Impact of COVID-19 on GU Disease

Study Overview
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Brief Summary
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The purpose of this research study is to identify patients with GU disease with active or past COVID-19 infection. Participants will be asked to: Complete an Online COVID-19 Questionnaire. Disclose if the patient has or had Genitourinary cancer or benign urologic condition Provide urine specimen for research Provide 4 tablespoons of blood for testing blood for research. Provide permission to access medical records, such as patient lab results, medical history, imaging reports, etc.

Detailed Description
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COVID-19 has a higher incidence in males compared to females and cancer patients have a higher risk of contracting COVID-19, and developing complications, and deteriorate more rapidly. COVID19 pandemic poses significant challenges in clinical decision-making, which has impacted management of GU patients. In order to mitigate the risk associated with COVID19 pandemic while also providing the best clinical care for patients a screening approach is essential. Clinicians taking care of cancer patients will be expected not only to understand impact of COVID19 but also incorporate a triage tool to decide which patients need immediate treatment. This prospective study presented in this IRB is about establishing a screening tool for GU patients with pre-existing cancer or with benign urological disease (e.g. BPH, kidney stone, bladder infection, urinary tract infections etc) and for those who are dealing with decisions for biopsy, active surveillance, surgery, radiation, hormonal and chemotherapy. The study team is expecting to enroll 15240 subjects under this study. Procedures involved in the study: Consenting patients for the study. Screening/Baseline REDCap survey to determine their COVID-19 symptoms. Blood sample collection: This will be obtained for research studies including immune monitoring assays Urine sample collection for bio-marker analysis. Data collection from medical records, such as: Clinical diagnoses, including date of confirmation of SARS-CoV-2 infection Any pertinent medical history, including concomitant medications, and comorbidities that pre- date enrollment in the study, or that occur during enrollment in the study Laboratory values from time of blood procurement All imaging (X-ray, MRI, CAT, PAT, PSMA, Ultrasound, and Pathology etc.) performed from time of initial diagnosis until death, and any needed imaging that pre- date enrollment that may serve as a comparative to pre/post treatment imaging. Collection time of samples in relation to study treatment Demographic data REDCap questionnaire, COVID-19 symptoms and severity of the symptoms

Official Title
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Mitigating Risk of COVID-19 for Clinical Management of Genitourinary Diseases

Conditions
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COVID-19 Infection, Genitourinary Cancer, Benign Urologic Conditions

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects must be men and women 40 years of age or older Subjects at risk or with GU cancer (Prostate, Bladder, Kidney) Subjects with benign GU disorders ( BPH, UTI, Bladder infection and kidney stone) Subjects must have a GU disease that requires clinic visit as determined by physician or healthcare provider following a telehealth appointment Willing and able to provide blood and urine samples Willing and able to complete a questionnaire to determine the COVID-19 symptoms. Willing and able to sign informed consent form Exclusion Criteria: Men and women below 40 years of age Subjects do not have a GU disease

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| GU participants with active or past infection of SARS-Co-V-2<br>GU patients from medical records with active or past infection of SARS-Co-V-2 | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of patients with a new diagnosis of GU | Proportion of patients with a new diagnosis of GU cancer and with active or past infection with SARS-Co-V-2 | Day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of GU cancer patients, with active disease or in remission | Proportion of GU cancer patients, with active disease or in remission and with active or past infection with SARS-Co-V-2 | Day 1 | 
| Proportion of patients with the benign urologic condition | Proportion of patients with the benign urologic condition and with active or past infection with SARS-Co-V-2 | Day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID-19 Infection, Biomarkers, Prostate cancer, BPH, Bladder cancer, Urinary tract infection, Kidney stone, Kidney cancer, Malignant disease