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Multicentre, multinational, non-interventional, observational, retrospective, patient record study to evaluate changes in coagulation parameters in patients with severe COVID-19 infection receiving/not treatment with antithrombin (AT) III
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COVID-19 patients who had received treatment with ATIII | Patient records of patients hospitalised for severe COVID-19 infection until 01.06.2020 that required oxygen therapy will be used to retrospectively gather baseline demographic data (age, gender, height, weight, ethnicity/race, blood group, rhesus factor) and comorbidities. Records will also be used to retrospectively gather information on routine coagulation and laboratory parameters measured as per local protocols (including where available: AT, aPTT, PT, Quick, INR, , fibrinogen, D-dimers, haemoglobin levels, and platelet count), and thromboembolic complications and bleeding events that occurred during the individual observational treatment period. Patients will be grouped into 2 cohorts; those that received treatment with ATIII and those that did not. ATIII was administered as per local guidelines at each institute. |
| |
| COVID-19 patients who had not received treatment with ATIII | Patient records of patients hospitalised for severe COVID-19 infection until 01.06.2020 that required oxygen therapy will be used to retrospectively gather baseline demographic data (age, gender, height, weight, ethnicity/race, blood group, rhesus factor) and comorbidities. Records will also be used to retrospectively gather information on routine coagulation and laboratory parameters measured as per local protocols (including where available: AT, aPTT, PT, Quick, INR, , fibrinogen, D-dimers, haemoglobin levels, and platelet count), and thromboembolic complications and bleeding events that occurred during the individual observational treatment period. Patients will be grouped into 2 cohorts; those that received treatment with ATIII and those that did not. ATIII was administered as per local guidelines at each institute. | ||
| Non-COVID-19 patients who had received treatment with ATIII | A control group will be used to gather comparative data in non-COVID-19 patients. Data will be gathered retrospectively from patient records for severely ill patients who received oxygen therapy for non-COVID-19 infection until end 2019 (31.12.2019). Control group will also be grouped into 2 cohorts for those having received/ having not received ATIII treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Antithrombin III | Drug | Antithrombin III |
|
| Measure | Description | Time Frame |
|---|---|---|
| Antithrombin Levels | Levels of AT in severely ill COVID-19 positive patients receiving/not receiving ATIII treatment | throughout hospitalization, approximately 1-3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| aPPT Levels | aPPT Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| PT Levels |
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For Sites in Austria:
Inclusion Criteria:
For the +COVID-19 group:
For the control group:
Exclusion Criteria:
For Sites in France:
Inclusion Criteria:
For the +COVID-19 group:
For the control group:
Exclusion Criteria:
For sites in Germany:
Inclusion Criteria:
For the +COVID-19 group:
For the control group:
Exclusion Criteria:
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A target of 150 patients (male and female) hospitalised with severe COVID-19 infection and having required oxygen therapy (including those requiring a ventilator, central venous catheter or ECMO) will be included into this study. A control group of matched numbers of non-COVID-19 patients hospitalised and having required oxygen therapy will be included.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Octapharma Research Site | Innsbruck | 6020 | Austria | |||
| Octapharma Research Site |
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|
| Non-COVID-19 patients who had not received treatment with ATIII | A control group will be used to gather comparative data in non-COVID-19 patients. Data will be gathered retrospectively from patient records for severely ill patients who received oxygen therapy for non-COVID-19 infection until end 2019 (31.12.2019). Control group will also be grouped into 2 cohorts for those having received/ having not received ATIII treatment. |
PT Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group
| throughout hospitalization, approximately 1-3 weeks |
| Quick Levels | Quick Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| INR Levels | INR Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| D-dimer Levels | D-dimer Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| Fibrinogen Levels | Fibrinogen Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| Haemoglobin Levels | Haemoglobin Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| Platelet Levels | Platelet Levels in severely ill COVID-19 patients receiving/not receiving ATIII treatment and compared to control group | throughout hospitalization, approximately 1-3 weeks |
| Thromboembolic complications and bleeding events between groups | Comparison of the occurrence of thromboembolic complications and bleeding events between groups | throughout hospitalization, approximately 1-3 weeks |
| Comparison of the duration of requirement for oxygen therapy, and invasive ventilation support or ECMO between groups | Comparison of the duration of requirement for oxygen therapy, and invasive ventilation support or ECMO between groups | throughout hospitalization, approximately 1-3 weeks |
| Hospital length of stay | Hospital length of stay between groups | throughout hospitalization, approximately 1-3 weeks |
| Number of days in ICU | Number of days in ICU between groups | throughout hospitalization, approximately 1-3 weeks |
| Number of days requiring oxygenation | Number of days requiring oxygenation between groups | throughout hospitalization, approximately 1-3 weeks |
| Discharge disposition | Discharge disposition between groups | throughout hospitalization, approximately 1-3 weeks |
| Mortality | Mortality between groups | throughout hospitalization, approximately 1-3 weeks |
| Vienna |
| 1090 |
| Austria |
| Octapharma Research Site | Strasbourg | France |
| Octapharma Research Site | Aachen | 52074 | Germany |
| Octapharma Research Site | Essen | 45147 | Germany |
| ECMO Centre Karolinska | Stockholm | 17176 | Sweden |
| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000990 | Antithrombin III |
| ID | Term |
|---|---|
| D058833 | Antithrombin Proteins |
| D015843 | Serpins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000510 | Alpha-Globulins |
| D012712 | Serum Globulins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D005916 | Globulins |
| D019774 | Blood Coagulation Factor Inhibitors |
| D001685 | Biological Factors |
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