Sars-CoV2 Clinical Trial
— COV-RECUPOfficial title:
Medium and Long Term Follow-up of SARS-COV-2 Infected Patients Treated at Besançon and Dijon Hospitals: Research and Characterization of Pulmonary Sequelae
Verified date | February 2024 |
Source | Centre Hospitalier Universitaire de Besancon |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of atypical emerging pneumonia. The clinical spectrum varies from an asymptomatic or mild illness to a serious illness with a high risk of mortality. The most severely affected patients (5%) present an acute respiratory distress syndrome (ARDS), requiring assistance with mechanical ventilation in intensive care. In 2003, persistent lung damage was observed in a third of patients in a Singaporean cohort one year after SARS-CoV infection. A Chinese study showed that 27.3% of their SARS-CoV patients presented a decreased carbon monoxide diffusion (DLCO) and 21.5% of pulmonary fibrosis lesions. Due to the very recent emergence of SARS-CoV-2, no data is currently available of long-term outcome of these patients. However, recent publications including short-term CT monitoring suggest the genesis of fibrotic pulmonary parenchymal sequelae. In view of these data, the investigators can fear the occurrence of pulmonary sequelae in patients infected with SARS-CoV-2. It is therefore essential to evaluate the evolution of the respiratory status of the most severe patients who have had a stay in intensive care with respiratory assistance.
Status | Active, not recruiting |
Enrollment | 140 |
Est. completion date | August 18, 2025 |
Est. primary completion date | August 18, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 79 Years |
Eligibility | Inclusion Criteria: - Patient infected by SARS-CoV-2 (diagnosed by RT-PCR and / or typical CT imaging) - Patient hospitalized in the intensive care units of Besançon or Dijon hospitals for severe SARS-CoV-2 pneumonia - Postmenopausal woman for at least 24 months or surgically sterilized, or, for woman of childbearing age, use of an effective method of contraception - Signature of informed consent to participate indicating that the subject has understood the purpose and the procedures required by the study and that he agrees to participate in the study. - Affiliation to a French social security system . Exclusion Criteria: - Chronic respiratory failure under long-term oxygen therapy - Known diffuse invasive pneumonia - Life expectancy estimated at less than one year by the doctor - Legal incapacity or limited legal capacity - History of psychiatric illness, intellectual disability, lack of motivation or other conditions that may limit the understanding of informed consent - Subject unlikely to cooperate in the study and / or weak cooperation anticipated by the investigator - Subject without health insurance - Pregnant and / or lactating woman - Subject being in the exclusion period of another study or foreseen by the "national file of the volunteers". |
Country | Name | City | State |
---|---|---|---|
France | CHU Besançon | Besançon | Franche-Comté |
Lead Sponsor | Collaborator |
---|---|
Centre Hospitalier Universitaire de Besancon |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | proportion of patients with an alteration of the capillary alveolus barrier at 12 months of follow-up, characterized by a decreased of the diffusing capacity for carbon monoxide (DLCO) below the lower limit of normal | DLCO | 12 months after the first symptoms of SARS-COV-2 |
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