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Post-COVID SyndromeNAUTILUSNCT05307575

Neurobehavior and Brain Connectivity in Post COVID-19 Patients

An observational study of Post-COVID Syndrome, run by Consorci Sanitari de Terrassa at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

COVID-19 neurological effects can generate long-term neurobehavioral dysfunction. Our main objective is to examine the impact of COVID-19 on neurobehavior and its relationship with illness severity. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Post-COVID Syndrome
How many people
630 participants
Where
1 siteSpain
Study dates
1 Oct 2021to 15 Sep 2024
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 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: PCS from severe and mild COVID-19 group will be recruited in hospital and primary care services. The control population will be searched in the general population through primary care centers, the media, social networks, and they will be offered to participate in the study without remuneration.

Who may be able to join

  • Confirmed diagnosis of COVID-19 according to WHO interim with signs and symptoms of the severe disease during the acute phase
  • Presence of cognitive complaints after COVID-19 diagnosis
  • Participants have to be discharged from the hospital at least three months before inclusion
  • Accept to take part in the study and sign the informed consent according to the Declaration of Helsinki
  • Healthy people who have not had COVID-19
  • Accept to take part in the study and sign the informed consent according to the Declaration of Helsinki

Who cannot join

  • Participants have symptoms of delirium according to Delirium Rating Scale-revised 98
  • Established diagnosis before COVID-19 disease of psychiatric, neurological, neurodevelopmental disorder or systemic pathologies are known to cause cognitive deficits
  • Motor or sensory alterations that impede the neuropsychological examination
  • Participants with a metal prosthesis (for MRI studies)
  • Subjects suffering from claustrophobia or requiring sedation due to high anxiety (for MRI studies)
  • PCS from MILD COVID-19 group
Show all 16Show fewer
  • Confirmed diagnosis of MILD COVID-19 according to WHO interim
  • Presence of cognitive complaints after COVID-19 diagnosis
  • Participants have to be diagnosed with COVID-19 at least three months before inclusion
  • Accept to take part in the study and sign the informed consent according to the Declaration of Helsinki
  • Established diagnosis before COVID-19 disease of psychiatric, neurological, neurodevelopmental disorder or systemic pathologies are known to cause cognitive deficits
  • Motor or sensory alterations that impede the neuropsychological examination
  • Participants with a metal prosthesis (for MRI studies)
  • Subjects suffering from claustrophobia or requiring sedation due to high anxiety (for MRI studies)
  • Healthy adult CONTROL group
  • the same as COVID-19 groups

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Consorci Sanitari de Terrassa

    Terrassa, Barcelona, 08227

Other trials in Spain

About this study

Official title: Cognition, Emotion/Behavior, Functionality and Brain Connectivity in Recovered COVID-19 Patients

COVID-19 neurological effects can generate long-term neurobehavioral dysfunction. Our main objective is to examine the impact of COVID-19 on neurobehavior and its relationship with illness severity. Besides, we aim to study structural and functional brain connectivity in a subsample of middle-aged post-COVID-19 individuals. Finally, we aim to develop predictive models of neurobehavioural evolution in post-COVID-19 based on multimodal data.

Read the detailed description

NAUTILUS is an observational, cross-sectional, and multicenter study. It will be performed at 22 public hospitals. Two groups of COVID-19 adults (Severe N=210, Moderate-mild N=210, WHO criteria) reporting cognitive complaints will compare to healthy controls (N=210). They will be assessed on neurobehavioral status. We will perform brain MRI in a subsample (N=120, 40 per group), and we will obtain potential biomarkers of neural damage (smell function, retinal blood plexuses integrity, and inflammation). Moreover, we will use machine learning-based algorithms based on demographics, previous pathologies, lifestyle, clinical data, and biomarkers to predict neurobehavioral models.

Expected results: Identify the neurobehavioral impact of post-COVID-19 individuals and the discriminative power of multimodal biomarkers in adverse outcomes. Our result would help develop clinically useful models to predict the neurobehavioral impact to develop future personalized and preventive intervention strategies.

Keywords
COVID-10, Cognition, Mental Health, Neuroimage, Machine Learning
Medical subject headings
Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05307575
Study groupRoleWhat they receive
Post-COVID syndrome (PCS) Severe COVID-19Severe COVID-19 with PCS with cognitive complains
Post-COVID syndrome (PCS) Mild COVID-19Mild COVID-19 with PCS with cognitive complains
ControlsHealthy adult controls

What is being measured

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

  1. Differences between groups in auditory attention

    Auditory attention is measured with Digit Span Forward. Participants are asked to repeat numbers in the same order as read aloud by the examiner. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  2. Differences between groups in working memory

    Working memory is measured with Digit Span Backward. Participants are asked to repeat the numbers in the reverse order of that presented by the examiner. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  3. Differences between groups in language

