Seroprevalence and Clinical Expression of SARS-CoV-2 Infection in Patients With Chronic Inflammatory Rheumatisms and Impact of Immuno-suppressive Drugs on the Persistence of Anti-SARS-CoV2 Antibodies During Two Years of Follow-up
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Inflammatory Rheumatism
- Sponsor
- University Hospital, Montpellier
- Enrollment
- 163
- Locations
- 1
- Primary Endpoint
- Distribution of anti-SARS-CoV-2 neutralising immunoglobulin titres in patients with chronic inflammatory rheumatisms
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Accurate knowledge of the humoral immune responses induced by SARS-CoV-2 in patients undergoing immunosuppressive therapy is essential to guide recommendations for infected patients and for vaccination policy for uninfected immunosuppressed patients.
Detailed Description
Longitudinal, cas-control study, observational multicenter study based on a cohort of 200 SARS-CoV-2 seropositive patients with chronic inflammatory rheumatisms (CIRs) from the COVID-RIC-1 cohort. The follow-up the persistence of SARS-CoV-2 serological status for 2 years in 200 patients with inflammatory rheumatisms compared to matched 100 healthy controls to evaluate the impact of immuno-suppressive therapy will be proposed. Schedule: 4 visits over a 24-month period. An observational routine care study was initiated in 16 French hospitals to assess the SARS-CoV-2 seroprevalence in France in a population with CIRs (Covid-RIC-1). The project plans to screen 5000 CIRs patients. The COVID-RIC-2 study will thus be proposed to these pre-screened subjects according to their positive status in the serology for SARS-CoV-2 at the time of their inclusion in COVID-RIC-1. For the control group, 100 health professionals participating in the COVID-BIOTOUL cohort will be selected to be matched on age, gender, and the time between the date of infection with Covid-19 and the first serology of CIR patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with rheumatoid arthritis or spondyloarthritis
- •With positive serology for SARS-CoV-2 infection less than 3 months old at the time of inclusion
- •Under biotherapy, or conventional synthetic Disease-modifying antirheumatic drugs (csDMARD) or Nonsteroidal anti-inflammatory drugs (NSAIDs) or steroids for at least one month during the year 2020
- •Agreeement to participate two years in the study
Exclusion Criteria
- •Pregnant or breastfeeding woman
- •Refusal to participate in the study
Outcomes
Primary Outcomes
Distribution of anti-SARS-CoV-2 neutralising immunoglobulin titres in patients with chronic inflammatory rheumatisms
Time Frame: at 6 months after inclusion
Distribution of anti-SARS-CoV-2 neutralising immunoglobulin titres at 6 months in patients with chronic inflammatory rheumatisms
Secondary Outcomes
- To assess the maintenance of SARS-CoV-2 seroconversion at 24 month in patients with chronic inflammatory rheumatisms (CIRs) compared to non-CIR controls(at 24 months after inclusion)
- Assess the impact of the pandemic and its consequences on the psychological state of patients with chronic inflammatory rheumatisms(at 24 month after inclusion)
- To assess the maintenance of SARS-CoV-2 seroconversion in patients with chronic inflammatory rheumatisms (CIRs) compared to non-CIR controls.(at 12 months after inclusion)