UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041428
Receipt number R000046671
Scientific Title Elevated fibrinogen and fibrin degradation product were associated with poor outcome in COVID-19 patients
Date of disclosure of the study information 2020/08/16
Last modified on 2021/02/27 23:25:51

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Basic information

Public title

Elevated fibrinogen and fibrin degradation product were associated with poor outcome in COVID-19 patients

Acronym

Elevated fibrinogen and fibrin degradation product were associated with poor outcome in COVID-19 patients

Scientific Title

Elevated fibrinogen and fibrin degradation product were associated with poor outcome in COVID-19 patients

Scientific Title:Acronym

Elevated fibrinogen and fibrin degradation product were associated with poor outcome in COVID-19 patients

Region

Asia(except Japan)


Condition

Condition

COVID-19

Classification by specialty

Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Many studies have shown that several laboratory parameters were related to poor outcome in COVID-19 patients. Thrombosis and coagulopathy often complicated in the course of those patients. Coagulation parameters including fibrinogen and FDP may become prognostic factors in COVID-19.

Basic objectives2

Others

Basic objectives -Others

This meta-analysis aimed to determine the relationship between fibrinogen and FDP with poor outcome in COVID-19 patients.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Elevated fibrinogen and FDP level on admission were associated with an increase risk of poor outcomes in COVID-19 patients.

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

year of publication, location, study design, peer-reviewed publication status, severity measurement, and fibrinogen and FDP level in each comparison group

Key exclusion criteria

1 incorrect patient population; 2: not reported relevant exposure (coagulation profile not available) 3: not reported relevant outcomes; 4 : review; 5: editorial; 6: duplicate; 7: case report; 8: not in english

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name Johannes
Middle name
Last name Nugroho

Organization

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Division name

Department of Cardiology and Vascular Medicine

Zip code

60285

Address

Jl. Prof. Dr. Moestopo 47 Surabaya

TEL

6282139090953

Email

j.nugroho.eko@fk.unair.ac.id


Public contact

Name of contact person

1st name Maya
Middle name Qurota
Last name Ayun

Organization

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya

Division name

Department of Cardiology and Vascular Medicine

Zip code

60285

Address

Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga, Dr. Soeto

TEL

6281262208630

Homepage URL


Email

maya.qurota.ayun-2019@fk.unair.ac.id


Sponsor or person

Institute

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Address

Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, 60285, Indonesia

Tel

62315020251

Email

info@fk.unair.ac.id


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Universitas Airlangga


Other administrative information

Date of disclosure of the study information

2020 Year 08 Month 16 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

DOI: 10.3233/CH-200978

Number of participants that the trial has enrolled

1654

Results

A total of 17 studies (1.654 patients) were included in this meta-analysis. It revealed a higher mean of fibrinogen levels on admission in patients with severe case when compared to non-severe case. Non-survivor group had a pooled higher mean difference of fibrinogen values on admission. Higher FDP on admission was found in poor outcome (composite of severity, critically ill, and mortality) compared to good outcome.

Results date posted

2020 Year 08 Month 16 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2020 Year 10 Month 13 Day

Baseline Characteristics

Fifteen studies were retrospective, and two studies were prospective observational. Ten studies have already been undergone peer review. Most of the studies classified the severity according to the National Health Commission of Peoples Republic of China.

Participant flow


Adverse events


Outcome measures

a higher mean of fibrinogen levels on admission in patients with severe case when compared to non-severe case (MD = 0.69,[95%CI: 0.44 to 0.94], p <0.05; I2 = 72%, p <0.05). Non-survivor group had a pooled higher mean difference of fibrinogen values on admission (MD = 0.48[95% CI: 0.13 to 0.83], p<0.05; I2 = 38%, p=0.18). Higher FDP on admission was found in poor outcome (composite of severity, critically ill, and mortality) compared to good outcome (4 studies, MD = 4.84[95% CI: 0.75 to 8.93], p<0.05; I2 = 86%, p<0.05).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 05 Month 05 Day

Date of IRB

2020 Year 05 Month 15 Day

Anticipated trial start date

2020 Year 05 Month 05 Day

Last follow-up date

2020 Year 07 Month 25 Day

Date of closure to data entry

2020 Year 07 Month 30 Day

Date trial data considered complete

2020 Year 07 Month 30 Day

Date analysis concluded

2020 Year 07 Month 31 Day


Other

Other related information

A systematic search of the literature was carried out on May 15, 2020, after receiving approval from the Institutional Review Board. Five different databases (PubMed, Science Direct, Scopus, ProQuest, and MedRxiv) were used to perform a systematic search.


Management information

Registered date

2020 Year 08 Month 16 Day

Last modified on

2021 Year 02 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046671


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name