In Utero Exposure to SARS-CoV-2 (COVID-19) and Cardiovascular and Metabolic Endpoints in Early Life
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- In Utero SARS-CoV-2 Exposure
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Aortic pulse-wave velocity
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Since its initial outbreak in late 2019, coronavirus disease 2019 (COVID-19) caused by the novel coronavirus SARS-CoV-2 has ravaged the globe, causing illness characterized by inflammation and impaired oxygen levels. As a particularly vulnerable group, pregnant women have had a heightened prevalence and severity of infection. In this context, a new population of children has emerged who were exposed to maternal COVID-19 in the womb. As maternal diseases during pregnancy may impact the health of offspring over the life course, health outcomes among these individuals must be urgently evaluated. In the current study, the investigators will leverage a perinatal biorepository comprised of pregnant women with and without COVID-19 to delineate the metabolic and cardiovascular risk profiles of these offspring. This work stands to benefit the burgeoning population of children exposed to COVID-19 in the womb and to deepen the mechanistic understanding of developmental origins of cardiometabolic disease with respect to maternal infections.
Investigators
Lindsay Fourman, MD
Assistant Professor of Medicine
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •Mother with or without prenatal COVID-19 who was enrolled in the MGH COVID-19 Perinatal Biorepository and her child (9-24 months old)
Exclusion Criteria
- •Child with any history of documented COVID-19
- •Mother who received the COVID-19 vaccine during pregnancy with her child
- •Significant chronic illness in mother or child judged by the investigator to represent a contraindication to study participation
Outcomes
Primary Outcomes
Aortic pulse-wave velocity
Time Frame: Baseline
Secondary Outcomes
- Beta index of aortic stiffness using echocardiogram(Baseline)
- Urinary angiotensin peptide levels(Baseline)
- Urinary angiotensin converting enzyme (ACE) levels(Baseline)
- Aortic intima-media thickness using echocardiogram(Baseline)
- Left ventricular dimensions(Baseline)
- Left ventricular mass(Baseline)
- Skinfold thicknesses (subscapular, triceps)(Baseline)
- Weight-for-length z-score(Baseline)
- Systolic and diastolic blood pressure(Baseline)