Trial Outcomes & Findings for Endocrine, Metabolic and Microbiome Influence on the Post-acute Sequelae SARS-CoV-2 (PASC) (NCT NCT04860869)

NCT ID: NCT04860869

Last Updated: 2024-10-28

Results Overview

Insulin-Like Growth Factor-1 (IGF1) will be measured in serum. Results will be reported in ng/mL.

Recruitment status

COMPLETED

Target enrollment

23 participants

Primary outcome timeframe

baseline

Results posted on

2024-10-28

Participant Flow

This study was conducted from May 2021 to May 2022. Subjects for PASC group were recruited from the UTMB post-COVID clinic. Subjects for the nPASC group were recruited from the community. All subjects were required to have a confirmed PCR diagnosis of SARS-CoV-2 at least 6 months prior to enrollment as well as confirmed negative at enrollment. Confirmed SARS-CoV-2 infection dates for subjects ranged from June 2020 to August 2021, before the emergence and dominance of the Omicron variant.

Participant milestones

Participant milestones
Measure
Symptomatic Post-COVID (PASC)
Patients with post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC)
Non-symptomatic Post-COVID (nPASC)
Patients with that recovered without lingering symptoms after being infected with post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Overall Study
STARTED
10
13
Overall Study
COMPLETED
9
13
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Symptomatic Post-COVID (PASC)
Patients with post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC)
Non-symptomatic Post-COVID (nPASC)
Patients with that recovered without lingering symptoms after being infected with post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Endocrine, Metabolic and Microbiome Influence on the Post-acute Sequelae SARS-CoV-2 (PASC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Symptomatic Post-COVID
n=10 Participants
10 patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
13 patients with that recovered without lingering symptoms after being infected with COVID
Total
n=23 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
12 Participants
n=7 Participants
22 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
48.5 years
STANDARD_DEVIATION 9.9 • n=5 Participants
46.8 years
STANDARD_DEVIATION 14.9 • n=7 Participants
47.6 years
STANDARD_DEVIATION 12.7 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
12 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
12 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Days post-diagnosis
293.9 days
STANDARD_DEVIATION 97.1 • n=5 Participants
473.0 days
STANDARD_DEVIATION 145.8 • n=7 Participants
395.1 days
STANDARD_DEVIATION 153.9 • n=5 Participants
COVID Hospitalization
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Height
164.2 cm
STANDARD_DEVIATION 9.8 • n=5 Participants
170.7 cm
STANDARD_DEVIATION 8.8 • n=7 Participants
167.9 cm
STANDARD_DEVIATION 9.6 • n=5 Participants
Weight
85.2 kg
STANDARD_DEVIATION 23.0 • n=5 Participants
90.3 kg
STANDARD_DEVIATION 16.4 • n=7 Participants
88 kg
STANDARD_DEVIATION 19.2 • n=5 Participants
BMI
31.2 (kg/m^2)
STANDARD_DEVIATION 5.9 • n=5 Participants
30.9 (kg/m^2)
STANDARD_DEVIATION 4.5 • n=7 Participants
31.0 (kg/m^2)
STANDARD_DEVIATION 5.1 • n=5 Participants

PRIMARY outcome

Timeframe: baseline

Insulin-Like Growth Factor-1 (IGF1) will be measured in serum. Results will be reported in ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Insulin-Like Growth Factor-1 (IGF1)
142.8 ng/ml
Standard Deviation 41.6
137.6 ng/ml
Standard Deviation 56.7

PRIMARY outcome

Timeframe: baseline

Follicle Stimulation Hormone (FSH) will be measured in serum.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Follicle Stimulating Hormone (FSH)
38.2 mIU/ml
Standard Deviation 35.3
24.1 mIU/ml
Standard Deviation 32.7

PRIMARY outcome

Timeframe: baseline

Sex Hormone Binding Globulin (SHBG) will be measured in serum. Results will be reported in nmol/L.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Sex Hormone Binding Globulin (SHBG)
46.4 nmol/L
Standard Deviation 25.0
97.7 nmol/L
Standard Deviation 85.8

PRIMARY outcome

Timeframe: baseline

Population: Testosterone reported in male subjects only

Total testosterone will be measured in serum of male subjects. Results will be reported in ng/dL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=2 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=4 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Total Testosterone
508.0 ng/dl
Standard Deviation 81.2
292.5 ng/dl
Standard Deviation 53.0

PRIMARY outcome

Timeframe: baseline

Population: Free testosterone measured in males only

Free testosterone will be measured in serum of male subjects. Results will be reported in pg/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=2 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=4 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Free Testosterone
27.9 pg/ml
Standard Deviation 37.0
76.0 pg/ml
Standard Deviation 4.6

