UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046106
Receipt number R000052632
Scientific Title A Prospective Observational Study to Elucidate the Mechanism of Gastrointestinal Mucosal Damage and Thrombosis in Patients with COVID-19
Date of disclosure of the study information 2021/11/22
Last modified on 2024/05/21 10:43:48

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Basic information

Public title

A Prospective Observational Study to Elucidate the Mechanism of Gastrointestinal Mucosal Damage and Thrombosis in Patients with COVID-19

Acronym

A Study to Elucidate the Gastrointestinal mucosal damage in Patients with COVID-19

Scientific Title

A Prospective Observational Study to Elucidate the Mechanism of Gastrointestinal Mucosal Damage and Thrombosis in Patients with COVID-19

Scientific Title:Acronym

A Study to Elucidate the Gastrointestinal mucosal damage in Patients with COVID-19

Region

Japan


Condition

Condition

COVID-19

Classification by specialty

Medicine in general Gastroenterology Pneumology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To elucidate the pathogenesis of gastrointestinal mucosal damage in patients with COVID-19.

Basic objectives2

Others

Basic objectives -Others

To elucidate the pathogenesis of thrombus formation associated with microcirculatory disturbances in COVID-19 patients.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The severity of COVID-19 and changes in gut microbiota or metabolites

Key secondary outcomes



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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Male and female, ages 18 or older
2) Be willing to provide informed consent
3) SARS-CoV-2 nucleic acid detection by Real-Time PCR or SARS-CoV-2 antigen by a rapid diagnostic assay in the samples from the nasopharyngeal or oropharyngeal swab, or salvia.

Key exclusion criteria

1) Unconfirmed diagnosis for SARS-CoV-2
2) Rejection or Withdrawn of informed consent
3) Patients judged by the principal investigator to be ineligible.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Nakase

Organization

Sapporo medical university

Division name

Department of gastroenterology and hepatology

Zip code

060-8543

Address

S1W16, Chuo-ku Sapporo, Hokkaido, Japan

TEL

0116112111

Email

hiropynakase@gmail.com


Public contact

Name of contact person

1st name Yoshihiro
Middle name
Last name Yokoyama

Organization

Sapporo medical university

Division name

Department of gastroenterology and hepatology

Zip code

060-8543

Address

S1W16, Chuo-ku Sapporo, Hokkaido, Japan

TEL

0116112111

Homepage URL


Email

yoshi_yokoyamaa@yahoo.co.jp


Sponsor or person

Institute

Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of Clinical Research, Research Support Division, Sapporo Medical University

Address

S1W16, Chuo-ku Sapporo, Hokkaido, Japan

Tel

011-611-2111

Email

ji-rskk@sapmed.ac.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



Other administrative information

Date of disclosure of the study information

2021 Year 11 Month 22 Day


Related information

URL releasing protocol

https://sapporo-med-gastroenterology.jp/patients/

Publication of results

Partially published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/36035409/

Number of participants that the trial has enrolled

58

Results

Serum interleukin-6 and fecal calprotectin were significantly higher in the critical illness group. Stool metabolome analysis showed that indole-3-propionic acid was significantly decreased in the critical illness group. The expression of genes that play an important role in tryptophan metabolism was decreased in the ileum of patients with severe COVID-19. These results indicate that inflammation of the gastrointestinal tract is caused by impaired tryptophan metabolism in severe COVID-19 patients.

Results date posted

2024 Year 05 Month 21 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients diagnosed with COVID-19 at Sapporo Medical University Hospital and collaborating institutions

Participant flow

After obtaining consent from the patient, blood and stool samples were collected.

Adverse events

Not applicable because this is an observational study.

Outcome measures

Association between severity of illness and stool metagenomics and metabolomics in COVID-19 patients.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2021 Year 07 Month 27 Day

Date of IRB

2021 Year 09 Month 09 Day

Anticipated trial start date

2021 Year 09 Month 09 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

For the analysis of gut microbiota and metabolites, samples will be collected again after one week.


Management information

Registered date

2021 Year 11 Month 18 Day

Last modified on

2024 Year 05 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052632