TARGet Kids! COVID-19 Study of Children and Families

Sponsor
The Hospital for Sick Children (Other)
Overall Status
Recruiting
CT.gov ID
NCT04449978
Collaborator
Unity Health Toronto (Other)
1,082
2
32.7
541
16.5

Study Details

Study Description

Brief Summary

The novel coronavirus (COVID-19) was declared a global pandemic in March 2020. Early research suggests that children are no more susceptible to COVID-19 infection than adults and that children with confirmed COVID-19 have generally presented with milder symptoms. However, the impact of COVID-19 among Canadian children remains unclear. The prevalence of COVID-19 in children in Canada is currently unknown and no published research exists regarding the risk factors of COVID-19 in children or its potential long-term health effects on physical health or development. Using TARGet Kids!, Canada's largest children's cohort study with over 11,000 children involved, the researchers will conduct a longitudinal observational study aimed to evaluate the cumulative incidence of COVID-19 in children and parents; differences among infected and uninfected children in terms of age, sex, and income; risk factors of COVID-19; and longer term health effects of COVID-19 among children. Given the rapid spread of COVID-19 and the unknown health effects of the virus in children, research must be conducted to determine the extent of infections of COVID-19 in children, disease severity, risk factors for infection, and how the virus affects children as they become older.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    The novel coronavirus (COVID-19) was declared a global pandemic in March 2020. Early research has suggested that children may experience less severe clinical symptoms than adults, and infected children with minimal or no symptoms may be an underrecognized source of community disease transmission. COVID-19 infections in children were occurring very early in the epidemic but the impact of COVID-19 infection among children remains unclear. The number of COVID-19 infections in children and parents in Canada is unknown and studies have not evaluated the symptom severity of COVID-19 in children and parents, risk factors for infection and severe disease, and whether current preventive efforts are effective. Using TARGet Kids!, Canada's largest children's cohort study, the researchers will conduct an observational study to evaluate key epidemiological characteristics of COVID-19 among parents and children, as well as to determine the spectrum of disease severity, seroprevalence, risk factors for COVID-19 infection and severe disease, effectiveness of social isolation recommendations, risk to family members with a COVID-19 infected family member, and potential new strategies to prevent COVID-19 infection and minimize disease severity. Parents of 1082 existing TARGet Kids! participants will be asked to provide a nasal swab from themselves and their child during the pandemic in addition to a respiratory tract symptom checklist. Preventive efforts (e.g. social distancing), parent-reported illness, laboratory-confirmed infections and healthcare encounters (e.g. emergency department visits, hospitalizations and ICU care) will be measured. Children will subsequently be followed through the TARGet Kids! cohort study over the next 6 months and long term, with interim analyses at 3 months. By understanding every stage of COVID-19 infection from prevention to transmission in the community and home, to outpatient and hospital care utilization, the researchers will rapidly develop new interventions to prevent COVID-19 transmission and minimize disease severity among children and their families. Descriptive statistics will be used to determine the prevalence of COVID-19 in healthy children.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    1082 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    TARGet Kids! COVID-19 Study of Children and Families
    Actual Study Start Date :
    Apr 9, 2020
    Anticipated Primary Completion Date :
    Jun 30, 2022
    Anticipated Study Completion Date :
    Dec 31, 2022

    Outcome Measures

    Primary Outcome Measures

    1. Cumulative Incidence of COVID-19 [12 months]

      To evaluate the cumulative incidence of laboratory-confirmed COVID-19 among healthy children and parents in Toronto, Canada

    Secondary Outcome Measures

    1. Risk Factors for COVID-19 [12 months]

      To determine the risk factors for COVID-19 infection in children and parents to inform preventive interventions

    2. Parent-reported probable case definition of COVID-19 [12 months]

      To determine the cumulative incidence of parent-reported probable case definition of COVID-19 among children and parents.

    3. Dynamics of COVID-19 [12 months]

      To determine the dynamics of COVID-19 infection using a susceptible-infected-recovered (SIR) multi-state model.

    4. Risk to family members [12 months]

      To determine the risk to family members with a laboratory-confirmed COVID-19 infected family member.

    5. Severity of COVID-19 [12 months]

      To determine the severity of laboratory-confirmed COVID-19 in healthy children and parents

    6. Longer term effects of COVID-19 on physical health [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on physical health

    7. Longer term effects of COVID-19 on mental health [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on mental health

    8. Longer term effects of COVID-19 on child development [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on child development

    9. Longer term effects of COVID-19 on family functioning [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on family functioning

    10. Longer term effects of COVID-19 on health behaviours [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on health behaviours

    11. Longer term effects of COVID-19 on healthcare utilization [12 months]

      To determine the longer term effects of COVID-19 infection in healthy children and parents on healthcare utilization

    12. Effects of preventive measures on infection [12 months]

      To determine the effect of preventive measures on COVID-19 infection

    13. Effects of preventive measures on physical health [12 months]

      To determine the effect of preventive measures on physical health

    14. Effects of preventive measures on mental health [12 months]

      To determine the effect of preventive measures on mental health

    15. Effects of preventive measures on child development [12 months]

      To determine the effect of preventive measures on child development

    16. Effects of preventive measures on family functioning [12 months]

      To determine the effect of preventive measures on family functioning

    17. Effects of preventive measures on health behaviours [12 months]

      To determine the effect of preventive measures on health behaviours

    18. Effects of preventive measures on healthcare utilization [12 months]

      To determine the effect of preventive measures on healthcare utilization

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    0 Years to 16 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Families with existing participants of the TARGet Kids! cohort with children between the ages of 0-16 years.
    Exclusion Criteria:
    • Families who are not participating in the TARGet Kids! cohort or participating families with no children within the age of eligibility.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 St Michael's Hospital Toronto Ontario Canada M5B 1W8
    2 The Hospital for Sick Children Toronto Ontario Canada M5G 1X8

    Sponsors and Collaborators

    • The Hospital for Sick Children
    • Unity Health Toronto

    Investigators

    • Principal Investigator: Catherine S Birken, MD, The Hospital for Sick Children

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Catherine Birken, Senior Scientist, The Hospital for Sick Children
    ClinicalTrials.gov Identifier:
    NCT04449978
    Other Study ID Numbers:
    • 1000069701
    First Posted:
    Jun 29, 2020
    Last Update Posted:
    Oct 4, 2021
    Last Verified:
    Sep 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 4, 2021