UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045646
Receipt number R000052109
Scientific Title Epidemiological and observational study of critically ill patients with COVID-19 infection in Kumamoto Prefecture
Date of disclosure of the study information 2021/10/11
Last modified on 2023/02/14 11:32:34

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Epidemiological and observational study of critically ill patients with COVID-19 infection in Kumamoto Prefecture

Acronym

Critical ill patients with COVID-19 in Kumamoto Cohort study

Scientific Title

Epidemiological and observational study of critically ill patients with COVID-19 infection in Kumamoto Prefecture

Scientific Title:Acronym

Critical ill patients with COVID-19 in Kumamoto Cohort study

Region

Japan


Condition

Condition

Cirical ill patients with COVID-19

Classification by specialty

Pneumology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

(1) To retrospectively analyze the clinical data and treatment of severe cases of COVID-19 infection in Kumamoto Prefecture, and to compare the prognostic factors and their outcomes with those of ARDS caused by non-COVID-19.
(2)To clarify the reasons and prognosis of palliative respiratory management in severe cases in Kumamoto Prefecture due to the upper limit of respiratory management.

Basic objectives2

Others

Basic objectives -Others

(1) Significance of prognostic factors for classical ARDS in COVID-19 ARDS and prognostic difference by 60-day mortality
(2) Prognosis of palliative respiratory management in severe cases in Kumamoto Prefecture.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

(1) Prognostic factors of COVID-19

(2) Hospital mortality of palliative respiratory management in severe cases in Kumamoto Prefecture.

Key secondary outcomes

Comparison of 60-day mortality between critical ill patients with non-COVID-19 ARDS and those with non-COVID-19


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

COVID-19 critical ill patients

Key exclusion criteria

After ethics review and approval in each institution, the information disclosure document will be posted on the website of the research participating institution, and research subjects who do not wish to use the information will be given the opportunity to opt out.
Withdrawal of Consent or Refusal to Participate

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Kazuya
Middle name
Last name Ichikado

Organization

Saiseikai Kumamoto Hospital

Division name

Division of Respiratory Medicine

Zip code

8614101

Address

5-3-1 Chikami, Minami-Ku, Kumamoto City

TEL

+81-96-351-8000

Email

kazuichi6443@gem.bbiq.jp


Public contact

Name of contact person

1st name Kazuya
Middle name
Last name Ichikado

Organization

Saiseikai Kumamoto Hospital

Division name

Division of Respiratory Medicine

Zip code

8614101

Address

5-3-1 Chikami, Minami-Ku, Kumamoto City

TEL

+81-96-351-8000

Homepage URL


Email

kazuichi6443@gem.bbiq.jp


Sponsor or person

Institute

Division of Respiratory Medicine
Saiseikai Kumamoto Hospital
5-3-1 Chikami, Minami-Ku, Kumamoto City

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Kumamoto University Hospital
Kumamoto City Hospital
Kumamoto Medical Center
Kumamoto Red Cross Hospital
Kumamoto Central Hospital
Kumamoto Regional Medical Center
Kumamoto General Hospital
Hitoyoshi General Medical Center
Kikuchi Medical Association Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saiseikai Kumamoto Hospital

Address

5-3-1 Chikami, Minami-Ku, Kumamoto City

Tel

0963518000

Email

natsuko-imura@saiseikaikumamoto.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

済生会熊本病院(熊本県)


Other administrative information

Date of disclosure of the study information

2021 Year 10 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

98

Results

Results
According to multivariate regression analyses, the McCabe score for prognosis of underlying disease (HR 2.74, 95%CI 1.57-4.80, p < 0.001) and the disseminated intravascular coagulation score (HR 1.49, 95%CI 1.13-1.98, p = 0.004) were independent prognostic factors for COVID-19 ARDS.
Conclusion
The extent of DIC and the prognosis of the comorbidity should be considered for use in personalized medicine for patients with ARDS due to COVID-19.

Results date posted

2023 Year 02 Month 14 Day

Results Delayed

Delay expected

Results Delay Reason

Because I am writing paper

Date of the first journal publication of results

2022 Year 03 Month 31 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2021 Year 03 Month 05 Day

Date of IRB

2021 Year 04 Month 02 Day

Anticipated trial start date

2021 Year 04 Month 20 Day

Last follow-up date

2021 Year 05 Month 31 Day

Date of closure to data entry

2021 Year 07 Month 05 Day

Date trial data considered complete

2021 Year 07 Month 24 Day

Date analysis concluded

2021 Year 10 Month 31 Day


Other

Other related information

Age, Geder, Hight, Weight, Body mass index (BMI)
Comorbidities (diabetes, hypertension, chronic kidney disease, chronic renal failure, chronic hepatitis, liver cirrhosis, malignant diseases (solid cancer, hematological diseases, others), COPD/emphysema, interstitial pneumonia, others)
Information at the time of ventilatory start: number of days since onset, PaO2/FIO2, severity of illness if Berlin definition is met (mild. moderate, severe), severity of general condition (APACHE II score), degree of multi-organ failure (SOFA score), prognosis of underlying disease (McCabe score( non-fatal, near fatal, fatal)
Complications during treatment (thromboembolism, aspiration pneumonia, etc.)


Management information

Registered date

2021 Year 10 Month 03 Day

Last modified on

2023 Year 02 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052109