KIDney Injury in Times of COVID-19 (KIDCOV)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of California, San Francisco

About this trial

There is an unmet need to evaluate the impact of sub-clinical/mild COVID19 disease in the outpatient setting on prevalent and incident renal injury, as this data is currently unavailable. To capture the diversity of race/ethnic risk and COVID19 related municipal shelter-in-place guidance, the investigators will enroll COVID19-negative and COVID19-positive samples balanced by race/ethnicity from 3 different states, California, Michigan, and Illinois. Study endpoints will be assayed from urine samples mailed to the study team at 2, 6, and 12 months after their date of PCR test, with no requirement for these individuals to leave their homes to participate.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Result of PCR-based COVID-19 test conducted in the past 4 weeks posted in EMR of participating AMC

Age 18 years or older at enrollment

Race/ethnicity, sex, age, and phone and/or home/email address provided

Disqualifiers

Failure of a candidate participant to give written informed consent to comply with the study protocol

Hospitalization up to 4 weeks after SARS-CoV-2 test

History of kidney transplant

History of dialysis

Trial population

Individuals with current SARS-CoV-2 test result recorded in their electronic medical record (EMR) at a participating Academic Medical Center (AMC). EMR must also record: contact information (for inviting participation and mailing urine kits), age (to confirm 18+ years), race and sex (to balance COVID- vs. COVID+ samples), current serum creatinine (an outcome), history of kidney transplant or dialysis (ineligible), and hospitalization up to 4 weeks after SARS-CoV-2 test (ineligible). By restricting eligibility to individuals not hospitalized within the month after their PCR test, the investigators study people at low risk of kidney injury, as the investigators survey a population of otherwise well people. This reflects the public health goal: To estimate excess risk of kidney injury among the \>80% of COVID19-infected individuals in whom the infection resolves without intensive healthcare intervention, in order to unveil an otherwise silent health burden on society.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Urine Collection

    Other intervention

    A urine collection kit will be mailed to subjects' residence at 3 different timepoints over the course of 1 year to be returned to study team, upon which KIT score and other biomarkers will be assessed as outlined in the study design.

Treatment groups

2,000 Participants
are divided into 2 treatment groups
Group A: COVID-19 Negative1 intervention
Group B: COVID-19 Positive1 intervention

Trial outcomes

Primary outcomes

1

Continuous, Quantitative KIT Score

The 12-month continuous, quantitative Kidney Injury Test (KIT) score, measured on a scale of 0-100, where a higher urine-based KIT score correlates to worse kidney injury.

Time frame
1 year

Secondary outcomes

1

Number of participants with a level of Kidney Injury Molecule-1 (KIM1) above 1 ng/ml

Number of participants with a level of Kidney Injury Molecule-1 (KIM1) above 1 ng/ml, indicating the presence of kidney injury (higher value indicates worse kidney injury).

Time frame
1 year
2

Number of participants with a level of Neutrophil Gelatinase-Associated Lipocalin (NGAL) above 1 ng/ml

Number of participants with a level of Neutrophil Gelatinase-Associated Lipocalin (NGAL) above 1 ng/ml, indicating the presence of kidney injury (higher value indicates worse kidney injury).

Time frame
1 year
3

Number of participants with a level of soluble urokinase-type plasminogen activator receptor (suPAR) above 1 ng/ml

Number of participants with a level of soluble urokinase-type plasminogen activator receptor (suPAR), indicating the presence of kidney injury (higher value indicates worse kidney injury).

Time frame
1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of California, San Francisco

Lead sponsor

Rush University Medical Center

Collaborator

University of Michigan

Collaborator

University of California

Collaborator