Severe COVID-19 Infection in Children Presenting to EDs in Israel and England

NCT ID: NCT06434701

Last Updated: 2025-03-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-30

Study Completion Date

2026-08-31

Brief Summary

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Even though the COVID-19 pandemic is no longer at its peak, the threat still lingers. Engaging in prospective surveillance studies will enable us to monitor the disease and prepare for any potential resurgence. COVID-19 surveillance studies are essential tools for policymakers to make informed decisions, allocate resources, and develop strategies to control the spread of the virus and protect public health.

The objective of this surveillance study is to prospectively assess in-hospital severe morbidity related to COVID-19 infection in children who present to the Pediatric Emergency Department (ED).

A prospective multicenter study will be conducted across eight EDs in Israel and five EDs in the United Kingdom. The study population will include children aged 16 years or younger with a severe acute COVID-19 infection. Confirmation of acute COVID-19 infection will be based on polymerase chain reaction nasopharyngeal swab testing. The study will also include patients diagnosed with multisystem inflammatory syndrome in children (MIS-C), as defined by the CDC.

Detailed Description

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Conditions

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COVID-19 Inflammatory Response

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Severe acute COVID-19 infection

Nasopharyngeal swab sampling for COVID-19

Group Type EXPERIMENTAL

Nasopharyngeal swab sampling for COVID-19

Intervention Type DIAGNOSTIC_TEST

The healthcare provider will gently insert the swab a short distance (1-1.5 cm for young children) into one nostril, reaching the back of the nasal cavity. The swab will then be gently rotated and rubbed for a few seconds to collect a sample of mucus. The same process may be repeated in the other nostril.

Interventions

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Nasopharyngeal swab sampling for COVID-19

The healthcare provider will gently insert the swab a short distance (1-1.5 cm for young children) into one nostril, reaching the back of the nasal cavity. The swab will then be gently rotated and rubbed for a few seconds to collect a sample of mucus. The same process may be repeated in the other nostril.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. SACI

Patients aged 16 years or younger with a positive COVID-19 PCR nasopharyngeal swab testing or bronchoalveolar sample who meet the definition of SACI:
* Receive oxygen via low-flow nasal cannula or oxygen mask, high-flow nasal cannula, bilevel or continuous positive airway pressure machine, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) Or
* Admitted to ICU
2. MIS-C Patients aged 16 years or younger diagnosed with MIS-C
Minimum Eligible Age

0 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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London North West Healthcare NHS Trust

OTHER

Sponsor Role collaborator

Hadassah Medical Organization

OTHER

Sponsor Role lead

Responsible Party

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Itai Shavit

Chair, Division of Pediatrics, Hadassah Medical Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Haemek Medical Center

Afula, , Israel

Site Status RECRUITING

Soroka Medical Center

Beersheba, , Israel

Site Status RECRUITING

Hadassah Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Meir Medical Center

Kfar Saba, , Israel

Site Status RECRUITING

Sheba Medical Center

Tel Litwinsky, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Itai Shavit, MD

Role: CONTACT

00 972 50 2063239

Hadas Lamberg, PhD

Role: CONTACT

00 972 2 6777572

Facility Contacts

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Ron Jacob, MD

Role: primary

Or Kaplan, MD

Role: primary

Maor Havkin, MD

Role: primary

Giora Weiser, MD

Role: primary

Nir Friedman, MD

Role: primary

Jordanna Koppel, MD

Role: primary

Other Identifiers

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SPICE-HMO-CTIL

Identifier Type: -

Identifier Source: org_study_id

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