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  • HP:0001298: Encephalopathy
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    HP:0001298: Encephalopathy

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (18)


    Name (Synonyms) Correlation
    drug979 Chloroquine or hydroxychloroquine Wiki 0.58
    drug980 Chloroquine phosphate Wiki 0.47
    drug4126 Standard supportive care Wiki 0.41
    Name (Synonyms) Correlation
    drug528 BMS-986337 Placebo Wiki 0.41
    drug1424 EP Wiki 0.41
    drug3460 Pulse oximetry Wiki 0.41
    drug761 CICI - Feasibility trial study group Wiki 0.41
    drug1409 EEG Wiki 0.41
    drug527 BMS-986337 Wiki 0.41
    drug869 CT-scan Wiki 0.41
    drug909 Cannabis, Medical Wiki 0.41
    drug667 Blood tests Wiki 0.29
    drug976 Chloroquine Sulfate Wiki 0.29
    drug1700 Follow up Wiki 0.29
    drug4315 Telemedicine Wiki 0.20
    drug1640 Famotidine Wiki 0.18
    drug3635 Remdesivir Wiki 0.07
    drug1950 Hydroxychloroquine Wiki 0.04

    Correlated MeSH Terms (32)


    Name (Synonyms) Correlation
    D001927 Brain Diseases NIH 1.00
    D000070627 Chronic Traumatic Encephalopathy NIH 0.41
    D009421 Nervous System Malformations NIH 0.41
    Name (Synonyms) Correlation
    D005879 Tourette Syndrome NIH 0.41
    D020196 Trauma, Nervous System NIH 0.41
    D003693 Delirium NIH 0.33
    D001714 Bipolar Disorder NIH 0.29
    D012640 Seizures NIH 0.24
    D000013 Congenital Abnormalities NIH 0.24
    D006526 Hepatitis C NIH 0.24
    D001930 Brain Injuries, NIH 0.23
    D000690 Amyotrophic Lateral Sclerosis NIH 0.20
    D000755 Anemia, Sickle Cell NIH 0.20
    D016472 Motor Neuron Disease NIH 0.20
    D005356 Fibromyalgia NIH 0.18
    D000070642 Brain Injuries, Traumatic NIH 0.14
    D015212 Inflammatory Bowel Diseases NIH 0.14
    D014947 Wounds and Injuries NIH 0.14
    D010300 Parkinsonian NIH 0.12
    D059350 Chronic Pain NIH 0.11
    D003424 Crohn Disease NIH 0.11
    D016638 Critical Illness NIH 0.10
    D009103 Multiple Sclerosis NIH 0.09
    D012598 Scoliosi NIH 0.09
    D040921 Stress Disorders, Traumatic NIH 0.07
    D013313 Stress Disorders, Post-Traumatic NIH 0.07
    D004194 Disease NIH 0.06
    D013577 Syndrome NIH 0.04
    D003141 Communicable Diseases NIH 0.03
    D007239 Infection NIH 0.02
    D045169 Severe Acute Respiratory Syndrome NIH 0.02
    D018352 Coronavirus Infections NIH 0.01

    Correlated HPO Terms (8)


    Name (Synonyms) Correlation
    HP:0000707 Abnormality of the nervous system HPO 0.41
    HP:0100754 Mania HPO 0.29
    HP:0006802 Abnormal anterior horn cell morphology HPO 0.20
    Name (Synonyms) Correlation
    HP:0007354 Amyotrophic lateral sclerosis HPO 0.20
    HP:0001250 Seizure HPO 0.18
    HP:0002037 Inflammation of the large intestine HPO 0.14
    HP:0012532 Chronic pain HPO 0.11
    HP:0100280 Crohn's disease HPO 0.11

    Clinical Trials

    Navigate: Correlations   HPO

    There are 6 clinical trials


    1 Outcomes Mandate National Integration With Cannabis as Medicine for Prevention and Treatment of COVID-19

    This will be a multistate, multicenter clinical study to determine the efficacy and safety of medical cannabis for a wide variety of chronic medical conditions.

