- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07770022
Validation of Biomarkers for Long COVID in the LIINC Viral Immunopathogenesis and Persistence Repeat Donor Cohort (VIPER) (VIPER)
The purpose of this study is to better understand the biological changes associated with Long COVID and to identify laboratory tests (biomarkers) that may help diagnose the condition and measure how it changes over time. Researchers will enroll people with Long COVID as well as people who have fully recovered after COVID-19 infection.
Participants will provide health information and biological samples, such as blood, saliva, stool, and, for some participants, tissue biopsies. These samples will be used to study the biological processes involved in Long COVID and to support the development of new diagnostic tests that may improve future research, clinical trials, and patient care.
Przegląd badań
Status
Warunki
Szczegółowy opis
The lack of a biomarker for Long COVID (LC) is the single biggest obstacle to the development of a cure for this disabling infection-associated chronic condition (IACC). Development of biomarkers to date has been sluggish and uncoordinated, in part due to the lack of resources invested in this effort and in part due to the lack of a central biospecimen collection, distribution, and analytic resource to support the work of laboratories who are developing compelling assays for this condition using novel technologies. Currently, the work of assay development is highly siloed - individual laboratories working with relatively small numbers of samples from participants from individual cohorts with a variable degree of clinical phenotyping are developing individual assays that have not been robustly validated or compared head-to-head with similar assays. The result has been a lack of progress in advancing Long COVID diagnostics, which in turn has limited the development of Long COVID treatments and ultimately a cure.
The UCSF Viral Immunology and Persistence Repeat Donor Cohort (VIPER) program aims to address these challenges by serving as a central, gold-standard resource to support the development of biomarkers for Long COVID. Developed within the UCSF Long-term Impact of Infection with Novel Coronavirus (LIINC) research program (UCSF IRB # 20-30479) - one of the most highly visible and productive Long COVID studies in the world - VIPER will enroll and deeply phenotype individuals with well-defined Long COVID as well as those who have fully recovered from SARS-CoV-2 infection. All participants will undergo a combination of non-invasive (blood, saliva, stool) and invasive (tissue biopsy) sampling using established procedures, with collection of ample amounts of biological specimens to support downstream biomarker development. VIPER specimens will be centrally housed and distributed to collaborating laboratories, who while blinded to the characteristics of the participants will generate measurements that are shared with a central data core for analysis. This will enable the determination of how each assay performs relative to both clinical and laboratory "gold standards" and how each assay performs relative to each other.
Following the identification and validation of these biomarkers, this program will also determine how these tests can be used to assess eligibility and outcomes in LC trials. Ultimately, the goal of VIPER is to promote the development of biomarker tests that can be utilized in the clinic setting to identify those who are likely to benefit from therapeutics targeting each of the mechanisms of Long COVID.
Typ studiów
Zapisy (Szacowany)
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: VIPER Study UCSF
- Numer telefonu: (415) 502-2449
- E-mail: VIPERStudy@ucsf.edu
Kopia zapasowa kontaktu do badania
- Nazwa: Lynn Ngo, MPH
- Numer telefonu: (415) 322-8432
- E-mail: Lynn.Ngo@ucsf.edu
Lokalizacje studiów
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California
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San Francisco, California, Stany Zjednoczone, 94110
- Rekrutacyjny
- Zuckerberg San Francisco General Hospital
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Kontakt:
- Lynn Ngo, MPH
- Numer telefonu: (415) 322-8432
- E-mail: Lynn.Ngo@ucsf.edu
-
Główny śledczy:
- Michael Peluso
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Metoda próbkowania
Badana populacja
Opis
Inclusion Criteria:
- Willing and able to provide written informed consent, and
- Age >/= 18 years, and
- Either:
History of a SARS-CoV-2 infection resulting in Long COVID symptoms, confirmed by the investigator, or
Exposure to SARS-CoV-2 without establishment of Long COVID.
- Enrolled or willing to enroll and complete at least 1 visit in the UCSF Long-term Impact of Infection with Novel Coronavirus (LIINC).
- Enrolled or willing to be referred for a gut biopsy procedure under related IRB-approved protocols.
Exclusion Criteria:
- Self-reported or documented chronic anemia with hemoglobin < 9 g/dL. Anemia during a preceding acute illness will not be exclusionary.
- Serious medical or psychiatric illness that, in the opinion of the site investigator, would interfere with the ability to adhere to study requirements or to give informed consent.
- Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
Kohorty i interwencje
Grupa / Kohorta |
|---|
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Long COVID
People experiencing Long COVID symptoms
|
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Recovered
People who have fully recovered from their COVID infection(s)
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Seks uczestnika
Ramy czasowe: Wizyta podstawowa
|
Odsetek mężczyzn i kobiet uczestniczących w wizycie podstawowej.
|
Wizyta podstawowa
|
|
Participant age
Ramy czasowe: Baseline visit
|
The median age of study participants at enrollment
|
Baseline visit
|
|
Participant race/ethnicity
Ramy czasowe: Baseline visit
|
The proportion of participants from each demographic group
|
Baseline visit
|
|
Proportion of participants previously hospitalized
Ramy czasowe: Baseline visit
|
The proportion of participants who were previously hospitalized
|
Baseline visit
|
|
Colonoscopy Completed
Ramy czasowe: Baseline visit
|
The proportion of participants completing a research colonoscopy for the study
|
Baseline visit
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Protocol complete
Ramy czasowe: Up to 6 weeks from baseline
|
The proportion of enrolled participants who complete all study activities
|
Up to 6 weeks from baseline
|
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Long COVID Symptom Assessment
Ramy czasowe: Screening, baseline, and up to 6 weeks
|
Participant-reported assessment for presence and severity of persistent post-COVID-19 symptoms
|
Screening, baseline, and up to 6 weeks
|
|
Qualify of Life Assessment (Global Health Score)
Ramy czasowe: Screening, baseline, and up to 6 weeks
|
Measure of overall health-related quality of life
|
Screening, baseline, and up to 6 weeks
|
|
Mental Health Symptom Assessment
Ramy czasowe: Screening visit
|
An instrument such as the PHQ-9 will be used to assess participants' overall mental health status.
These will include questions about anxiety and depression, independent of Long COVID association.
|
Screening visit
|
|
Cognitive Symptom Assessment
Ramy czasowe: Screening visit
|
An instrument such as the Everyday Cognition survey will be used to asses perceived changes in everyday cognitive function across domains compared to participants' pre-COVID baselines.
|
Screening visit
|
|
Fatigue Symptom Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
An instrument such as the FACIT-Fatigue will be used to assess fatigue severity and its impact on daily activities.
|
Baseline and up to 6 weeks
|
|
Gastrointestinal Symptom Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
An instrument such as the Modified Gastrointestinal Symptom Rating Scale (GSRS) will be used to assess the severity of gastrointestinal symptoms across multiple symptom domains.
|
Baseline and up to 6 weeks
|
|
Neurocognitive Function Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
A computer-based neurocognitive test such as CNS Vital Signs will be used to assess cognitive function across multiple domains including memory, attention, psychomotor speed, and executive function.
|
Baseline and up to 6 weeks
|
|
Physical Function Symptom Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
An instrument such as the PROMIS Physical Function will be used to assess participants' ability to perform physical activities of daily living.
|
Baseline and up to 6 weeks
|
|
Autonomic Symptom Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
A questionnaire such as the COMPASS-31 or Orthostatic Hypotension Questionnaire (OHQ) will be used to assess autonomic nervous system symptoms across symptom domains.
|
Baseline and up to 6 weeks
|
|
Post-Exertional Malaise Symptom Assessment
Ramy czasowe: Baseline and up to 6 weeks
|
An instrument such as the DSQ-PEM will be used to assess the severity of post-exertional malaise
|
Baseline and up to 6 weeks
|
|
Grip Strength Test
Ramy czasowe: Up to 6 weeks from baseline
|
Objective measure of hand grip strength using a hand dynamometer
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Up to 6 weeks from baseline
|
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30-Second Sit-to-Stand Test
Ramy czasowe: Up to 6 weeks from baseline
|
Objective performance test measuring the number of full stands from a seated position completed in 30 seconds
|
Up to 6 weeks from baseline
|
|
Active Standing Test
Ramy czasowe: Up to 6 weeks from baseline
|
Objective measurement of changes in heart rate and blood pressure upon transition from lying/sitting to standing
|
Up to 6 weeks from baseline
|
Współpracownicy i badacze
Współpracownicy
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Zaburzenia poinfekcyjne
- COVID-19
- Procesy patologiczne
- Przewlekła choroba
- Atrybuty choroby
- Infekcje dróg oddechowych
- Infekcje
- Zakażenia wirusem RNA
- Choroby wirusowe
- Choroby Układu Oddechowego
- Choroby płuc
- Zapalenie płuc, wirusowe
- Zapalenie płuc
- Zakażenia koronawirusem
- Zakażenia Coronaviridae
- Infekcje Nidovirales
- Stany patologiczne, oznaki i objawy
- Zespół po ostrym COVID-19
Inne numery identyfikacyjne badania
- 25-45159
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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