Exploration of the lung microbiome of post-covid syndrome patients, using ,,next-generation sequencing" (nanopore sequencing)

Organizational Data

DRKS-ID:
DRKS00027809
Recruitment Status:
Recruiting planned
Date of registration in DRKS:
2022-01-19
Last update in DRKS:
2024-01-29
Registration type:
Prospective

Acronym/abbreviation of the study

No Entry

URL of the study

No Entry

Brief summary in lay language

The project is started as part of a doctorate. The PhD takes place at the MVZ in Singen in cooperation with the University of Konstanz as well as the Hochschule Furtwangen University. The topic of the PhD is the introduction of one of the newest techniques for sequencing (Nanopore Sequencing) in the microbiological field and in the research of the lung microbiome in Post-Covid Syndrome patients. This leads to the research question and the goals of the PhD. The lung microbiome will be investigated from sputum in post-covid syndrome patients. This means that the change of the lung microbiome after a covid disease with existing symptoms, compared to the normal lung microbiome of a control group, will be presented using the latest sequencing technology. Furthermore, the recovery of the lung microbiome during rehabilitation in post-covid syndrome patients will be demonstrated. All this in order to better understand this novel viral infection and its consequences.

Brief summary in scientific language

The project is started as part of a doctorate. The PhD takes place at the MVZ in Singen in cooperation with the University of Konstanz as well as the Hochschule Furtwangen University. The topic of the PhD is the introduction of "Next-Generation-Sequencing" (NGS), especially Nanopore Sequencing, in the microbiological field and in the research of the lung microbiome in patients suffering from Post-Covid Syndrome. This leads to the research question of the PhD. The lung microbiome will be investigated from sputum in post-covid syndrome patients. This means that the change in the lung microbiome after a covid disease with existing symptoms, compared to the normal lung microbiome, will be presented using NGS. This is all to better understand this novel viral infection and its consequences in the future. The project goals are as follows: Primary The lung microbiome of participants will be investigated using sputum samples. Accordingly, NO experiments will be performed on participants/patients (post-covid syndrome). Of interest is the change in the lung microbiome associated with post-covid syndrome compared to healthy participants (cohort analysis/prospective study). These changes will be shown by NGS. Secondary Furthermore, samples will be taken from post-covid syndrome patients multiple times (e.g. at the beginning of rehabilitation and at the end of rehabilitation) to show the recovery of the lung microbiome (longitudinal analysis/ prospective study). These objectives lead to the following hypotheses: Primary hypothesis: Patients suffering from post-covid syndrome and undergoing rehabilitation will have an altered lung microbiome as a result of a covid infection compared to the control group measured by alpha or beta diversity. Secondary hypothesis: In patients suffering from post-covid syndrome and undergoing rehabilitation, the altered lung microbiome will normalize toward the control group at the end of the rehabilitation period measured by alpha or beta diversity. These two hypotheses are the main hypotheses of the PhD and will be clarified by this prospective study.

Health condition or problem studied

ICD10:
U09.9 - Post COVID-19 condition, unspecified
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
post-covid syndrome group To visualize and compare the lung microbiome with that of the control group, the DNA is first isolated from the sputum sample, prepared for sequencing, and then next-generation sequencing (nanopore sequencing) is used for sequencing.
Arm 2:
control group To visualize and compare the lung microbiome with that of the post-covid syndrome group, the DNA is first isolated from the sputum sample, prepared for sequencing, and then next-generation sequencing (nanopore sequencing) is used for sequencing.

Endpoints

Primary outcome:
Primary goal The lung microbiome of participants will be investigated using sputum samples. Accordingly, NO experiments will be performed on participants/patients (post-covid syndrome). Of interest is the change in the lung microbiome associated with post-covid syndrome compared to healthy participants (cohort analysis/prospective study). These changes will be shown by NGS. Primary outcome measure Difference of the microbiome of healthy subjects to the microbiome of patients suffering from post-covid syndrome, measured by alpha diversity.
Secondary outcome:
Secondary goal Furthermore, samples will be taken from post-covid syndrome patients multiple times (e.g. at the beginning of rehabilitation and at the end of rehabilitation) to show the recovery of the lung microbiome (longitudinal analysis/ prospective study). Secondary outcome measure To show is the normalization of the lung microbiome of post-covid syndrome patients over the period of rehabilitation in the direction of the control group, measured by alpha diversity.

