Mass Evaluation of Lateral Flow Immunoassays for the Detection of SARS-CoV-2 (Covid-19) Antibodies

NCT ID: NCT05148806

Last Updated: 2024-12-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

28411 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-07

Study Completion Date

2022-12-30

Brief Summary

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DESIGN Observational epidemiological study

AIMS - To determine:

1. The proportion of immunosuppressed people who have detectable SARS-CoV-2 antibodies following a primary vaccine course (3 doses), and the demographic, disease, and treatment characteristics that influence antibody status.
2. If the detection of antibodies inversely correlates with subsequent risk of severe acute respiratory syndrome coronavirus-2 infection and/or severity of disease in immunosuppressed people.

Detailed Description

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The aim of this proposal is to assess at a population level; 1) the proportion of immunosuppressed people who have detectable SARS-CoV-2 antibodies following a primary vaccine course (3 doses), and the sociodemographic, disease, and treatment characteristics that influence antibody status; 2) if the detection of antibodies inversely correlates with subsequent risk of SARS-CoV2 infection and/or severity of disease in immunosuppressed individuals.

The investigators aim to target patient groups least likely to mount an immune response to vaccination; a) solid organ transplant recipients; b) patients with a rare autoimmune disease c) patients with haematological malignancies, specifically lymphoid malignancies. The investigators will use comprehensive registries to identify and recruit patients from these groups, and utilise the existing linkages these registries already have to obtain COVID-19 outcome information.

The investigators hypothesise that a sizeable proportion of immunosuppressed people will have no detectable SARS-CoV-2 antibodies following a three vaccine doses, and that this cohort is particularly susceptible to SARS-CoV-2 infection and death.

Conditions

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Solid Organ Transplant Recipients Autoimmune Diseases Haematological Malignancies

Keywords

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Antibody testing SARS-COV-2 Covid-19 Immunosuppression solid organ transplant haematological malignancy blood cancer autoimmune disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Solid organ transplant patients

Patients who have received a solid organ transplant and who have received at least 3 doses of Covid-19 vaccine

self-administered lateral flow assays

Intervention Type DIAGNOSTIC_TEST

The lateral flow device to be used is the Fortress COVID-19 Total Antibody Device for the detection of IgM and IgG SARS-CoV-2 against the spike protein. The device has been evaluated for use in detecting anti-S in transplant patients and found to have a sensitivity of 92% and specificity of 95%.

Rare autoimmune diseases

Patients with a rare autoimmune disease who have received at least 3 doses of Covid-19 vaccine

self-administered lateral flow assays

Intervention Type DIAGNOSTIC_TEST

The lateral flow device to be used is the Fortress COVID-19 Total Antibody Device for the detection of IgM and IgG SARS-CoV-2 against the spike protein. The device has been evaluated for use in detecting anti-S in transplant patients and found to have a sensitivity of 92% and specificity of 95%.

Blood cancer

Patients with acute myeloid and lymphoid blood cancers who have received at least 3 doses of Covid-19 vaccine.

self-administered lateral flow assays

Intervention Type DIAGNOSTIC_TEST

The lateral flow device to be used is the Fortress COVID-19 Total Antibody Device for the detection of IgM and IgG SARS-CoV-2 against the spike protein. The device has been evaluated for use in detecting anti-S in transplant patients and found to have a sensitivity of 92% and specificity of 95%.

Interventions

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self-administered lateral flow assays

The lateral flow device to be used is the Fortress COVID-19 Total Antibody Device for the detection of IgM and IgG SARS-CoV-2 against the spike protein. The device has been evaluated for use in detecting anti-S in transplant patients and found to have a sensitivity of 92% and specificity of 95%.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Adults and young people over 12 years of age, and are classified as being part of one of the following patient groups:

1. A solid organ transplant recipient (n=12,000)
2. Patients with a rare autoimmune disease (n=12,000)
3. Patients with lymphoid malignancies (n=12,000) -

Exclusion Criteria

\-
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NHS Blood and Transplant

OTHER_GOV

Sponsor Role collaborator

IPSOS

INDUSTRY

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role collaborator

Nottingham University Hospitals NHS Trust

OTHER

Sponsor Role collaborator

Imperial College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michelle Willicombe, MBBS, MD

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Locations

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NHS Blood and Transplant

Bristol, , United Kingdom

Site Status

Imperial College

London, , United Kingdom

Site Status

Ipsos Mori

London, , United Kingdom

Site Status

National Disease Registration Service

London, , United Kingdom

Site Status

Countries

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United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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MR/W029200/1

Identifier Type: -

Identifier Source: org_study_id