Fibroblast Growth Factor 23 and Sclerostin in Relation to Calcium in COVID-19 Patients
NCT ID: NCT05275491
Last Updated: 2023-02-14
Study Results
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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COMPLETED
66 participants
OBSERVATIONAL
2022-05-01
2023-02-01
Brief Summary
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Levels of FGF23 and Sclerostin in COVID-19 patients will be detected and correlated to calcium levels.
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Detailed Description
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Fibroblast growth factor 23 and sclerostin are secreted from the bone, they decrease active vitamin D levels. Their levels and their relation to calcium levels in COVID-19 patients will be detected.
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Mild to moderate COVID 19 patients
According to COVID 19 treatment guidelines of National Institutes of Health (NIH):
Mild illness that show symptoms like fever, cough, nausea, vomiting, sore throat, loss of taste \& smell but don't show dyspnea or abnormal chest imaging.
Moderate illness that show clinical or radiological lower respiratory disease with SpO2 \> 94% on room air.
Calcium
Free calcium serum levels
Fibroblast growth factor 23
Serum level
Sclerostin
Serum level
parathyroid hormone
serum level
Severe to critical COVID 19 patients
According to COVID 19 treatment guidelines of National Institutes of Health (NIH):
Severe illness that show SpO2 \< 94% on room air, (PaO2/FiO2) \<300 mm Hg \& lung infiltration \> 50% with respiratory rate \> 30 breath/min.
Critical illness that show respiratory failure, septic shock or multiorgan failure.
Calcium
Free calcium serum levels
Fibroblast growth factor 23
Serum level
Sclerostin
Serum level
parathyroid hormone
serum level
Normal male subjects (Control)
Calcium
Free calcium serum levels
Fibroblast growth factor 23
Serum level
Sclerostin
Serum level
parathyroid hormone
serum level
Interventions
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Calcium
Free calcium serum levels
Fibroblast growth factor 23
Serum level
Sclerostin
Serum level
parathyroid hormone
serum level
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Known parathyroid disease.
* Use of phosphate binder therapy within the past 3 months.
* Use of calcium therapy within the past 3 months
* Treatment with 25(OH) vitamin D or 1,25 (OH)(2) D
* Underlying metabolic bone disease.
* Underlying renal phosphate wasting disorder.
18 Years
MALE
Yes
Sponsors
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Aswan University Hospital
OTHER
Responsible Party
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Asmaa Abdel-mageed Muhammed
Lecturer
Principal Investigators
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Asmaa Abdelmageed Muhammed, Lecturer
Role: PRINCIPAL_INVESTIGATOR
Aswan University Hospital
Locations
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Aswan University hospital
Aswān, , Egypt
Countries
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References
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Cascella M, Rajnik M, Aleem A, Dulebohn SC, Di Napoli R. Features, Evaluation, and Treatment of Coronavirus (COVID-19). 2023 Aug 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK554776/
Zhou X, Chen D, Wang L, Zhao Y, Wei L, Chen Z, Yang B. Low serum calcium: a new, important indicator of COVID-19 patients from mild/moderate to severe/critical. Biosci Rep. 2020 Nov 30;40(12):BSR20202690. doi: 10.1042/BSR20202690. Online ahead of print.
Demir M, Demir F, Aygun H. Vitamin D deficiency is associated with COVID-19 positivity and severity of the disease. J Med Virol. 2021 May;93(5):2992-2999. doi: 10.1002/jmv.26832. Epub 2021 Feb 9.
di Filippo L, Doga M, Frara S, Giustina A. Hypocalcemia in COVID-19: Prevalence, clinical significance and therapeutic implications. Rev Endocr Metab Disord. 2022 Apr;23(2):299-308. doi: 10.1007/s11154-021-09655-z. Epub 2021 Apr 13.
Lewiecki EM. Role of sclerostin in bone and cartilage and its potential as a therapeutic target in bone diseases. Ther Adv Musculoskelet Dis. 2014 Apr;6(2):48-57. doi: 10.1177/1759720X13510479.
Quarles LD. Role of FGF23 in vitamin D and phosphate metabolism: implications in chronic kidney disease. Exp Cell Res. 2012 May 15;318(9):1040-8. doi: 10.1016/j.yexcr.2012.02.027. Epub 2012 Mar 7.
Other Identifiers
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FGF23 in COVID-19
Identifier Type: -
Identifier Source: org_study_id
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