COVID-19NCT04813328
The Effect of Helminth Infection Plus COVID-19 Infection on the Immune Response and Intestinal Microorganisms
An observational study of COVID-19, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in India.
Trial summary
This is a pilot, cross-sectional, sample collection study to characterize the immune response and intestinal microorganisms in people with and without COVID-19 antibodies and helminth infection. Read more about this study
- Who is it for?
- Ages 5 years and olderHealthy volunteers can take part
- Conditions the study is for
- COVID-19
- How many people
- 1,500 participants
- Where
- 1 siteIndia
- Study dates
- 1 Jun 2021to Apr 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 5 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Eligible participants will be enrolled from households in the Tiruvallur district, Tamil Nadu, India. Villages and towns in the Tiruvallur district will be selected in consultation with the Department of Public Health, Tamil Nadu. Areas that are known hotspots for COVID-19 will be selected.
Who may be able to join
- Able to provide informed consent.
Who cannot join
- Poor venous access precluding venipuncture.
- History of any illness or condition which, in the investigator's judgment, may substantially increase the risk associated with the participant's participation in the protocol, or compromise the scientific objectives.
- Participants may be co-enrolled in other studies; however study staff should be notified of co-enrollment.
Trial locations and contacts
1 site in 1 country.
India1 site
National Institute for Research in Tuberculosis - International Centers for Excellence in Research (NIRT-ICER)
Chennai, Tamil Nadu
About this study
Official title: A Pilot Study of the Effects of Helminth Infection and SARS-CoV-2 Seropositivity on Immune Response and the Intestinal Microbiota in India
This is a pilot, cross-sectional, sample collection study to characterize the immune response and intestinal microorganisms in people with and without COVID-19 antibodies and helminth infection.
Read the detailed description
This is a pilot, cross-sectional, sample collection study to characterize the immune response and intestinal microbiota in people with and without SARS-CoV-1 antibodies and helminth infection.
A target sample size of 1500 participants aged 5 years or older will undergo a one-time blood and stool collection for SARS-CoV-2 antibody testing, diagnosis of parasitic infections, and experimental studies including transcriptomics (RNA) and microbiome (intestinal microorganisms) characterization. Participants willing to take part in the study will be selected from households in the Tiruvallur district, Tamil Nadu, India. Individual study participation involves a single study visit. Participants will be informed of the results of clinical testing and will be referred for medical care as appropriate.
- Conditions
- COVID-19
- Medical subject headings
- COVID-19
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with helminth infections
Measured by qPCR diagnostics of stool DNA extraction
Measured: Day 1
Number of participants with SARS-CoV-2 antibodies
Measured by real-time qPCR (quantitative polymerase chain reaction) assay
Measured: Day 1
Number of participants with positive malaria test
Measured by fingerprick blood samples
Measured: Day 1
Average Differential blood count
Measured from venipuncture blood samples
Measured: Day 1
Average Hematocrit levels
Measured from venipuncture blood samples
Measured: Day 1
Number of participants with latent tuberculosis infection
Measured by IFN-γ release assay
Measured: Day 1
Number of participants with Wuchereria bancrofti infection
Measured by enzyme-linked immunosorbent assay (ELISA)
Measured: Day 1
Number of participants with Strongyloides stercoralis infection
Measured by enzyme-linked immunosorbent assay (ELISA)
Measured: Day 1
Number of participants with Ascaris infection
Stool sample analysis DNA extraction for qPCR and 16S sequencing
Measured: Day 1
Number of participants with hookworm infection
Stool sample analysis DNA extraction for qPCR and 16S sequencing
Measured: Day 1
Number of participants with Strongyloides infection
Stool sample analysis using Baermann technique, DNA extraction for qPCR and 16S sequencing
Measured: Day 1
Number of participants with Trichuris infection
Stool sample analysis using DNA extraction for qPCR and 16S sequencing
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2021
- Study start1 Jun 2021
- Primary completionApr 2026 (estimated)
- Study completionApr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by National Institute of Allergy and Infectious Diseases (NIAID)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Enrolment
- 1,500 participants (estimated)
Sponsor and investigators
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Subash Babu, MBBS, PhD, Principal investigator, National Institute for Research in TuberculosisP'ng Loke, PhD, Principal investigator, National Institutes of Health (NIH)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04813328
- Sponsor's protocol ID
- SARS-CoV-2/helminth
- Status last verified
- Dec 2025
- First submitted
- 22 Mar 2021
- Last updated
- 18 Dec 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Ferris BF, Balasubramanian S, Rajamanickam A, Munisankar S, Dasan B, Menon PA, Loke P, Babu S, Chami GF. Relative contribution of biomedical, demographic, and socioeconomic factors to COVID-19 vaccine receipt in rural India. PLoS One. 2024 Jun 24;19(6):e0305819. doi: 10.1371/journal.pone.0305819. eCollection 2024.
