- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04262921
French COVID Cohort (FrenchCOVID)
Clinical Characterisation Protocol for Severe Emerging Infections
Infectious disease is the single biggest cause of death worldwide. New infectious agents, such as the SARS, MERS and other novel coronavirus, novel influenza viruses, viruses causing viral haemorrhagic fever (e.g. Ebola), and viruses that affect the central nervous system (CNS) such as TBEV & Nipah require investigation to understand pathogen biology and pathogenesis in the host. Even for known infections, resistance to antimicrobial therapies is widespread, and treatments to control potentially deleterious host responses are lacking.
In order to develop a mechanistic understanding of disease processes, such that risk factors for severe illness can be identified and treatments can be developed, it is necessary to understand pathogen characteristics associated with virulence, the replication dynamics and in-host evolution of the pathogen, the dynamics of the host response, the pharmacology of antimicrobial or host-directed therapies, the transmission dynamics, and factors underlying individual susceptibility.
The work proposed here may require sampling that will not immediately benefit the participants. It may also require analysis of the host genome, which may reveal other information about disease susceptibility or other aspects of health status.
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Agen, France
- CHG Agen
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Aix-en-Provence, France
- Centre Hospitalier du Pays d'Aix
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Amiens, France
- CHU Amiens
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Angers, France
- CHU Angers
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Annecy, France
- CH Annecy Genevois
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Antony, France
- Hôpital Privé d'Antony
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Ars-Laquenexy, France
- Hôpital de Mercy. CHR METZ-THIONVILLE
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Avignon, France
- Centre Hospitalier Henri Duffaut
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Besançon, France
- CHU Jean Minjoz
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Bobigny, France
- Hopital Avicenne AP-HP
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Bordeaux, France
- CHU Pellegrin
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Boulogne-Billancourt, France
- CHU Ambroise Pare
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Bourg-en-Bresse, France
- CH Fleyriat
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Bourgoin-Jallieu, France
- Centre Hospitalier Pierre Oudot
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Brest, France
- CHU Brest
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Brest, France
- CHRU Hôpital Cavale Blanche
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Bron, France
- Hospices Civils de Lyon
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Béziers, France
- Centre Hospitalier de Beziers
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Cahors, France
- CH Cahors
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Calais, France
- Centre Hospitalier J.E Techer
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Cayenne, France, 97306
- Centre Hospitalier Andrée Rosemon
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Chambéry, France
- Chms Chambery Nh
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Cholet, France
- Centre Hospitalier de Cholet
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Clermont-Ferrand, France
- Chu Gabriel Montpied
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Colmar, France
- CH Colmar - Hopital Pasteur
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Colombes, France
- Hôpital Louis Mourier
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Contamine-sur-Arve, France
- Centre Hospitalier Alpes Leman
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Créteil, France
- Hôpital Henri Mondor
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Créteil, France
- Centre Hospitalier Intercommunal de Creteil
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Dax, France
- Centre Hospitalier Dax
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Dijon, France
- CHU Dijon Bourgogne
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Fort De France, France
- CHU de Martinique
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Garches, France
- Hôpital Raymond Poincaré
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Grenoble, France
- CHU Grenoble
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Jossigny, France
- Grand Hopital de l'Est Francilien site Marne-la-Vallée
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La Roche-sur-Yon, France
- CHD les Oudairies
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Le Kremlin-Bicêtre, France
- Hôpital Universitaire Bicêtre
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Le Mans, France
- CH du Mans
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Le Puy-en-Velay, France
- Centre Hospitalier Emile Roux
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Lille, France
- Centre Hospitalier Universitaire de Lille
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Lille, France
- CHU de Lille
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Lille, France
- CHRU Lille, Hôpital Salengro
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Lyon, France
- Hopital de la Croix-Rousse
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Manosque, France
- Hôpital Louis Raffalli
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Marseille, France
- Hôpital Européen
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Marseille, France
- Hopital Conception
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Marseille, France
- Assistance publique hopitaux de Marseille, hopital Nord
