Immune Profiling of COVID19-patients Admitted to ICU
IMPROVISE
Immune Profiling of COVID-19-infected Patients Admitted to the Intensive Care Unit (ICU): the IMPROVISE Study
1 other identifier
observational
300
1 country
1
Brief Summary
SARS-CoV-2 is the novel coronavirus responsible for COVID-19, coronavirus disease 2019. This new coronavirus was first detected in Wuhan, China in late December 2019. According to WHO, the incidence rate of COVID-19 is prominent among adults and elderly people, reaching so far \>2 million cases globally. Meanwhile, confirmed death cases reached \>126 thousands of reported cases in 185 countries and still increasing. We anticipate that immunological differences among COVID19-infected patients might be a reason behind the variation of patient outcomes. Therefore, we intend to investigate cellular and humoral immune responses of COVID19-positive patients, and we claim to discover new indicators of patients' prognosis. Our target population includes three categories of patients staying at ICU, HMC (COVID19-positive vs. COVID19-negative vs. healthy control). Throughout their ICU stay, multiple blood samples will be screened for leukocytes surface markers, leukocytes' production of certain molecules, and circulating cytokines/chemokines/checkpoint inhibitors. Their plasma/serum will be used as well for immune proteomics, metabolomics, and other serological tests. Such parameters can provide the more comprehensive status of COVID19-infected patients at infection onset, during treatment intake, and at recovery or relapse stage. Following analysis, the main prospective outcome of this study is to identify the most reflective markers of COVID19-positive patients' outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2020
Typical duration for all trials
1 active site
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 27, 2020
CompletedFirst Submitted
Initial submission to the registry
July 15, 2020
CompletedFirst Posted
Study publicly available on registry
July 16, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2022
CompletedJuly 16, 2020
July 1, 2020
2.1 years
July 15, 2020
July 15, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
To create an immune profile for each COVID19-positive patient during their ICU stay
A descriptive analysis of the innate and adaptive immune cells (phenotypically and functionally), along with circulating pro- and anti-inflammatory cytokines, and the dynamic change of immune cells and cytokines throughout the first 4 weeks of the COVID-19 infection.
8 to 12 months
To correlate patients' immune profile to disease severity and patient's outcome
A correlative analysis of the immune cells and cytokines levels with the COVID-19 severity and with the patient's outcome following their stay at the ICU. An attempt to identify markers associated with the disease severity and predictive measures to the patient's outcome.
4 to 6 months
Study Arms (3)
COVID-19 positive
Inclusion criteria: 1. Male or female aged over 18 years 2. Admitted patients to ICU with a suspicious COVID19 infection 3. Tested positive for SARS-CoV-2 Exclusion criteria: 1. Burn and trauma 2. Any immunological diseases, or immunosuppressive medications 3. Other immune-related conditions (cancer, hematological malignancies, bone marrow diseases or transplant) Sample collection time points: 4 to 5 (day 1-3, day 7, day 14, day 21, discharge day from ICU -between day 30-60- if possible)
COVID-19 negative
Inclusion criteria: 1. Male or female aged over 18 years 2. Admitted patients to ICU 3. Tested negative for SARS-CoV-2 Exclusion criteria: 1. Burn and trauma 2. Any immunological diseases, or immunosuppressive medications 3. Other immune-related conditions (cancer, hematological malignancies, bone marrow diseases or transplant) Sample collection time points: 4 to 5 (day 1-3, day 7, day 14, day 21, discharge day from ICU -between day 30-60- if possible)
Heathy volunteers
Inclusion criteria: 1. Male or female aged over 18 years 2. Normal clinical examination Exclusion criteria: 1. Person with an infectious syndrome during the last 90 days 2. Extreme physical stress within the last week 3. Person receiving within the last 90 days, a treatment based on: antivirals; antibiotics; antiparasitics; antifungals; non-steroidal anti-inflammatory drugs; immunosuppressive therapy; corticosteroids; therapeutic antibodies; chemotherapy 4. Person with history of: innate or acquired immune deficiency; hematological disease; solid tumor; severe chronic disease; surgery or hospitalization within the last 2 years; pregnancy within the last year; participation to a phase I clinical assay during the last year; participation to a phase I clinical assay during the last year; pregnant or breastfeeding women; a person with restricted liberty or under legal protection Sample collection time points: 1 (day of blood sample donation)
Interventions
Only blood samples will be taken from participants for this study
Eligibility Criteria
In this study, we are targeting to enroll two categories of patients from ICU: 100 COVID19-positive patients, and 100 COVID19-negative patients. In addition to 100 healthy volunteers from the blood donation center.
You may qualify if:
- Admitted to ICU for suspicious COVID-19
- Signed consent form
You may not qualify if:
- Immuno-compromised or immuno-deficient patients
- Unsigned consent form
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hamad Medical Corporationlead
- Qatar Universitycollaborator
- Weill Cornell Medical College in Qatarcollaborator
Study Sites (1)
Hamad Medical Corporation
Doha, Qatar
Related Publications (1)
Bradic M, Taleb S, Thomas B, Chidiac O, Robay A, Hassan N, Malek J, Ait Hssain A, Abi Khalil C. DNA methylation predicts the outcome of COVID-19 patients with acute respiratory distress syndrome. J Transl Med. 2022 Nov 12;20(1):526. doi: 10.1186/s12967-022-03737-5.
PMID: 36371196DERIVED
Biospecimen
EDTA blood samples Yellow SST blood samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior consultant intensivist
Study Record Dates
First Submitted
July 15, 2020
First Posted
July 16, 2020
Study Start
April 27, 2020
Primary Completion
June 1, 2022
Study Completion
June 1, 2022
Last Updated
July 16, 2020
Record last verified: 2020-07