Long COVID-19 Fatigue and Obstructive Sleep Apnea

NCT ID: NCT05290350

Last Updated: 2022-04-06

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

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-10

Study Completion Date

2023-01-30

Brief Summary

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Identify the relationship of obstructive sleep apnea (OSA) prevalence with post-COVID-19 fatigue that remains at least six months after acute disease

Detailed Description

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The presence of fatigue symptoms up to 6-7 months after acute COVID-19 disease, similar to myalgic encephalomyelitis/chronic fatigue syndrome, also observed after other viral infections, have been reported as the most frequent post-COVID-19 symptom (Townsend et al., 2020).

There is a physiological plausibility for OSA being a causal factor to COVID-19 morbidity and fatigue symptoms by nocturnal hypoxemia, exacerbating or causing endothelial dysfunction, inflammation, oxidative stress, microaspiration and cardiac dysfunction. OSA activates the renin-angiotensin-aldosterone system (RAAS) and angiotensin-converting enzyme-2 (ACE2), which is the SARS-CoV-2 entry receptor in the cells (Miller et al., 2021).

In this study we will identify the prevalence of OSA and it's relation with post-COVID-19 fatigue that remains for at least six month after the acute disease, in patients that attend the post-COVID-19 Out Patients Hospital Clinics. It will be studied also the relation between fatigue and vaccination status, nocturnal hypoxemia, day time sleepness and the acute COVID-19 severity.

Data collection will be performed by a questionnaire administered by qualified clinical study staff (i.e., by physicians who conduct the post-COVID-19 medical consultation).

Demographic, clinical data and clinical research forms will be collected between 6-7th month after the diagnosis of COVID-19 (t1) and 9 months later (t2).

Fatigue will be assessed using the Chalder fatigue scale - CFQ-11 (Chalter et al., 1993).

The evaluation of OSA related daytime sleepiness will be measured using the Epworth Sleepiness Scale - ESS (Johns, 1991). The OSA diagnosis will be performed using portable monitoring device type III (in-home polygraphy), between 6-7th month after the diagnosis of COVID-19 (t1).

Conditions

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Long COVID Fatigue Obstructive Sleep Apnea of Adult

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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OSA Cohort

Patients With post COVID-19 condition and OSA

OSA

Intervention Type OTHER

EXPOSURE TO OBSTRUCTIVE SLEEP APNEA

Control Cohort

Patients With post COVID-19 condition without OSA

No interventions assigned to this group

Interventions

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OSA

EXPOSURE TO OBSTRUCTIVE SLEEP APNEA

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

(1) ≥18 years; (2) previous COVID-19 at least six months before the initial study protocol evaluation; (3) persistent symptoms after cure criteria defined by WHO; (4) patients who attend the post-COVID-19 follow-up consultation of the study centers. (5) SARS-CoV-2 infection confirmed by a positive real-time reverse-transcription polymerase chain reaction on a nasopharyngeal swab (6) patients who agree to sign the Written informed consent (following the ethics committee protocol).

Exclusion Criteria

(1) patients who had a concomitant neurological disorder that could increase OSA risk (such as stroke, Parkinson disease, or amyotrophic lateral sclerosis); (2) patients who were on invasive mechanical ventilation. (3) patients with persistent fatigue symptoms,6 months before SARS-CoV-2 infection (4) patients without SARS-CoV-2 positive real-time reverse-transcription polymerase chain reaction on a nasopharyngeal swab
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sociedade Portuguesa de Pneumologia

OTHER

Sponsor Role collaborator

Universidade do Algarve

OTHER

Sponsor Role collaborator

Universidade do Porto

OTHER

Sponsor Role collaborator

Center for Health Technology and Services Research

OTHER

Sponsor Role collaborator

Linde Health Care

OTHER

Sponsor Role collaborator

Centro Hospitalar Universitario do Algarve

OTHER

Sponsor Role lead

Responsible Party

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Ligia Pires

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ligia Pires

Role: STUDY_CHAIR

Centro Hospitalar Universitario do Algarve

Locations

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Hospital Particular de Alvor

Alvor, , Portugal

Site Status RECRUITING

Hospital de Faro (Chua)