    Language is measured with the Boston Naming Test. It consists of 60 line drawings of objects of graded difficulty, ranging from very common things to less familiar objects. The total score is the sum of correct answers. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  4. Differences between groups in verbal memory

    Verbal memory is measured with the Auditory Verbal Learning Test (AVLT). It is a word-learning test where five presentations of a 15-word list are given, each followed by an attempted recall. This is followed by a second 15-word interference list (list B), followed by recall of list A. Delayed recall and recognition are also tested. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  5. Differences between groups in visual memory

    Visual memory is measured with the Rey-Osterrieth Complex Figure (ROCF) test. The participants are asked to copy complex geometric shapes and then reproduce them from memory. A delayed recall is also tested. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  6. Differences between groups in psychomotor speed

    Processing speed is measured with Coding subtest of WAIS. Participants are asked to use a key to put in the appropriate symbols for a list of numbers. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  7. Differences between groups in perceptual reasoning

    Perceptual reasoning is measured with Matrix reasoning subtest of WAIS. Participants are asked to choose which of some possible options the missing picture is from matrix of abstract pictures. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  8. Differences between groups in executive function

    A composite score is made with the z-scores of phonemic (sum of the three letters) and semantic fluency, Trail Making Test B (time) and STROOP test (color-word interference total items in 120 seconds).

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  9. Differences between groups in social cognition

    Social cognition is measured with the Reading the Mind in the Eyes Test. Participants are asked to choose the emotional state that best describes the eyes, choosing between one of four possible emotions in the 36 photographs of male and female eyes depicting emotional states. Higher scores mean a better outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  10. Differences between groups in anxiety

    Anxiety is measured with the 7-item Generalized Anxiety Disorder Scale (GAD-7), a Likert-type scale with questions ranging from "not at all" (0 points) to "nearly every day" (3 points). The maximum score is 24. Higher scores mean a worse outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  11. Differences between groups in depression

    Depression is measured with the Patient Health Questionnaire-9 (PHQ-9) which scores each of the 9 DSM-IV criteria as "not at all" (0 points) to "nearly every day" (3 points). Higher scores mean a worse outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  12. Differences between groups in Post-traumatic Stress Disorder

    Post-Traumatic Stress Disorder is measured with The Post-Traumatic Stress Disorder Checklist (PCL-5), a 20-item questionnaire corresponding to the DSM-5 symptom criteria for PTSD, which scores each criterion as "not at all" (0 points) to "extremely" (4 points). The ratings of items are added together to calculate the total score (range=0-80). Higher scores mean a worse outcome.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

Secondary outcomes (13)
  1. Differences between groups in Fatigue

    Fatigue is measured with the Chalder Fatigue Scale, an 11-item questionnaire measuring the severity of physical and mental fatigue on two separate subscales. Seven items represent physical fatigue (items 1-7) and 4 represent mental fatigue (items 8-11). Each item " less than usual" (0) to " much more than usual" (3). The ratings of items are added together to calculate the total score (range=0-33). High scores represent high levels of fatigue.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  2. Differences between groups in Quality of Life

    Quality of life is measured with a 12-item World Health Organization Disability Assessment Schedule-II (WHODAS-II). Patients are asked to state the level of difficulty experienced, considering how they usually do the activity. The scale scores each item as "none" (1) to "cannot do" (5). The total score is calculated with an SPSS syntax, and the range varies from 0 to 100, with higher scores reflecting more significant disability.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  3. Differences between groups in White Matter integrity

    White matter integrity: tractography measured by MRI

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  4. Differences between groups in brain Volumetry

    Grey and white matter volume measured by MRI

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  5. Differences between groups in Resting-state connectivity

    Resting state brain activity using fMRI

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  6. Differences between groups in plasmatic Interleukin- 6 (IL-6)

    The plasma levels of IL-6 are measured with enzyme-linked immunosorbent assay (ELISA) Kit

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  7. Differences between groups in plasmatic Nerve Growth Factor (NGF)

    The plasma levels of NGF are measured with ELISA Kit

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  8. Differences between groups in plasmatic Glial Fibrillary Acidic Protein (GFAp)

    The plasma levels of GFAp are measured with ELISA Kit

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  9. Differences between groups in plasmatic lipid peroxidation products

    The plasma levels of malondialdehyde are measured with TBARS assay method

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  10. Differences between groups in plasmatic Ferritin

    The plasma levels of Ferritin are measured with biochemical assay

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  11. Differences between groups in plasmatic C-Reactive Protein (CRP)

    The plasma levels of CRP are measured with high sensitivity c-reactive protein ELISA Kit

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  12. Differences between groups in smell function

    Smell function is evaluated with the University of Pennsylvania Smell Identification Test (UPSIT), which measures the individual's ability to detect odors at a suprathreshold level. The UPSIT comprises four booklets, each of which contains ten pages. An odorized "scratch \& sniff" label is present on each booklet page. The subject scratches the label and then indicates which of the four response alternatives best matches the perceived smell. A score ranging from 6-18 means anosmia, 19-25 means severe microsmia, 26-30 in women and 26-29 in men means moderate microsmia, 31-34 in women and 30-33 in men means mild microsmia and a score of more than 34 in women and 33 in men means normosmia.

