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RecruitingNCT04952870miniNO-COVIDUpdated May 20, 2026

Perinatal Covid-19 Infection, NO Pathway, and Minipuberty

An observational study in Newborn, Infant, Disease and Neurodevelopmental Disorders, sponsored by University Hospital, Lille. Recruiting at 2 sites in 2 countries. Open to participants aged Up to 3 Months. Per ClinicalTrials.gov, last updated 2026-05-20.

Primary conditionNeurodevelopmental DisordersRegistry: DiseaseReclassifiedWhy we changed it
Registry
Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Neurodevelopmental Disorders
Why
  1. Disease describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Neurodevelopmental Disorders.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University Hospital, Lille · Observational

From the registry’s dates

  • Started Nov 2022; still recruiting 4 years later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
180
Ages
Up to 3 Months
Sex
All
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Study summary

Some evidence exists that SARS-COV-2 may infect pituitary axis, and therefore may alter hypothalamic function. Whether perinatal COVID-19 is associated with alterations in the maturation of the Hypothalamic-Pituitary-Gonadal (HPG) axis, and specifically with its transient activation occurring during infancy, namely minipuberty, is a major concern. Among the various pathogenic features related to COVID-19, altered minipuberty could be a key factor underlying many multimorbidities later in life, suggesting that they could involve a common causative mechanism that occurs within this short and critical period of time following birth. Altered minipuberty together with NO deficiency seem to be key factors underlying many of these multimorbidities, suggesting that they involve a common causative mechanism that occurs within this short and critical period of time following birth

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Conditions studied

  • Newborn, Infant, Disease
  • Neurodevelopmental Disorders

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Keywords

  • Perinatal COVID
  • newborn
  • minipuberty
  • HPG axis
  • nitric oxide
  • neurodevelopmental outcome
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In context

Neurodevelopmental Disorders Reclassified

352 studies on the registry are indexed under Neurodevelopmental Disorders; 141 are open to participants now.

This study's planned enrollment of 180 is close to the median of 200 across 133 observational studies indexed under Neurodevelopmental Disorders.

Browse Neurodevelopmental Disorders studies →

Lead sponsor

University Hospital, Lille is the lead sponsor of 631 studies on the registry; 142 are open to participants now.

Compared within Neurodevelopmental Disorders, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

Ages eligible
Up to 3 Months
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Newborn infants at risk for neurodevelopmental disorders

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Group 1 : Newborn infants (24 to 41 weeks gestational age) or young infants (\< 3 months) admitted at the maternity ward or at the Department of Neonatology at Jeanne de Flandre Hospital, CHU of Lille with perinatal COVID-19 infection defined by:

    • Antenatal COVID-19 infection: pregnant women with positive PCR test at any time of the pregnancy;
    • Post-natal COVID-19 infection: newborn or young infants (\< 3 months) with positive PCR test in pharynx or stools as part of their treatment.
  • Group 2 : Newborn infants (24 to 41 weeks gestational age) or young infants (\< 3 months) admitted at the maternity ward or at the Department of Neonatology at Jeanne de Flandre Hospital, CHU of Lille for severe cardiorespiratory diseases requiring inhaled NO treatment.
  • Group 3 : The control group without perinatal COVID-19 infection and no inhaled NO treatment will be matched to the two other groups on age at birth (± 2 weeks of gestation), on postnatal age (± 3 weeks), on respiratory failure (yes/no).
  • No inclusion in another ante- or post-natal trial;
  • Written consents from both parents.
  • Social security affiliation

Exclusion criteria

Exclusion Criteria:

  • Preterm birth less than 24 weeks gestational age.
  • Severe brain lesions: bilateral and extensive periventricular leukomalacia, intracranial hemorrhage grade 3 or 4;
  • One or both of the parents is unable to read or understand French language, or refuse to participate
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
180 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • COVID-19 group

