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Trial registered on ANZCTR
Registration number
ACTRN12621000524897
Ethics application status
Approved
Date submitted
28/04/2021
Date registered
4/05/2021
Date last updated
4/08/2022
Date data sharing statement initially provided
4/05/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Long-term health impacts of COVID-19 on confirmed cases: Long-COVID Study
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Scientific title
The long-term impacts of COVID-19 on confirmed cases in Wellington, New Zealand: An observational, cross-sectional study
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Secondary ID [1]
304078
0
None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Long COVID-19
321740
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Condition category
Condition code
Infection
319480
319480
0
0
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Other infectious diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Participants will be adults aged 18 and over with a laboratory diagnosis of COVID-19 notified to Regional Public Health in the preceding 12-18 months.
Participants will undertake 8 online questionnaires sent via email about physical and mental health (approx 20-25 minutes). They will also be requested to provide a blood sample at their local blood collection centre. Optional consent will be sought to store a single blood sample for future unspecified use for up to 24 months after study completion. Several blood samples will be taken for the main study which will be analysed and destroyed. If the participants consents to taking part in the optional study, an extra single blood sample will be taken for storage for future unspecified use.
The questionnaires and blood samples will be done once at at a single timepoint between 12-18 months post onset of acute COVID-19 infection.
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Intervention code [1]
320409
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Not applicable
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Comparator / control treatment
N/A
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
327356
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To determine Percentage of participants with better current overall health than before getting COVID-19 using study specific questionnaire (Appendix 2 in protocol)
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Assessment method [1]
327356
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Timepoint [1]
327356
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Primary outcome [2]
327357
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To determine Percentage of participants with same current overall health as before getting COVID-19 using study specific questionnaire (Appendix 2 in protocol)
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Assessment method [2]
327357
0
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Timepoint [2]
327357
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Primary outcome [3]
327358
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To determine Percentage of participants with worse current overall health than before getting COVID-19 using study specific questionnaire (Appendix 2 in protocol)
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Assessment method [3]
327358
0
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Timepoint [3]
327358
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [1]
394713
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To determine prevalence of anaemia in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [1]
394713
0
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Timepoint [1]
394713
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Hemoglobin level at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [2]
394714
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To determine prevalence of lymphopaenia in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [2]
394714
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Timepoint [2]
394714
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Lymphocyte count at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [3]
394715
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To determine prevalence of renal impairment in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [3]
394715
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Timepoint [3]
394715
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Renal function tests (Serum Sodium, Potassium, Creatinine level, eGFr (glomerular filtration rate) and Serum Albumin level) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [4]
394716
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To determine prevalence of new-onset diabetes in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [4]
394716
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Timepoint [4]
394716
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Glycated haemoglobin (HbA1c) level at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [5]
394717
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To determine prevalence of thyroid dysfunction in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [5]
394717
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Timepoint [5]
394717
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Thyroid function tests (Free T3, T4, TSH) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [6]
394718
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To determine prevalence of liver dysfunction in confirmed cases after a minimum of 12 months post- infection using blood sample
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Assessment method [6]
394718
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Timepoint [6]
394718
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Liver function test (AST, ALT, GGT, Bilirubin) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [7]
394719
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To determine COVID-19 antibody status after a minimum of 12 months post- infection using blood sample
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Assessment method [7]
394719
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Timepoint [7]
394719
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COVID-19 antibodies (IgG, IgM, total antibodies) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [8]
394720
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To determine Proportion of participants with issues with mobility
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Assessment method [8]
394720
0
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Timepoint [8]
394720
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EQ-5D-5L score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [9]
394721
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To determine Proportion of participants with issues with self-care
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Assessment method [9]
394721
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Timepoint [9]
394721
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EQ-5D-5L score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [10]
394722
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To determine Proportion of participants with issues with conducting usual activities
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Assessment method [10]
394722
0
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Timepoint [10]
394722
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EQ-5D-5L score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [11]
394723
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To determine Proportion of participants with issues with pain/discomfort
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Assessment method [11]
394723
0
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Timepoint [11]
394723
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EQ-5D-5L score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [12]
394724
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To determine self-reported health state in confirmed cases after a minimum of 12 months post- infection
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Assessment method [12]
394724
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Timepoint [12]
394724
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Mean score on Visual Analogue Scale at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [13]
394725
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To determine Proportion of participants with breathlessness above Grade 1
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Assessment method [13]
394725
0
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Timepoint [13]
394725
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MRC Dyspnoea Scale Score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [14]
394726
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To determine Proportion of participants with breathlessness at each of Grade 2-5.
