A Study of Immune Responses to the Virus That Causes COVID-19
- Conditions
- COVID-19SARS-CoV-2
- Interventions
- Other: Sample collection
- Registration Number
- NCT04431414
- Lead Sponsor
- COVID-19 Prevention Network
- Brief Summary
The purpose of this study is to learn more about the acute response to infection with and recovery from the virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Some people know this virus by the name "coronavirus." It can cause the disease called COVID-19.
The information gained from the study can be used to help develop better tests for SARS-CoV-2 infection and COVID-19 disease and may help in developing future vaccines, other prevention strategies, and treatments.
- Detailed Description
This is a prospective study of acute immune responses to SARSCoV-2 infection.
The study will include 3 groups, as described in the table below. Groups are defined based on clinical status at enrollment, but for the purposes of data analysis, participants who experience disease progression can contribute data to other cohorts.
Participants will complete six visits over 28 days followed by a health contact at Month 2 (one month after the last scheduled visit). Additional follow up visit(s) may be added over time in response to evolving information regarding SARS-CoV-2 infection and COVID-19.
Study visits may include review of medical history; interviews/questionnaires; pregnancy tests (for participants assigned female sex at birth); blood draws; nasal swab, nasal wash, and saliva sample collection; and optional stool sample collection.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 953
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Age 18 years or older.
-
Test result indicating presence of SARS-CoV-2 virus. Sites must have results from assays that are approved as FDA-emergency use authorized or as standard-of-care by other applicable regional governing bodies. For timing of testing, please see group specific criteria below.
-
Ability and willingness to provide informed consent.
-
Willingness to have clinical research staff come to place of residence or hospital if needed.
-
Willingness to be followed for the planned duration of the study.
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Assessment of understanding: volunteer demonstrates understanding of this study.
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Agreement to allow access to medical records.
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Asymptomatic participants:
- No current symptoms.
- No symptoms consistent with COVID-19 within 2 weeks prior to positive test according to the clinical judgement of the investigating clinician. Symptoms include, but are not limited to, fever, headache, sore throat, cough, dyspnea, rhinorrhea, diarrhea, myalgias, chills, and anosmia. Please refer to https://www.cdc.gov/coronavirus/2019-ncov/symptomstesting/symptoms.html for the current list of symptoms consistent with COVID-19.
- Positive SARS-CoV-2 RNA test or antigen test within six days prior to enrollment (target time) up to 10 days prior to enrollment (upper allowable window).
-
Symptomatic (non-hospitalized) participants:
- Onset of mild symptoms consistent with COVID-19 within 6 days prior to enrollment (target time) up to 14 days prior to enrollment (upper allowable window). Symptoms of COVID-19 to be determined by the clinical judgement of the investigating clinician including-- but not limited to-- fever, headache, sore throat, cough, dyspnea, rhinorrhea, diarrhea myalgias, chills, and anosmia. Please refer to https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html for the current list of symptoms consistent with COVID-19.
- Positive SARS-CoV-2 RNA test or antigen test within six days prior to enrollment (target time) up to 10 days prior to enrollment (upper allowable window).
-
Symptomatic (hospitalized) participants
- Participant hospitalized for COVID-19 within 3 days prior to enrollment (note: there is no timeframe for either symptom onset or timing of SARS-CoV-2 PCR or antigen testing for hospitalized participants)
- Any medical, psychiatric, occupational, or other condition that, in the judgment of the investigator, would interfere with, or serve as a contraindication to, protocol adherence or a volunteer's ability to give informed consent.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Group 1 Sample collection Persons that are positive for SARS-CoV-2 and are asymptomatic Group 2 Sample collection Persons that are positive for SARS-CoV-2 with recent onset of mild symptoms (not hospitalized) Group 3 Sample collection Persons that are positive for SARS-CoV-2 and are symptomatic hospitalized patients
- Primary Outcome Measures
Name Time Method Response rate of SARS-CoV-2-specific neutralizing antibodies in serum samples Measured through day 28 Measured by neutralizing antibody assay (nAb)
Magnitude of SARS-CoV-2-specific antibody binding antibodies in serum samples Measured through day 28 Measured by binding antibody multiplex assay (BAMA)
Magnitude of SARS-CoV-2-specific binding antibodies in nasal wash samples Measured through day 28 Measured by binding antibody multiplex assay (BAMA)