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

  13. Differences between groups retinal plexuses integrity

    Retinal plexuses integrity is measured with Optical Coherence Tomography Angiography (OCTA)

    Measured: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19

Timeline

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

  1. First posted1 Apr 2022
  2. Study start1 Oct 2021
  3. Primary completion15 Sep 2024
  4. Study completion15 Sep 2024

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-control
Time perspective
Cross-sectional
Enrolment
630 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05307575
Sponsor's protocol ID
202111-30-31-32 Fundació La Ma
Acronym
NAUTILUS
Status last verified
Sep 2024
First submitted
31 Mar 2022
Last updated
19 Sep 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Goset J, Ariza M, Mestre C, Vinuela-Navarro V, Perez-Mana L, Vilaseca M, Cano N, Delas B, Garolera M, Aldaba M. Eye tracking and machine learning to assess cognitive impairment in post-COVID-19 patients. Sci Rep. 2026 Mar 18;16(1):9637. doi: 10.1038/s41598-025-34664-2.

    PubMed 41851162
  • Carreras-Vidal L, Pacheco-Jaime L, Ariza M, Cano N, Garolera M, Garcia-Vicente C, Roura I, Capdevila-Lacasa C, Oltra J, Pardo J, Martin-Barcelo C, Campabadal A, Sala-Llonch R, Bargallo N, Barrue C, Bejar J, Cortes CU, Junque C; NAUTILUS-Project Collaborative Group; Segura B. Functional brain abnormalities in post COVID-19 condition and their relationship with cognition. Sci Rep. 2025 Jul 1;15(1):22259. doi: 10.1038/s41598-025-00739-3.

    PubMed 40595626
  • Pacheco-Jaime L, Garcia-Vicente C, Ariza M, Cano N, Garolera M, Carreras-Vidal L, Roura I, Capdevila-Lacasa C, Oltra J, Pardo J, Martin-Barcelo C, Campabadal A, Sala-Llonch R, Bargallo N, Barrue C, Bejar J, Cortes CU, Junque C, Segura B; NAUTILUS-Project Collaborative Group. Structural brain changes in post-COVID condition and its relationship with cognitive impairment. Brain Commun. 2025 Feb 12;7(1):fcaf070. doi: 10.1093/braincomms/fcaf070. eCollection 2025.

    PubMed 40008326
  • Ariza M, Bejar J, Barrue C, Cano N, Segura B; NAUTILUS Project Collaborative Group; Cortes CU, Junque C, Garolera M. Cognitive reserve, depressive symptoms, obesity, and change in employment status predict mental processing speed and executive function after COVID-19. Eur Arch Psychiatry Clin Neurosci. 2025 Jun;275(4):973-989. doi: 10.1007/s00406-023-01748-x. Epub 2024 Jan 29.

    PubMed 38285245
  • Ariza M, Cano N, Segura B, Adan A, Bargallo N, Caldu X, Campabadal A, Jurado MA, Mataro M, Pueyo R, Sala-Llonch R, Barrue C, Bejar J, Cortes CU; NAUTILUS Project Collaborative Group; Garolera M, Junque C. COVID-19 severity is related to poor executive function in people with post-COVID conditions. J Neurol. 2023 May;270(5):2392-2408. doi: 10.1007/s00415-023-11587-4. Epub 2023 Mar 20.

    PubMed 36939932
  • Ariza M, Cano N, Segura B, Adan A, Bargallo N, Caldu X, Campabadal A, Jurado MA, Mataro M, Pueyo R, Sala-Llonch R, Barrue C, Bejar J, Cortes CU; NAUTILUS-Project Collaborative Group; Junque C, Garolera M. Neuropsychological impairment in post-COVID condition individuals with and without cognitive complaints. Front Aging Neurosci. 2022 Oct 20;14:1029842. doi: 10.3389/fnagi.2022.1029842. eCollection 2022.

    PubMed 36337708

Questions about this trial

What is this clinical trial studying?

An observational study of Post-COVID Syndrome, run by Consorci Sanitari de Terrassa at 1 site in Spain.

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 6 inclusion and 16 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: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Differences between groups in auditory attention (time frame: At the time of inclusion of the participant, between 3 and 12 months from the start of COVID-19). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05307575, which also lists 6 linked publications.

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 19 Sep 2024.

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