PRIMARY outcome

Timeframe: baseline

Prolactin will be measured in serum. Results will be reported in ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Prolactin
11.5 ng/ml
Standard Deviation 9.5
9.5 ng/ml
Standard Deviation 4.0

PRIMARY outcome

Timeframe: baseline

Thyroid Stimulating Hormone (TSH) will be measured in serum. Results will be reported in mUI/L.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Thyroid Stimulating Hormone (TSH)
2.38 mUI/L
Standard Deviation 1.27
1.60 mUI/L
Standard Deviation 0.95

PRIMARY outcome

Timeframe: baseline

C Reactive Protein (CRP) will be measured in serum.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
C Reactive Protein (CRP)
0.47 mg/dl
Standard Deviation 0.46
0.38 mg/dl
Standard Deviation 0.57

PRIMARY outcome

Timeframe: baseline

Vitamin B12 will be measured in serum.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Vitamin B12
553.7 pg/ml
Standard Deviation 156.4
446.1 pg/ml
Standard Deviation 254.3

PRIMARY outcome

Timeframe: baseline

Vitamin D 25OH will be measured in serum.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Vitamin D 25OH
30.6 ng/ml
Standard Deviation 8.6
41.1 ng/ml
Standard Deviation 10.7

PRIMARY outcome

Timeframe: Before glucose consumption

Population: PASC subjects only

Glucose will be measured in serum before (0 minutes) oral consumption of 75g glucose. OGTT will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Glucose Tolerance as Measured by the Oral Glucose Tolerance Test (OGTT) Before Glucose Consumption
91.9 mg/dl
Standard Deviation 6.9

PRIMARY outcome

Timeframe: 120 minutes after glucose consumption

Population: OGTT will be performed on PASC subjects only.

Glucose will be measured in serum at 120 minutes after oral consumption of 75g glucose. OGTT will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Glucose Tolerance as Measured by the Oral Glucose Tolerance Test (OGTT) 120 Minutes After Glucose Consumption
150.3 mg/dl
Standard Deviation 33.7

PRIMARY outcome

Timeframe: Before glucose consumption

Population: OGTT will be performed on PASC subjects only. 2 subjects from PASC are missing this analysis.

Insulin will be measured in serum before (0 min) oral consumption of 75g glucose. OGTT will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=8 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Insulin as Measured by the Oral Glucose Tolerance Test (OGTT) Before Glucose Consumption
7.4 uIU/ml
Standard Deviation 4.4

PRIMARY outcome

Timeframe: 120 minutes after glucose consumption

Population: OGTT will be performed on PASC subjects only. 2 subjects from the PASC group are missing from analysis for this measure.

Insulin will be measured in serum at 120 minutes after oral consumption of 75g glucose. OGTT will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=8 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Insulin as Measured by the Oral Glucose Tolerance Test (OGTT) 120 Minutes After Glucose Consumption
82.0 uIU/ml
Standard Deviation 46.7

PRIMARY outcome

Timeframe: 120 minutes after glucose consumption

Population: OGTT will be performed on PASC subjects only.

Glucose derived CO2 will be measured in breath samples at 120 minutes after oral consumption of 75g glucose isotopically labeled with 150 mg \[U-13C6\] glucose. Glucose-derived breath CO2 data are analyzed by measuring the ratios of 13CO2 to 12CO2 in single breath samples using an UBiT-IR300 infrared spectrophotometer (Otsuka Electronics, Hirakata, Osaka, Japan). The UBIT-IR300 calculates the difference in 13CO2 abundance from the baseline breath sample to each timed sample and expresses this as per mille delta over baseline (%DOB). OGTT will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Glucose Derived CO2 as Measured by Breath During the Oral Glucose Tolerance Test (OGTT) 120 Minutes After Glucose Consumption
40.9 %DOB
Standard Deviation 12.6

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC subject missing from analysis

Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1 month-time interval. Minimum Score = 0 (better); Maximum Score = 21 (worse). Interpretation: Total \< 5 associated with good sleep quality. Total \> 5 associated with poor sleep quality.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Sleep Quality as Measured by Pittsburgh Sleep Quality Index
11.1 score on a scale
Standard Deviation 4.0
4.5 score on a scale
Standard Deviation 2.8