    NCT03944447
    Conditions
    1. Chronic Pain
    2. Chronic Pain Syndrome
    3. Chronic Pain Due to Injury
    4. Chronic Pain Due to Trauma
    5. Fibromyalgia
    6. Seizures
    7. Hepatitis C
    8. Cancer
    9. Crohn Disease
    10. HIV/AIDS
    11. Multiple Sclerosis
    12. Traumatic Brain Injury
    13. Sickle Cell Disease
    14. Post Traumatic Stress Disorder
    15. Tourette Syndrome
    16. Ulcerative Colitis
    17. Glaucoma
    18. Epilepsy
    19. Inflammatory Bowel Diseases
    20. Parkinson Disease
    21. Amyotrophic Lateral Sclerosis
    22. Chronic Traumatic Encephalopathy
    23. Anxiety
    24. Depression
    25. Insomnia
    26. Autism
    27. Opioid-use Disorder
    28. Bipolar Disorder
    29. Covid19
    30. SARS-CoV Infection
    31. COVID-19
    32. Corona Virus Infection
    33. Coronavirus
    Interventions
    1. Drug: Cannabis, Medical
    MeSH:Infection Communicable Diseases Hepatitis C Coronavirus Infections Severe Acute Respiratory Syndrome Fibromyalgia Crohn Disease Inflammatory Bowel Diseases Parkin Parkinson Disease Multiple Sclerosis Brain Injuries Brain Injuries, Traumatic Seizures Motor Neuron Disease Amyotrophic Lateral Sclerosis Brain Diseases Tourette Syndrome Chronic Traumatic Encephalopathy Anemia, Sickle Cell Disease Syndrome Sclerosis Chronic Pain Wounds and Injuries Stress Disorders, Traumatic Bipolar Disorder Stress Disorders, Post-Traumatic
    HPO:Abnormal anterior horn cell morphology Amyotrophic lateral sclerosis Bilateral tonic-clonic seizure Bipolar affective disorder Chronic pain Crohn's disease Encephalopathy Focal-onset seizure Generalized-onset seizure Inflammation of the large intestine Mania Seizure

    Primary Outcomes

    Description: Covid-19 infection rates in cannabis users will be compared to rates in the general population. Our online questionnaire responses will compare infection rates of cannabis users in this study against the Johns Hopkins University Coronavirus Research Center data (https://coronavirus.jhu.edu).

    Measure: Prevention of COVID-19

    Time: Five years

    Description: Severity of persistent symptoms in cannabis users testing positive for active infection and/or antibodies will also be compared to the general population. Patients will answer the widely used FLU-PRO questionnaire, which asks about flu symptoms and severity, to capture diagnoses, symptoms, and medical interventions related to COVID-19. The data from cannabis user patients will be compared with national and international data surveys, such as the Covid Symptom Study (https://covid.joinzoe.com/us-2).

    Measure: Treatment of COVID-19

    Time: Five years

    Description: The primary objective is to assess the efficacy and safety of medical cannabis as medicine for treatment of chronic pain and other chronic debilitating diseases. Pain will be measured by Brief Pain Inventory (BPI) numeric scale. Change from baseline in BPI will be assessed at 3-month intervals. For prospective associations between cannabis use and outcomes, use of a lagged mixed-effects models will examine temporal associations between cannabis use and pain severity, opioid sparing, and patient satisfaction. Data will be analyzed from baseline and the annual follow-up waves.

    Measure: Treatment of Symptoms

    Time: Five years

    Secondary Outcomes

    Description: Secondary objectives include evaluating increases or decreases in quality of life, and increases or decreases in concomitant opioid use. Satisfaction with treatment will be measured by a Visual Analog Score (VAS). Change From baseline in Satisfaction with treatment measured by (VAS) be assessed at 3-month intervals.

    Measure: Cannabis Impact on Quality of Life

    Time: Five years

    Description: Tertiary objectives will examine preferences for routes of administration, and preferences for THC / CBD ratios. Categorical factors will be summarized using frequencies and percentages, while continuous measure distributions will be described using means, standard deviations, and quartiles of interest.

    Measure: Cannabis Route and Dosing

    Time: Five years

    Description: Incidence of Treatment-Related Adverse Events will be measured by Physician Global Assessment (PGA) numeric scale. Number of participants with Treatment-Related Adverse Events will be assessed by CTCAE v4.0.

    Measure: Monitoring Adverse Events

    Time: Five years
    2 The Child-In-Context-Intervention (CICI): The Feasibility of a Study Protocol for Treatment of Chronic Symptoms of Pediatric Acquired Brain Injury

    Children with acquired brain injury (ABI) often struggle with complex impairments, including cognitive (such as memory and attention), social, emotional and behavioral challenges. There is broad agreement that there is a lack of evidence-based knowledge about rehabilitation for children with ABI in the chronic phase. The current study is a feasibility study of a planned randomized controlled trial (RCT), the CICI-intervention, directed towards children with ABI and their families in the chronic phase. The feasibility study aims to evaluate the study protocol, the assessment procedures and the technical solutions prior to performing the RCT. A feasibility study with six participating children and families will be conducted in close collaboration with schools and local health care providers. The intervention to be tested (the CICI-intervention) focuses on the child's and family's individually identified target outcome areas to be addressed, with corresponding rehabilitation goals. The intervention aims to enhance everyday functioning in the home and school environment by reducing ABI-related symptoms, and by attaining rehabilitation goals in areas noted as challenging by the participants. In the future RCT-study the efficacy of the CICI-intervention will be measured in terms of goal attainment, community participation, cognitive, behavioral, social, and family functioning.