Faro, , Portugal

Site Status RECRUITING

Hospital da Luz Guimaraes (HLG)

Guimarães, , Portugal

Site Status RECRUITING

Hospital de Santo Andre (Chl)

Leiria, , Portugal

Site Status RECRUITING

Hospital Da Luz Lisboa

Lisbon, , Portugal

Site Status NOT_YET_RECRUITING

Hospital de Santa Maria (CHULN)

Lisbon, , Portugal

Site Status RECRUITING

Hospital Beatriz Angelo (Hba)

Loures, , Portugal

Site Status NOT_YET_RECRUITING

Hospital de Portimao (Chua)

Portimão, , Portugal

Site Status RECRUITING

Hospital Sao Joao (Chusj)

Porto, , Portugal

Site Status RECRUITING

Hospital de Sao Sebastiao (Chedv)

Santa Maria da Feira, , Portugal

Site Status RECRUITING

Centro Hospitalar de Setubal (Chs)

Setúbal, , Portugal

Site Status RECRUITING

Centro Hospitalar De Trás-Os-Montes E Alto Douro (CHTMAD)

Vila Real, , Portugal

Site Status RECRUITING

Countries

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Portugal

Central Contacts

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Ligia Pires

Role: CONTACT

+351282450300 ext. 43168

Tania Fatal

Role: CONTACT

+351282450300 ext. 35427

Facility Contacts

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Ana Fontes, Prof

Role: primary

282420400 ext. 775

Ligia Pires, MD

Role: backup

282420400 ext. 120

Karl Cunha, MD

Role: primary

289891100

Helena Ramos, MD

Role: backup

289891100

Maria Jose Guimaraes, MD

Role: primary

+351253420300 ext. 41053

Joao Machado, MD

Role: primary

+351 244 817 056 ext. 3601

SALVATO FEIJO, MD

Role: backup

+351 244 817 055 ext. 5811

Sofia Furtado, MD

Role: primary

21 710 4400

Paula Pinto, Prof

Role: primary

217805000 ext. 55395

Cristina Barbara, Prof

Role: backup

218430500

Vera Martins, MD

Role: primary

+351 219 847 240

Margarida Barata, MD

Role: backup

+351 219 847 240

Ligia Pires, MD

Role: primary

282450300 ext. 43178

Tania Fatal

Role: backup

282450300 ext. 35427

Marta Drummond, Prof

Role: primary

+351225512100

Renato Silva

Role: backup

+351225513600

Ana Sofia Barroso, MD

Role: primary

+351 256 379 700

Jorge Ferreira, Prof

Role: backup

+351 256 379 700

Vera Clerigo, MD

Role: primary

265 549 085

Paula Duarte, MD

Role: backup

265 549 000

Bebiana Conde, Prof

Role: primary

259300500 ext. 4480

References

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Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP. Development of a fatigue scale. J Psychosom Res. 1993;37(2):147-53. doi: 10.1016/0022-3999(93)90081-p.

Reference Type BACKGROUND
PMID: 8463991 (View on PubMed)

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991 Dec;14(6):540-5. doi: 10.1093/sleep/14.6.540.

Reference Type BACKGROUND
PMID: 1798888 (View on PubMed)

Miller MA, Cappuccio FP. A systematic review of COVID-19 and obstructive sleep apnoea. Sleep Med Rev. 2021 Feb;55:101382. doi: 10.1016/j.smrv.2020.101382. Epub 2020 Sep 8.

Reference Type BACKGROUND
PMID: 32980614 (View on PubMed)

Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, O'Connor L, Leavy D, O'Brien K, Dowds J, Sugrue JA, Hopkins D, Martin-Loeches I, Ni Cheallaigh C, Nadarajan P, McLaughlin AM, Bourke NM, Bergin C, O'Farrelly C, Bannan C, Conlon N. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. PLoS One. 2020 Nov 9;15(11):e0240784. doi: 10.1371/journal.pone.0240784. eCollection 2020.

Reference Type BACKGROUND
PMID: 33166287 (View on PubMed)

Other Identifiers

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132/21

Identifier Type: -

Identifier Source: org_study_id

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