Prospective Parallel-Group Study of the Relationship Between Kidney Injury Severity and Severity of COVID-19
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COVID-19
- Sponsor
- I.M. Sechenov First Moscow State Medical University
- Enrollment
- 340
- Locations
- 1
- Primary Endpoint
- The effect of COVID-19 severity on the severity of renal failure
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The authors hypothesize that the SARS-CoV-2 virus can affect the kidneys, causing them to be damaged. The present study aims to explain the mechanisms of kidney injury in patients diagnosed with COVID-19.
Detailed Description
In December 2019, an outbreak of the 2019 novel coronavirus disease (COVID-19) caused by the SARS coronavirus 2 (SARS-CoV-2) occurred in Wuhan, China. It has spread rapidly to other areas in China and worldwide. The most common manifestations of COVID-19 included fever, dry cough, dyspnea, myalgia, fatigue and radiographic evidence of pneumonia. Complications (acute respiratory distress syndrome, shock, acute cardiac injury, secondary infection, and acute kidney injury) and death may occur in severe cases. Recent reports showed that extrapulmonary symptoms (intestinal symptoms in 10-20% of patients) and renal failure in some patients may be associated with the interaction of the virus with angiotensin-converting enzyme 2 (ACE-2) receptors in other organs. It was suggested that ACE-2 expression in the kidneys can be the cause of kidney injury occurring in a number of patients with SARS-CoV-2.However, ACE-2 is not the only possible cause of kidney injury - sepsis-related cytokine storm can also lead to damage of kidney parenchyma. The present study aims to explain the mechanisms of kidney injury in patients diagnosed with COVID-19.
Investigators
Dmitry Enikeev, MD, PhD
Deputy Director for Research
I.M. Sechenov First Moscow State Medical University
Eligibility Criteria
Inclusion Criteria
- •Pneumonia confirmed by CT scans
Exclusion Criteria
- •a history of chronic renal failure;
- •a history of kidney transplantation;
- •intake of substances with a history of renal toxicity (no later than a month before inclusion);
- •patients with a single kidney;
- •refusal of the patient to participate in the study;
- •absence of SARS-CoV-2 virus smear from the nasopharynx in PCR.
Outcomes
Primary Outcomes
The effect of COVID-19 severity on the severity of renal failure
Time Frame: 2 months
estimated glomerular filtration rate (eGFR), ml/min, in groups with mild, moderate and severe COVID-19
Secondary Outcomes
- Expression of ACE-2 receptors in the kidneys of patients with renal failure who died from COVID-19(2 months)
- The expression of viral RNA in the urine with the severity of renal failure(2 months)
- Estimation of the duration of urinary viral RNA isolation in patients undergoing COVID-19(2 months)
- Assessment of the severity of renal impairment in patients who died from COVID-19(2 months)
- The severity of microalbuminuria in patients with COVID-19 of different conditions and renal failure(2 months)