    NCT04186182
    Conditions
    1. Brain Injuries
    2. Brain Diseases
    3. Family
    4. Child
    Interventions
    1. Behavioral: CICI - Feasibility trial study group
    MeSH:Brain Injuries Brain Diseases Wounds and Injuries
    HPO:Encephalopathy

    Primary Outcomes

    Description: The therapists will monitor discrepancies between intervention delivery and the CICI-manual by using extensive checklists relating to each of the intervention sessions. The number of non-delivered treatment components will be counted, and the percentage of deviation will be calculated compared to the total number of treatment components. High feasibility: 15 % deviation or less, Moderate feasibility: 15-25 % deviation, Low feasibility: > 25 % deviation

    Measure: Protocol adherence assessed by study-specific checklists

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Responsiveness subscale (6 items) on the Acceptability Scale, rated by the child, will determine child responsiveness. The responsiveness subscale consists of the following items (the wording adapted to the child's age): I would recommend participating in the study to others, the therapist was warm and understanding, I trusted the therapist, I had the opportunity to state my opinions about the therapist's suggestions, my opinions were taken seriously, I was given sufficient information during the study about the work we were doing. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Child Responsiveness to the intervention assessed by ratings on the study specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Responsiveness subscale (6 items) on the Acceptability Scale, rated by the caregiver, will determine caregiver responsiveness. The responsiveness subscale consists if the following items: I would recommend participating in the study to others, the therapist was warm and understanding, I trusted the therapist, I had the opportunity to state my opinions about the therapist's suggestions, my opinions were taken seriously, I was given sufficient information during the study about the work we were doing. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Caregiver Responsiveness to the intervention assessed by ratings on the study specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Usefulness subscale (6 items) in the Acceptability Scale will determine perceived usefulness of the intervention. The child version of the usefulness subscale consists of the following items: The program has helped me, the program has helped my family, I would recommend participating in the program to others, I have learned something new that helps me, I have learned more about what I struggle with after the injury, I have learned what I can say to others about what I struggle with due to the injury. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: a. Usefulness of the intervention assessed by child ratings on the study-specific Acceptability Scale for this study

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Usefulness subscale (9 items) in the Acceptability Scale will determine perceived usefulness of the intervention. The caregiver version of the usefulness subscale consists of the following items: The program has helped my child, the program has helped my family, the program has helped me, I would recommend participating in the program to others, I have gained more insight into my child´s challenges, I will use my new knowledge in the future, I have used my new knowledge in other settings, I found it useful to meet other families who are in a similar situation as we are, the school meetings were useful. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: b. Usefulness of the intervention assessed by caregiver ratings on the study-specific Acceptability Scale for this study.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Secondary Outcomes

    Description: The therapist will log consent rate of families and schools. High feasibility: ≥ 30%, Moderate feasibility: 15-29%, Low feasibility: <15%

    Measure: Recruitment procedures assessed by a) consent rate

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Therapist will record duration of recruitment procedures, hereunder the telephone screening interview and other telephone calls. High feasibility: 3 hours or less, Moderate feasibility: ˃3 and ≤5 hours, Low feasibility: >5 hours

    Measure: Recruitment procedures assessed by b) duration of phone calls and screening interview per family

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: High feasibility: One family excluded at or after baseline, Moderate feasibility: Two families excluded at or after baseline, Low feasibility: More than two families excluded at or after baseline

    Measure: Recruitment procedures assessed by c) the number of participants excluded at or after baseline

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Description: Number of families out of six that participate in the first intervention meeting (after baseline) and complete the entire intervention. High feasibility: Six families completed the intervention, Moderate feasibility: Five families completed the intervention, Low feasibility: Four or fewer families completed the intervention

    Measure: Recruitment procedures assessed by d) the number of families that completed the whole intervention

