Status: Ongoing
First registered on:
28/10/2020
Last updated on:
28/10/2020
1. Study identification
EU PAS Register NumberEUPAS37790
Official titleThe effect of mental disorders and treatment with psychotropic agents on the course of COVID-19
Study title acronymCOVID-19 psychotropics
Study typeObservational study
Brief description of the studyBeyond the psycho-social consequences of the coronavirus disease 2019 (COVID-19) pandemic, people with severe mental disorders, such as schizophrenia and bipolar disorder have been reported with an up to 2-fold increased 30-days risk of death after a severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) positive test. Recent use of psychotropic agents has also been associated with increased risk of death, varying between 50% in users of antidepressants to a three-fold increase in users of antipsychotics. The importance of maintaining and adjusting pharmacological treatment of people with severe mental disorders during the COVID-19 pandemic has been emphasized. Identifying those drugs with lower risk profiles regarding adverse outcomes to COVID-19 will support guidance of selecting and adjusting acute and maintenance treatment during the COVID-19 pandemic.
The present study aims at providing a population-based description of the association and potential differential impact of frequently used psychotropic drugs on the course and outcomes of COVID-19 in people with hospital diagnosed and without hospital diagnosed psychiatric disorders. We hypothesize that psychotropic treatment patterns differ between community-treated COVID-19 patients and hospitalized or deceased COVID-19 patients with lower risks for unfavourable outcomes in users of a) aripiprazole, haloperidol, risperidone or paliperidone as oral or short-acting injectable antipsychotics vs. other oral or depot long-acting antipsychotics; b) short-acting benzodiazepines vs. long-acting benzodiazepines; c) SSRIs vs. tricyclic antidepressants.
We will use data from the prospectively collected Danish COVID-19 cohort at Statens Serum Institut including all Danish residents tested by the reverse transcriptase polymerase chain reactions (RT-PCR) for SARS-CoV-2.
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
Centre to which the investigator belongsAU-ADA
Department/Research groupDepartment of Clinical Medicine; Department of Affective Disorders
Organisation/affiliationAarhus University
Details of (Primary) lead investigator
Title Dr
Last name Gasse
First name Christiane
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
Countries in which this study is being conducted
National study
Denmark
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed22/07/2020
Start date of data collection27/02/2020
Start date of data analysis29/10/2020
Date of interim report, if expected
Date of final study report29/01/2021
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 bodySSI50
Research councils
EU funding scheme
OtherAU-ADA Pro bono50
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Gasse
First name Christiane
Address line 1Palle Juul-Jensens Boulevard 175
Address line 2
Address line 3
CityAarhus N
Postcode8200
CountryDenmark
Phone number (incl. country code)4551191476
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Gasse
First name Christiane
Address line 1Palle Juul-Jensens Boulevard 175
Address line 2
Address line 3
CityAarhus N
Postcode8200
CountryDenmark
Phone number (incl. country code)4551191476
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)N05A (ANTIPSYCHOTICS)
Substance class (ATC Code)N06A (ANTIDEPRESSANTS)
Substance class (ATC Code)N05B (ANXIOLYTICS)
Substance class (ATC Code)N05C (brotizolam)
7. Medical conditions to be studied
Medical condition(s)Yes
Psychiatric disorders
COVID-19 PCR test positive
8. Population under study
Age
Preterm newborns
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 subjects25000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Prospective patient-based data collection
Disease/case registry
Administrative database, e.g. claims database
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To provide a population-based description of the association and potential differential impact of frequently used psychotropic drugs on the course and outcomes of COVID-19 in people with hospital diagnosed and without hospital diagnosed psychiatric disorders.
Are there primary outcomes?Yes
Hospitalization within 14 days and death within -2 to 30 days since the verified positive test
Are there secondary outcomes?Yes
(Among those hospitalized): Length of hospitalization, ICU treatment and ventilation (-2 days before the index date).
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
30 days
15. Data analysis plan
Please provide a brief summary of the analysis method
We will describe the prevalence of specific drug use within 6 months before testing for community treated, hospitalized and deceased patients, stratified by age, sex and psychiatric comorbidity. In the primary analyses, we will investigate the association between cumulative and current psychotropic drug use prior to testing and risk of hospitalization and death using logistic regression analysis among all positively tested individuals. The analyses will be stratified, following clinical and power considerations, by psychiatric diagnoses (any diagnosis) and by individual psychiatric disorders PS methodology will be applied by either matching of adjustment for each drug-outcome association of the respective drug pairs. We will apply formal testing for interactions between psychiatric diagnoses/hospital contacts and psychotropic drug use. We will report crude and adjusted odds ratios (ORs) and 95% confidence intervals (95% CI).
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
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
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Submitted