    Perinatal COVID-19 infection group, including newborns born from COVID-19 infected mothers and newborns with postnatal COVID-19 infections;

  • NO group

    Newborns admitted in NICU and receiving inhaled NO for respiratory failure

    Other: Inhaled NO

  • Control group

    Newborns admitted in NICU for respiratory failure not receiving iNO and not infected with COVID-19;

    Other: routine care

Interventions

  • OtherInhaled NO

    Newborn or young infants (\< 3 months) receiving inhaled NO as part of their treatment for severe respiratory failure

  • Otherroutine care

    Patients treated for respiratory failure

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What researchers measure

Primary outcomes

  1. The follicle stimulating hormone (FSH) plasma concentrations measured at the postnatal age of 3 months

    Time frame: at the postnatal age of 3 months

Secondary outcomes

  1. The change in reproductive hormones

    Time frame: From the day at inclusion (D0), to Day 2 (48 hours after inclusion), Month 1 and the postnatal age of 3 months

  2. The change in metabolic hormones

    Time frame: From the day at inclusion (D0), to Day 2 (48 hours after inclusion), Month 1 and the postnatal age of 3 months

  3. Rate of negative hearing and olfactive tests

    Time frame: At the postnatal age of 3 months;

  4. Ages and Stages Questionnaire (ASQ-3 ) score

    The ASQ-3 is a questionnaire aimed to pinpoint developmental progress in children between 1 month to 5.5 years in age. It is parent-centric and is administered through paper and pencil. It takes 10 to 15 minutes to complete. Change in score will be calculated by comparing ASQ-3 scores of FNI and non-FNI participants by measuring across five developmental areas: communication, gross motor, fine motor, problem solving, and personal-social.

    Time frame: At the corrected age of 9 and 18 months

  5. Ages and Stages Questionnaire (ASQ-2E) score

    Time frame: At the corrected age of 9 and 18 months

  6. Bayley-III score

    The Bayley Scale of Infant and Toddler Development, Third Edition (Bayley III) measures physical, motor, sensory, and cognitive development in babies and young children. The scale encompasses five developmental domains - cognitive, language, motor, social-emotional and adaptive behaviour. The structure of the Bayley-III Scales allows clinicians to administer each of the five scales (cognitive, language-receptive and expressive, motor-fine and gross, social-emotional, and adaptive behaviour) independent of others. Higher scores in each scale indicates more advanced development. Performance is summarised via scaled scores for each subtest, and composite scores for each scale, together with percentile ranks, developmental age equivalents, and growth scores. Discrepancy information is used to determine whether there are significant differences between a child's abilities in the domains measured, and how prevalent these differences are in the norming sample. A total score is not provided.

    Time frame: at the corrected age of 9 months of age

  7. The time of mutual gaze interactions (versus non-interactive periods) measured by eye-tracking glasses (mother and children)

    Time frame: At the corrected age of 9 months

  8. The specific changes in Nos1-associated genes

    Time frame: From the day at inclusion (D0), Day 2, 1 month and 3 months of age and in buccal cells collected at the postnatal age of 3 months of age.

  9. The specific changes in miRNAs in blood sampled

    Time frame: From the day at inclusion (D0), Day 2, 1 month and 3 months of age and in buccal cells collected at the postnatal age of 3 months of age.

07

Study locations

1 of 2 sites recruiting
  • Hop Jeanne de Flandre Chu Lille
    Lille, 59037, France
    Recruiting
    • · Contact0320445962
  • Uri-National and Kapodistrian University of Athens
    Athens, Greece
    Not yet recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04952870
Collaborators
European Commission
Responsible party
Sponsor
First posted
Jul 7, 2021
Start date
Nov 3, 2022
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
May 20, 2026

Study contacts

Laurent STORME, MD,PhD
Contact
laurent.storme@chru-lille.fr
0320445962 ext. +33
Laurent STORME, MD,PhD
principal investigator · University Hospital, Lille

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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