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the following four items in the Acceptability Scale will determine the child burden of the assessment protocol: If the child was comfortable being tested and if the child was comfortable expressing his/her symptoms and opinions through the questionnaires, if the child understood the questionnaires and if the assessment made the child tired. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the child, reported by the child on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the following four items in the Acceptability Scale will determine the child burden of the assessment protocol perceived by the caregiver: If the child was comfortable being tested, if the child was comfortable expressing his/her symptoms and opinions through the questionnaires, if the child understood the questionnaires and if the assessment made the child tired. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the child, reported by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The following item in the Acceptability Scale will determine the caregiver burden of the assessment protocol: There were too many questionnaires. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the caregivers, reported by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The caregivers' perceived relevance of the topics in caregiver-questionnaires will be measured with two items on the Acceptability Scale: I was able to give important information through the questionnaires, the questionnaires were not relevant for me. Mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Caregiver reported relevance of topics in questionnaires

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist will record the duration of the baseline assessment through logs. High feasibility: ≤ 3hours, Moderate feasibility: ˃3 hours and ˂4 hours, Low feasibility: ≥4 hours

    Measure: Therapist reported burden of the baseline assessment measured by the duration of the assessment.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The perceived relevance of working with SMART-goals for the caregivers will be measured with three items on the Acceptability Scale ("The goals we set were important", "The strategies we used for working towards the goals have helped my family", "The strategies we used for working towards the goals have helped my child"). Mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The perceived relevance of working with SMART-goals as rated by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The perceived relevance of working with SMART-goals for the child will be measured with one item on the Acceptability Scale ("The goals we set were important"). High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The perceived relevance of working with SMART-goals rated by the child on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist records the number of sessions interrupted due to technical failure, per family. High feasibility: Restart of equipment in 0-1 sessions per family, Moderate feasibility: Restart of equipment in 2-3 sessions per family, Low feasibility: Restart of equipment in 4-5 sessions per family.

    Measure: Therapist-recorded technical failures in using videoconference in treatment delivery assessed by a study-specific log.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist will record the time spent on installing the technical equipment for video conference use, including software, per family. High feasibility: Installment completed in ≤ 20 minutes in one go, Moderate feasibility: Installment completed in > 20 minutes in one go, Low feasibility: Additional visit required to complete installment.

    Measure: Therapist-recorded time spent on installment of the equipment for using videoconference in treatment delivery

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The study-specific acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree") and includes one question concerning the quality of communication through videoconference. The wording is adapted to the children's age, and the children, their parents, and the therapists will rate the question. The mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2 on the item assessing quality of communication through videoconference.

    Measure: Experienced quality of communication in using videoconference in treatment delivery, assessed by the Acceptability scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Explored topics: responsiveness to the intervention, usefulness of the intervention, the perceived relevance of working with SMART-goals, and experienced quality of communication in using videoconference in treatment delivery.

    Measure: Semi-structured qualitative interviews with all participating children, caregivers and teachers will be conducted to elaborate aspects of feasibility as described above.

    Time: Will be performed after the intervention period, i.e. 4-5 months after inclusion.
    3 Outcomes in Patients With Acute Encephalopathy and SARS-Cov-2 Infection

    Infection with SARS-CoV-2 or severe acute respiratory syndrome coronarvirus type 2 was highlighted in December 2019 in the city of Wuhan in China, responsible for an pandemic evolution since March 11, 2020. The infection affects all ages of life, although affecting children in a very small proportion of cases. The typical presentation of the disease combines fever (98%), cough (76%), myalgia and asthenia (18%) as well as leukopenia (25%) and lymphopenia (63%). Upper airway involvement rare. The main clinical presentation requiring hospitalization of infected patients is that of atypical pneumonia which may require critical care management (27%), and progress to an acute respiratory distress syndrome (67%) involving life-threatening conditions in almost 25% of patients diagnosed with SARS-CoV-2 infection. Other organ damage have been reported, mainly concerning kidney damage (29%) which may require renal replacement therapy in approximately 17% of patients. Neurological damage has been very rarely studied, yet reported in 36% of cases in a study including patients of varying severity. Finally, the mortality associated with this emerging virus is high in patients for whom critical care management is necessary, reported in 62% of patients. We therefore propose a prospective observational study which aim at reporting the prevalence of acute encephalopathy at initial management in Critical/Intensive care or Neurocritical care , to report its morbidity and mortality and to identify prognostic factors.

