BUrden of Disease and COst of illneSS for RSV and other pathogens in patients 60 years and older within the outpatient setting

Organizational Data

DRKS-ID:
DRKS00030320
Recruitment Status:
Recruiting ongoing
Date of registration in DRKS:
2022-10-17
Last update in DRKS:
2023-07-21
Registration type:
Prospective

Acronym/abbreviation of the study

BUCOSS RSV 60+

URL of the study

No Entry

Brief summary in lay language

The aim of the study is a survey of pathogen diversity and the course of the disease in adults (age >= 60 years) with respiratory infections in selected general practitioners and specialist practices in Germany. The costs of the illness should also be determined. In addition to the main pathogen RSV, the frequency of other pathogens such as flu viruses or the SARS CoV2 virus should also be shown.

Brief summary in scientific language

The aim of this study is prospective surveillance of ARI in out-patients attributable to RSV including the impact of comorbidities, resulting complications, economic and quality of life (QoL) impact on out-patients. Additionally, co-circulating viral pathogens causing ARI will be analyzed. It is well known that patients aged ≥60 having comorbidities are particularly at risk for a severe course of disease in the event of a viral infection. However,there is insufficient evidence about which pathogens cause these infections frequently. This project comprehensively and structurally records the circulating pathogens in the focused age group in the framework of respiratory tract infections and should therefore make an important contribution to clarifying the existing ambiguities.

Health condition or problem studied

ICD10:
B34 - Viral infection of unspecified site
ICD10:
J00 - Acute nasopharyngitis [common cold]
ICD10:
J03 - Acute tonsillitis
ICD10:
J04 - Acute laryngitis and tracheitis
ICD10:
J05 - Acute obstructive laryngitis [croup] and epiglottitis
ICD10:
J06 - Acute upper respiratory infections of multiple and unspecified sites
ICD10:
J11 - Influenza, virus not identified
ICD10:
J12 - Viral pneumonia, not elsewhere classified
ICD10:
J16 - Pneumonia due to other infectious organisms, not elsewhere classified
ICD10:
J17 - Pneumonia in diseases classified elsewhere
ICD10:
J20 - Acute bronchitis
ICD10:
J21 - Acute bronchiolitis
ICD10:
J22 - Unspecified acute lower respiratory infection
ICD10:
J44 - Other chronic obstructive pulmonary disease
ICD10:
H65 - Nonsuppurative otitis media
ICD10:
H66 - Suppurative and unspecified otitis media
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
Study sites screen patients based on inclusion and exclusion criteria and are expected to include 1 eligible and willing patient per day into the study. At Day 0 demographic and medical data are collected by the study site. The patient delivers data about quality of life, indirect costs and employment status during the visit. All data are documented in the central and web-based database. A nasopharyngeal swab is collected at Day 0 and sent to the central virology department at Freiburg by Over-Night- Delivery. Here, the pathogen is identified using a viral multiplex panel. The result is reported to the study site and documented in the database. Participants with a positive RSV test result are followed up by telephone at Day 14 and, if the patient is not fully recovered, again at Day 28. Data on ongoing symptoms, HCRU, complications, HRQoL and costs are collected during follow-up. Information about Hospitalization during the time of study participation is collected as soon as the information is available. Study sites transmit a full weekly screening record of all visits of patient aged ≥ 60 years and all visits of patients aged ≥ 60 years with ARI-related ICD-10 codes.

Endpoints

Primary outcome:
1. To describe the prevalence of RT-PCRconfirmed RSV among adults ≥60 years of age presenting with ARI in the out-patient setting in Germany. 2. To describe co-infections with other respiratory pathogens (section 10.3) among RT-PCR-confirmed RSV-positive ARI patients ≥60 years of age in the primary care setting in Germany.
Secondary outcome:
1. To estimate the incidence of RSV among adults ≥60 years of age presenting with ARI in the primary care setting in Germany. 2. To describe the duration of illness and type of ARI symptoms/signs in RT-PCR-confirmed RSV-positive ARI patients ≥60 years of age in the primary care setting in Germany. 3. To describe complications2 among RT-PCRconfirmed RSV-positive ARI patients ≥60 years of age presenting in the primary care setting in Germany. 4. To describe the proportion of patients hospitalized within 28 days of RT-PCRconfirmed RSV-positive ARI diagnosed in the primary care setting in Germany. 5. To describe health care resource utilization and economic burden associated with RTPCR- confirmed RSV-positive ARI diagnosed in the primary care setting in Germany. 6. To describe the impact on health-related quality of life (HRQoL) in RT-PCR-confirmed RSV-positive ARI patients ≥60 years of age presenting in the primary care setting in Germany. 7. To describe the demographic and clinical characteristics of patients, including comorbidities, for both RT-PCR-confirmed RSV-positive ARI cases and RT-PCRconfirmed RSV-negative ARI cases in the primary care setting in Germany. 8. To describe the prevalence of ARI attributable to respiratory pathogens other than RSV in patients ≥60 years of age in the primary care setting in Germany, by pathogen.