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Melun, France
- Groupe Hospitalier Sud Ile de France
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Mont de Marsan, France
- CH de Mont Marsan
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Montivilliers, France
- Groupe Hospitalier du Havre
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Montpellier, France
- CHU Montpellier
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Nantes, France
- CHU Nantes
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Neuilly-sur-Seine, France
- Hôpital Américain de Paris
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Nice, France
- CHU de Nice
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Nîmes, France
- CHU Caremeau
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Paris, France
- Hôpital Saint Antoine
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Paris, France
- Hôpital Saint Louis
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Paris, France
- APHP Bichat
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Paris, France
- CH Lariboisière
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Paris, France
- Hôpital Européen Georges Pompidou
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Paris, France
- Groupe Hospitalier Diaconesses Croix Saint-Simon
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Paris, France
- La Pitié Salpêtrière
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Paris, France
- APHP Tenon
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Paris, France
- Hopital Cochin-CIC1417
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Pau, France
- Centre Hospitalier de Pau
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Perpignan, France
- CH de Perpignan
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Pierre-Bénite, France
- Hopital Lyon Sud-HCL
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Pointe À Pitre, France, 97159
- CHU de Pointe à Pitre
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Poitiers, France
- CHU de Poitiers
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Périgueux, France
- Centre Hospitalier de Périgueux
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Quimper, France
- CH Cornouaille
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Reims, France
- Chu Reims
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Rennes, France
- CHU Rennes Hôpital Sud
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Rennes, France
- Hôpital Pontchaillou
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Rouen, France
- CHU Rouen Normandie
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Rouen, France
- CHU Charles Nicole
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Saint denis, France, 97405
- CHU Réunion-Felix Guyon
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Saint-Mandé, France
- Hopital d'instruction des armées Begin 69
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Saint-Martin, France
- Centre hospitalier Louis Constant Fleming
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Saint-Pierre, France, 97448
- Groupe Hospitalier Sud Réunion
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Saint-Étienne, France
- CHU de Saint-Etienne
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Saintes, France
- CH de Saintonge
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Soissons, France
- Centre Hospitalier de Soissons
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Strasbourg, France
- N.H.C. - Nouvel Hopital Civil
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Suresnes, France
- Hôpital Foch
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Thionville, France
- CHR Metz-Thionville -Hopital Bel Air
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Thonon-les-Bains, France
- Hôpitaux du Léman
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Toulouse, France
- CHU de Toulouse
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Toulouse, France
- Centre Hospitalier Universitaire de Rangueil
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Toulouse, France
- CHU Toulouse IUCT Institut Universitaire de Cancer de Toulouse
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Toulouse, France
- CHU Toulouse Larrey
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Tourcoing, France
- Hôpital Gustave Dron
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Tours, France
- CHRU de TOURS
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Tours, France
- Centre Hospitalier Régional Universitaire de Tours
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Vandœuvre-lès-Nancy, France
- CHU Nancy
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Vannes, France
- Centre Hospitalier Bretagne Atlantique
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Villeneuve Saint Georges, France
- Centre Hospitalier Intercommunal
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Épagny, France
- CH Annecy Genevois
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
This study will enrol eligible patients (children and adults) with confirmed infection with SARS-CoV-2. Recruitment of patients with Day 1 (enrolment) data is the priority.
The patient's follow-up will be done strictly within the management adapted to his infection. No visits will be made specifically for research purposes. The organisation of convalescence visits is left to the discretion of each centre according to its post-hospitalisation patient follow-up procedures.
Additional biological samples will be collected when samples are taken in the context of care in order to meet the research objectives, with the exception of certain blood samples for pharmacokinetic analyses.
Description
Inclusion Criteria:
- Any patient admitted to a health care facility, with an infection confirmed by SARS-CoV-2 (virologically confirmed diagnosis by PCR).
Non inclusion criteria:
- Subject deprived of freedom, subject under a legal protective measure
- Refusal by participant, parent or appropriate representative.
