NCT04348422

Brief Summary

The 2019-20 coronavirus disease, caused by COVID-19, is an ongoing pandemic. The measures in which public health officials quarantine confirmed and isolate symptomatic cases in order to reduce the spread COVID-19 is the common practice used in most countries. However, a significant question remains in regards to the asymptomatically infected individuals, which may propagate the virus and impede infection control. The other question to consider is whether these asymptomatic carriers develop an immune response or continue viral shedding. The purpose of the current study is the evaluate the immune response, i.e developing anti-SARS-CoV-2 antibodies in the asymptomatic cases, in a household study design. We plan to evaluate over 1000 patients with positive COVID-19 results and their households.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
214

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 13, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 16, 2020

Completed
15 days until next milestone

Study Start

First participant enrolled

May 1, 2020

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 2, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 2, 2022

Completed
Last Updated

April 21, 2026

Status Verified

April 1, 2026

Enrollment Period

1.8 years

First QC Date

April 13, 2020

Last Update Submit

April 16, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Proportion of symptomatic patients with immune response (IgM/IgG/IgA)

    The percentage of symptomatic patients who developed either IgM/IgG/IgA response within 100 days from COVID-19 Infection

    100 days

  • Proportion of Asymptomatic patients with immune response (IgM/IgG/IgA)

    The percentage of Asymptomatic patients who developed either IgM/IgG/IgA response within 100 days from COVID-19 Infection

    100 days

Secondary Outcomes (6)

  • Time to IgM

    Evaluated within a 100 days followup

  • Time to IgG

    Evaluated within a 100 days followup

  • Time to IgA

    Evaluated within a 100 days followup

  • Serology kits inter-observer agreement

    Evaluated within a 100 days followup

  • Proportion of symptomatic patients with immune response (IgM/IgG/IgA)- long term

    1 year

  • +1 more secondary outcomes

Study Arms (2)

Symptomatic

COVID-19 RT-PCR positive patients with reported symptoms

Diagnostic Test: COVID-19 RT-PCRDiagnostic Test: COVID-19 SerologyOther: Symptoms questionnare

Asymptomatic

COVID-19 RT-PCR positive patients without presenting any symptoms

Diagnostic Test: COVID-19 RT-PCRDiagnostic Test: COVID-19 SerologyOther: Symptoms questionnare

Interventions

COVID-19 RT-PCRDIAGNOSTIC_TEST

Nasoropharyngeal swabs for COVID-19 RT-PCR - initial screening/retest +every 10 days in 100 days followup period

AsymptomaticSymptomatic
COVID-19 SerologyDIAGNOSTIC_TEST

Blood samples for COVID-19 serology - initial screening/retest +every 10 days in 100 days followup period Each sample will be examined by 4-6 serology kits.

AsymptomaticSymptomatic

Symptoms questionnaire which will be filled by participant on initial screening/retest visit + every 10 days in 100 days followup period

AsymptomaticSymptomatic

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who were found positive in a clinical RT-PCR diagnostic test in the Shamir Medical Center and their households. Following a positive COVID-19 RT-PCR result in the Shamir medical center lab, the subject will be contacted by telephone and will be offered to participate in the study. Upon consent, medical staff will arrive to the subject's house and further explain the details of the study and ask for an informed consent of the subject and any of the households over 18 years old.

You may qualify if:

  • Positive COVID-19 RT-PCR to the subject or his/her household.
  • Over 18 years old
  • Ability to sign an informed consent

You may not qualify if:

  • Inability to sign an informed consent
  • Pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Assaf-Harofeh Medical Center

Ramla, 70300, Israel

Location

Related Publications (4)

  • Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet. 2020 Feb 29;395(10225):689-697. doi: 10.1016/S0140-6736(20)30260-9. Epub 2020 Jan 31.

    PMID: 32014114BACKGROUND
  • Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L, Wang M. Presumed Asymptomatic Carrier Transmission of COVID-19. JAMA. 2020 Apr 14;323(14):1406-1407. doi: 10.1001/jama.2020.2565.

    PMID: 32083643BACKGROUND
  • Mizumoto K, Kagaya K, Zarebski A, Chowell G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. Euro Surveill. 2020 Mar;25(10):2000180. doi: 10.2807/1560-7917.ES.2020.25.10.2000180.

    PMID: 32183930BACKGROUND
  • Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y, Wang X, Yuan J, Li T, Li J, Qian S, Hong C, Wang F, Liu Y, Wang Z, He Q, Li Z, He B, Zhang T, Fu Y, Ge S, Liu L, Zhang J, Xia N, Zhang Z. Antibody Responses to SARS-CoV-2 in Patients With Novel Coronavirus Disease 2019. Clin Infect Dis. 2020 Nov 19;71(16):2027-2034. doi: 10.1093/cid/ciaa344.

    PMID: 32221519BACKGROUND

Related Links

Biospecimen

Retention: SAMPLES WITHOUT DNA

Nasoropharyngeal swabs Blood samples for serology: IgM, IgG, IgA

MeSH Terms

Conditions

COVID-19

Interventions

COVID-19 Nucleic Acid TestingCOVID-19 Serological Testing

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

COVID-19 TestingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesSerologic TestsImmunologic TestsImmunologic Techniques

Study Officials

  • Shai Efrati, MD

    Head of Research and Development Unit

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of Research and Development Unit, Shamir Medical Center

Study Record Dates

First Submitted

April 13, 2020

First Posted

April 16, 2020

Study Start

May 1, 2020

Primary Completion

February 2, 2022

Study Completion

February 2, 2022

Last Updated

April 21, 2026

Record last verified: 2026-04

Locations