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NCT Number: NCT06434701

Severe COVID-19 Infection in Children Presenting to EDs in Israel and England

Even though the COVID-19 pandemic is no longer at its peak, the threat still lingers. Engaging in prospective surveillance studies will enable us to monitor the disease and prepare for any potential resurgence. COVID-19 surveillance studies are essential tools for policymakers to make informed decisions, allocate resources, and develop strategies to control the spread of the virus and protect public health.

The objective of this surveillance study is to prospectively assess in-hospital severe morbidity related to COVID-19 infection in children who present to the Pediatric Emergency Department (ED).

A prospective multicenter study will be conducted across eight EDs in Israel and five EDs in the United Kingdom. The study population will include children aged 16 years or younger with a severe acute COVID-19 infection. Confirmation of acute COVID-19 infection will be based on polymerase chain reaction nasopharyngeal swab testing. The study will also include patients diagnosed with multisystem inflammatory syndrome in children (MIS-C), as defined by the CDC.

Recruiting

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Key information

Age range

0 year–16 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Haemek Medical Center, Afula, Israel

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • SACI

Patients aged 16 years or younger with a positive COVID-19 PCR nasopharyngeal swab testing or bronchoalveolar sample who meet the definition of SACI:

  • Receive oxygen via low-flow nasal cannula or oxygen mask, high-flow nasal cannula, bilevel or continuous positive airway pressure machine, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) Or
  • Admitted to ICU
  • MIS-C Patients aged 16 years or younger diagnosed with MIS-C

Treatment and study plan

Nasopharyngeal swab sampling for COVID-19

Diagnostic Test

The healthcare provider will gently insert the swab a short distance (1-1.5 cm for young children) into one nostril, reaching the back of the nasal cavity. The swab will then be gently rotated and rubbed for a few seconds to collect a sample of mucus. The same process may be repeated in the other nostril.

Primary outcomes

  1. Severe acute COVID-19 infection (SACI)

    Time frame: Up to 16 weeks

    The percentage of patients diagnosed with SACI among all patients admitted to the Emergency Department

Secondary outcomes

  1. Administration of low-flow oxygen therapy via nasal cannula or face mask

    Time frame: Up to 12 weeks

    The percentage of COVID-19 patients treated with low-flow oxygen among all patients admitted to the Emergency Department

  2. Administration of high-flow oxygen via nasal cannula (HFNC), or administration of oxygen via bilevel or continuous positive airway pressure (CPAP) machine

    Time frame: Up to 12 weeks

    The percentage of COVID-19 patients treated with HFNC or CPAP among all patients admitted to the Emergency Department

  3. Treatment with mechanical ventilation

    Time frame: Up to 12 weeks

    The percentage of COVID-19 patients treated with mechanical ventilation among all patients admitted to the Emergency Department

  4. Treatment with extracorporeal membrane oxygenation (ECMO)

    Time frame: Up to 8 weeks

    The percentage of COVID-19 patients treated with ECMO among all patients admitted to the Emergency Department

  5. Treatment with vasopressor support

    Time frame: Up to 8 weeks

    The percentage of COVID-19 patients treated with vasopressor support among all patients admitted to the Emergency Department

  6. Length of ICU stay

    Time frame: Up to 16 weeks

    Mean duration of ICU stay for patients admitted with COVID-19

  7. Length of hospital stay

    Time frame: Up to 24 weeks

    Mean duration of hospital stay for patients admitted with COVID-19

Study contacts

Contact information is provided by the study sponsor or research team.

Hadas Lamberg, PhD

CONTACT

[email protected]

00 972 2 6777572

Itai Shavit, MD

CONTACT

[email protected]

00 972 50 2063239

Sponsors and collaborators

Lead sponsor

Hadassah Medical Organization

Other

Collaborators

  • London North West Healthcare NHS Trust

Registry information

Official study title

Severe COVID-19 Infection in Children Presenting to Emergency Departments in Israel and England: A Prospective Multicenter Study

Acronym: SPICE

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
May 30, 2024
Registry last updated
Mar 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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