Impact of COVID-19 on GU Disease

NCT ID: NCT04761107

Last Updated: 2025-01-31

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

ACTIVE_NOT_RECRUITING

Total Enrollment

15240 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-18

Study Completion Date

2026-02-28

Brief Summary

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The purpose of this research study is to identify patients with GU disease with active or past COVID-19 infection.

Participants will be asked to:

* Complete an Online COVID-19 Questionnaire.
* Disclose if the patient has or had Genitourinary cancer or benign urologic condition
* Provide urine specimen for research
* Provide 4 tablespoons of blood for testing blood for research.
* Provide permission to access medical records, such as patient lab results, medical history, imaging reports, etc.

Detailed Description

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COVID-19 has a higher incidence in males compared to females and cancer patients have a higher risk of contracting COVID-19, and developing complications, and deteriorate more rapidly. COVID19 pandemic poses significant challenges in clinical decision-making, which has impacted management of GU patients. In order to mitigate the risk associated with COVID19 pandemic while also providing the best clinical care for patients a screening approach is essential. Clinicians taking care of cancer patients will be expected not only to understand impact of COVID19 but also incorporate a triage tool to decide which patients need immediate treatment. This prospective study presented in this IRB is about establishing a screening tool for GU patients with pre-existing cancer or with benign urological disease (e.g. BPH, kidney stone, bladder infection, urinary tract infections etc) and for those who are dealing with decisions for biopsy, active surveillance, surgery, radiation, hormonal and chemotherapy.

The study team is expecting to enroll 15240 subjects under this study.

Procedures involved in the study:

1. Consenting patients for the study.
2. Screening/Baseline REDCap survey to determine their COVID-19 symptoms.
3. Blood sample collection: This will be obtained for research studies including immune monitoring assays
4. Urine sample collection for bio-marker analysis.
5. Data collection from medical records, such as:

* Clinical diagnoses, including date of confirmation of SARS-CoV-2 infection
* Any pertinent medical history, including concomitant medications, and comorbidities that pre- date enrollment in the study, or that occur during enrollment in the study
* Laboratory values from time of blood procurement
* All imaging (X-ray, MRI, CAT, PAT, PSMA, Ultrasound, and Pathology etc.) performed from time of initial diagnosis until death, and any needed imaging that pre- date enrollment that may serve as a comparative to pre/post treatment imaging.
* Collection time of samples in relation to study treatment
* Demographic data
* REDCap questionnaire, COVID-19 symptoms and severity of the symptoms

Conditions

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COVID-19 Infection Genitourinary Cancer Benign Urologic Conditions

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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GU participants with active or past infection of SARS-Co-V-2

GU patients from medical records with active or past infection of SARS-Co-V-2

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Subjects must be men and women 40 years of age or older
* Subjects at risk or with GU cancer (Prostate, Bladder, Kidney)
* Subjects with benign GU disorders ( BPH, UTI, Bladder infection and kidney stone)
* Subjects must have a GU disease that requires clinic visit as determined by physician or healthcare provider following a telehealth appointment
* Willing and able to provide blood and urine samples
* Willing and able to complete a questionnaire to determine the COVID-19 symptoms.
* Willing and able to sign informed consent form

Exclusion Criteria

* Men and women below 40 years of age
* Subjects do not have a GU disease
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Ashutosh Kumar Tewari

Professor and System Chair, Urology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ashutosh K Tewari, MD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Dimple Chakravarty, PhD

Role: STUDY_DIRECTOR

Icahn School of Medicine at Mount Sinai

Sujit S Nair, PhD

Role: STUDY_DIRECTOR

Icahn School of Medicine at Mount Sinai

Locations

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Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Countries

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United States

References

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Chakravarty D, Nair SS, Hammouda N, Ratnani P, Gharib Y, Wagaskar V, Mohamed N, Lundon D, Dovey Z, Kyprianou N, Tewari AK. Sex differences in SARS-CoV-2 infection rates and the potential link to prostate cancer. Commun Biol. 2020 Jul 8;3(1):374. doi: 10.1038/s42003-020-1088-9.

Reference Type BACKGROUND
PMID: 32641750 (View on PubMed)

Lundon DJ, Kelly BD, Nair S, Bolton DM, Kyprianou N, Wiklund P, Tewari A. Early mortality risk stratification after SARS-CoV-2 infection. Med Intensiva (Engl Ed). 2020 Jul 4;45(8):e40-2. doi: 10.1016/j.medin.2020.06.011. Online ahead of print. No abstract available.

Reference Type BACKGROUND
PMID: 32912654 (View on PubMed)

Pavlova IP, Nair SS, Kyprianou N, Tewari AK. The Rapid Coronavirus Antibody Test: Can We Improve Accuracy? Front Med (Lausanne). 2020 Sep 2;7:569. doi: 10.3389/fmed.2020.00569. eCollection 2020. No abstract available.

Reference Type BACKGROUND
PMID: 32984390 (View on PubMed)

Theise ND, Arment AR, Chakravarty D, Gregg JMH, Jacobson IM, Jung KH, Nair SS, Tewari AK, Thurston AW, Van Drie J, Westover JB. Clinical stage molecule PT150 is a modulator of glucocorticoid and androgen receptors with antiviral activity against SARS-CoV-2. Cell Cycle. 2020 Dec;19(24):3632-3638. doi: 10.1080/15384101.2020.1859752. Epub 2020 Dec 11.

Reference Type BACKGROUND
PMID: 33305659 (View on PubMed)

Other Identifiers

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STUDY-20-01467

Identifier Type: OTHER

Identifier Source: secondary_id

GCO 20-1053

Identifier Type: -

Identifier Source: org_study_id

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