Status: Planned
First registered on:
28/03/2020
Last updated on:
05/08/2020
1. Study identification
EU PAS Register NumberEUPAS34331
Official titleCASE AND CONTROLS NESTED IN AN AMBISPECTIVE COHORT TO EVALUATE THE EFFECT OF CO-MEDICATION ON THE EVOLUTION OF SARS-CoV-2 CORONAVIRUS INFECTION (COVID-19)
Study title acronymHULP-COVID19-ACE2-20
Study typeObservational study
Brief description of the studyThere is evidence that SARS-CoV-2 binds to the cellular ACE2 receptor to inoculate itself, which calls into question the use of drugs that may have an impact on the renin-angiotensin-aldosterone axis by increasing the probability of acquiring the infection. Most of the works maintain that it can favor the virus entering the body, although there is much controversy with the withdrawal or maintenance of drugs that intervene or collaterally affect this axis, since there are authors who argue that SARS-CoV -1 down-regulates ACE2 and increasingly ACE, and this can damage lung tissue, favoring the appearance of SARS. This can carry over to SARS-CoV-2 because of its genetic similarity to the former. Therefore, it is necessary to know whether withdrawal or maintenance or certain medication or vaccines are risk factors or increase the probability of a good evolution. For this last reason, we propose the present study.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Department/Research groupClinical Pharmacology Department
Organisation/affiliationHospital La Paz, School of Medicine, UAM
Details of (Primary) lead investigator
Title Dr
Last name Ramirez
First name Elena
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?2
H. UL la Princesa, Madrid, Spain
Countries in which this study is being conducted
National study
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed19/03/2020
Start date of data collection23/03/2020
Start date of data analysis30/06/2020
Date of interim report, if expected31/07/2020
Date of final study report31/08/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government body
Research councils
EU funding scheme
OtherOwn funding100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Ramirez
First name Elena
Address line 1Servicio de Farmacología Clínica
Address line 2Hospital Universitario la Paz
Address line 3Paseo de la Castellana 261
CityMADRID
Postcode28046
CountrySpain
Phone number (incl. country code)34-91-7277559
Alternative phone number34-619505586
Fax number (incl. country code)34-91-7277559
Public Enquiries
Title Dr
Last name Ramirez
First name Elena
Address line 1Servicio de Farmacología Clínica
Address line 2Hospital Universitario la Paz
Address line 3Paseo de la Castellana 261
CityMADRID
Postcode28046
CountrySpain
Phone number (incl. country code)34-91-7277559
Alternative phone number34-619505586
Fax number (incl. country code)34-91-7277559
6. Study drug(s) information
Substance class (ATC Code)A01 (becaplermin)
Substance class (ATC Code)S03 (dexamethasone and antiinfectives)
7. Medical conditions to be studied
Medical condition(s)Yes
Coronavirus infection
8. Population under study
Age
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Children (2 - 11 years)
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects3500
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
Disease/case registry
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
(i) To assess the association of previous/concomitant use of drugs or vaccines with the evolution of COVID-19.
(ii) To assess the factors associated with the evolution of COVID-19 in a universal cohort of patients cared for in the hospitals
Are there primary outcomes?Yes
• Combined variable that includes:
- Death
- Severe pneumonia (at least one criterion from each group): Fever, or Suspected respiratory infection and respiratory rate of ≥30, or SaO2 ambient air <93%
- Need to be admitted to the Intensive Care Unit
- Need for mechanical ventilation
- Need for FiO2 above 40%
- Criteria for respiratory distress
Are there secondary outcomes?Yes
(i)To establish what other chronic treatments are factors associated with the evolution of COVID-19.(ii) To establish which hospital treatments are factors associated with the evolution of COVID-19.(iii) To establish what previous diseases and clinical characteristics are associated with the evolution of COVID-19.(iv)Establish that analytical values are factors associated with the evolution of COV
13. Study design
What is the design of the study?
Cohort study
Case-control study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Hospital discharge, death or sequelae
15. Data analysis plan
Please provide a brief summary of the analysis method
Having overcome the primary and secondary objectives, we proposed to be able to model some of the clinically and statistically relevant variables in order to make predictions of outcome variables, such as survival or prognosis, using propensity score ajustment.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Available when the study ends
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Submitted
Signed Code of Conduct Declaration
Submitted
Signed Checklist for Study
Protocols
Submitted
