MedPath

Relationship Between Biological Profiles and Clinical Evolutions Within the Same Cluster COVID-19 (COVIDCOLLECT)

Not Applicable
Conditions
Covid19
Contact Case
Interventions
Biological: Biological collection with nasopharyngeal samples, saliva, blood, stool and urine
Registration Number
NCT04597736
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The hypothesis is that from a cluster defined by a confirmed positive case of COVID-19 and its contact cases, it is possible to study the different expressions and clinical evolutions of COVID-19 infection and to explore the biological profiles related to the observed clinical history. Certain biological determinants (virological, immunological, microbological or gentic) could indeed be correlated with the clinical presentation and/or be useful for personalized care.

The main objective is to study the relationship between the biological profiles observed and the clinical evolutions within the same cluster of transmission of the coronavirus SARS-CoV-2 (positive COVID-19 cases and contact subjects).

Detailed Description

Subjects with a COVID-19 infection and thei contact cases (identification according to health insurance criteria, see "Améli.fr") will be offered a clinical evaluation and the takin of biological samples, whether they are hospitalized or via the outpatient screening channel.

For the main objective: during the D0 visit, the subjects who agreed to participate in the study will have a clinical evaluation according to a standardized questionnaire and a nasopharyngeal swab, saliva, blood, stool and urine.

For secondary objectives : longitudinal follow-up will be carried out for 21 days, for index cases and contact cases, whether they have a positive or negative RT-PCR test on D0. A final consultation will be carried out at M3. Nasopharyngeal samples, saliva, blood, stool and urine will be taken on D10 and D21. A blood test will be taken at M3 to carry out a COVID-19 serology.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Child or adult, no age limit
  • Able to give informed consent to participate in research
  • If a minor participant: consent of the legal representatives
  • If confirmed case COVID-19 (symptomatic or asymptomatic): laboratory result confirming infection with SARS-CoV-2 by RT-PCR or by serology
  • If contact case: people identified as a risk contact according to the criteria of the "Amélie.fr" health insurance
Exclusion Criteria
  • Subjects under tutorship, curatorship, deprived of liberty, safeguard of justice
  • Refusal of the child
  • Refusal of participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
cohortBiological collection with nasopharyngeal samples, saliva, blood, stool and urineBiological collection with nasopharyngeal samples, saliva, blood, stool and urine
Primary Outcome Measures
NameTimeMethod
Haematological profile by blood dosage of monocytesDay 21

monocytes in Giga/L

Virological profileDay 21

Nasopharyngeal SARS-CoV-2 viral load at day 0 by RT-PCR (in log or ΔCT)

Biochemical profile by blood dosage of CRPDay 90

CRP in mg/l

Biochemical profile by blood dosage of TroponinDay 90

Troponin in µg/L

Biochemical profile by blood dosage of RAGEDay 21

RAGE (receptor of advanced end glycation products) by enzyme-linked immunosorbent assays in pg/mg total protein

Virological profile (serology)Day 21

SARS-CoV-2 serology by enzyme-linked immunosorbent assays or magnetic chemiluminescence enzyme immunoassay (IgG and IgM titers)

Immunological profile with blood level for markers of inflammationDay 21

markers on immune cell subpopulation by RT-PCR or flow cytometry in CT value or %

Biochemical profile by blood dosage of LDHDay 90

LDH in U/L

Biochemical profile by blood dosage of D-DimerDay 90

D-Dimer in µg/L

Haematological profile by blood dosage of leukocytesDay 90

leukocytes in Giga/L

Biochemical profile by blood dosage of ASAT/ALATDay 90

ASAT/ALAT in U/L

Biochemical profile by blood dosage of SUPARDay 21

SUPAR (soluble urokinase plasminogen activator receptor) by enzyme-linked immunosorbent assays in pg/mg total protein

Haematological profile by blood dosage of Mean corpuscular volumeDay 90

Mean corpuscular volume in fL

Haematological profile by blood dosage of activated partial thromboplastin timeDay 90

activated partial thromboplastin time in second/witness

Haematological profile by blood dosage of fibrinogenDay 90

fibrinogen in g/L

Immunological profile with blood level for markers of inflammation (cytokine)Day 21

cytokine panel by flow cytometry or enzyme-linked immunosorbent assay in pg/mL

Biochemical profile by blood dosage of LactateDay 90

Lactate in mg/l

Haematological profile by blood dosage of Red blood cellsDay 90

Red blood cells in Tera/L

Haematological profile by blood dosage of average corpuscular concentration of haemoglobinDay 90