Transcriptional profiles of peripheral blood leukocytes Measured through day 14 Measured by gene expression analysis by RNA sequencing, real-time PCR, single-cell proteogenomic profiling
Functional profiling, including intracellular cytokine staining, of SARS-CoV-2-specific CD4+ and CD8+ T cells Measured through day 28 Measured by flow cytometry
Concentration of serum cytokines and other soluble factors Measured through day 28 Measured by multiplexed protein detection assays and/or enzyme-linked immunosorbent assays (ELISA)
Response rate of SARS-CoV-2-specific CD4+ and CD8+ T cells Measured through day 28 Measured by flow cytometry
Magnitude of SARS-CoV-2-specific CD4+ and CD8+ T cells Measured through day 28 Measured by flow cytometry
Response rate of SARS-CoV-2-specific B cells in peripheral blood samples Measured through day 14 Characterized using fluorescently labeled recombinant proteins in combination with a flow cytometry phenotyping panel
Response rate of SARS-CoV-2-specific binding antibodies in nasal wash samples Measured through day 28 Measured by binding antibody multiplex assay (BAMA)
Magnitude of SARS-CoV-2-specific B cells in peripheral blood samples Measured through day 14 Characterized using fluorescently labeled recombinant proteins in combination with a flow cytometry phenotyping panel
Phenotypic characterization of SARS-CoV-2-specific B cells in peripheral blood samples Measured through day 14 Characterized using fluorescently labeled recombinant proteins in combination with a flow cytometry phenotyping panel
Response rate of SARS-CoV-2-specific antibody binding in serum samples Measured through day 28 Measured by binding antibody multiplex assay (BAMA)
Magnitude of SARS-CoV-2-specific neutralizing antibodies in serum samples Measured through day 28 Measured by neutralizing antibody assay (nAb)
Frequency of leukocyte populations in peripheral blood Measured through day 14 Measured by flow cytometry
- Secondary Outcome Measures
Name Time Method Quantitation of viral RNA in nasal swabs Measured through day 28 Measured by extraction of nucleic acid for analysis of microorganism RNA or DNA by qPCR and/or amplicon- or metagenomics-sequencing methods and subsequent gene and taxa-level bioinformatics analyses
Trial Locations
- Locations (52)
Zambia Emory HIV Research Project - Ndola CoVPN CRS
🇿🇲Ndola, Zambia
Milton Park CRS
🇿🇼Harare, Zimbabwe
The Ponce de Leon Center CRS
🇺🇸Atlanta, Georgia, United States
Johns Hopkins University CRS
🇺🇸Baltimore, Maryland, United States
St Mary's CRS
🇿🇼Chitungwiza, Zimbabwe
Penn Prevention CRS
🇺🇸Philadelphia, Pennsylvania, United States
Rustenburg CRS
🇿🇦Rustenburg, South Africa
Qhakaza Mbokodo Research Clinic CRS
🇿🇦Ladysmith, South Africa
Aurum Institute Klerksdorp CRS
🇿🇦Klerksdorp, South Africa
Soweto HVTN CRS
🇿🇦Johannesburg, South Africa
Nelson Mandela Academic Research Unit CRS
🇿🇦Mthatha, South Africa
Tembisa Clinic 4 CoVPN CRS
🇿🇦Tembisa, South Africa
Matero Reference Clinic CRS
🇿🇲Lusaka, Zambia
Tongaat CRS
🇿🇦Tongaat, South Africa
New York Blood Center CRS
🇺🇸New York, New York, United States
National Institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC) Network CRS
🇹🇿Mbeya, Tanzania
Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS
🇧🇷Rio de Janeiro, Brazil
Kliptown Soweto CRS
🇿🇦Johannesburg, South Africa
Setshaba Research Centre CRS
🇿🇦Soshanguve, South Africa
Malawi CRS
🇲🇼Lilongwe, Malawi
SOM Federal University Minas Gerais Brazil NICHD CRS
🇧🇷Belo Horizonte, Brazil
MeCRU CRS
🇿🇦Medunsa, South Africa
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
🇺🇸Boston, Massachusetts, United States
Bridge HIV CRS
🇺🇸San Francisco, California, United States
Seattle Vaccine and Prevention CRS
🇺🇸Seattle, Washington, United States
University of Miami Infectious Disease Research Unit at Jackson Memorial Hospital CRS
🇺🇸Miami, Florida, United States
The Hope Clinic of the Emory Vaccine Center CRS
🇺🇸Decatur, Georgia, United States
Case CRS
🇺🇸Cleveland, Ohio, United States
Chapel Hill CRS
🇺🇸Chapel Hill, North Carolina, United States
New Jersey Medical School Clinical Research Center CRS
🇺🇸Newark, New Jersey, United States
Columbia P&S CRS
🇺🇸New York, New York, United States
Fundacion Huesped CRS
🇦🇷Buenos Aires, Argentina
Gaborone CRS
🇧🇼Gaborone, Botswana
Merida CRS
🇲🇽Mérida, Mexico
Asociacion Civil Selva Amazonica (ASCA) CRS
🇵🇪Iquitos, Peru
Barranco CRS
🇵🇪Lima, Peru
San Miguel CRS
🇵🇪Lima, Peru
Groote Schuur HIV CRS
🇿🇦Cape Town, South Africa
Khayelitsha CRS / (CIDRI UCT)
🇿🇦Cape Town, South Africa
Chatsworth CRS
🇿🇦Chatsworth, South Africa
Botha's Hill CRS
🇿🇦Durban, South Africa
Vulindlela CRS
🇿🇦Durban, South Africa
CAPRISA eThekwini CRS
🇿🇦Durban, South Africa
Isipingo CRS
🇿🇦Isipingo, South Africa
Alabama CRS
🇺🇸Birmingham, Alabama, United States
Masiphumelele Clinical Research Site (MASI) CRS
🇿🇦Cape Town, South Africa
Ndlovu Research Centre CoVPN CRS
🇿🇦Elandsdoorn, South Africa
Hospital General de Agudos JM Ramos MejÃa CRS
🇦🇷Buenos Aires, Argentina
CITBM - UNIDEC, Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS
🇵🇪Bellavista, Peru
Zambia Emory HIV Research Project - Lusaka CoVPN CRS
🇿🇲Lusaka, Zambia
Seke South CRS
🇿🇼Harare, Zimbabwe
New Orleans Adolescent Trials Unit CRS
🇺🇸New Orleans, Louisiana, United States