Official Title
Impact of Previous Treatment With Angiotensin II Receptor Blockers in Patients With SARS-Cov2 Infection Admitted to the Intensive Care Unit on Survival and Severity of the Disease (COVID-ARA2)
Brief Summary

The actual pandemic infection related to SARS-CoV2 results in viral pneumonitis (COVID-19), that may, in the more severe cases, lead the patients to the intensive care unit (ICU). The more frequent presentation is acute respiratory distress syndrome (ARDS). To penetrate cells, SARS-CoV2 uses Angioconvertase type 2 (ACE2) as a cellular entry receptor. ACE2 belong to the renin-angiotensin-aldosteron system (SRAA), and ACE2 levels are directly modified when SRAA inhibitors are administred to patients, and ACE2 level increases particularely with Angiotensin II Receptor blockers (ARA2) use. The aim of our study is to determine ACE2 level and activity in patients with SARSCoV2 infection admitted to the intensive care unit (ICU). COVID ARA2 is a propsective cohort of patient with blood sampling at the day of admission, day 3 and day 7.

Detailed Description

The actual pandemic infection related to SARS-CoV2 results in viral pneumonitis (COVID-19),
that may, in the more severe cases, lead the patients to the intensive care unit (ICU). The
more frequent presentation is acute respiratory distress syndrome (ARDS).

To penetrate cells, SARS-CoV2 uses Angioconvertase type 2 (ACE2) as a cellular entry
receptor.

ACE2 belong to the renin-angiotensin-aldosteron system (SRAA), and ACE2 levels are directly
modified when SRAA inhibitors are administred to patients, and ACE2 level increases
particularely with Angiotensin II Receptor Blockers (ARA2) use.

The aim of our study is to determine ACE2 level and activity in patients with SARSCoV2
infection admitted to the intensive care unit (ICU).

COVID ARA2 is a propsective cohort of patient with blood sampling at the day of admission,
day 3 and day 7.

Unknown status
COVID
Acute Respiratory Distress Syndrome

Biological: blood sampling

blood sampling at the day of admission, day 3 and day 7

Eligibility Criteria

Inclusion Criteria:

- admission to the intensive care unit,

- with a proven COVID infection, responsible for acute respiratory failure

- agree with participation to the study.

Exclusion Criteria:

- aged under 18

- under legal protection

- pregnant or breastfeeding

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
France
Locations

University Hospital Angers
Angers, France

Investigator: Julien Demiselle, M.D.
Contact: 33 (0)241355865
julien.demiselle@chu-angers.fr

Contacts

Pierre Asfar, MD, PhD
+33241355865
piasfar@chu-angers.fr

Julien Demiselle, MD
+33241355865
julien.demiselle@chu-angers.fr

Pierre Asfar, MD, PhD, Principal Investigator
CHU Angers, service de médecine intensive réanimation

University Hospital, Angers
NCT Number
MeSH Terms
Respiratory Distress Syndrome
Respiratory Distress Syndrome, Newborn
Acute Lung Injury