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临床试验/NCT04885452
NCT04885452已完成不适用

Prevention of COVID-19 Complications in High-risk Subjects Infected by SARS-CoV-2 and Eligible for Treatment Under a Cohort ATU ('Autorisation Temporaire d'Utilisation') or or Authorisation for Early Access (AAP). A Prospective Cohort.

ANRS, Emerging Infectious Diseases37 个研究点 分布在 1 个国家目标入组 756 人开始时间: 2021年9月21日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
756
试验地点
37
主要终点
Percentage of patients hospitalized (if the patient was outpatient) or whose hospitalization was extended for complications from COVID-19 within 1 month of symtoms' onset.

研究概览

简要总结

This is a prospective, multicentric, non comparative study aiming to evaluate the clinical and virological evolution of high-risk patients infected with SARS-CoV-2 treated withtin the framework of a cohort ATU ('Autorisation temporaire d'utilisation') or authorisation for early access (AAP) delivered by the French drug agency (ANSM).

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adults with the criteria for COVID-19 treatment within the French compassionate program (ATU/AAP)
  • Adults covered by the French social health coverage
  • Adults who signed the informed consent form

排除标准

  • Exclusion criteria described in the French compassionate program (ATU/AAP)
  • Patient participating in another biomedical research with an exclusion period ongoing at inclusion
  • Vulnerable patient (adults legally protected: under judicial protection, guardianship, or supervision, persons deprived of their liberty)
  • Pregnant or breastfeeding woman

结局指标

主要结局

Percentage of patients hospitalized (if the patient was outpatient) or whose hospitalization was extended for complications from COVID-19 within 1 month of symtoms' onset.

时间窗: Month 1

次要结局

  • Percentage of patients who died from COVID-19 complications and any other reason(Month 1)
  • Virological response(Day 7 for ambulatory patients, Day 3, 5 and 7 for hospitalized patients)
  • anti-S antibody level(Day 0 and Month 3)
  • Percentage of patients hospitalized whatever the reason(Month 1 and 3)
  • Percentage of patients staying in an Intensive Care Unit in the month following symptoms' onset(Month 1)
  • Virological criteria linked to the emergence of resistance(from inclusion until a negative PCR test or Ct ≥31 is obtained)
  • Percentage of patients with an WHO score >= 5(Month 1)
  • Percentage of patients presenting a adverse event and percentage of treatment discontinuation caused by those adverse events(Month 1)
  • Flow cytometry cartography of myeloid response(Day 0, 7 and Month 1)
  • Clinical and biological predictive factors (clinical parameters, treatment received, virological criteria (cycle threshold (CT), variants)) linked to the neutralizing serological response: non-response, duration of the response(from inclusion until the end of the follow-up (Month 1 or Month 3))
  • Time between first symptoms and treatment and the reasons for this delay(Day 0)
  • Percentage of patients with positive anti-N and anti-S serology(Day 0 and Month 3)
  • Dosing of a wide range of cytokines and chemokines (IFNalpha, IFNgamma, IL-6, IL-1, IL-8, IL-15, IL-18, IL1-RA, IL-7, IL-10, CXCL10, CXCL13, CCL2 and CCL3) using the Meso Scale Discovery approach(Day 0, 7 and Month 1)
  • Flow cytometry cartography of T-lymphocyte response(Day 0, 7 and Month 1)
  • Flow cytometry cartography of B-lymphocyte response(Day 0, 7 and Month 1)
  • Clinical and biological predictors (clinical parameters, treatment received, virological criteria (cycle threshold (CT), variants) of the onset of complications from COVID19, hospitalization, death(from inclusion until the end of the follow-up (Month 1 or Month 3))
  • Clinical and biological predictors (clinical parameters, treatment received, virological criteria) of viral response (viral genotypes, emergence of resistant strains)(from inclusion until the end of the follow-up (Month 1 or Month 3))

研究者

申办方类型
Other Gov
责任方
Sponsor

研究点 (37)

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