Reduction of COVID 19 Transmission to Health Care Professionals

July 19, 2022 updated by: Hanane EL KENZ

When the COVID-19 virus infects a person, it enters the lung epithelial cells of its host and uses its genetic material to replicate.

The pulmonary epithelial cells of a part of the population, known as "secretors", are capable of expressing the antigens of the "ABO" system on their surface. This secretory status can be established by determining the antigens of the Lewis blood group system. When the virus replicates in an "secreting" individual, the antigens of the "ABO" system of the infected individual will be present on the surface of the viruses formed in his/her lungs.

It was shown in 2003 that the response of a given individual to the transmission of a virus depends on his/her blood group and on the antigens of the "ABO" system carried by the virus. A patient of group "O" would thus defend himself much better against a virus carrying antigens of blood group "A", the natural antibodies "anti-A" of the patient reducing the ability of the virus to bind to its specific receptor on pulmonary epithelial cells, to penetrate them to replicate itself. The first data collected in Wuhan (China) seems to confirm this hypothesis. A COVID-19 virus transmission model can therefore be established on the basis of blood groups.

In order to reduce the spread of the virus among nursing staff, it is possible to establish a preferential algorithm for patient management based on the "ABO" and "Lewis" blood groups of patients and "ABO" of nursing staff in health care units, if operational and human conditions allow.

Study Overview

Study Type

Interventional

Enrollment (Actual)

566

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Brussels, Belgium, 1020
        • CHU Brugmann

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • COVID19 positive patients admitted within the CHU Brugmann Hospital

Exclusion Criteria:

  • None

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Covid 19 positive patients
Determination of the blood group (ABO/LE)
Natural anti-A and anti-B antibody levels will be determined by a gel agglutination technique on the Biorad IH-500 automaton.
Experimental: Covid 19 negative patients
Determination of the blood group (ABO/LE)
Natural anti-A and anti-B antibody levels will be determined by a gel agglutination technique on the Biorad IH-500 automaton.
Experimental: Untested healthy volunteers
Determination of the blood group (ABO/LE)
Natural anti-A and anti-B antibody levels will be determined by a gel agglutination technique on the Biorad IH-500 automaton.
Administration of a probiotic to healthy volunteers to determine if it increases the level of circulating natural anti-A and anti-B antibodies (Probactiol Plus (Metagenics)).

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Anti-A antibody concentration
Time Frame: baseline
Anti-A antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
baseline
Anti-A antibody concentration
Time Frame: Day 4
Anti-A antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Day 4
Anti-A antibody concentration
Time Frame: Week 1
Anti-A antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 1
Anti-A antibody concentration
Time Frame: Week 2
Anti-A antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 2
Anti-A antibody concentration
Time Frame: Week 3
Anti-A antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 3
Anti-B antibody concentration
Time Frame: baseline
Anti-B antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
baseline
Anti-B antibody concentration
Time Frame: Day 4
Anti-B antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Day 4
Anti-B antibody concentration
Time Frame: Week 1
Anti-B antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 1
Anti-B antibody concentration
Time Frame: Week 2
Anti-B antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 2
Anti-B antibody concentration
Time Frame: Week 3
Anti-B antibody titration, as determined by gel agglutination on the Biorad IH-500 automated system.
Week 3
Blood group
Time Frame: baseline
Blood group (ABO/LE)
baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Hanane El Kenz, MD, CHU Brugmann

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 14, 2020

Primary Completion (Actual)

April 11, 2022

Study Completion (Actual)

April 11, 2022

Study Registration Dates

First Submitted

July 7, 2020

First Submitted That Met QC Criteria

July 7, 2020

First Posted (Actual)

July 8, 2020

Study Record Updates

Last Update Posted (Actual)

July 20, 2022

Last Update Submitted That Met QC Criteria

July 19, 2022

Last Verified

July 1, 2022

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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