomyopathy, tuberculous pericarditis, and constrictive pericarditis
- Severe allergic reaction to COVID-19 vaccine
Trial locations and contacts
1 site in 1 country.
About this study
Rationale Recently, a CDC advisory Committee on Immunization Practices identified a likely association between the 2 COVID-19 mRNA vaccines from Pfizer-BioNTech and Moderna and cases of myocarditis and pericarditis. For the cardiovascular system, 4863 adverse events (AEs) were reported from the Pfizer vaccine. Common findings observed with vaccines under study were tachycardia(16.41%), flushing (12.17%), hypertension (5.82%), hypotension (3.6%), and increased heart rate (9.03%). In this study we characterized, classified, evaluate the dynamic of cardiac function and ECG abnormality after the Pfizer vaccine injection.
This is a prospective cohort study. All participants aged 13-18 years old and above who visited the second dose Pfizer covid-19 vaccine injection to determine cardiac manifestation.
Read more
Methods for analyzing research data The data will be collected from students enrollment at Kong thabbok upatham changkol kho so tho bo school and Wachirathamsatit school. The participant's history, physical exam, and laboratory data will be reviewed and data will be extracted based on the case record form (CRF). All data will be stored securely and analyzed using the SPSS® Statistics Version 23 developed by IBM®. Data entry will be carried out using coding and verification. Quantitative data will be expressed as mean with standard deviation (SD) or median (IQR) and qualitative data will be presented as a number of observations with percentage (%). Descriptive statistics will be used to summarize the baseline values and demographic data.
All p-values will be derived using the 2-tailed testing, and statistical significance will be set at 0.05 probability. All the categorical variables will be analyzed using the chi-square (x2) or Fisher's exact test whichever is appropriate. Normality of the distribution will be tested for the continuous variable using the Kolmogorov- Smirnov test. All the variables with normal distributions will be compared using the independent t-test and will be reported as mean ± standard deviation (SD). The variables that do not pass the normality test will be compared by means of the Mann-Whitney U test and will be reported as the median and interquartile range (IQR).
Read the detailed description
Data Collection Methods
- Participants' demographics will be collected at baseline using case record form.
- Laboratory tests include: at 3 clinical visits (Baseline, Day3, Day7 and Day 14 (optional if have cardiac manifestation) after 2nd dose of Pfizer COVID-19 vaccine) 2.1. Cardiac biomarker (Troponin-T, CK-MB) 2.2. Echocardiography 2.3. ECG (Electrocardiography)
After getting approval from the Ethics Committee and before the start of the trial, the study team informed the interesting participants about the study by invitation letter with ZOOM or line meeting. Informed consent printed to the parents who interested in this project and bring to the team investigator before enrollment. A contact address and phone number will be provided for the interesting participants to call for more information about the study.
- Conditions
- Covid-19 Vaccine
- Being tested
- Diagnostic of ECG
- Keywords
- pfizer-BioNTech Covid-19 vaccine, adult, Thailand, myocarditis, cardiac manifestation, Covid-19 vaccine
- Medical subject headings
- Myocarditis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Diagnostic of ECGDiagnostic test
Also called Diagnostic of cardiac enzyme, Diagnostic of echocardiography
All participants who enrolled in the study will be performed ECG, cardiac enzyme and echocardiography
What is being measured
The primary outcome is the main question the study is designed to answer.
