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School Studies Within the EuCARE Horizon Europe Research Project (EuCARE-SCHOOLS)

Not Applicable
Completed
Conditions
STUDENTS
Interventions
Procedure: LOLLI METHODE
Registration Number
NCT05396040
Lead Sponsor
Euresist Network GEIE
Brief Summary

In this clinical trial, the aim is to determine if regular screening with pooled saliva tests (Lolli-Method) is useful to support school opening and to reduce clusters and attack rates in schools, compared with the standard of care (SoC) regular surveillance based on symptoms and contact tracing by public health departments.

Detailed Description

In this clinical trial, it will be determined if regular screening with pooled saliva tests (Lolli-Method) is useful to support school opening and to reduce clusters and attack rates in schools, compared with the standard of care (SoC) regular surveillance based on symptoms and contact tracing by public health departments. A multicenter cluster randomised interventional study will be set-up to evaluate the efficacy and applicability of the Lolli-Methode. The study will enrol 440 classes (around 8800 students, teachers and other personnel) from 2 countries, randomised to Lolli-Methode or SoC. Samples from pools will be regularly collected and tested using PCR-based techniques. Test results will be combined with questionnaires filled in by children, parents and schools teachers and principals, concerning social distancing measures implemented and psychological impact of the preventive measures applied during the pandemic. A thorough data analysis will then be performed to understand the applicability of Lolli-Methode to reduce SARS-COV-2 transmission in schools, including incidence, attack rates and cluster analysis. On the other hand, mobility changes and psychological outcomes will be analysed and compared with variables related to SARS-COV-2 transmission. By the end of this study, it will be identified and characterised the applicability of the Lolli-Methode for SARS-COV-2 surveillance, as well as the impact of pandemic preventive measures on children.

An ancillary observational study will be carried out on a different population of schools to study the prevalence of SARS-COV-2, frequencies and size of clusters and attack rates in schools, compared with those of previous waves; to compare the effectiveness of different preventive measures adopted in different schools; to investigate psychological issues in students and teachers related to the pandemic's containment measures.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
3373
Inclusion Criteria
  • Kindergartens and school-age children from public or private schools .
  • Enrolled children may be students of classes that have expressed their consent to participate
  • School personnel of participating schools
  • Householders of participating children
  • Informed consent (for minors the informed consent will be signed by parents or legal guardians) .
  • For minors: will to participate.
Exclusion Criteria
  • No informed consent by schools or children, or the adult participant
  • Suspicion of acute COVID-19 infection:

In case of unknown respiratory infection, no presence of symptoms for at least 48 hours. In case of confirmed SARS-COV-2 infection: inclusion at the earliest 21 days from PCR-positive diagnosis after the onset of potential symptoms and no presence of symptoms for at least 48 hours (according to Standard of Care).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LOLLI METHODELOLLI METHODEregular screening with pooled saliva tests (Lolli-Method)
Primary Outcome Measures
NameTimeMethod
Frequencies of clustersup to 18 months

Frequencies of clusters in classrooms in which pooled saliva tests (Lolli-Method) are performed in association with standard contact-tracing protocols, compared with classrooms in which SoC protocols are applied.

Number of participating classesup to 18 months

Number of classes and of students in the classes that accept to participate in the Lolli-Methode study, if asked, during time

Secondary Outcome Measures
NameTimeMethod
Transmission/prevalence of SARS-COV-2 in schools by variantsup to 18 months

Transmission/prevalence of SARS-COV-2 in schools by variants, by assessing the proportion of students/staff with positive SARS-COV-2 test identified by pooled saliva tests (Lolli-Method)

Psychological status of childrenup to 18 months

Psychological status of children during coronavirus pandemics: negative and positive feeling during confinement, worries and expectations about school resumption as evaluated by questionnaires.

Trial Locations

Locations (5)

Università statale di Milano, Dipartimento di Scienze Biomediche e Cliniche L. Sacco

🇮🇹

Milan, Lombardia, Italy

IEO Istituto Europeo di Oncologia Research Hospital and Treatment Centre

🇮🇹

Milan, Lombardia, Italy

Hospital Regional de Alta Especialidad Dr. Juan Graham Casasus

🇲🇽

Villahermosa, Tabasco, Mexico

DISTEBA, Università del Salento

🇮🇹

Lecce, Puglia, Italy

Global Health and Tropical Medicine; Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa (UNL)

🇵🇹

Lisbon, Portugal

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