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Sars-CoV2IMMUNO-COVIDNCT04816760

Immune Cells Phenotypes During COVID-19

An observational study of Sars-CoV2 and Innate Immunity, run by Institut Hospitalo-Universitaire Méditerranée Infection at 2 sites in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The ongoing pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2) has infected more than one hundred twenty million peoples worldwide one year after its onset with a case-fatality rate of almost 2%. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Peripheral blood samples
How many people
100 participants
Where
2 sitesFrance
Study dates
25 Mar 2020to Dec 2021
Phase
Observational
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Patients presenting with a first episode of SARS CoV-2 pneumonia and requiring hospitalization either in a ward or an Intensive Care Unit will constitute the COVID-19 group. Healthy blood donors from the Etablissement Français du Sang (EFS) will constituted the control group

Who may be able to join

  • Age > 18 y
  • Laboratory confirmed SARS CoV-2 infection (positive RT-PCR).
  • Ground-glass opacity on chest computed-tomography
  • Time from hospital admission to inclusion < or equal to 72 h

Who cannot join

  • Pregnant
  • Under legal restriction

Trial locations and contacts

2 sites in 1 country.

Joana VITTE, MD, PhD contact

joana.vitte@ap-hm.fr

France2 sites, 2 recruiting
  • Hopital Europeen Marseille

    Marseille, 13003

    Jérôme ALLARDET-SERVENT, MD, 0413427450 ext. 33, j.allardetservent@hopital-europeen.fr

    Philippe HALFON, MD, PhD, 0413428120 ext. 33, philippe.halfon@alphabio.fr

    Recruiting
  • Hopital Nord

    Marseille, 13015

    Marc LEONE, MD, PhD, m.leone@aph-hm.fr

    Amélie MENARD, MD

    Recruiting

Other trials in France

About this study

Official title: Alterations of Innate and Adaptive Immune Cells During the Course of SARS CoV-2 Pneumonia

The ongoing pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2) has infected more than one hundred twenty million peoples worldwide one year after its onset with a case-fatality rate of almost 2%. The disease due to the coronavirus 2019 (i.e., COVID-19) is associated with a wide range of clinical symptoms. As the primary site of viral invasion is the upper respiratory airways, lung infection is the most common complication. Most infected patients are asymptomatic or experience mild or moderate form of the disease (80 %). A lower proportion (15%) develop severe pneumonia with variable level of hypoxia that may required hospitalization for oxygen therapy. In the most severe cases (5%), patients evolve towards critical illness with organ failure such as the acute respiratory distress syndrome (ARDS). At this stage, invasive mechanical ventilation is required in almost 70 % and the hospital mortality rises to 37 %.

Immune cells are key players during SARS CoV-2 infection and several alterations have been reported including lymphocytes (T, B and NK) and monocytes depletion, and cells exhaustion. Such alterations were much more pronounced in patients with the most severe form of the disease. Beside, a dysregulated proinflammatory response has also been pointed out as a potential mechanism of lung damage. Finally, COVID-19 is associated with an unexpectedly high incidence of thrombosis which probably results from the viral invasion of endothelial cells.

Read more

The investigators aim to explore prospectively the alterations of innate and adaptive immune cells during both the acute and the recovery phase of SARS CoV-2 pneumonia. Flow and Spectral cytometry will be used to perform deep subset profiling focusing on T, B, NK, NKT, gamma-gelta T, monocytes and dendritic cells. Each specific cell type will be further characterized using markers of activation/inhibition, maturation/differenciation and senescence as well as chemokines receptors.

T-cell memory specificity will be explore using specific SARS CoV-2 pentamer. Platelet activation and circulating microparticles will be explore using flow cytometry. Serum SARS CoV-2 antibodies (IgA, IgM, IgG), serum cytokines, and serum biomarkers of alveolar epithelial and endothelial cells will be analyze using ELISA and correlate with the severity of the disease.