Average corpuscular concentration of haemoglobin in g/dL

Biochemical profile by blood dosage of FerritinDay 21

Ferritin in µg/L

Haematological profile by blood dosage of Mean corpuscular hemoglobinDay 90

Mean corpuscular hemoglobin in pg

Haematological profile by blood dosage of polynuclear basophilsDay 90

polynuclear basophils in Giga/L

Haematological profile by blood dosage of lymphocytesDay 90

lymphocytes in Giga/L

Haematological profile by blood dosage of HemoglobinDay 90

Hemoglobin in g/dL

Haematological profile by blood dosage of HematocritDay 90

Hematocrit in %

Haematological profile by blood dosage of polynuclear neutrophilDay 90

polynuclear neutrophil in Giga/L

Haematological profile by blood dosage of factor VDay 90

factor V in %

Haematological profile by blood dosage of polynuclear eosinophilsDay 90

polynuclear eosinophils in Giga/L

Haematological profile by blood dosage of plateletsDay 90

platelets in Giga/L

Secondary Outcome Measures
NameTimeMethod
Insomniaday 90

Insomnia in terms of presence/absence

Comparison of viral sequencesDay 21

bioinformatic and statistical analyzes of viral sequences (arbitrary unit and p-values)

clinical exam (polypnea)day 90

polypnea in terms of presence/absence

Antibiotic treatmentday 90

Antibiotic treatment in terms of presence/absence with precision if necessary

SARS-CoV-2 salivary viral loadDay 21

RT-PCR SARS-CoV-2 on saliva in ΔCT value or log10 copies per mL

microbiota analysisDay 21

bioinformatic and statistical analyzes of microbiota (arbitrary unit and p-values)

environmental and societal factors (EPICE)Day 0

EPICE score (Assessment of precariousness and health inequalities in examination centers Health) at day 0 from 0 to 100

blood pressureday 90

Dysatolic/systolic blood pressure in mmHg

clinical exam (skin)day 90

Skin mottling in terms of presence/absence

Gastric protector treatmentday 90

Gastric protector treatment in terms of presence/absence with precision if necessary

Ageusiaday 90

Ageusia in terms of presence/absence

Respiratory complaintsday 90

Respiratory complaints in term of SRIpr score from 0 to 100

environmental and societal factors (SF-36)day 90

SF-36 score (quality of life by Gardenal O) from 0 to 100

oxygen saturationday 90

oxygen saturation in %

transmission rateday 21

Rate of viral transmission determine by bioinformatic and statistical analyzes in %

chillsday 90

chills in terms of presence/absence

environmental and societal factors (Physical activity)day 90

Physical activity score (by J. Ricci et L. Gagnon test for adults and ActiFitY test for children) from 0 to 100

denutritionday 90

denutrition in terms of presence/absence

Confusionday 90

Confusion in terms of presence/absence

Astheniaday 90

Asthenia in terms of presence/absence

body weightday 90

body weight in kg

Respiratory rateday 90

Respiratory rate per minute

cardiac frequencyday 90

cardiac frequency per minute

Steroidal anti-inflammatory treatmentday 90

Steroidal anti-inflammatory treatment in terms of presence/absence with precision if necessary

Anti-diabetic treatmentday 90

Anti-diabetic treatment in terms of presence/absence with precision if necessary

Myalgiaday 90

Myalgia in terms of presence/absence

Rhinitisday 90

Rhinitis in terms of presence/absence

environmental and societal factorsday 90

eating habits

lung damageday 90

Lung damage on auscultation in terms of presence/absence

lung evolutionday 90

CT san in terms of normal/abnormal (children and pregnant women not concerned)

body temperatureday 90

Body temperature in °C

Anorexiaday 90

Anorexia in terms of presence/absence

Anginaday 90

Angina in terms of presence/absence

prolonged viral sheddingbetween day 0 and day 21

Prolonged viral shedding evaluate by RT-PCR (CT value or log10 copies per mL)

Falls at homeday 90

Falls at home in terms of presence/absence

Trial Locations

Locations (1)

CHU de Clermont-Ferrand

🇫🇷

Clermont-Ferrand, France

© Copyright 2025. All Rights Reserved by MedPath