    NCT04320472
    Conditions
    1. COVID-19
    2. Encephalopathy
    3. Critically Ill
    Interventions
    1. Other: Follow up
    MeSH:Brain Diseases Critical Illness
    HPO:Encephalopathy

    Primary Outcomes

    Description: ratio of patients with acute encephalopathy among the total of patients with SARS-Cov-2 infection at Critical/Intensive care or Neurocritical care admission

    Measure: prevalence

    Time: at Critical/Intensive care or Neurocritical care admission

    Secondary Outcomes

    Description: A favorable outcome is defined by a Glasgow Outcome Scale (GOS) of 5. The Glasgow Outcome Scale (GOS) will be determined patients charts review, phone call, and/or general practitioner interview conducted by an independent assessor. The GOS score : [1: Death, 2: Persistent vegetative state, 3: Severe disability, 4: Moderate disability, 5 : Low disability]

    Measure: Favorable outcome

    Time: 3 months

    Description: A favorable outcome is defined by a Glasgow Outcome Scale Extended (GOSe) >= 5. The Glasgow Outcome Scale Extended (GOSe) will be determined patients charts review, phone call, and/or general practitioner interview conducted by an independent assessor. The GOSe score : [1: Death, 2: Persistent vegetative state, 3: Severe disability Lower, 4: Severe disability Upper, 5: Moderate disability Lower, 6: Moderate disability Upper, 7 : Good recovery lower, 8 : Good recovery Upper]

    Measure: Favorable outcome

    Time: 3 months
    4 Biomarker-guided Assessment of Neurocognitive Impairment in Patients With COVID-19 - a Multicenter Case-control Study

    Delirium and acute neurocognitive impairment are increasingly observed in adult and pediatric patients with COVID-19. Prospective clinical studies combining clinical and laboratory examinations including specific biomarkers of neuroaxonal injury were not performed for COVID-19. The value of biomarkers of neuroaxonal injury was proven in preliminary studies. These biomarkers could thus contribute to the systematic detection of neurocognitive impairment in patients with COVID-19. Due to worldwide increasing numbers of hospitalized patients with COVID-19, biomarkers of neuroaxonal injury are highly valuable to detect and monitor cognitive impairment, especially with regard to limited resources available to perform time-consuming brain imaging. Biomarkers of neuroaxonal injury are therefore not only of great interest to detect neurocognitive impairment but also to quantify the severity of brain injury in patients with COVID-19.

    NCT04359914
    Conditions
    1. Critical Illness
    2. COVID-19
    3. Central Nervous System Injury
    4. Delirium
    5. Encephalopathy
    MeSH:Delirium Brain Diseases Trauma, Nervous System Critical Illness
    HPO:Encephalopathy

    Primary Outcomes

    Description: Assessment of neurocognitive impairment using validated tools

    Measure: Incidence of delirium/neurocognitive impairment in adult and pediatric patients with COVID-19 compared to patients without COVID-19

    Time: Day 90

    Description: Measurement of biomarker levels (e.g. NSE, S100B, neurofilament proteins) derived from blood samples

    Measure: Change in neuroaxonal injury biomarker levels in patients with COVID-19 compared to patients without COVID-19

    Time: Change from baseline biomarker levels at day 28

    Description: Assessment of the neurocognitive performance of patients using validated tests (e.g. Short Blessed Test)

    Measure: Neurocognitive 3-months outcome in patients with COVID-19 compared to patients without COVID-19

    Time: Day 90

    Description: Assessment of the change in the neurocognitive performance of patients using validated tests (e.g. IQCODE)

    Measure: Neurocognitive 3-months outcome in patients with COVID-19 compared to patients without COVID-19

    Time: Change from baseline IQCODE results at day 90

    Secondary Outcomes

    Description: Assessment of the overall quality of life using validated tests [e.g. Modified Rankin Scale with a range from 0 (no symptoms) to 6 (dead)]

    Measure: Quality of life in patients with COVID-19 compared to patients without COVID-19 after hospital discharge

    Time: Day 90

    Description: Cumulative days in hospital

    Measure: Length of hospital stay in patients with COVID-19 compared to patients without COVID-19

    Time: 1 year

    Description: Survival after 90 days

    Measure: 90-day survival in patients with COVID-19 compared to patients without COVID-19

    Time: Day 90
    5 Determination of Acute Encephalopathy Predictors in Patients With COVID-19

    The SARS-CoV-2 infection was detected in December 2019 in Wuhan City, China. The infection affects all age groups, although childhood is the lowest proportion of those affected. The main clinical manifestations that require hospitalization of infected patients are SARS pneumonia, which may require treatment in the intensive care unit (27%) and its progression into acute respiratory distress syndrome (67%) with life-threatening conditions in almost 25% of patients diagnosed with "SARS-CoV-2 infection". Nervous system damage with SARS-CoV-2 infection has been practically not investigated, but neurological disorders have been reported in 36% of these patients. Finally, the mortality rate associated with the new virus is high in patients who require treatment in intensive care units (62% of cases). Therefore, we are conducting a prospective study to identify acute encephalopathy predictors in patients with COVID-19.

