HIV-1 & Coronavirus-Coinfection in Europe: Morbidity & Risk Factors of COVID-19 in People Living With HIV

NCT ID: NCT05481216

Last Updated: 2025-03-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2598 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-29

Study Completion Date

2023-08-31

Brief Summary

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HIV CoCo is a European multi-centre, multi-country, retrospective, observational case-control study that will aim to describe clinical outcomes and identify risk factors for People Living With HIV (PLWHIV) who are co-infected with the SARS-CoV-2 coronavirus.

The study will address two central questions:

1. Is there a particular risk for COVID-19 in PLWHIV as compared to HIV seronegative control COVID-19 cases?
2. Are there particular factors, within the group of PLWHIV, which put them at risk for a more severe COVID-19 disease course?

The study will address these questions by recruiting patients co-infected with both HIV and SARS-CoV-2 and comparing them to two control groups - one group infected with SARS-CoV-2 only and another group infected with HIV only. Only deidentified, real-world retrospective data will be used for the study, collected as part of standard, routine clinical care.

Additionally, this study will also look to:

1. Describe the differences in the clinical manifestation of COVID-19 in PLWHIV compared to HIV seronegative controls
2. Describe the response to treatment, including supportive care and novel therapies against COVID-19, including antiviral or immunomodulatory therapy
3. Describe the co-morbidities in PLWHIV and controls with COVID-19
4. Compare the severity of COVID-19 between PLWHIV and the COVID-19 only controls at diagnosis and hospital admission.

Data will be collected about patient outcomes from COVID-19 (including hospitalisation for COVID-19, length of stay in hospital, critical care admission, ventilation/oxygenation requirements, and need for kidney replacement therapy), as well as pre-existing health conditions, and relevant blood results at COVID-19 diagnosis.

Detailed Description

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Conditions

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HIV-1-infection COVID-19

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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PLWHIV with COVID-19 cases

Patients who are at least 18 years of age with documented HIV-1 infection and confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021.

COVID-19

Intervention Type OTHER

Diagnosed with COVID-19 infection

HIV-1 infection

Intervention Type OTHER

Diagnosed with HIV-1 infection

PLWHIV without COVID-19 controls

Patients at least 18 years of age with documented HIV-1 infection.

HIV-1 infection

Intervention Type OTHER

Diagnosed with HIV-1 infection

HIV seronegative patients with COVID-19 controls

Patients at least 18 years of age with confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021.

COVID-19

Intervention Type OTHER

Diagnosed with COVID-19 infection

Interventions

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COVID-19

Diagnosed with COVID-19 infection

Intervention Type OTHER

HIV-1 infection

Diagnosed with HIV-1 infection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* • Cases (PLWHIV + COVID-19)

1. Any gender
2. At least 18 years of age
3. Documented HIV-1 infection
4. Confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021

* Controls (COVID-19)

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1. Any gender
2. At least 18 years of age
3. No documented HIV-1 infection
4. Confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021
5. Meet the matching criteria

For comparing PLWHIV \& COVID-19 versus HIV seronegative COVID-19 patients, a 1:1 matching will be performed according to the following criteria:

* Age (+/- 5 years)
* Sex
* Ethnicity (where available)
* Month of COVID-19 diagnosis (+/- 2 months)
* COVID-19 diagnosis inpatient OR
* COVID-19 diagnosis outpatient (ambulatory)
* Controls (PLWHIV)

1. Any gender
2. At least 18 years of age
3. Documented HIV-1 infection
4. No evidence of SARS-CoV-2 infection
5. Meet the matching criteria

For comparing PLWHIV \& COVID-19 versus PLWHIV without COVID-19, a 1:2 matching for similar risk of acquiring COVID-19 will be performed according to the following criteria:

* Age (+/- 5 years)
* Sex
* Ethnicity (where available)

Exclusion Criteria

For cases (PLWHIV + COVID-19) and for COVID-19 only controls:

* COVID-19 diagnosed based on clinical criteria
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role collaborator

NEAT ID Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Saint Pierre

Brussels, , Belgium

Site Status

Hôpital Européen Marseille

Marseille, , France

Site Status

Hôpital Saint Louis

Paris, , France

Site Status

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status

Hospital Clinic Barcelona

Barcelona, , Spain

Site Status

Hospital de la Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitari de Bellvitge

Barcelona, , Spain

Site Status

Hospital Universitario Basurto

Bilbao, , Spain

Site Status

Hospital General Universitario de Elche

Elche, , Spain

Site Status

Hospital Universitario San Pedro

Logroño, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, , Spain

Site Status

Bradford Teaching Hospitals NHS Foundation Trust

Bradford, , United Kingdom

Site Status

Southmead Hospital (North Bristol)

Bristol, , United Kingdom

Site Status

University Hospitals of Derby & Burton NHS Foundation Trust

Derby, , United Kingdom

Site Status

Brownlee Centre, Gartnavel General Hospital

Glasgow, , United Kingdom

Site Status

Barts Health (The Royal London Hospital)

London, , United Kingdom

Site Status

Chelsea & Westminster Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Royal Free London NHS Foundation Trust

London, , United Kingdom

Site Status

Countries

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Belgium France Netherlands Spain United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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303CoCo

Identifier Type: -

Identifier Source: org_study_id

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