PubMed 38913614Dasan B, Rajamanickam A, Pandiarajan AN, Shanmugam S, Nott S, Babu S. Immunological mechanisms of tuberculosis susceptibility in TB-infected individuals with type 2 diabetes mellitus: insights from mycobacterial growth inhibition assay and cytokine analysis. Microbiol Spectr. 2025 Jan 7;13(1):e0144524. doi: 10.1128/spectrum.01445-24. Epub 2024 Dec 10.
PubMed 39656000
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot Study of the Effects of Helminth Infection and SARS-CoV-2 Seropositivity on Immune Response and the Intestinal Microbiota in India
- ClinicalTrials.gov ID
- NCT04813328
- Acronym / sponsor ID
- SARS-CoV-2/helminth
- Conditions
- COVID-19
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,500 participants (estimated)
- Lead sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)US National Institutes of Health
- Study start
- 1 Jun 2021 (actual)
- Primary completion
- Apr 2026 (estimated)
- Study completion
- Apr 2026 (estimated)
- First posted
- 24 Mar 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a pilot, cross-sectional, sample collection study to characterize the immune response and intestinal microorganisms in people with and without COVID-19 antibodies and helminth infection.
Detailed description
This is a pilot, cross-sectional, sample collection study to characterize the immune response and intestinal microbiota in people with and without SARS-CoV-1 antibodies and helminth infection.
A target sample size of 1500 participants aged 5 years or older will undergo a one-time blood and stool collection for SARS-CoV-2 antibody testing, diagnosis of parasitic infections, and experimental studies including transcriptomics (RNA) and microbiome (intestinal microorganisms) characterization. Participants willing to take part in the study will be selected from households in the Tiruvallur district, Tamil Nadu, India. Individual study participation involves a single study visit. Participants will be informed of the results of clinical testing and will be referred for medical care as appropriate.
Study design
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 5 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Eligible participants will be enrolled from households in the Tiruvallur district, Tamil Nadu, India. Villages and towns in the Tiruvallur district will be selected in consultation with the Department of Public Health, Tamil Nadu. Areas that are known hotspots for COVID-19 will be selected.
Key inclusion criteria (1 listed)
- Able to provide informed consent.
Key exclusion criteria (3 listed)
- Poor venous access precluding venipuncture.
- History of any illness or condition which, in the investigator's judgment, may substantially increase the risk associated with the participant's participation in the protocol, or compromise the scientific objectives.
- Participants may be co-enrolled in other studies; however study staff should be notified of co-enrollment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Number of participants with helminth infections
Time frame: Day 1
Measured by qPCR diagnostics of stool DNA extraction
Number of participants with SARS-CoV-2 antibodies
Time frame: Day 1
Measured by real-time qPCR (quantitative polymerase chain reaction) assay
Number of participants with positive malaria test
Time frame: Day 1
Measured by fingerprick blood samples
Average Differential blood count
Time frame: Day 1
Measured from venipuncture blood samples
Average Hematocrit levels
Time frame: Day 1
Measured from venipuncture blood samples
Number of participants with latent tuberculosis infection
Time frame: Day 1
Measured by IFN-γ release assay
Number of participants with Wuchereria bancrofti infection
Time frame: Day 1
Measured by enzyme-linked immunosorbent assay (ELISA)
Number of participants with Strongyloides stercoralis infection
Time frame: Day 1
Measured by enzyme-linked immunosorbent assay (ELISA)
Number of participants with Ascaris infection
Time frame: Day 1
Stool sample analysis DNA extraction for qPCR and 16S sequencing
Number of participants with hookworm infection
Time frame: Day 1
Stool sample analysis DNA extraction for qPCR and 16S sequencing
Number of participants with Strongyloides infection
Time frame: Day 1
Stool sample analysis using Baermann technique, DNA extraction for qPCR and 16S sequencing
Number of participants with Trichuris infection
Time frame: Day 1
Stool sample analysis using DNA extraction for qPCR and 16S sequencing
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2025.
- Background: PubMed 38913614Ferris BF, Balasubramanian S, Rajamanickam A, Munisankar S, Dasan B, Menon PA, Loke P, Babu S, Chami GF. Relative contribution of biomedical, demographic, and socioeconomic factors to COVID-19 vaccine receipt in rural India. PLoS One. 2024 Jun 24;19(6):e0305819. doi: 10.1371/journal.pone.0305819. eCollection 2024.
- Derived from this study: PubMed 39656000Dasan B, Rajamanickam A, Pandiarajan AN, Shanmugam S, Nott S, Babu S. Immunological mechanisms of tuberculosis susceptibility in TB-infected individuals with type 2 diabetes mellitus: insights from mycobacterial growth inhibition assay and cytokine analysis. Microbiol Spectr. 2025 Jan 7;13(1):e0144524. doi: 10.1128/spectrum.01445-24. Epub 2024 Dec 10.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Subash Babu, MBBS, PhD principal investigator
National Institute for Research in Tuberculosis
P'ng Loke, PhD principal investigator
National Institutes of Health (NIH)
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of COVID-19, run by National Institute of Allergy and Infectious Diseases (NIAID) at 1 site in India.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 18 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of participants with helminth infections (time frame: Day 1). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04813328, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Dec 2025.