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Assessment method [14]
394726
0
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Timepoint [14]
394726
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MRC Dyspnoea Scale Score at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [15]
394727
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To determine the presence of fatigue in confirmed cases after a minimum of 12 months post- infection
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Assessment method [15]
394727
0
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Timepoint [15]
394727
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Mean total score of Fatigue Severity Scale at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [16]
394728
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To determine Proportion of participants with no signs of anxiety
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Assessment method [16]
394728
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Timepoint [16]
394728
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Generalised Anxiety Disorder-7 (GAD7) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [17]
394729
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To determine Proportion of participants with symptoms of mild, moderate and severe anxiety (composite outcome)
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Assessment method [17]
394729
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Timepoint [17]
394729
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Generalised Anxiety Disorder-7 (GAD7) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [18]
394730
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To determine Proportion of participants with poor sleep quality
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Assessment method [18]
394730
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Timepoint [18]
394730
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Pittsburgh Sleep Quality Index (PSQI) at a timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [19]
394731
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To determine Proportion of participants with at least one ongoing symptom using WHO symptom questionnaire
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Assessment method [19]
394731
0
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Timepoint [19]
394731
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [20]
394732
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Proportion of participants with two or more ongoing symptoms using WHO symptom questionnaire
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Assessment method [20]
394732
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Timepoint [20]
394732
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Secondary outcome [21]
394733
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To determine Proportion of participant with each ongoing symptom using WHO symptom questionnaire
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Assessment method [21]
394733
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Timepoint [21]
394733
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Timepoint between 12-18 months post onset of acute COVID-19 infection
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Eligibility
Key inclusion criteria
1. Aged 18 years and above
2. Laboratory PCR confirmed SARS-CoV2 infection
3. Between 12 months and 17 months since the first onset of COVID-19 symptoms
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Have had symptoms of an acute infection in the past two weeks
2. Have been asked to self-isolate, quarantine or stay at home by Public Health officials
3. Have any other condition which, at the investigator’s discretion, is believed may present a safety risk or impact the feasibility of the study or the study results.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data description principles are that categorical data will be described by counts and proportions; survival data will be described by Kaplan-Meier survival curves and estimates of 25th, median, and 75th percentiles of survival; count data will be described by rates and total counts in relation to observation time; ordinal data will be described by cross-tabulation and summaries as described for continuous data; and continuous data by mean and standard deviation (SD), median and 25th and 75th percentiles as the inter-quartile range (IQR), and minimum (min) to maximum (max) as the range.
There is no planned sample size. We aim to recruit all consenting adults diagnosed with COVID-19 in the Greater Wellington Region during the first wave.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2021
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Actual
18/08/2021
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Date of last participant enrolment
Anticipated
1/08/2021
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Actual
7/03/2022
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Date of last data collection
Anticipated
1/09/2021
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Actual
2/05/2022
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Sample size
Target
96
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Accrual to date
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Final
44
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Recruitment outside Australia
Country [1]
23628
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New Zealand
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State/province [1]
23628
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Wellington
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Funding & Sponsors
Funding source category [1]
308461
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Other
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Name [1]
308461
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Medical Research Institute of New Zealand
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Address [1]
308461
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L7 CSB, Wellington Hospital,
Newtown, Wellington,
New Zealand, 6012
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Country [1]
308461
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New Zealand
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Primary sponsor type
Other
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Name
Medical Research Institute of New Zealand
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Address
L7 CSB, Wellington Hospital,
Newtown, Wellington,
New Zealand, 6012
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Country
New Zealand
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Secondary sponsor category [1]
309301
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None
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Name [1]
309301
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Address [1]
309301
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Country [1]
309301
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308417
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New Zealand Health and Disbability Ethics Committee
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Ethics committee address [1]
308417
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
308417
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New Zealand
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Date submitted for ethics approval [1]
308417
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28/04/2021
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Approval date [1]
308417
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25/05/2021
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Ethics approval number [1]
308417
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21/STH/111
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Summary
Brief summary
Long-term sequelae of COVID-19 are unknown but there is increasing evidence that some people who have recovered from COVID-19 report lasting effects of the infection or have had the usual symptoms for far longer than would be expected, namely ‘Long COVID’. Our aim is to get a better understanding of how COVID-19 impacts both physical and mental health in the long run. This will be done via blood tests and questionnaires to identify any abnormalities. Potential participants are eligible if they have had a laboratory confirmed diagnosis of COVID-19, 12 – 17 months ago, are over 18 years old and have been under the care of Regional Public Health during the initial illness. Once informed consent is obtained, participants will complete 8 questionnaires online and provide a blood sample at their local blood collection centre. Additional informed consent will be sought if a participant agrees to provide a blood sample to be stored for future unspecified research. All informed consent processes will be done remotely. The entire study will be done remotely, except for blood sampling which will be done at a local collection centre. Once a participant has completed the questionnaire and given a blood sample, an investigator will be in touch with them with the results via telephone. The investigator will also send out a link via email to the Participant Satisfaction Survey at the end of the phone call. This will be a descriptive analysis of the feasibility of conducting a study remotely, purely for internal use at MRINZ.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
110642
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Dr Nethmi Kearns
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Address
110642
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Medical Research Institute of New Zealand
L7 CSB, Wellington Hospital,
Newtown, Wellington,
New Zealand, 6012
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Country
110642
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New Zealand
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Phone
110642
0
+64 4805 0147
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Fax
110642
0
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Email
110642
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[email protected]
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Contact person for public queries
Name
110643
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Nethmi Kearns
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Address
110643
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Medical Research Institute of New Zealand
L7 CSB, Wellington Hospital,
Newtown, Wellington,
New Zealand, 6012
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Country
110643
0
New Zealand
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Phone
110643
0
+644805 0147
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Fax
110643
0
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Email
110643
0
[email protected]
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Contact person for scientific queries
Name
110644
0
Nethmi Kearns
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Address
110644
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Medical Research Institute of New Zealand
L7 CSB, Wellington Hospital,
Newtown, Wellington,
New Zealand, 6012
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Country
110644
0
New Zealand
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Phone
110644
0
+644805 0147
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Fax
110644
0
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Email
110644
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
IPD will not be available for sharing due to the small number of participants and risk of identifying participants even with de-identified data. Results of analyses can be requested.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
11519
Study protocol
[email protected]
381896-(Uploaded-28-04-2021-12-52-43)-Study-related document.docx
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF