Responses to CPET in Subjects With Persistent Exercise Intolerance After COVID-19: an Open-Source Exercise Network

Completed

• Conditions: COVID-19

• Registration Number: NCT05532995
• Lead Sponsor: Association pour la Complementarite des Connaissances et des Pratiques de la Pneumologie

Brief Summary

This retrospective collaborative study on persistent exercise intolerance after COVID-19 offers to perform a large descriptive analysis of CPET performed in real-life by pulmonologists, cardiologists and physiologists. Indeed, these practicians are regularly consulted for a persistent intolerance to exercise expressed by dyspnea and/or frank fatigability sometimes associated with muscular or thoracic pain. When these complaints persist beyond 3 months after the first symptoms, it is legitimate to perform a CPET:

* Either to evaluate the functional impact of an identified organ deficiency (e.g. myocarditis, pulmonary fibrosis, etc.),

* Or, in the absence of formal arguments for an identified organ deficiency, to observe possible abnormalities in physiological responses during an incremental exercise test, likely to explain the persistence of symptoms and intolerance to exercise. Indeed, the recent literature highlights the presence of non-specific ventilatory and cardio-circulatory abnormalities leading to various physio-pathological observations. Unfortunately, these reports now concern relatively small numbers of patients with very diverse clinical forms of Covid, comorbidities and habitus.

In order to improve the understanding of persistent symptoms and in particular the diversity of physiological response presentations, the investigators propose to collect a very large amount of data through a web-based platform designed to collect the measurements made throughout the exercise test directly from the ergospirometer.

The relevant data covers the period from January 2, 2020 to December 31, 2022 (i.e. 35 months), The retrospective data collection will be carried out from February 1, 2023 to December 31, 2023.

The descriptive analysis will focus on the kinetics of all the variables measured and calculated on subgroups defined a priori on age, sex, comorbidities, acute covid severity, persistent symptoms post covid, regular habitual physical activity level, etc. according to the sample.

The study is expected to collect data from around 1000 patients and to involve around 40 French-speaking investigators. However, this collaborative study is open on request to all centers wishing to participate, as the web platform has been developed for data collection in English.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-07-15
• Study First Submitted: 2022-08-31
• Study First Submitted QC: 2022-09-05
• Study First Posted: 2022-09-08
• Primary Completion: 2023-12-31
• Study Completion: 2023-12-31
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-20
• Last Update Posted: 2024-05-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1200

Inclusion Criteria

• Age ≥ 18 years
• Patients with persistent symptoms 3 months after the onset of Covid-19 infection, regardless the severity of the initial illness
• Patients with an ICU stay, primarily following rehabilitation management; that is, in practice, at least 6 months after COVID
• Patients followed by a pulmonologist, cardiologist or physiologist in a public or private facility or in private practice, allowing for CPET
• Patients who have performed a CPET before December 31, 2023
• Patients informed of the possible anonymized processing of the data collected during CPET for research purposes; and who gave informed consent

Exclusion Criteria

• Age < 18 years
• Patients unable to perform CPET for locomotor reasons
• Patients with severely reduced functional work capacity
• Patient deprived of liberty by judicial or administrative decision
• Patients unable to give informed consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
An abnormal CPET due to either decreased respiratory capacity, excessive dyspneoa, deconditioning or breathing disorder	A descriptive analysis of all evaluation criteria will be performed on the total population and on subgroups to be defined a posteriori according to the sample (December 2023).

Trial Locations

Locations (29)

University Hosp. Amiens-Picardie; 🇫🇷 Amiens, France

Hosp. Maisonneuve-Rosemont; 🇨🇦 Montréal, Canada

Brest University Hosp. Cavale Blanche; 🇫🇷 Brest, France

Hosp. Louis Pradel; 🇫🇷 Bron, France

SSR Marguerite Boucicaut French Red Cross; 🇫🇷 Chalon-sur-Saône, France

University Hosp. Gabriel-Montpied; 🇫🇷 Clermont-Ferrand, France

Centre de Réadaptation Cardio-Respiratoire Dieulefit Santé; 🇫🇷 Dieulefit, France

Centre Médical Bayère; 🇫🇷 Gleizé, France

Grenoble Alpes University Hosp. Michallon Nord; 🇫🇷 Grenoble, France

Hosp. St Philibert GH Catholique Institute Lille; 🇫🇷 Lille, France

Medical Center Parot; 🇫🇷 Lyon, France

Nice University Hosp. Pasteur; 🇫🇷 Nice, France

Clinique Saint Paul; 🇲🇶 Fort-de-France, Martinique

Geneva University Hosp.; 🇨🇭 Geneva, Switzerland

Angers University Hosp.; 🇫🇷 Angers, France

AP-HP University Hosp. Avicenne; 🇫🇷 Bobigny, France

Médipôle Lyon-Villeurbanne; 🇫🇷 Lyon, France

Corbie General Hosp. (Réadaptation); 🇫🇷 Corbie, France

Grenoble Alpes University Hosp. Michallon Sud; 🇫🇷 Grenoble, France

Clinique Les Rieux; 🇫🇷 Nyons, France

Limoges General Hosp.; 🇫🇷 Limoges, France

AP-HP University Hosp. Pitié Salpêtrière; 🇫🇷 Paris, France

Polyclinique Les Bleuets; 🇫🇷 Reims, France

Rouen University Hosp. Charles-Nicolle; 🇫🇷 Rouen, France

AP-HP Hôpital Bichat Claude-Bernard; 🇫🇷 Paris, France

AP-HP University Hosp. Cochin; 🇫🇷 Paris, France

University Hosp. of Pontchaillou; 🇫🇷 Rennes, France

Tours University Hosp. Bretonneau; 🇫🇷 Tours, France

Toulouse University Hosp.; 🇫🇷 Toulouse, France