Official Title
A Prospective Cohort Study to Assess Longitudinal Immune Responses in Hospitalized Patients With COVID-19 (DAIT-COVID-19-002)
Brief Title
Immunophenotyping Assessment in a COVID-19 Cohort
Protocol ID
NCT04378777
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Brief Summary
This surveillance study will collect detailed clinical, laboratory, and radiographic data
in coordination with biologic sampling of blood and respiratory secretions and viral
shedding in nasal secretions in order to identify immunophenotypic and genomic features
of COVID-19 -related susceptibility and/or progression. The aim: for the results obtained
from this study to assist in generating hypotheses for effective host-directed
therapeutic interventions, to help to prioritize proposals for such interventions, and/or
optimize timing for administration of host-response directed therapeutics.
Detailed Description
This is a prospective observational cohort surveillance study of up to 2,000 adult
participants hospitalized with known or presumptive COVID-19. Detailed information will
be collected regarding patient history and onset of illness upon enrollment. Participants
will undergo longitudinal assessments of clinical status and pertinent clinical data
(including clinical laboratory values, radiographic findings, medication use, oxygen and
ventilatory support requirements, complications, etc.) will be recorded. In parallel, the
study will conduct serial biologic sampling for detailed immunophenotyping to provide a
comprehensive picture of immune changes that occur throughout the course of infection.
The biologic samples to be collected for this observational study include blood, nasal
swabs, and endotracheal aspirates.
Participants will be followed in hospital through Day 28, unless discharged earlier. If a
participant requires an escalation to Intensive Care Unit (ICU)-level care, either within
or outside of a dedicated ICU, additional samples will be collected within 24 and 96
hours of care escalation. Convalescent questionnaires and biologic samples will be
collected at 3-month intervals up to Month 12 after infection symptom onset, if
available. In addition, if a participant is discharged from the hospital prior to Day 28,
attempts will be made to collect additional scheduled assessments through Day 28 on an
outpatient basis, if feasible.
Study Period
-
Enrollment Count
1,227 participants
Eligibility Criteria
Inclusion Criteria:
Individuals who meet all of the following criteria are eligible for enrollment as study
participants:
- Participant and/or surrogate understands the data to be collected and the study
procedures and is willing to participate in the surveillance cohort as described in
the study information sheet;
- ≥ 18 years of age at the time of hospitalization; and
- Admitted to a hospital with presumptive or documented coronavirus disease 2019
(COVID-19), with confirmation of Severe Acute Respiratory Syndrome Coronavirus-2
(SARS-CoV-2) infection by Polymerase Chain Reaction (PCR).
Exclusion Criteria:
Individuals who meet any of these criteria are not eligible for enrollment as study
participants:
- Underlying medical problems which, in the opinion of the investigator may be
associated with mortality unrelated to COVID-19 within 48 hours of hospitalization,
or a decision by the patient or surrogate prior to hospitalization to limit care to
comfort measures; or
- Medical problems or conditions such as pregnancy which might impact interpretation
of the immunologic data obtained.
Filters
Coronavirus Disease 2019 (COVID-19)
SARS-CoV-2
COMPLETED
ADULT
OLDER_ADULT