AzTrials
AzTrials

Covid19NCT04794985

Post-COVID-Health Study: Multidimensional Health Status of COVID-19 Survivors One Year After a SARS-CoV-2 Infection

An observational study of Covid19, run by Maastricht University Medical Center at 3 sites in Netherlands.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study assesses the multidimensional health status of COVID-19 survivors one-year post-infection using validated subjective and objective measures. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Covid19
How many people
140 participants
Where
3 sitesNetherlands
Study dates
17 Feb 2022to 20 Aug 2024
How long will I take part?
1 Day
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All COVID-19 survivors of the MUMC+, VieCuri Medical Center or Zuyderland Medical Center can be included in this study. Both hospitalized (ICU and non-ICU admitted) as well as non-hospitalized patients will be eligible for participation.

Who may be able to join

  • COVID-19 positive based on:
  • Confirmed RT-PCR;
  • Proven serology for SARS-COV-2 with clearly associated complaints for a SARS-COV-2 infection;
  • CO-RADS score of 4 or more with a proven serology for SARS-CoV-2 afterwards.
  • Age of ≥18 years;
  • Able to provide informed consent;
  • Understanding of Dutch language.

Who cannot join

  • Patients not willing to participate;
  • Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements.

Trial locations and contacts

3 sites in 1 country.

Netherlands3 sites
  • Zuyderland Medical Center

    Heerlen, 6419

  • Maastricht University Medical Center

    Maastricht, 6229 HX

  • VieCuri Medical Center

    Venlo, 5912 BL

Other trials in Netherlands

About this study

This study assesses the multidimensional health status of COVID-19 survivors one-year post-infection using validated subjective and objective measures.

Read the detailed description

Rationale: Within the Netherlands, more than 1 million people have been infected with SARS-CoV-2, also known as COVID-19. Although the mortality rate is considerable, the vast majority of COVID-19 patients survive the infection. Preliminary findings show that a majority of COVID-19 survivors still experience health problems 3 months after the infection, including reduced lung diffusion capacity, low exercise capacity, muscle weakness, mental problems and reduced cognitive function resulting in a generally poor health status. Whether these health consequences persist on the long-term is unknown.

Objective: To assess the multidimensional health status of COVID-19 survivors one-year post-infection using validated subjective and objective measures.

Study design: A multicenter prospective observational study performed within the MUMC+ and VieCuri Medical Center.

Study population: 200 COVID-19 survivors of the MUMC+, VieCuri Medical Center or Zuyderland Medical Center, both hospitalized (ICU and non-ICU admitted) as well as non-hospitalized patients.

Main study parameters/endpoints: Outcome parameters include objectively and subjectively measured multidimensional health outcomes including physiological and metabolic health, physical capability, cognitive function, psychosocial well-being, social well-being, patient reported outcomes as well as potential determinants of these multidimensional health outcomes (e.g. treatment during/after SARS-CoV-2 infection, vaccination, comorbidities, medication use etc.). Outcomes will be measured during a one-day study visit.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Subjects will benefit from participating within this study, because their general health will be evaluated in detail and from a multidimensional perspective. Furthermore, subjects will be informed on their multidimensional health outcomes and will receive a lifestyle advice tailored to their health status. Risks and inconveniences are limited to the time investment associated with the completion of the questionnaires and the study visit. During the study visit various non-invasive measurements as well as minor invasive blood sampling will be performed.

Conditions
Covid19
Keywords
Multidimensional health, COVID-19, Long-term consequences
Medical subject headings
COVID-19

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Lung function measured with spirometry

    Pre- and post-bronchodilator spirometry will be performed to determine forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1).

    Measured: 1 year post-infection

  2. Diffusion capacity measured with the single breath method

    To determine diffusion capacity for carbon monoxide

    Measured: 1 year post-infection

  3. (Persistent) lung damage

    To determine lung damage a chest CT-scan will be obtained. To evaluate whether lung damage is persistent, scans will be compared to scans obtained during COVID-19 screening or COVID-19 after care.

    Measured: 1 year post-infection

  4. Bone mineral density by dual-energy X-ray (DEXA)-scan

    Total bone mineral density (BMD) as well as BMD of the lumbar spine and total hip-neck will be determined using a DEXA-scan.