Study Design

Purpose:
Basic research/physiological study
Retrospective/prospective:
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Study type:
Non-interventional
Longitudinal/cross-sectional:
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Study type non-interventional:
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Recruitment

Recruitment Status:
Recruiting planned
Reason if recruiting stopped or withdrawn:
No Entry

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Monocenter study
Recruitment location(s):
  • Medical center MEDICLIN Albert Schweitzer Klinik Königsfeld
  • Doctor's practice Singen und Umgebung

Recruitment period and number of participants

Planned study start date:
2024-10-01
Actual study start date:
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Planned study completion date:
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Actual Study Completion Date:
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Target Sample Size:
202
Final Sample Size:
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Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
no maximum age
Additional Inclusion Criteria:
Inclusion Criteria Post-Covid Syndrome Patients: - Age of majority - Diagnosed Post-Covid Syndrome (Which includes a previously contracted Covid-19 infection confirmed by PCR test). - a confirmed previously acquired Covid-19 infection (PCR test). - Furthermore, vaccinated and non-vaccinated patients will be included. Inclusion Criteria control group: - Age of majority - Vaccinated and non-vaccinated patients will be included.

Exclusion Criteria

Exclusion Criterion Post-Covid Syndrome Patients: - Positive PCR test at specimen collection (A PCR test will be performed from sputum at specimen collection to ensure that there is no active undetected infection. This is regulated by the informed consent). Exclusion Criteria Control Group: - Positive PCR test at specimen collection (A PCR test will be performed from the sputum at specimen collection to ensure that there is no active undetected infection. This is regulated by the consent form). - Previous knowingly confirmed passed Covid-19 infection (PCR test).

Addresses

Primary Sponsor

Address:
MVZ Laborärzte Singen
Virchowstr. 10c
78224 Singen
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
Hochschule Furtwangen University, Fakultät Medical and Life Sciences
Prof. Dr. med. Folker Wenzel
Jakob-Kienzle-Straße 17
78054 78054 VS-Schwenningen
Germany
Telephone:
07720 307 4358
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
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Contact for Public Queries

Address:
MVZ Laborärzte Singen
M.Sc. Philipp Schnee
Virchowstr. 10c
78224 Singen
Germany
Telephone:
0 7731 9956 132
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Principal Investigator

Address:
Hochschule Furtwangen University, Fakultät Medical and Life Sciences
Prof. Dr. med. Folker Wenzel
Jakob-Kienzle-Straße 17
78054 78054 VS-Schwenningen
Germany
Telephone:
07720 307 4358
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Sources of Monetary or Material Support

Institutional budget, no external funding (budget of sponsor/PI)

Address:
MVZ Laborärzte Singen
Virchowstr. 10c
78224 Singen
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
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Ethics Committee

Address Ethics Committee

Address:
Ethik-Kommission bei der Landesärztekammer Baden-Württemberg
Liebknechtstr. 33
70565 Stuttgart
Germany
Telephone:
+49-711-7698919
Fax:
+40-711-76989856
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2021-07-30
Ethics committee number:
F-2021-111
Vote of the Ethics Committee:
Approved
Date of the vote:
2021-12-23

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
No
IPD Sharing Plan:
No Entry

Study protocol and other study documents

Study protocols:
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Study abstract:
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Other study documents:
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Background literature:
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Related DRKS studies:
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Publication of study results

Planned publication:
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Publikationen/Studienergebnisse:
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Date of first publication of study results:
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DRKS entry published for the first time with results:
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Basic reporting

Basic Reporting / Results tables:
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Brief summary of results:
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