    NCT04405544
    Conditions
    1. Encephalopathy
    2. COVID
    Interventions
    1. Diagnostic Test: CT-scan
    2. Diagnostic Test: EEG
    3. Diagnostic Test: EP
    4. Diagnostic Test: Pulse oximetry
    5. Diagnostic Test: Blood tests
    MeSH:Brain Diseases
    HPO:Encephalopathy

    Primary Outcomes

    Description: The percentage of patients who have developed encephalopathy

    Measure: The percentage of patients who have developed encephalopathy

    Time: 10 days
    6 Neurological Abnormalities in SARS-CoV-2 ICU Patients. A Prospective Study. NeuroCOVID Study

    The SARS-CoV-2 epidemic is leading to a large number of patients in intensive care units due to severe hypoxemic pneumonia. After an acute phase that may require controlled mechanical ventilation and deep sedation, removal of sedation often reveals a pathological awakening in the vast majority of patients. This encephalopathy state remains, to date and to our knowledge, unexplained. Clinical features do not appear to fully correlate with regular delirium. This encephalopathy might be explained by deep and prolonged hypoxemia, a wide use of sedation drugs, systemic inflammation or the hostile ICU environment.

    NCT04643548
    Conditions
    1. SARS-CoV-2 Infection
    2. Intensive Care Unit Patient
    3. Neurological Abnormality
    4. Delirium
    5. Encephalopathy
    MeSH:Delirium Brain Diseases Nervous System Malformations Congenital Abnormalities
    HPO:Abnormality of the nervous system Encephalopathy

    Primary Outcomes

    Description: Plasminogen activator inhibitor-1 (PAI-1), E-selectin and angiopoietin-2

    Measure: Dosage of biomarkers typically explored in intensive care unit delirium

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every 2 days

    Description: S100 β, Neuron Specific Enolase (NSE), GFAP, UCHL1, NFL

    Measure: Dosage of neuronal injury markers

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every 2 days

    Secondary Outcomes

    Description: CAM-ICU (Confusion Assessment Method - Intensive Care Unit) scale

    Measure: Delirium assessment

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: ICDSC (Intensive Care Delirium Screening Checklist) scale.

    Measure: Delirium assessment

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: CRS-R (Coma Recovery Scale-Revised)

    Measure: Coma assessment

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: Clinical observation

    Measure: Pupils characteristics

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: Pupilometer assessment

    Measure: Pupils characteristics

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: Electroencephalogram : epileptic activity (spikes, spike-waves) or encephalopathy activity (triphasic waves))

    Measure: Neurological abnormalities

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: CT-scan

    Measure: Neurological abnormalities

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    Description: MRI

    Measure: Neurological abnormalities

    Time: Change from Day 0 (= First day in ICU) until the end of the stay (up to 3 months) - Assessments every days