Being tested
Peripheral blood samples
Medical subject headings
Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peripheral blood samplesBiological

    Peripheral blood samples at Day 0, Day 7, Day 14, Day 28, Day 90 and Day 180.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 0

  2. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 7

  3. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 14

  4. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 28

  5. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 90

  6. Profiling of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of cells population using spectral cytometry of PBMCs.

    Measured: Day 180

  7. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 0

  8. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 7

  9. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 14

  10. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 28

  11. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 90

  12. Functional state of innate and adaptive immune cells during SARS CoV-2 infection.

    Determination of the functional state of immune cells using spectral cytometry

    Measured: Day 180

  13. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 0

  14. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 7

  15. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 14

  16. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 28

  17. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 90

  18. Serum IgA, IgM and IgG antibodies during SARS CoV-2 infection.

    Measurement of serum SARS CoV-2 IgA, IgM and IgG antibodies using Elisa.

    Measured: Day 180

  19. Platelet activation and circulating microparticles assessment during SARS CoV-2 infection.

    Determination of platelet activation and circulating microparticles levels using flow cytometry.

    Measured: Day 0

  20. Platelet activation and circulating microparticles assessment during SARS CoV-2 infection.

    Determination of platelet activation and circulating microparticles levels using flow cytometry.

    Measured: Day 7

  21. Platelet activation and circulating microparticles assessment during SARS CoV-2 infection.

    Determination of platelet activation and circulating microparticles levels using flow cytometry.

    Measured: Day 14

  22. Platelet activation and circulating microparticles assessment during SARS CoV-2 infection.

    Determination of platelet activation and circulating microparticles levels using flow cytometry.

    Measured: Day 28

Secondary outcomes (22)
  1. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 0

  2. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 7

  3. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 14

  4. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 28

  5. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 90

  6. Serum concentration of Pro-inflammatory and Anti-inflammatory cytokines in response to SARS CoV-2 infection.

    Measurement of IL1β, IL-6, IL-10, IL-17A, IL-18, TNFα, IFNγ, CRTP-6 using Elisa.

    Measured: Day 180

  7. Serum alveolar epithelial and endothelial cells biomarkers during SARS CoV-2 infection.

    Measurement of KL-6, CC-16, S-RAGE, ANG-2 using ELISA.

    Measured: Day 0

  8. Serum alveolar epithelial and endothelial cells biomarkers during SARS CoV-2 infection.

    Measurement of KL-6, CC-16, S-RAGE, ANG-2 using ELISA.

    Measured: Day 7

  9. Serum alveolar epithelial and endothelial cells biomarkers during SARS CoV-2 infection.

    Measurement of KL-6, CC-16, S-RAGE, ANG-2 using ELISA.

    Measured: Day 14

  10. Serum alveolar epithelial and endothelial cells biomarkers during SARS CoV-2 infection.

    Measurement of KL-6, CC-16, S-RAGE, ANG-2 using ELISA.

    Measured: Day 28

  11. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 0

  12. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 1

  13. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 2

  14. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 3

  15. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 5

  16. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 7

  17. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 9

  18. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 11

  19. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 14

  20. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 17

  21. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 21

  22. Kinetic of surface biomarkers expression on neutrophils (C64) and monocytes (CD169, HLA-DR) during SARS CoV-2 infection.

    Measurement of nCD64, mCD169 and mHLA-DR using the VersaPOC one-step rapid flow cytometry method.

    Measured: Day 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2021
  2. Study start25 Mar 2020
  3. Primary completionJun 2021 (estimated)
  4. Study completionDec 2021 (estimated)

Resources

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
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04816760
Sponsor's protocol ID
2020-A00756-33
Acronym
IMMUNO-COVID
Status last verified
Mar 2021
First submitted
12 Feb 2021
Last updated
25 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020 Apr 7;323(13):1239-1242. doi: 10.1001/jama.2020.2648. No abstract available.