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at baseline
cardiac manifestation defined as sinus tachycardia, hypertension at baseline
Measured: Day 0
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 3
cardiac manifestation defined as sinus tachycardia, hypertension at day 3
Measured: Day 3
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 7
cardiac manifestation defined as sinus tachycardia, hypertension at day 7
Measured: Day 7
Secondary outcomes (9)
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at baseline
frequency (%) of participant with myocarditis at baseline
Measured: Day 0
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 3
frequency (%) of participant with myocarditis at day 3
Measured: Day 3
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 7
frequency (%) of participant with myocarditis at day 7
Measured: Day 7
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at baseline
frequency (%) of participant with pericarditis at baseline
Measured: Day 0
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 3
frequency (%) of participant with pericarditis at day 3
Measured: Day 3
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 7
frequency (%) of participant with pericarditis at day 7
Measured: Day 7
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at baseline
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at baseline
Measured: Day 0
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 3
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at day 3
Measured: Day 3
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 7
frequency (%) of participant with abnormal cardiac biomarker (Troponin and CKMB) at day 7
Measured: Day 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Mar 2022
- Study start3 Nov 2021
- Primary completion29 Nov 2021
- Study completion15 Mar 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Covid-19 VaccineStudies of the same condition, open and under way.
- More trials run by Mahidol UniversityThe sponsor's other registered studies.
- 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
- Cohort
- Time perspective
- Prospective
- Enrolment
- 314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mahidol University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Chayasin Mansanguan, Mahidol University
- Investigators
- Chayasin Mansanguan, M.D., Principal investigator, Mahidol University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05288231
- Sponsor's protocol ID
- Cardiac and pfiizer
- Status last verified
- May 2022
- First submitted
- 17 Mar 2022
- Last updated
- 2 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data or leftover specimens will be shared for future study ONLY subjects who consent allow using their specimens. Sharing will be done without specimen identification.
Publications
Mansanguan S, Charunwatthana P, Piyaphanee W, Dechkhajorn W, Poolcharoen A, Mansanguan C. Cardiovascular Manifestation of the BNT162b2 mRNA COVID-19 Vaccine in Adolescents. Trop Med Infect Dis. 2022 Aug 19;7(8):196. doi: 10.3390/tropicalmed7080196.
PubMed 36006288
Study at a glance
From the registry record, last updated by the sponsor on 2 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cardiac Manifestation in Adolescent After Pfizer COVID-19 Injection in Thailand
- ClinicalTrials.gov ID
- NCT05288231
- Acronym / sponsor ID
- Cardiac and pfiizer
- Conditions
- Covid-19 Vaccine
- Keywords
- pfizer-BioNTech Covid-19 vaccine, adult, Thailand, myocarditis, cardiac manifestation, Covid-19 vaccine
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 314 participants (actual)
- Lead sponsor
- Mahidol UniversityUniversity, hospital or other
- Study start
- 3 Nov 2021 (actual)
- Primary completion
- 29 Nov 2021 (actual)
- Study completion
- 15 Mar 2022 (actual)
- First posted
- 21 Mar 2022 (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.
Rationale Recently, a CDC advisory Committee on Immunization Practices identified a likely association between the 2 COVID-19 mRNA vaccines from Pfizer-BioNTech and Moderna and cases of myocarditis and pericarditis. For the cardiovascular system, 4863 adverse events (AEs) were reported from the Pfizer vaccine. Common findings observed with vaccines under study were tachycardia(16.41%), flushing (12.17%), hypertension (5.82%), hypotension (3.6%), and increased heart rate (9.03%). In this study we characterized, classified, evaluate the dynamic of cardiac function and ECG abnormality after the Pfizer vaccine injection.
This is a prospective cohort study. All participants aged 13-18 years old and above who visited the second dose Pfizer covid-19 vaccine injection to determine cardiac manifestation.
Methods for analyzing research data The data will be collected from students enrollment at Kong thabbok upatham changkol kho so tho bo school and Wachirathamsatit school. The participant's history, physical exam, and laboratory data will be reviewed and data will be extracted based on the case record form (CRF). All data will be stored securely and analyzed using the SPSS® Statistics Version 23 developed by IBM®. Data entry will be carried out using coding and verification. Quantitative data will be expressed as mean with standard deviation (SD) or median (IQR) and qualitative data will be presented as a number of observations with percentage (%). Descriptive statistics will be used to summarize the baseline values and demographic data.