    HPO Nodes


    HP:0001298: Encephalopathy
    Genes 363
    GABRB1 CDKL5 ACSF3 ATAD3A DPM2 NAGS EEF1A2 TCF4 ND6 NDUFS4 GALC TRNL1 TREX1 TRNK NDUFAF4 AMT TRNC NECAP1 NDUFA11 TSFM LYRM7 NDUFB9 CNKSR2 D2HGDH TWNK SLC25A1 GABRG2 NECAP1 STAG1 TRNS2 ATP5F1A ITPA ARHGEF9 UGDH CNTNAP2 GABRA1 CACNA1A SLC2A1 MDH1 NBAS AARS1 NDUFS8 GCSH DNM1 STXBP1 AMACR GBA ND1 ATP1A3 NDUFAF2 CPT2 TCF4 NDUFS6 NDUFS6 GABRG2 NRXN1 SLC19A3 KCNT2 ACY1 PNPT1 SYNJ1 CPT2 CPLX1 COQ4 ARHGEF9 AARS1 ADAM22 AP3B2 WWOX GABRB3 DCX SYNJ1 DNM1L NDUFA6 GLDC TIMM50 NDUFS1 SLC13A5 CAD ROGDI NUS1 GRIN1 KCNQ2 NOTCH3 PAFAH1B1 NDUFAF1 COX1 PNPO ATP6V1A MEF2C NADK2 BSCL2 GABBR2 ARV1 HCN1 NDUFA6 TH PIGA ATP5F1A MTHFR CLTC SZT2 ND6 NDUFS2 NDUFV2 NDUFAF5 DLD SIK1 ND3 GABRA5 MST1 MECP2 SLC25A20 GPT2 SERAC1 TK2 MDH2 ACOX1 NDUFS3 FBLN1 SLC1A2 RANBP2 GABRB2 KCNQ5 CACNA1B PCK1 TRNQ PNPO TRNW RNF13 NDUFS7 BCS1L DNM1 NDUFA1 SCN3A COG8 PCCA NUBPL COX15 KMT2E PTPN23 TRIT1 SCN1A COX2 NTRK2 HNRNPU SLC25A12 PACS2 SERPINI1 COQ2 CDK19 TRNW TRAK1 ATP5F1D PLCB1 NDUFB3 COX3 GRIN2D COG8 HADH SUCLG1 COQ5 ACAD9 SYNGAP1 CHD2 CHD2 DENND5A RNASEH2B EEF1A2 NDUFB10 ACTL6B FADD KYNU SH2D1A RNF13 SLC12A3 KCNB1 CYFIP2 NDUFA11 NDUFS3 KCNA2 RINT1 YWHAG UNC80 CACNA2D2 TSEN54 SLC35A2 NTRK2 SLC19A3 TBC1D24 SLC25A13 CLCNKB TRNS1 IBA57 CNPY3 TRNH TBCE COX1 PARS2 SLC22A5 NADK2 LIPT2 NAXE GABRB2 PNKP DOCK7 ND2 PPP3CA NDUFAF2 CLCN4 NRXN1 WDR45 PHACTR1 NDUFS7 PSAP GABRB3 GCDH NDUFV1 TBC1D24 CLP1 ND1 GLUL TBCK ND4 GLS CPT1A FOXRED1 STAT2 DGUOK AP2M1 TRNF CACNA1E SCN2A CCDC88A DALRD3 CYFIP2 KCNA2 FADD TMEM126B WWOX KCNA2 TRNV CLPB TRNQ TRAK1 ARV1 RNASEH2C MAPK10 PIGP UBA5 HTRA1 TRNS1 TRAPPC12 COX2 SLC25A15 CUX2 CHD2 GRIN2B SLC25A15 BSCL2 NDUFB11 COQ9 CARS2 PARS2 HIBCH KCNQ2 GRIN2D SUCLA2 SCN8A CACNA1A NDUFAF8 KYNU TMEM70 PCCB NDUFAF4 SLC25A22 SCN1A ACAD9 SPTAN1 TRNK CYTB GABRA2 ND5 DHDDS ACY1 TGFB1 FBXL4 MMACHC HSD17B10 SLC22A5 CYC1 SLC35A1 SYNGAP1 SIK1 GBA SLC1A2 FCSK HADH TRNL1 UBA5 SZT2 ST3GAL3 SCN1B AP3B2 GUF1 TRNF NUS1 ALMS1 NEUROD2 TUFM NDUFV2 ND5 GNAO1 HMGCL PPP3CA STXBP1 FRRS1L FGF12 BOLA3 TRNS2 DNM1 PRNP TIMMDC1 ETHE1 CARS2 ND1 DLD SLC6A9 ETHE1 LIAS SCN3A NAXD MPC1 ZNHIT3 UGT1A1 TBCD SLC13A5 ATAD1 NDUFAF3 KCNB1 ALG9 GPR35 KCNT1 SCN2A ARX DHDDS CACNA1B NDUFS4 NDUFAF1 RANBP2 NDUFB3 COX3 SCN8A HCN1 ASNS ATP6V1A TBCE GLYCTK SLC6A1 XIAP PMPCB CUX2 FGF12
    Protein Mutations 1
    A3243G
    SNP 0

