Clinical-epidemiological Characterization of COVID-19 Disease in Hospitalized Older Adults

NCT ID: NCT04362943

Last Updated: 2021-07-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

576 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-20

Study Completion Date

2021-04-15

Brief Summary

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Retrospective clinical-epidemiological study aimed at characterizing COVID-19 disease in adults older than 70 years, hospitalized in the "Perpetuo Socorro" Hospital of Albacete (Spain) from 09/03/2020 until 20/04/2020. Secondary objectives will be to analyze clinical-epidemiological characteristics of COVID-19 patients treated with Baricitinib or Anakinra, and to describe the efficacy and secondary effects of those drugs.

Detailed Description

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Design: Retrospective postauthorization study. Registry study. Setting: COVID Unit, "Perpetuo Socorro" Hospital of Albacete (Spain). Participants: Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020. All patients will be included without exclussion criteria.

Measurements:

* Age, sex, residency.
* Functional assessment: Barthel index, Katz index, Functional Ambulation Classification.
* Cognitive assessment: Reisberg´s Global Deteriorating Scale.
* Comorbidity: Charlson index, disease count.
* Chronic medicines consumed.
* Disease related symptoms.
* Lab determinations: White cells, neutrophyl count, lymphocyte count, platelets, haemoglobin, INR, fibrinogen, D-Dimer, Ferritin, CRP, IL-6, urea, creatinin, AST, ALT, CK.
* Thorax X-ray findings: COVID affectation, severity, pleural effusion, heart failure signs, pneumothorax.
* Drugs used during hospitalization, number of days of treatment and total doses: Anakinra, Baricitinib, Glucocorticoids, Antivirals (Lopinavir/Ritonavir, Emtricitabina/Tenofovir), Azitromycin, Ceftriaxone, Hidroxychloroquin.
* Geriatric syndroms: Delirium, immobility, dysphagia, pressure ulcers.
* Outcomes: Mortality at discharge, institucionalización at discharge, length of stay, change in lab results, change in X-ray results, change in function at discharge.

Registry procedures: Medical chart review by trained Geriatricians, pharmachological chart review by expert Pharmacists, X-ray review by trained radiologists. All data will be included in an anonimyzed database for further analysis by investigators, and supervised by Principal Investigator.

Regulatory status: The protocol was approved by the Ethics review committee of Albacete (number 2020-21 from 20/04/2020) and by the Spanish Medicines Agency (AEMPS) who gave a "Postauthorization Study" classification (number PAS-BAR-2020-04. 20/04/2020).

Analysis: Two stage analysis will be conducted. In first one, efficacy and security analysis of the 99 patients that have received either Baricitinib or Anakinra will be conducted, and in the second one, clinical-epidemiological analysis of the complete sample, n=576, will be realized.

Conditions

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COVID-19

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Complete sample

Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020 in the "Perpetuo Socorro" Hospital of Albacete (Spain)

Baricitinib or Anakinra

Intervention Type DRUG

Treatment with either Baricitinib or Anakinra during hospitalization, in real world, and under usual clinical care.

Baricitinib

Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020 and receiving Baricitinib.

Baricitinib or Anakinra

Intervention Type DRUG

Treatment with either Baricitinib or Anakinra during hospitalization, in real world, and under usual clinical care.

Anakinra

Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020 and receiving Anakinra.

Baricitinib or Anakinra

Intervention Type DRUG

Treatment with either Baricitinib or Anakinra during hospitalization, in real world, and under usual clinical care.

Interventions

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Baricitinib or Anakinra

Treatment with either Baricitinib or Anakinra during hospitalization, in real world, and under usual clinical care.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020, in the "Perpetuo Socorro" Hospital of Albacete (Spain).

Exclusion Criteria

* None
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Complejo Hospitalario Universitario de Albacete

OTHER

Sponsor Role lead

Responsible Party

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Pedro Abizanda

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pedro Abizanda Soler, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Head Geriatrics Department

Locations

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Complejo Hospitalario Universitario de Albacete

Albacete, , Spain

Site Status

Countries

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Spain

Other Identifiers

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PAS-BAR-2020-04

Identifier Type: -

Identifier Source: org_study_id

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