Exclusion Criteria:
- Confirmed diagnosis of another pathogen than SARS-CoV-2 and no indication or likelihood of co-infection with SARS-CoV-2.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Clinical features
Time Frame: 18 months
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Describe the clinical features of the illness or syndrome (cardio-respiratory signs or symptoms, and laboratory results) and complications, and determinants of severity. Assessment daily for 15 days, then weekly until max 100 days, then 3 and 6 months. |
18 months
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Response to treatment
Time Frame: 18 months
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Describe the response to treatments (including supportive care and novel therapeutics) by clinical, biological, radiological and virological assessments. Assessment daily for 15 days, then weekly until max 100 days, then 3 and 6 months. |
18 months
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Pathogen replication, excretion and evolution, within the host
Time Frame: 18 months
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high-throughput sequencing of pathogen genomes obtained from respiratory tract, blood, urine, stool, CSF and other samples. Assessment on Day 1, Day 2, Day 3, Day 5, Day 7, Day 9, Day 11, Day 13, Day 15 then weekly until max 100 days, then 3 and 6 months. |
18 months
|
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Immune host responses to infection and therapy
Time Frame: 18 months
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Characterise the innate and acquired immune responses, circulating levels of immune signalling molecules and gene expression profiling in peripheral blood. Assessment on Day 1, Day 2, Day 3, Day 5, Day 7, Day 9, Day 11, Day 13, Day 15 then weekly until max 100 days, then 3 and 6 months. |
18 months
|
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Host genetic variants
Time Frame: Day 1
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Identify host genetic variants associated with disease progression or severity
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Day 1
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Collaborators and Investigators
Investigators
- Study Chair: Jade GHOSN, Assistance Publique - Hôpitaux de Paris
Publications and helpful links
General Publications
- Garcia L, Woudenberg T, Rosado J, Dyer AH, Donnadieu F, Planas D, Bruel T, Schwartz O, Prazuck T, Velay A, Fafi-Kremer S, Batten I, Reddy C, Connolly E, McElheron M, Kennelly SP, Bourke NM, White MT, Pelleau S. Kinetics of the SARS-CoV-2 Antibody Avidity Response Following Infection and Vaccination. Viruses. 2022 Jul 8;14(7):1491. doi: 10.3390/v14071491.
- Gault N, Esposito-Farese M, Revest M, Inamo J, Cabie A, Polard E, Hulot JS, Ghosn J, Chirouze C, Deconinck L, Diehl JL, Poissy J, Epaulard O, Lefevre B, Piroth L, De Montmollin E, Oziol E, Etienne M, Laouenan C, Rossignol P, Costagliola D, Vidal-Petiot E; French-Covid cohort investigators, study group. Chronic use of renin-angiotensin-aldosterone system blockers and mortality in COVID-19: A multicenter prospective cohort and literature review. Fundam Clin Pharmacol. 2021 Dec;35(6):1141-1158. doi: 10.1111/fcp.12683. Epub 2021 May 16.
- Buetti N, Wicky PH, Le Hingrat Q, Ruckly S, Mazzuchelli T, Loiodice A, Trimboli P, Forni Ogna V, de Montmollin E, Bernasconi E, Visseaux B, Timsit JF. SARS-CoV-2 detection in the lower respiratory tract of invasively ventilated ARDS patients. Crit Care. 2020 Oct 16;24(1):610. doi: 10.1186/s13054-020-03323-5.
- Bouadma L, Wiedemann A, Patrier J, Surenaud M, Wicky PH, Foucat E, Diehl JL, Hejblum BP, Sinnah F, de Montmollin E, Lacabaratz C, Thiebaut R, Timsit JF, Levy Y. Immune Alterations in a Patient with SARS-CoV-2-Related Acute Respiratory Distress Syndrome. J Clin Immunol. 2020 Nov;40(8):1082-1092. doi: 10.1007/s10875-020-00839-x. Epub 2020 Aug 22.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- C20-05
- 2020-A00256-33 (Registry Identifier: RCB ID)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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