    HPO

    Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


    HPO Nodes


    HP:0001298: Encephalopathy
    Genes 363
    GABRB1 CDKL5 ACSF3 ATAD3A DPM2 NAGS EEF1A2 TCF4 ND6 NDUFS4 GALC TRNL1 TREX1 TRNK NDUFAF4 AMT TRNC NECAP1 NDUFA11 TSFM LYRM7 NDUFB9 CNKSR2 D2HGDH TWNK SLC25A1 GABRG2 NECAP1 STAG1 TRNS2 ATP5F1A ITPA ARHGEF9 UGDH CNTNAP2 GABRA1 CACNA1A SLC2A1 MDH1 NBAS AARS1 NDUFS8 GCSH DNM1 STXBP1 AMACR GBA ND1 ATP1A3 NDUFAF2 CPT2 TCF4 NDUFS6 NDUFS6 GABRG2 NRXN1 SLC19A3 KCNT2 ACY1 PNPT1 SYNJ1 CPT2 CPLX1 COQ4 ARHGEF9 AARS1 ADAM22 AP3B2 WWOX GABRB3 DCX SYNJ1 DNM1L NDUFA6 GLDC TIMM50 NDUFS1 SLC13A5 CAD ROGDI NUS1 GRIN1 KCNQ2 NOTCH3 PAFAH1B1 NDUFAF1 COX1 PNPO ATP6V1A MEF2C NADK2 BSCL2 GABBR2 ARV1 HCN1 NDUFA6 TH PIGA ATP5F1A MTHFR CLTC SZT2 ND6 NDUFS2 NDUFV2 NDUFAF5 DLD SIK1 ND3 GABRA5 MST1 MECP2 SLC25A20 GPT2 SERAC1 TK2 MDH2 ACOX1 NDUFS3 FBLN1 SLC1A2 RANBP2 GABRB2 KCNQ5 CACNA1B PCK1 TRNQ PNPO TRNW RNF13 NDUFS7 BCS1L DNM1 NDUFA1 SCN3A COG8 PCCA NUBPL COX15 KMT2E PTPN23 TRIT1 SCN1A COX2 NTRK2 HNRNPU SLC25A12 PACS2 SERPINI1 COQ2 CDK19 TRNW TRAK1 ATP5F1D PLCB1 NDUFB3 COX3 GRIN2D COG8 HADH SUCLG1 COQ5 ACAD9 SYNGAP1 CHD2 CHD2 DENND5A RNASEH2B EEF1A2 NDUFB10 ACTL6B FADD KYNU SH2D1A RNF13 SLC12A3 KCNB1 CYFIP2 NDUFA11 NDUFS3 KCNA2 RINT1 YWHAG UNC80 CACNA2D2 TSEN54 SLC35A2 NTRK2 SLC19A3 TBC1D24 SLC25A13 CLCNKB TRNS1 IBA57 CNPY3 TRNH TBCE COX1 PARS2 SLC22A5 NADK2 LIPT2 NAXE GABRB2 PNKP DOCK7 ND2 PPP3CA NDUFAF2 CLCN4 NRXN1 WDR45 PHACTR1 NDUFS7 PSAP GABRB3 GCDH NDUFV1 TBC1D24 CLP1 ND1 GLUL TBCK ND4 GLS CPT1A FOXRED1 STAT2 DGUOK AP2M1 TRNF CACNA1E SCN2A CCDC88A DALRD3 CYFIP2 KCNA2 FADD TMEM126B WWOX KCNA2 TRNV CLPB TRNQ TRAK1 ARV1 RNASEH2C MAPK10 PIGP UBA5 HTRA1 TRNS1 TRAPPC12 COX2 SLC25A15 CUX2 CHD2 GRIN2B SLC25A15 BSCL2 NDUFB11 COQ9 CARS2 PARS2 HIBCH KCNQ2 GRIN2D SUCLA2 SCN8A CACNA1A NDUFAF8 KYNU TMEM70 PCCB NDUFAF4 SLC25A22 SCN1A ACAD9 SPTAN1 TRNK CYTB GABRA2 ND5 DHDDS ACY1 TGFB1 FBXL4 MMACHC HSD17B10 SLC22A5 CYC1 SLC35A1 SYNGAP1 SIK1 GBA SLC1A2 FCSK HADH TRNL1 UBA5 SZT2 ST3GAL3 SCN1B AP3B2 GUF1 TRNF NUS1 ALMS1 NEUROD2 TUFM NDUFV2 ND5 GNAO1 HMGCL PPP3CA STXBP1 FRRS1L FGF12 BOLA3 TRNS2 DNM1 PRNP TIMMDC1 ETHE1 CARS2 ND1 DLD SLC6A9 ETHE1 LIAS SCN3A NAXD MPC1 ZNHIT3 UGT1A1 TBCD SLC13A5 ATAD1 NDUFAF3 KCNB1 ALG9 GPR35 KCNT1 SCN2A ARX DHDDS CACNA1B NDUFS4 NDUFAF1 RANBP2 NDUFB3 COX3 SCN8A HCN1 ASNS ATP6V1A TBCE GLYCTK SLC6A1 XIAP PMPCB CUX2 FGF12
    Protein Mutations 1
    A3243G
    SNP 0

    Reports

    Data processed on December 13, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

    Drug Reports   MeSH Reports   HPO Reports  

    Interventions

    4,818 reports on interventions/drugs

    MeSH

    706 reports on MeSH terms

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    306 reports on HPO terms

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