Trial Outcomes & Findings for Test to Stay in School: COVID-19 Testing Following Exposure in School Communities (NCT NCT05052580)

NCT ID: NCT05052580

Last Updated: 2023-11-27

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

4733 participants

Primary outcome timeframe

up to day 7 following a known COVID-19 exposure on day 0

Results posted on

2023-11-27

Participant Flow

Participant milestones

Participant milestones
Measure
COVID-19 Exposure Testing
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Overall Study
STARTED
4733
Overall Study
COMPLETED
3489
Overall Study
NOT COMPLETED
1244

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Age was not collected as part of this study.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
COVID-19 Exposure Testing
n=3489 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Sex/Gender, Customized
Female
1870 Participants
n=3489 Participants
Sex/Gender, Customized
Male
1609 Participants
n=3489 Participants
Sex/Gender, Customized
Prefer not to say
10 Participants
n=3489 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
383 Participants
n=3489 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3092 Participants
n=3489 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
14 Participants
n=3489 Participants
Race (NIH/OMB)
American Indian or Alaska Native
17 Participants
n=3489 Participants
Race (NIH/OMB)
Asian
66 Participants
n=3489 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
9 Participants
n=3489 Participants
Race (NIH/OMB)
Black or African American
422 Participants
n=3489 Participants
Race (NIH/OMB)
White
2780 Participants
n=3489 Participants
Race (NIH/OMB)
More than one race
152 Participants
n=3489 Participants
Race (NIH/OMB)
Unknown or Not Reported
43 Participants
n=3489 Participants
Region of Enrollment
United States
3489 Participants
n=3489 Participants

PRIMARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Student participants who were tested positive or had a negative follow-up test at day 5 or later, and completed follow-up.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3002 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Students With Positive COVID-19 Test Following Known Within-school Exposure.
285 Participants

PRIMARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Staff participants who were tested positive or had a negative follow-up test at day 5 or later, and completed follow-up.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=250 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Staff With Positive COVID-19 Tests Following Known Within-school Exposure.
38 Participants

PRIMARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Exposed participants (as measured by nurse report) undergoing the test-to-stay protocol.

Exposures That Result in Additional Transmission (TAR = # of positives in TTS close contacts, out of all TTS close contacts)

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=409 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Exposed Participants (as Measured by Nurse Report) Undergoing the Test-to-stay Protocol That Result in Additional Transmission.
29 Participants

PRIMARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Positive student and staff participants.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=323 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Time (in Days) to Test Positivity (Reported as a Mean) Among Those Exposed to SARS-CoV-2 and Undergoing the Test-to-stay Protocol.
3.39 Days
Interval 0.0 to 10.0

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Masked student participants.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3161 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Masked Students Who Were Exposed From Masked Versus Unmasked Individuals.
COVID-19 Positive - Masked
10 Participants
Number of Masked Students Who Were Exposed From Masked Versus Unmasked Individuals.
COVID-19 Positive - Unmasked
5 Participants
Number of Masked Students Who Were Exposed From Masked Versus Unmasked Individuals.
COVID-19 Negative
3146 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Masked staff participants.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=356 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Masked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Masked
1 Participants
Number of Masked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Unmasked
1 Participants
Number of Masked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Negative
354 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Unmasked student participants.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3161 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Unmasked Students Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Masked
15 Participants
Number of Unmasked Students Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Unmasked
254 Participants
Number of Unmasked Students Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Negative
2892 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Unmasked staff participants.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=356 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Unmasked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Masked
0 Participants
Number of Unmasked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Positive - Unmasked
54 Participants
Number of Unmasked Staff Who Were Exposed From Masked Compared to Unmasked Individuals.
COVID-19 Negative
302 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Student participants who were tested positive or had a negative follow-up test at day 5 or later, and completed follow-up.

Students With Positive COVID-19 Test After Indoor vs. Outdoor Exposure

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3161 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Students With Positive COVID-19 Test After Indoor vs. Outdoor Exposure.
COVID-19 Positive - Indoor
305 Participants
Number of Students With Positive COVID-19 Test After Indoor vs. Outdoor Exposure.
COVID-19 Positive - Outdoor
0 Participants
Number of Students With Positive COVID-19 Test After Indoor vs. Outdoor Exposure.
COVID-19 Negative
2856 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Student participants who were tested positive or had a negative follow-up test at day 5 or later, and completed follow-up.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3161 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Students With Positive COVID-19 Test After Athletic vs. Classroom Exposure.
COVID-19 Positive - Athletic Exposure
24 Participants
Number of Students With Positive COVID-19 Test After Athletic vs. Classroom Exposure.
COVID-19 Positive - Classroom Exposure
148 Participants
Number of Students With Positive COVID-19 Test After Athletic vs. Classroom Exposure.
COVID-19 Negative
2989 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Student participants who were tested positive or had a negative follow-up test at day 5 or later, and completed follow-up.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3161 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Number of Students With Positive COVID-19 Test After Bus vs. Classroom Exposure.
COVID-19 Negative
3012 Participants
Number of Students With Positive COVID-19 Test After Bus vs. Classroom Exposure.
COVID-19 Positive - Bus Exposure
1 Participants
Number of Students With Positive COVID-19 Test After Bus vs. Classroom Exposure.
COVID-19 Positive - Classroom Exposure
148 Participants

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Participants who missed school days due to symptoms after exposure.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=192 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Total Number of School Days Missed Due to Symptoms After Exposure, Reported as a Mean.
3.24737 Days
Interval 0.0 to 12.0

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Student participants who missed school days due to isolation after positive COVID-19 test.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=396 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Total Number of School Days Missed Due to Isolation After Positive COVID-19 Test, Reported as a Mean.
4.07888 Days
Interval 0.0 to 11.0

SECONDARY outcome

Timeframe: up to day 7 following a known COVID-19 exposure on day 0

Population: Participants who missed school days due to quarantine after SARS-CoV-2 exposure.

Outcome measures

Outcome measures
Measure
COVID-19 Exposure Testing
n=3036 Participants
COVID-19 Testing: Participants who consent to participate in this study will be tested at days 1, 3, 5, and 7 following a known COVID-19 exposure on day 0. If the COVID-19 tests are negative, the participant will remain in the school environment. A positive COVID-19 test or the development of symptoms on any day after exposure would require isolation according to school, local and state guidelines.
Total Number of School Days Missed Due to Quarantine After SARS-CoV-2 Exposure, Reported as a Mean.
0.56593 Days
Interval 0.0 to 7.0

Adverse Events

COVID-19 Exposure Testing

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Tara Mann, PhD, RN

Duke Clinical Research Institute

Phone: (919) 668-5111

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place