All p-values will be derived using the 2-tailed testing, and statistical significance will be set at 0.05 probability. All the categorical variables will be analyzed using the chi-square (x2) or Fisher's exact test whichever is appropriate. Normality of the distribution will be tested for the continuous variable using the Kolmogorov- Smirnov test. All the variables with normal distributions will be compared using the independent t-test and will be reported as mean ± standard deviation (SD). The variables that do not pass the normality test will be compared by means of the Mann-Whitney U test and will be reported as the median and interquartile range (IQR).
Detailed description
Data Collection Methods
- Participants' demographics will be collected at baseline using case record form.
- Laboratory tests include: at 3 clinical visits (Baseline, Day3, Day7 and Day 14 (optional if have cardiac manifestation) after 2nd dose of Pfizer COVID-19 vaccine) 2.1. Cardiac biomarker (Troponin-T, CK-MB) 2.2. Echocardiography 2.3. ECG (Electrocardiography)
After getting approval from the Ethics Committee and before the start of the trial, the study team informed the interesting participants about the study by invitation letter with ZOOM or line meeting. Informed consent printed to the parents who interested in this project and bring to the team investigator before enrollment. A contact address and phone number will be provided for the interesting participants to call for more information about the study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 13 to 18 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
- Study population
- Student age 13-18 who received 1st dose of pfizer COVID-19 vaccine from 1. Kong thabbok upatham changkol kho so tho bo school 2. Wachirathamsatit school
Key inclusion criteria (3 listed)
- Age 13-18 years old
- Both males and females
- Received 1st dose Pfizer COVID-19 vaccine injection
Key exclusion criteria (3 listed)
- Unable to obtain written informed consent from the participants or their legal representatives
- History of cardiomyopathy, tuberculous pericarditis, and constrictive pericarditis
- Severe allergic reaction to COVID-19 vaccine
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 of ECGAlso: Diagnostic of cardiac enzyme, Diagnostic of echocardiographyAll participants who enrolled in the study will be performed ECG, cardiac enzyme and echocardiography | Diagnostic test | – |
Primary outcome
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at baseline
Time frame: Day 0
cardiac manifestation defined as sinus tachycardia, hypertension at baseline
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 3
Time frame: Day 3
cardiac manifestation defined as sinus tachycardia, hypertension at day 3
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at day 7
Time frame: Day 7
cardiac manifestation defined as sinus tachycardia, hypertension at day 7
9 secondary outcomes
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at baseline
Time frame: Day 0
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 3
Time frame: Day 3
Number and percentage of participant with Myocarditis after Pfizer COVID-19 vaccine injection at day 7
Time frame: Day 7
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at baseline
Time frame: Day 0
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 3
Time frame: Day 3
Number and percentage of participant with pericarditis after Pfizer COVID-19 vaccine injection at day 7
Time frame: Day 7
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at baseline
Time frame: Day 0
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 3
Time frame: Day 3
Number and percentage of participant abnormal cardiac biomarker after Pfizer COVID-19 vaccine injection at day 7
Time frame: Day 7
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jun 2022.
- Derived from this study: PubMed 36006288Mansanguan S, Charunwatthana P, Piyaphanee W, Dechkhajorn W, Poolcharoen A, Mansanguan C. Cardiovascular Manifestation of the BNT162b2 mRNA COVID-19 Vaccine in Adolescents. Trop Med Infect Dis. 2022 Aug 19;7(8):196. doi: 10.3390/tropicalmed7080196.
- Individual participant dataSharing planned: Yes. Data or leftover specimens will be shared for future study ONLY subjects who consent allow using their specimens. Sharing will be done without specimen identification.
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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.
Chayasin Mansanguan, M.D. principal investigator
Mahidol University
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 Covid-19 Vaccine, run by Mahidol University at 1 site in Thailand.
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 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: finished, as of the sponsor's last update on 2 Jun 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 Thailand. 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?
Number and percentage of participant with cardiac manifestation after Pfizer COVID-19 vaccine injection at baseline (time frame: Day 0). The study lists 3 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 NCT05288231, which also lists 1 linked publication.
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 2 Jun 2022.