    PubMed 32091533
  • Kuri-Cervantes L, Pampena MB, Meng W, Rosenfeld AM, Ittner CAG, Weisman AR, Agyekum RS, Mathew D, Baxter AE, Vella LA, Kuthuru O, Apostolidis SA, Bershaw L, Dougherty J, Greenplate AR, Pattekar A, Kim J, Han N, Gouma S, Weirick ME, Arevalo CP, Bolton MJ, Goodwin EC, Anderson EM, Hensley SE, Jones TK, Mangalmurti NS, Luning Prak ET, Wherry EJ, Meyer NJ, Betts MR. Comprehensive mapping of immune perturbations associated with severe COVID-19. Sci Immunol. 2020 Jul 15;5(49):eabd7114. doi: 10.1126/sciimmunol.abd7114.

    PubMed 32669287
  • Giamarellos-Bourboulis EJ, Netea MG, Rovina N, Akinosoglou K, Antoniadou A, Antonakos N, Damoraki G, Gkavogianni T, Adami ME, Katsaounou P, Ntaganou M, Kyriakopoulou M, Dimopoulos G, Koutsodimitropoulos I, Velissaris D, Koufargyris P, Karageorgos A, Katrini K, Lekakis V, Lupse M, Kotsaki A, Renieris G, Theodoulou D, Panou V, Koukaki E, Koulouris N, Gogos C, Koutsoukou A. Complex Immune Dysregulation in COVID-19 Patients with Severe Respiratory Failure. Cell Host Microbe. 2020 Jun 10;27(6):992-1000.e3. doi: 10.1016/j.chom.2020.04.009. Epub 2020 Apr 21.

    PubMed 32320677
  • Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, Xie C, Ma K, Shang K, Wang W, Tian DS. Dysregulation of Immune Response in Patients With Coronavirus 2019 (COVID-19) in Wuhan, China. Clin Infect Dis. 2020 Jul 28;71(15):762-768. doi: 10.1093/cid/ciaa248.

    PubMed 32161940
  • Zheng M, Gao Y, Wang G, Song G, Liu S, Sun D, Xu Y, Tian Z. Functional exhaustion of antiviral lymphocytes in COVID-19 patients. Cell Mol Immunol. 2020 May;17(5):533-535. doi: 10.1038/s41423-020-0402-2. Epub 2020 Mar 19. No abstract available.

    PubMed 32203188
  • Hue S, Beldi-Ferchiou A, Bendib I, Surenaud M, Fourati S, Frapard T, Rivoal S, Razazi K, Carteaux G, Delfau-Larue MH, Mekontso-Dessap A, Audureau E, de Prost N. Uncontrolled Innate and Impaired Adaptive Immune Responses in Patients with COVID-19 Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2020 Dec 1;202(11):1509-1519. doi: 10.1164/rccm.202005-1885OC.

    PubMed 32866033
  • Ackermann M, Verleden SE, Kuehnel M, Haverich A, Welte T, Laenger F, Vanstapel A, Werlein C, Stark H, Tzankov A, Li WW, Li VW, Mentzer SJ, Jonigk D. Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19. N Engl J Med. 2020 Jul 9;383(2):120-128. doi: 10.1056/NEJMoa2015432. Epub 2020 May 21.

    PubMed 32437596
  • Gay L, Rouviere MS, Mezouar S, Richaud M, Gorvel L, Foucher E, La Scola B, Menard A, Allardet-Servent J, Halfon P, Frohna P, Cano C, Mege JL, Olive D. Vgamma9Vdelta2 T-cells Are Potent Inhibitors of SARS-CoV-2 Replication and Represent Effector Phenotypes in Patients With COVID-19. J Infect Dis. 2024 Jun 14;229(6):1759-1769. doi: 10.1093/infdis/jiae169.

    PubMed 38557809

Questions about this trial

What is this clinical trial studying?

An observational study of Sars-CoV2 and Innate Immunity, run by Institut Hospitalo-Universitaire Méditerranée Infection at 2 sites in France.

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 4 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 25 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in France. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Line MEDDEB (0413732347 ext. 33, line.meddeb@ap-hm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Profiling of innate and adaptive immune cells during SARS CoV-2 infection. (time frame: Day 0). The study lists 22 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 NCT04816760, which also lists 8 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 25 Mar 2021.

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