UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041579
Receipt number R000047464
Scientific Title A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease
Date of disclosure of the study information 2020/08/28
Last modified on 2022/02/26 23:26:05

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Basic information

Public title

A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease

Acronym

QUICK study

Scientific Title

A multicenter, retrospective longitudinal observational study about Quarantine and social Isolation for COVID-19 and its impact on Kawasaki disease

Scientific Title:Acronym

QUICK study

Region

Japan


Condition

Condition

Kawasaki disease

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify whether the pathogens spread by contact or droplets would have an association with the occurrence of Kawasaki Disease.

Basic objectives2

Others

Basic objectives -Others

The change in clinical features and the presence of SARS-CoV-2 in KD patients in 2020.

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

The ratio of the number of patients with KD to patients with infections was admitted from February to May 2015-2019 and 2020.

Key secondary outcomes

Clinical features of Kawasaki Disease in 2020.


Base

Study type

Observational


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


Not applicable

Age-upper limit

16 years-old >

Gender

Male and Female

Key inclusion criteria

1) patient admitted from 2017 to 2020.
2) patient admitted with a diagnosis of KD or an infectious disease.

The diagnosis of KD was made based on Japanese diagnostic guidelines for Kawasaki disease. Both complete and incomplete KD are included. Include infectious diseases are as follows; respiratory tract infection (respiratory syncytial virus (RSV), human metapneumovirus (hMPV), adenovirus, influenza virus, Streptococcus pyogenes, the others, and unknown pathogens), gastrointestinal infection, exanthema subitum, skin and soft tissue infection. In patients with respiratory tract infections, pathogens are identified with serological tests, culture, or rapid immunochromatographic tests.

Key exclusion criteria

1) admission for the recurrence of the same disease within 4 weeks
2) patient with immunodeficiency
3) patient with rheumatic disease, autoimmune disease or malignant disease
4) patient receiving immunosuppressive agents
5) patient who moved from other medical areas within 2 weeks before admission.

Target sample size

5000


Research contact person

Name of lead principal investigator

1st name Toshiro
Middle name
Last name Hara

Organization

Fukuoka Children's Hospital

Division name

Kawasaki disease center

Zip code

8130017

Address

5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka

TEL

+81-92-682-7000

Email

hara.t@fcho.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Furuno

Organization

Fukuoka Children's Hospital

Division name

Kawasaki disease center

Zip code

8130017

Address

5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka

TEL

+81-92-682-7000

Homepage URL


Email

furuno.k@kd-research.com


Sponsor or person

Institute

Fukuoka Children's Hospital
Kawasaki disease center

Institute

Department

Personal name



Funding Source

Organization

Fukuoka Children's Hospital Research Grant

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fukuoka Children's Hospital

Address

5-1-1, Kashiiteriha,Higashi-ku, Fukuoka-shi, Fukuoka

Tel

+81-92-682-7000

Email

okada.sy@fcho.jp


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

九州大学病院(福岡県)、国立病院機構九州医療センター(福岡県)、福岡赤十字病院(福岡県)、国家公務員共済組合浜の町病院(福岡県)、国立病院機構福岡東医療センター(福岡県)、自治医科大学(栃木県)


Other administrative information

Date of disclosure of the study information

2020 Year 08 Month 28 Day


Related information

URL releasing protocol

http://www.fcho.jp/childhp/security.html

Publication of results

Published


Result

URL related to results and publications

JAMA Netw Open. 2021;4(4):e214475. Published 2021 Apr 1. doi:10.1001/jamanetworkopen.2021.4475

Number of participants that the trial has enrolled

1649

Results

Admissions for KD showed no significant change between April and May in 2015 to 2019 vs the same months in 2020. However, the number of admissions for droplet-transmitted or contact-transmitted respiratory tract infections decrease; and gastrointestinal infections showed significant decreases between April and May in 2015 to 2019 vs the same months in 2020.

Results date posted

2022 Year 02 Month 26 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 04 Month 01 Day

Baseline Characteristics

This multicenter, longitudinal, cross-sectional study was conducted from 2015 to 2020 at Fukuoka Children's Hospital and 5 adjacent general hospitals.

Participant flow

The number of admissions for KD and infectious diseases were analyzed. Participants were pediatric patients admitted to the participating hospitals for KD or infectious diseases.

Adverse events

Not applicable

Outcome measures

The primary end points were the ratios of patients with KD to patients with respiratory tract or gastrointestinal infections admitted from April to May in 2015 to 2019 and 2020.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 05 Month 08 Day

Date of IRB

2020 Year 05 Month 13 Day

Anticipated trial start date

2020 Year 06 Month 01 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry

2021 Year 01 Month 14 Day

Date trial data considered complete

2021 Year 01 Month 20 Day

Date analysis concluded

2021 Year 01 Month 31 Day


Other

Other related information

Demographic information in all patients included age, gender, and date of birth.
In patients with KD, clinical information including, days of illness on admission and at diagnosis, past history, clinical manifestations (duration of fever, and other symptoms), laboratory data, treatment, cardiac involvement and prognosis are reviewed. Laboratory data include white blood cell count (WBC), neutrophil percentage, hemoglobin, platelet count, total bilirubin, aspartate transaminase, alanine aminotransferase, serum sodium, and C-reactive protein. Treatment details include day of illness and dose of first intravenous immunoglobulin (IVIG) treatment, other intensification therapy, and needs of any additional therapy. Cardiac assessment has function, coronary diameter, valvular regurgitation, and pericardial effusion, which are evaluated at 3 time points: pretreatment, within 4weeks (the worst data), and after 4weeks. In KD patients in 2020, SARS-CoV-2 RNA or anti- SARS-CoV-2 IgG antibody results are corrected. IVIG resistance is defined when KD patients need additional IVIG therapy after 1st IVIG. Coronary arterial lesion (CAL) is defined when the Z-score of luminal diameter of one of the coronary arteries is > 2.5. In patients with infectious diseases, final diagnosis, diagnostic methods, and the pathogens are reviewed.


Management information

Registered date

2020 Year 08 Month 27 Day

Last modified on

2022 Year 02 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047464


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
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