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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04362943
Other study ID # PAS-BAR-2020-04
Secondary ID
Status Completed
Phase
First received
Last updated
Start date April 20, 2020
Est. completion date April 15, 2021

Study information

Verified date July 2021
Source Complejo Hospitalario Universitario de Albacete
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Retrospective clinical-epidemiological study aimed at characterizing COVID-19 disease in adults older than 70 years, hospitalized in the "Perpetuo Socorro" Hospital of Albacete (Spain) from 09/03/2020 until 20/04/2020. Secondary objectives will be to analyze clinical-epidemiological characteristics of COVID-19 patients treated with Baricitinib or Anakinra, and to describe the efficacy and secondary effects of those drugs.


Description:

Design: Retrospective postauthorization study. Registry study. Setting: COVID Unit, "Perpetuo Socorro" Hospital of Albacete (Spain). Participants: Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020. All patients will be included without exclussion criteria. Measurements: - Age, sex, residency. - Functional assessment: Barthel index, Katz index, Functional Ambulation Classification. - Cognitive assessment: Reisberg´s Global Deteriorating Scale. - Comorbidity: Charlson index, disease count. - Chronic medicines consumed. - Disease related symptoms. - Lab determinations: White cells, neutrophyl count, lymphocyte count, platelets, haemoglobin, INR, fibrinogen, D-Dimer, Ferritin, CRP, IL-6, urea, creatinin, AST, ALT, CK. - Thorax X-ray findings: COVID affectation, severity, pleural effusion, heart failure signs, pneumothorax. - Drugs used during hospitalization, number of days of treatment and total doses: Anakinra, Baricitinib, Glucocorticoids, Antivirals (Lopinavir/Ritonavir, Emtricitabina/Tenofovir), Azitromycin, Ceftriaxone, Hidroxychloroquin. - Geriatric syndroms: Delirium, immobility, dysphagia, pressure ulcers. - Outcomes: Mortality at discharge, institucionalización at discharge, length of stay, change in lab results, change in X-ray results, change in function at discharge. Registry procedures: Medical chart review by trained Geriatricians, pharmachological chart review by expert Pharmacists, X-ray review by trained radiologists. All data will be included in an anonimyzed database for further analysis by investigators, and supervised by Principal Investigator. Regulatory status: The protocol was approved by the Ethics review committee of Albacete (number 2020-21 from 20/04/2020) and by the Spanish Medicines Agency (AEMPS) who gave a "Postauthorization Study" classification (number PAS-BAR-2020-04. 20/04/2020). Analysis: Two stage analysis will be conducted. In first one, efficacy and security analysis of the 99 patients that have received either Baricitinib or Anakinra will be conducted, and in the second one, clinical-epidemiological analysis of the complete sample, n=576, will be realized.


Recruitment information / eligibility

Status Completed
Enrollment 576
Est. completion date April 15, 2021
Est. primary completion date April 15, 2021
Accepts healthy volunteers No
Gender All
Age group 70 Years and older
Eligibility Inclusion Criteria: - Adults older than 70 years hospitalized for COVID-19 disease between 09/03/2020 and 20/04/2020, in the "Perpetuo Socorro" Hospital of Albacete (Spain). Exclusion Criteria: - None

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Baricitinib or Anakinra
Treatment with either Baricitinib or Anakinra during hospitalization, in real world, and under usual clinical care.

Locations

Country Name City State
Spain Complejo Hospitalario Universitario de Albacete Albacete

Sponsors (1)

Lead Sponsor Collaborator
Complejo Hospitalario Universitario de Albacete

Country where clinical trial is conducted

Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Mortality Mortality for all causes 1 month
Secondary X-ray changes Changes from admission to discharge thorax X-rays assessed by blinded radiologists 1 month
Secondary Disability changes Changes from admission to discharge in Barthel index 1 month
Secondary Ambulation changes Changes from admission to discharge in Functional Ambulation Classification 1 month
Secondary lymphocyte count changes Changes from admission to discharge in lymphocyte count 1 month
Secondary C-Reactive Protein changes Changes from admission to discharge in C-Reactive Protein 1 month
Secondary Ferritin changes Changes from admission to discharge in Ferritin 1 month
Secondary D-Dimer changes Changes from admission to discharge in D-Dimer 1 month
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