PRIMARY outcome

Timeframe: Before glucagon administration

Population: One PASC patient is missing from this measure

Growth hormone secretion will be measured using the glucagon stimulation test. Serum will be collected for the baseline (time: 0 minutes) to test for levels of human growth hormone. 1 mg glucagon (for subjects over 90 kg, 1.5 mg glucagon) will be injected intramuscularly (IM) in the deltoid muscle of the subject and blood will be drawn at specified time points. Results will be reported as ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Growth Hormone as Measured by Glucagon Stimulation Test Before Glucagon Administration
0.4 ng/ml
Standard Deviation 0.6
0.9 ng/ml
Standard Deviation 0.8

PRIMARY outcome

Timeframe: 90 minutes after glucagon administration

Population: One PASC patient is missing from this measure

Growth hormone secretion will be measured using the glucagon stimulation test. Serum will be collected at time point 90 minutes after glucagon injection to test for levels of human growth hormone. Results will be reported as ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Growth Hormone as Measured by Glucagon Stimulation Test 90 Minutes After Glucagon Administration
0.6 ng/ml
Standard Deviation 0.5
1.6 ng/ml
Standard Deviation 3.5

PRIMARY outcome

Timeframe: 120 minutes after glucagon administration

Population: One PASC patient is missing from this measure.

Growth hormone secretion will be measured using the glucagon stimulation test. Serum will be collected at timepoint 120 minutes after glucagon injection to test for levels of growth hormone. Results will be reported as ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Growth Hormone as Measured by Glucagon Stimulation Test 120 Minutes After Glucagon Administration
2.2 ng/ml
Standard Deviation 2.5
5.6 ng/ml
Standard Deviation 6.0

PRIMARY outcome

Timeframe: 150 minutes after glucagon administration

Population: One PASC patient is missing from this measure.

Growth hormone secretion will be measured using the glucagon stimulation test. Serum will be collected at timepoint 150 minutes after glucagon injection to test for levels of growth hormone. Results will be reported as ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Growth Hormone as Measured by Glucagon Stimulation Test 150 Minutes After Glucagon Administration
2.6 ng/ml
Standard Deviation 2.1
5.8 ng/ml
Standard Deviation 3.5

PRIMARY outcome

Timeframe: 180 minutes after glucagon administration

Population: One PASC patient is missing from this measure.

Growth hormone secretion will be measured using the glucagon stimulation test. Serum will be collected at timepoint 180 minutes after glucagon injection to test for levels of growth hormone. Results will be reported as ng/mL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Growth Hormone as Measured by Glucagon Stimulation Test 180 Minutes After Glucagon Administration
2.3 ng/ml
Standard Deviation 1.9
3.0 ng/ml
Standard Deviation 2.1

PRIMARY outcome

Timeframe: baseline

Population: PASC patients only. 2 patients from the PASC group are missing from measure.

Resting Energy Expenditure will be measured by capturing the expired breath of subjects while at rest with a metabolic cart over a 30 minute time period. Data from the first 5 minutes will be discarded and the remaining 25 minutes of data will be averaged to calculate the resting energy expenditure. Data will be reported as kilocalories/day Procedure will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=8 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Basal Metabolic Rate as Measured by Resting Energy Expenditure
1489.2 kcal/day
Standard Deviation 257.7

PRIMARY outcome

Timeframe: Before Cortrosyn administration

Population: PASC patients only. 1 PASC patient is missing from measure.

Cortisol secretion will be measured using the ACTH stimulation test. Serum will be collected for the baseline (time: 0 minutes) to test for levels of cortisol. 0.25 mg Cortrosyn will be administered and additional serum (3.5 mL) will be collected at specified time points. Results will be reported as ug/dL. Procedure will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Cortisol as Measured by the Adrenocorticotropic Hormone Stimulation Test (ACTH) Before Cortrosyn Administration
5.3 ug/dl
Standard Deviation 2.3

PRIMARY outcome

Timeframe: 30 minutes after Cortrosyn administration

Population: PASC patients only 1 PASC patient missing from measure

Cortisol secretion will be measured using the ACTH stimulation test. Serum will be collected at time point 30 minutes after Cortrosyn administration to test for levels of cortisol. Procedure will be performed on PASC subjects only. Results will be reported as ug/dL.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Cortisol as Measured by the Adrenocorticotropic Hormone Stimulation Test (ACTH) 30 Minutes After Cortrosyn Administration
17.9 ug/dl
Standard Deviation 2.4

PRIMARY outcome

Timeframe: 60 minutes after Cortrosyn administration

Population: PASC patients only. 1 PASC patient missing from measure.

