Heart Failure Clinical Trial
— PCHF-COVICAVOfficial title:
COVID-19 in Hospitalised Patients With Preexisting CArdioVascular Diseases and/or Cardiac Involvement and/or Cardiovascular Risk Factors: the Global PCHF-COVICAV Registry
| NCT number | NCT04390555 |
| Other study ID # | PCHF-COVICAV |
| Secondary ID | |
| Status | Recruiting |
| Phase | |
| First received | |
| Last updated | |
| Start date | April 30, 2020 |
| Est. completion date | July 2021 |
Background: Coronavirus disease (COVID-19) is a tremendous challenge the modern world has
never seen before and is overwhelming the capacities of healthcare systems worldwide.
Patients with cardiovascular diseases, heart failure in particular, and cardiovascular risk
factors seem to be at a very high risk if affected by COVID-19 - and vice versa there are
more and more reports of cardiac manifestations with the viral disease.
Aim: The purpose of the study is to characterise the clinical course of adult inpatients with
COVID-19 and concomitant cardiovascular affection in a worldwide, multicentre PCHF registry.
Methods: Retrospective and prospective data analysis. Data on demographic, clinical, selected
laboratory, electrocardiography and echocardiography parameters, treatment and outcome will
be collected. The principal investigator provides dedicated electronic case report form. The
primary outcome is in-hospital mortality. The secondary endpoints will be ICU length of stay,
hospital length of stay, the need and duration of invasive mechanical ventilation,
cardiovascular hospitalisation after 3 and 6 months from index hospitalisation, all-cause and
cardiovascular mortality after 3 and 6 months from index hospitalisation.
| Status | Recruiting |
| Enrollment | 1500 |
| Est. completion date | July 2021 |
| Est. primary completion date | December 2020 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: - Adult inpatients (=18 years old) with laboratory-confirmed COVID-19. Exclusion Criteria: - Age <18 years old. - Outpatients. |
| Country | Name | City | State |
|---|---|---|---|
| Switzerland | Zurich Heart Center, Unispital Zurich | Zurich |
| Lead Sponsor | Collaborator |
|---|---|
| University of Zurich | Wroclaw Medical University |
Switzerland,
Cunningham JW, Ferreira JP, Deng H, Anker SD, Byra WM, Cleland JGF, Gheorghiade M, Lam CSP, La Police D, Mehra MR, Neaton JD, Spiro TE, van Veldhuisen DJ, Greenberg B, Zannad F. Natriuretic Peptide-Based Inclusion Criteria in a Heart Failure Clinical Trial: Insights From COMMANDER HF. JACC Heart Fail. 2020 May;8(5):359-368. doi: 10.1016/j.jchf.2019.12.009. Epub 2020 Mar 11. — View Citation
Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, Wang H, Wan J, Wang X, Lu Z. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. 2020 Mar 27. doi: 10.1001/jamacardio.2020.1017. [Epub ahead of print] — View Citation
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24. Erratum in: Lancet. 2020 Jan 30;:. — View Citation
Mehra MR, Desai SS, Kuy S, Henry TD, Patel AN. Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19. N Engl J Med. 2020 May 1. doi: 10.1056/NEJMoa2007621. [Epub ahead of print] — View Citation
Mehra MR, Ruschitzka F. COVID-19 Illness and Heart Failure: A Missing Link? JACC Heart Fail. 2020 Apr 10. pii: S2213-1779(20)30150-5. doi: 10.1016/j.jchf.2020.03.004. [Epub ahead of print] — View Citation
Ruan Q, Yang K, Wang W, Jiang L, Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020 May;46(5):846-848. doi: 10.1007/s00134-020-05991-x. Epub 2020 Mar 3. Erratum in: Intensive Care Med. 2020 Apr 6;:. — View Citation
Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, Gong W, Liu X, Liang J, Zhao Q, Huang H, Yang B, Huang C. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. JAMA Cardiol. 2020 Mar 25. doi: 10.1001/jamacardio.2020.0950. [Epub ahead of print] — View Citation
Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, Mehra MR, Schuepbach RA, Ruschitzka F, Moch H. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020 May 2;395(10234):1417-1418. doi: 10.1016/S0140-6736(20)30937-5. Epub 2020 Apr 21. — View Citation
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y, Li Y, Wang X, Peng Z. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 Feb 7. doi: 10.1001/jama.2020.1585. [Epub ahead of print] — View Citation
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11. Erratum in: Lancet. 2020 Mar 28;395(10229):1038. Lancet. 2020 Mar 28;395(10229):1038. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | In-hospital mortality. | All-cause and cardiovascular mortality during index hospitalization. | Hospitalization period, assessed up to 30 days | |
| Secondary | The length of stay in the intensive care unit. | The duration of hospitalization on the intensive care unit. | Hospitalization period in the ICU, assessed up to 30 days | |
| Secondary | The duration of hospitalization. | The total length of stay in the hospital. | Hospitalization period, assessed up to 30 days | |
| Secondary | The need and duration of invasive mechanical ventilation. | Hospitalization period, assessed up to 30 days | ||
| Secondary | Hospitalization for cardiovascular causes or cardiovascular deaths within 3 months after hospitalization. | 3 months | ||
| Secondary | Hospitalization for cardiovascular causes or cardiovascular deaths within 6 months after hospitalization. | 6 months |
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