COVID-19 in Baselland: Investigation and Validation of Serological Diagnostic Assays and Epidemiological Study of Sars-CoV-2 Specific Antibody Responses

NCT ID: NCT04483908

Last Updated: 2022-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

477 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-10

Study Completion Date

2021-12-31

Brief Summary

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The study is to investigate the antibody response in the blood and saliva of people with a known COVID-19 infection in the canton of Baselland.

Detailed Description

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This study is to analyse the antibody response in the blood and saliva of people with a known COVID-19 infection in the canton of Baselland.

The study aims to validate strategies to measure antibody levels with minimal intervention and to explore the antibody response and technical capacity for said measurement. The study will collect the minimally necessary samples to deduce a strategy for serum or saliva surveillance of the population of the canton Baselland. To achieve this, the study is designed to address the following points:

* determine specificity, sensitivity and general utility of point of care (POC) and ELISA tests to deduce a strategy for serum surveillance of the population of the canton Baselland
* especially validate different POC kits in regard of their use for continuous surveillance
* gain an understanding of seroconversion and antibody levels of patients and survivors
* gain an understanding of the individual antibody and T-cell repertoire of patients and survivors
* study whether patterns of convergent antibody evolution is generated in the surviving population or whether the diseases survivors generated an antibody pool recognizing a specific epitope
* develop the technology to correlate blood antibody levels with levels detected in the saliva
* develop high throughput technologies for the precise detection of immune cell Repertoire and binding epitopes

Conditions

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COVID-19 Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort 1

Disease survivors with a positive polymerase chain reaction (PCR) test \> 12days (d) ago and no symptoms (\~250 participants).

Cohort 1 \& 2 are supposed to have an antibody response to different levels and should provide ability to deduce the detection limit, and estimate the true positive and false negative rates of both ELISA and POC assays.

blood draw

Intervention Type DIAGNOSTIC_TEST

2x 10ml of blood, one vial to obtain the antibodies and one vial in ethylenediaminetetraacetic acid (EDTA) (or citrate-treated) to obtain peripheral blood mononuclear cells (PBMCs)

fingertip tests for POC assays

Intervention Type DIAGNOSTIC_TEST

performing POC test by taking two blood drops from the fingertip

saliva collection

Intervention Type DIAGNOSTIC_TEST

saliva collection: the patient delivers saliva into an adsorbent filter, which is placed in the Salivette tube, centrifuged at 1,600x g for 15 min at 4°C to remove cells and debris. Native supernatant is used for testing.

Cohort 2

Disease survivors with a positive PCR test 7 - 12d ago and no symptoms (\~100 participants).

Cohort 1 \& 2 are supposed to have an antibody response to different levels and should provide ability to deduce the detection limit, and estimate the true positive and false negative rates of both ELISA and POC assays.

blood draw

Intervention Type DIAGNOSTIC_TEST

2x 10ml of blood, one vial to obtain the antibodies and one vial in ethylenediaminetetraacetic acid (EDTA) (or citrate-treated) to obtain peripheral blood mononuclear cells (PBMCs)

fingertip tests for POC assays

Intervention Type DIAGNOSTIC_TEST

performing POC test by taking two blood drops from the fingertip

saliva collection

Intervention Type DIAGNOSTIC_TEST

saliva collection: the patient delivers saliva into an adsorbent filter, which is placed in the Salivette tube, centrifuged at 1,600x g for 15 min at 4°C to remove cells and debris. Native supernatant is used for testing.

Cohort 3

Subjects with PCR negative test \> 5d (\~100 participants). Cohort 3 \& 4 are the control groups. They are supposed to not have an antibody response for COVID-19 and should therefore help estimate the true negative and false positive rates.

blood draw

Intervention Type DIAGNOSTIC_TEST

2x 10ml of blood, one vial to obtain the antibodies and one vial in ethylenediaminetetraacetic acid (EDTA) (or citrate-treated) to obtain peripheral blood mononuclear cells (PBMCs)

fingertip tests for POC assays

Intervention Type DIAGNOSTIC_TEST

performing POC test by taking two blood drops from the fingertip

saliva collection

Intervention Type DIAGNOSTIC_TEST

saliva collection: the patient delivers saliva into an adsorbent filter, which is placed in the Salivette tube, centrifuged at 1,600x g for 15 min at 4°C to remove cells and debris. Native supernatant is used for testing.

collection of swabs

Intervention Type DIAGNOSTIC_TEST

collection of nasopharyngeal and oropharyngeal swabs for PCR testing on the control group (eg negative subpopulation)

Cohort 4

Anonymised blood sera from the "Serumbank" at the Kantonsspital Basel-Land (KSBL) taken during last years influenza period (\~100 participants).

Cohort 3 \& 4 are the control groups. They are supposed to not have an antibody response for COVID-19 and should therefore help estimate the true negative and false positive rates.

blood draw

Intervention Type DIAGNOSTIC_TEST

2x 10ml of blood, one vial to obtain the antibodies and one vial in ethylenediaminetetraacetic acid (EDTA) (or citrate-treated) to obtain peripheral blood mononuclear cells (PBMCs)

Interventions

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blood draw

2x 10ml of blood, one vial to obtain the antibodies and one vial in ethylenediaminetetraacetic acid (EDTA) (or citrate-treated) to obtain peripheral blood mononuclear cells (PBMCs)

Intervention Type DIAGNOSTIC_TEST

fingertip tests for POC assays

performing POC test by taking two blood drops from the fingertip

Intervention Type DIAGNOSTIC_TEST

saliva collection

saliva collection: the patient delivers saliva into an adsorbent filter, which is placed in the Salivette tube, centrifuged at 1,600x g for 15 min at 4°C to remove cells and debris. Native supernatant is used for testing.

Intervention Type DIAGNOSTIC_TEST

collection of swabs

collection of nasopharyngeal and oropharyngeal swabs for PCR testing on the control group (eg negative subpopulation)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* tested positive for COVID-19 in Baselland
* tested negative for COVID-19 in Baselland. Specifically, needed to show symptoms to be able to deduce cross reactivities.

Exclusion Criteria

* continuous steroid therapy / chemotherapy / immunsuppressiva
* subject is treated for cancer
* severe autoimmune disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ETH Zurich (Switzerland)

OTHER

Sponsor Role collaborator

Health Department of the Canton of Basel-Stadt

OTHER_GOV

Sponsor Role collaborator

University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Miodrag Savic, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Department of Health, Economics and Health Directorate Canton Basel-Land

Locations

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Department of Health, Economics and Health Directorate Canton Basel-Land

Liestal, , Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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BASEC Project-ID 2020-00816

Identifier Type: -

Identifier Source: org_study_id

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