    Measured: 1 year post-infection

  5. Lean mass by dual-energy X-ray (DEXA)-scan

    Total lean mass will be determined using a DEXA-scan.

    Measured: 1 year post-infection

  6. Fat free mass by dual-energy X-ray (DEXA)-scan

    Total fat free mass will be measured using a DEXA-scan.

    Measured: 1 year post-infection

  7. Fat mass by dual-energy X-ray (DEXA)-scan

    Total fat mass and fat percentage as well as visceral fat mass will be measured using a DEXA-scan.

    Measured: 1 year post-infection

  8. Vertebral fracture assessment by dual-energy X-ray (DEXA-scan)

    Vertebral fracture assessment will be determined using a DEXA-scan.

    Measured: 1 year post-infection

  9. Muscle cross sectional area on chest CT-scan

    Muscle cross sectional area will be determined based on pre-established Hounsfield Units on the chest CT-scan.

    Measured: 1 year post-infection

  10. Adipose tissue cross sectional area on chest CT-scan

    Muscle cross sectional area will be determined based on pre-established Hounsfield Units on the chest CT-scan.

    Measured: 1 year post-infection

  11. Weight will be measured on a weighing scale

    Weight will be measured on a weighing scale.

    Measured: 1 year post-infection

  12. Height will be measured using a stadiometer

    Height will be measured using a stadiometer.

    Measured: 1 year post-infection

  13. Body mass index (BMI) will be calculated from the weight and height

    Weight and height will be combined to report BMI in (kg/m^2)

    Measured: 1 year post-infection

  14. Fasted resting energy expenditure by indirect calorimetry (ventilated hood)

    VO2 and VCO2 will be measured to determine energy expenditure.

    Measured: 1 year post-infection

  15. Resting blood pressure

    Resting diastolic and systolic blood pressure will be measured as part of the cardiometabolic profile to determine the prevalence of the metabolic syndrome.

    Measured: 1 year post-infection

  16. Waist circumference

    Waist circumference will be measured as part of the cardiometabolic profile to determine the prevalence of the metabolic syndrome.

    Measured: 1 year post-infection

  17. Fasting glucose levels

    Fasting glucose levels will be determined in sampled blood as part of the cardiometabolic profile to determine the prevalence of the metabolic syndrome.

    Measured: 1 year post-infection

  18. Fasted lipid profile

    Fasted high-density, low-density and total lipoprotein levels (HDL and LDL) as well as triglycerides will be measured as part of the cardiometabolic profile to determine the prevalence of the metabolic syndrome.

    Measured: 1 year post-infection

  19. Six minute walking test to determine exercise capacity

    Six minute walking distance will be determined.

    Measured: 1 year post-infection

  20. Peak work rate by cardiopulmonary cycling exercise test (CPET)

    Maximal work rate (W) will be determined during the CPET

    Measured: 1 year post-infection

  21. Peak O2-consumption and CO2-production by cardiopulmonary cycling exercise test (CPET)

    Maximal O2 consumption and CO2 production will be determined during the CPET.

    Measured: 1 year post-infection

  22. Maximal heart rate during cardiopulmonary cycling exercise test (CPET)

    Maximal heart will be measured during the CPET.

    Measured: 1 year post-infection

  23. Respiratory muscle strength by mouth pressure

    Inspiratory and expiratory mouth pressure will be measured.

    Measured: 1 year post-infection

  24. Upper extremity muscle strength by measuring handgrip strength

    A hydraulic grip strength dynamometer will be used to measure the maximal handgrip strength.

    Measured: 1 year post-infection

  25. Lower extremity muscle strength by measuring isometric muscle strength

    Maximal isometric upper leg muscle strength will be measured of the quadriceps muscle using a Biodex dynamometer.

    Measured: 1 year post-infection

  26. Mobility using the short physical performance battery (SPPB)

    The SPPB consists of three types of physical maneuvers: the balance test, the gait speed test and the chair stand test leading to a score of 0-12. Lower scores indicate less mobility.

    Measured: 1 year post-infection

  27. Physical activity level by accelerometry

    An accelerometer will be worn for 7 days to determine physical activity level.