Cortisol secretion will be measured using the ACTH stimulation test. Serum will be collected at time point 60 minutes after Cortrosyn administration to test for levels of cortisol. Results will be reported as ug/dL. Procedure will be performed on PASC subjects only.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
Patients with that recovered without lingering symptoms after being infected with COVID
Cortisol as Measured by the Adrenocorticotropic Hormone Stimulation Test (ACTH) 60 Minutes After Cortrosyn Administration
21.7 ug/dl
Standard Deviation 2.6

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC patient missing from measure

The Montreal Cognitive Assessment (MoCA) will be used to assess cognition. The Montreal Cognitive Assessment (MoCA) is a rapid assessment of cognition. The MoCA consists of 9 questions with the following subcategories: visuospatial/executive, naming, memory, language, abstraction, delayed recall and orientation. The MoCA has been used extensively to detect cognitive impairment in many conditions, including head trauma. Version 7.1 will be used. Scores range from 0 to 30, higher score being a better outcome.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Cognitive Function as Measured by Montreal Cognitive Assessment
27.0 units on a scale
Standard Deviation 2.5
27.9 units on a scale
Standard Deviation 2.8

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC patient is missing from this measure.

The Gastrointestinal Symptom Rating Scale (GSRS) is a specific 15-item questionnaire. Subjects are asked to numerically score their subjective symptoms on a scale of 1-7 (1 = no discomfort at all; 7 = very severe discomfort). The average of the scores for all 15 items is regarded as the GSRS total score. A higher score indicates a worse outcome.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Gastrointestinal Health Measured by the Gastrointestinal Symptom Rating Scale
2.5 units on a scale
Standard Deviation 1.0
1.4 units on a scale
Standard Deviation 0.4

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC patient is missing from this measure

Multidimensional Fatigue Symptom Inventory Short Form (MFSI-SF) from the Moffitt Cancer Center, University of South Florida The MFSI-SF is a 30 question assessment designed to assess the principal manifestations of fatigue. There 5 subscales used to calculate a total score. The subscales are: General Fatigue, Physical Fatigue, Emotional Fatigue, Mental Fatigue, and Vigor (an estimate of the patient's energy level). The total score is calculated with the equation: (general + physical + emotional + mental) - vigor = total score. The range of the total score is -24 to 96, with the higher the number meaning more fatigue.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Fatigue as Measured by the Multidimensional Fatigue Symptom Inventory
31.0 units on a scale
Standard Deviation 17.3
-14.0 units on a scale
Standard Deviation 7.4

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC patient is missing from this measure.

Symptoms of growth hormone deficiency will be measured using the Quality of Life - Assessment of Growth Hormone Deficiency in Adults (QoL-AGHDA). This 25-item questionnaire measures specific symptoms associated with growth hormone deficiency, with a score range of 0 to 25, with a higher score indicating worse symptoms.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Symptoms of Growth Hormone Deficiency Measured by the Questionnaire Quality of Life - Assessment of Growth Hormone Deficiency in Adults
13.6 units on a scale
Standard Deviation 7.0
2.4 units on a scale
Standard Deviation 5.1

PRIMARY outcome

Timeframe: baseline

Population: 1 PASC patient is missing from this measure.

The Beck Depression Inventory- II (BDI-II) assesses depressive symptom severity. The BDI-II is comprised of 21 individual items reflecting specific cognitive, affective, and physical symptoms of depression. Each item includes four statements that vary in the description of symptom of severity. Scores range from 0 to 3, with a score of "3" indicating a severe symptoms and a score of "0" indicating an absence of concern with that particular aspect of depressive symptomology. The total score is the sum of all endorsed statements. The maximum total score is 63. The BDI-II Manual designates the following raw score classifications depression severity: ≤13 = minimal; 14-19 = mild; 20-28 = moderate; ≥ 29 = severe.

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=9 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Depression Measured by the Beck Depression Inventory-II
16.8 units on a scale
Standard Deviation 10.7
2.2 units on a scale
Standard Deviation 5.4

SECONDARY outcome

Timeframe: baseline

Free T4 measured at baseline

Outcome measures

Outcome measures
Measure
Symptomatic Post-COVID
n=10 Participants
Patients with Post-COVID syndrome
Non-symptomatic Post-COVID
n=13 Participants
Patients with that recovered without lingering symptoms after being infected with COVID
Free T4
1.05 ng/dl
Standard Deviation 0.16
1.19 ng/dl
Standard Deviation 0.20

Adverse Events

Symptomatic Post-COVID (PASC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-symptomatic Post-COVID (nPASC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Randall Urban

University of Texas Medical Branch

Phone: 409-772-5476

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place