NCT04445233

Brief Summary

This study will test and follow persons quarantined at home after testing positive for SARS-CoV-2 (COV) aged 18 years and older and their household members aged 1 year and older. The purpose of this research study is to understand how often COVID-19 (Coronavirus Disease 2019) spreads in the household when someone who tests positive for the virus self-isolates at home. The purpose of the extension part of the study is to help us understand long-term immunity to COVID-19. We are interested in how our immune system might still protect us from COVID-19 even after antibody levels decrease or are no longer detected. We are also interested in how immunity to COVID-19 is different in kids vs. adults.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
315

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 29, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

June 22, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 24, 2020

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2021

Completed
Last Updated

April 27, 2022

Status Verified

April 1, 2022

Enrollment Period

1.3 years

First QC Date

June 22, 2020

Last Update Submit

April 19, 2022

Conditions

Keywords

HouseholdCOVID-19CoronavirusInfectionTransmissionSARS-CoV-2NasopharyngealNasal Swabs

Outcome Measures

Primary Outcomes (2)

  • Number of Households with New SARS-CoV-2 Infection by Day 28

    Secondary household infection rate

    28 days

  • Risk Factors Associated with Secondary Household Transmission

    Secondary household infection rate risk factors

    28 days

Secondary Outcomes (1)

  • Number of Self-Swab Tests vs. NP Swabs at Day 1 with Detectable Viral Load

    1 day

Study Arms (2)

COV Participants

COVID-positive index cases (COV): Participants who are greater than or equal to 18 years of age who test positive for COVID-19 by positive NP swab

Device: COVID-19 IgM-IgG Rapid Test

COV-HC Participants

Household contact of COVID-positive index case (COV-HC): Household contacts greater than 1 year of age currently living in the same home as the COVID-positive index case

Device: COVID-19 IgM-IgG Rapid Test

Interventions

Used to detect the IgG and IgM antibodies of the novel coronavirus in human whole blood (capillary or venous), serum, or plasma.

COV ParticipantsCOV-HC Participants

Eligibility Criteria

Age1 Year+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Men and women ≥ 18 years of age who are SARS-CoV-2 PCR positive undergoing home quarantine \& immediate household contacts, both male and female, ≥ 1 year of age will all be asked to participate in the study.

You may qualify if:

  • COVID-positive index cases (COV):
  • Any patient greater than or equal to18 years of age with a positive qualitative nasopharyngeal or nasal swab for SARS-CoV-2 obtained at UNC Hospitals or an outpatient clinic
  • COVID-19 diagnosis by positive NP swab
  • Willingness to self-isolate at home for a 14-day period
  • Living with at least one household contact who is also willing to consent to study follow-up
  • Living within reasonable driving distance (\<1 hour) suitable for home visits by study team
  • Household contact of COVID-positive index case (COV-HC):
  • Household contacts greater than 1 year of age currently living in the same home as the COVID-positive index case without plans to leave to live elsewhere through the end of the 28-day study.

You may not qualify if:

  • COVID-positive index cases (COV): None
  • Household contact of COVID-positive index case (COV-HC):
  • Previously participated in this study (as index case or household contact)
  • For the extension part of CO-HOST, study participants greater than 65 years of age who tested positive for acute SAR-CoV-2 infection by PCR or seroconversion (antibody status became positive) during their participation in the first month of the study, will be eligible. They will be excluded if they previously received immunologic therapy (i.e., exogenous anti-SARS-CoV-2 monoclonal antibodies) for COVID-19 infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of North Carolina Health Care

Chapel Hill, North Carolina, 27514, United States

Location

Biospecimen

Retention: SAMPLES WITH DNA

nasopharyngeal swabs, nasal swabs, nasal strips, blood samples, saliva samples

MeSH Terms

Conditions

COVID-19Coronavirus InfectionsInfections

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsVirus DiseasesCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Jessica Lin, MD, MSCR

    UNC-Chapel Hill

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2020

First Posted

June 24, 2020

Study Start

April 29, 2020

Primary Completion

September 1, 2021

Study Completion

September 1, 2021

Last Updated

April 27, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will share

De-identified individual data that supports the results will be shared beginning 12 to 24 months following publication provided the investigator/researcher who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.

Shared Documents
STUDY PROTOCOL
Time Frame
12-24 months after publication
Access Criteria
Investigators/researchers who propose to use study data will need to have IRB, IEC, or REB approval and an executed data use/sharing agreement with UNC.

Locations