Screening of Cancer Patients to Assess Impact of COVID-19

Terminated

Brief Summary: The purpose of this study is to investigate the impact of COVID -19 in the cancer patient population. This will be done by looking at the rate of asymptomatic COVID-19 infection in cancer patients receiving cancer therapy, as well as their immune response.

This is a sub-study of the U-DEPLOY study: UHN Umbrella Trial Defining Coordinated Approach to Pandemic Trials of COVID-19 and Data Harmonization to Accelerate Discovery. U-DEPLOY helps to facilitate timely conduct of studies across the University Health Network (UHN) and other centers.

Detailed Description: Given increasing community transmission and the possibility of asymptomatic carriage of virus, it is important to study whether asymptomatic shedders of virus are playing a role in propagating the pandemic. There is currently little data available regarding cancer patients, yet, this population may be particularly susceptible to the COVID-19 infection.

Despite the cancer patient population being at higher risk of COVID-19, no systematic screening has been established and no biomarkers have been identified to determine which patient is at higher risk.

This study will screen patients on active cancer therapy for COVID-19 as a standard of care or a research nasopharyngeal test. Blood samples may also be taken to assess any patient response to the virus and optional saliva samples may also be taken to assess the feasibility of using patient saliva for detection of SARS-CoV-2 virus in patients with impaired saliva production (eg. secondary to cancer treatments such as radiation, chemotherapy, and/or surgery).

Recruitment & Eligibility

Inclusion Criteria

Patients having an active malignancy who are planned to start therapy within 6 weeks of consent or are receiving a treatment for active malignancy.
The patient falls under either of the following categories:
1. Asymptomatic for COVID-19 (as per daily screening at the hospital entrance).
2. Has symptoms similar to those of COVID-19 (e.g. fever or flu-like symptoms such as cough or shortness of breath) that are assessed by the overseeing Investigator as being related to disease and unrelated to COVID-19 infection.

Note: Patients who recovered from previous COVID-19 infection will be eligible.

Exclusion Criteria

Any patients with fever, or flu-like symptoms assessed by the Investigator to be related or potentially related to COVID-19 infection will not be eligible.
Eastern Cooperative Oncology Group (ECOG) Performance Status of 3-4

Arm && Interventions

Group	Intervention	Description
Nasopharyngeal (NP) swabs	Nasopharyngeal (NP) swab	NP swabs: * At the time of consent * 3-6 weeks after starting cancer treatment (for patients whose treatment has yet not started) or 3-6 weeks after first swab (for patients already on treatment) * 3 months after second swab * 6 months after second swab * 12 months after second swab

Primary Outcome Measures

Name	Time	Method
Rate of asymptomatic COVID-19 infection among cancer patients receiving cancer therapy	12 months

Secondary Outcome Measures

Name	Time	Method
Describe the clinical course of COVID-19 infection in cancer patients	12 months
Rate of sero-conversion in cancer patients	12 months

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