    Measured: 1 year post-infection

  28. Cognitive function by Montreal Cognitive Assessment (MOCA)

    The MOCA will lead to a total score of 0-30, in which lower scores indicate less cognitive function.

    Measured: 1 year post-infection

  29. Cognitive function using the cognitive failure questionnaire (CFQ)

    The CFQ will lead to a total score of 0-100. A higher total score indicates more subjective cognitive failure. Additionally, four subscales can be identified, related to distraction, distraction in social situations, names and words and orientation.

    Measured: 1 year post-infection

  30. Dietary intake by a food diary

    A 3-day food diary will be used to investigate the dietary intake.

    Measured: 1 year post-infection

  31. Smell by the Sniffing Sticks treshold test

    The average of the last four reversal points is used as final threshold score.

    Measured: 1 year post-infection

  32. Taste using the taste strips 'filter paper disc method' test

    A maximum score of 16 correct taste detections can be retrieved indication good taste function.

    Measured: 1 year post-infection

  33. Taste and smell function using the taste and smell function questionnaire

    The questionnaire will retrieve a maximal score of 0-52 and 0-44 for taste and smell, respectively, in which higher scores indicate problems with taste and smell function.

    Measured: 1 year post-infection

  34. The hospital anxiety and depression scale (HADS) to determine anxiety and depression levels

    The HADS will retrieve a total score of 0-21 in which lower levels indicate higher levels of anxiety or depression.

    Measured: 1 year post-infection

  35. The Perceived stress scale (PSS) to determine stress levels

    The PSS will retrieve a total score of 0-40 in which lower scores indicate higher stress levels.

    Measured: 1 year post-infection

  36. Perceived social support using the multidimensional scale of perceived social support (MSPSS)

    A total score of 12-84 can be retrieved in which lower scores indicate lower levels of social support.

    Measured: 1 year post-infection

  37. Loneliness using the loneliness scale (LS)

    The LS will retrieve a total score of 0-11 in which higher scores indicate strong loneliness.

    Measured: 1 year post-infection

  38. Subjective multidimensional health status by euroqol-5 dimensions

    The EQ-5D consists of 5 domains (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) and a visual analogue scale.

    Measured: 1 year post-infection

  39. Dyspnea using the modified medical research council (mMRC)

    The mMRC will retrieve a total score of 0-5 in which higher levels indicate more dyspnea.

    Measured: 1 year post-infection

  40. Fatigue using the Checklist Individual Strength (CIS)

    The CIS will retrieve a total score of 20-140 in which higher scores indicate more fatigue.

    Measured: 1 year post-infection

  41. Sleep quality using the Pittsburgh Sleep Quality Index (PSQI)

    The total PSQI score will vary between 0-21 in which higher scores indicate poor sleep quality.

    Measured: 1 year post-infection

  42. General pain using the Visual Analogue Scale (VAS)

    A total score of 0-100 will be retrieved in which higher scores indicate more pain.

    Measured: 1 year post-infection

Secondary outcomes (5)
  1. Medical history

    Retrieved from medical records and self-report

    Measured: 1 year post-infection

  2. Treatments/therapies after SARS-CoV-2 infection

    Retrieved from medical records and self-report

    Measured: 1 year post-infection

  3. Vaccination for COVID-19

    Retrieved from medical records and self-report

    Measured: 1 year post-infection

  4. Re-infection with COVID-19

    Retrieved from medical records and self-report

    Measured: 1 year post-infection

  5. Medication use

    Retrieved from medical records and self-report

    Measured: 1 year post-infection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Mar 2021
  2. Study start17 Feb 2022
  3. Primary completion20 Aug 2024
  4. Study completion20 Aug 2024

Why it stopped: With included subjects (n=140) we have sufficient power to answer the primary research question.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
140 participants (actual)
Target duration
1 Day
IDs, dates and publications
ClinicalTrials.gov ID
NCT04794985
Sponsor's protocol ID
NL76949.068.21
Status last verified
Jan 2025
First submitted
9 Mar 2021
Last updated
16 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Covid19, run by Maastricht University Medical Center at 3 sites in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 16 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: With included subjects (n=140) we have sufficient power to answer the primary research question.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Lung function measured with spirometry (time frame: 1 year post-infection). The study lists 42 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jan 2025.

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