Study Design

Purpose:
Diagnostic
Retrospective/prospective:
No Entry
Study type:
Non-interventional
Longitudinal/cross-sectional:
No Entry
Study type non-interventional:
No Entry

Recruitment

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

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Multicenter study
Recruitment location(s):
  • Doctor's practice Rotenburg/Wümme
  • Doctor's practice Neuenkirchen
  • Doctor's practice Berlin
  • Doctor's practice Bad Dürkheim
  • Doctor's practice Bochum
  • Doctor's practice Reutlingen
  • Doctor's practice Bühl
  • Doctor's practice Goch
  • Doctor's practice Köln

Recruitment period and number of participants

Planned study start date:
2022-10-17
Actual study start date:
2022-11-01
Planned study completion date:
No Entry
Actual Study Completion Date:
No Entry
Target Sample Size:
3000
Final Sample Size:
No Entry

Inclusion Criteria

Sex:
All
Minimum Age:
60 Years
Maximum Age:
no maximum age
Additional Inclusion Criteria:
Eligibility criteria Inclusion Criteria: General inclusion criteria - Willingness to participate (signed informed consent) - Age 60+ - onset date of the first ARI symptom/sign must be within the 7 days prior to Day 0/Visit 1 Further inclusion criteria (ARI symptoms), at least two respiratory OR at least 1 respiratory AND 1 systemic symptom/sign have to be present: Respiratory symptoms/signs - Cough - Purulent sputum or change in the sputum texture - Sore throat - Runny nose/nasal congestion - Rales/Wheezing - Acute or progressive dyspnea/tachypnea (MRC dyspnea scale above 0) Acute or progressive hypoxemia (O2 saturation below 95%) Systemic Symptoms/Signs - Body aches - Feverishness or chills - Fatigue

Exclusion Criteria

Exclusion Criteria: - No ability to follow study procedures - History of vaccination with an investigational RSV vaccine - Participation in an investigational study/clinical trial - Enrolled in the study within the previous 28 days

Addresses

Primary Sponsor

Address:
CAPNETZ STIFTUNG,Geschäftsstelle an der Medizinischen Hochschule Hannover
Grit Barten-Neiner
Carl-Neuberg-Straße 1
30625 Hannover
Germany
Telephone:
+49 (0)511 532 4434
Fax:
+49 (0)511 532 8286
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.capnetz.de
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
CAPNETZ STIFTUNG,Geschäftsstelle an der Medizinischen Hochschule Hannover
Grit Barten-Neiner
Carl-Neuberg-Straße 1
30625 Hannover
Germany
Telephone:
+49 (0)511 532 4434
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.capnetz.de

Contact for Public Queries

Address:
CAPNETZ STIFTUNG,Geschäftsstelle an der Medizinischen Hochschule Hannover
Grit Barten-Neiner
Carl-Neuberg-Straße 1
30625 Hannover
Germany
Telephone:
+49 (0)511 532 4434
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.capnetz.de

Principal Investigator

Address:
CAPNETZ STIFTUNG,Geschäftsstelle an der Medizinischen Hochschule Hannover
Grit Barten-Neiner
Carl-Neuberg-Straße 1
30625 Hannover
Germany
Telephone:
+49 (0)511 532 4434
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.capnetz.de

Sources of Monetary or Material Support

Commercial (pharmaceutical industry, medical engineering industry, etc.)

Address:
GlaxoSmithKline Biologicals SA
1330 Rixensart
Belgium
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethikkommission des Fachbereichs Medizin Universitätsklinikum der Goethe-Universität c/o Universitätsklinikum
Theodor-Stern-Kai 7, Haus 1, 2. OG, Zimmer 207-211
60590 Frankfurt/Main
Germany
Telephone:
+49-69-63017239
Fax:
+49-69-630183434
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:
2022-08-25
Ethics committee number:
2022-907
Vote of the Ethics Committee:
Approved
Date of the vote:
2022-10-14

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?:
Yes
IPD Sharing Plan:
Scientists for research projects in the context of respiratory infections can have limited access to the medical data stored in the central database. In addition, anonymous data (= medical data without a pseudonym) can be used for evaluations by scientists outside of the BUCOSS RSV 60+ study if this has been checked and approved by the board of the CAPNETZ FOUNDATION. When study results are published, the data will not reveal who participated in the study.

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
No Entry
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry