The purpose of this study is to learn more about the acute response to infection with and recovery from the virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Some people know this virus by the name "coronavirus." It can cause the disease called COVID-19. The information gained from the study can be used to help develop better tests for SARS-CoV-2 infection and COVID-19 disease and may help in developing future vaccines, other prevention strategies, and treatments.
This is a prospective study of acute immune responses to SARSCoV-2 infection.
The study will include 3 groups, as described in the table below. Groups are defined based on
clinical status at enrollment, but for the purposes of data analysis, participants who
experience disease progression can contribute data to other cohorts.
Participants will complete six visits over 28 days followed by a health contact at Month 2
(one month after the last scheduled visit). Additional follow up visit(s) may be added over
time in response to evolving information regarding SARS-CoV-2 infection and COVID-19.
Study visits may include review of medical history; interviews/questionnaires; pregnancy
tests (for participants assigned female sex at birth); blood draws; nasal swab, nasal wash,
and saliva sample collection; and optional stool sample collection.
Other: Sample collection
blood, nasal swab, nasal wash, and saliva
optional stool swab
Inclusion Criteria:
- Age 18 years or older.
- Test result indicating presence of SARS-CoV-2 virus. Sites must have results from
assays that are approved as FDA-emergency use authorized or as standard-of-care by
other applicable regional governing bodies. For timing of testing, please see group
specific criteria below.
- Ability and willingness to provide informed consent.
- Willingness to have clinical research staff come to place of residence or hospital if
needed.
- Willingness to be followed for the planned duration of the study.
- Assessment of understanding: volunteer demonstrates understanding of this study.
- Agreement to allow access to medical records.
- Asymptomatic participants:
- No current symptoms.
- No symptoms consistent with COVID-19 within 2 weeks prior to positive test
according to the clinical judgement of the investigating clinician. Symptoms
include, but are not limited to, fever, headache, sore throat, cough, dyspnea,
rhinorrhea, diarrhea, myalgias, chills, and anosmia. Please refer to
https://www.cdc.gov/coronavirus/2019-ncov/symptomstesting/symptoms.html for the
current list of symptoms consistent with COVID-19.
- Positive SARS-CoV-2 RNA test or antigen test within six days prior to enrollment
(target time) up to 10 days prior to enrollment (upper allowable window).
- Symptomatic (non-hospitalized) participants:
- Onset of mild symptoms consistent with COVID-19 within 6 days prior to enrollment
(target time) up to 14 days prior to enrollment (upper allowable window).
Symptoms of COVID-19 to be determined by the clinical judgement of the
investigating clinician including-- but not limited to-- fever, headache, sore
throat, cough, dyspnea, rhinorrhea, diarrhea myalgias, chills, and anosmia.
Please refer to
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html for the
current list of symptoms consistent with COVID-19.
- Positive SARS-CoV-2 RNA test or antigen test within six days prior to enrollment
(target time) up to 10 days prior to enrollment (upper allowable window).
- Symptomatic (hospitalized) participants
- Participant hospitalized for COVID-19 within 3 days prior to enrollment (note:
there is no timeframe for either symptom onset or timing of SARS-CoV-2 PCR or
antigen testing for hospitalized participants)
Exclusion Criteria:
- Any medical, psychiatric, occupational, or other condition that, in the judgment of
the investigator, would interfere with, or serve as a contraindication to, protocol
adherence or a volunteer's ability to give informed consent.
Alabama CRS
Birmingham, Alabama, United States
Bridge HIV CRS
San Francisco, California, United States
University of Miami Infectious Disease Research Unit at Jackson Memorial Hospital CRS
Miami, Florida, United States
The Ponce de Leon Center CRS
Atlanta, Georgia, United States
The Hope Clinic of the Emory Vaccine Center CRS
Decatur, Georgia, United States
New Orleans Adolescent Trials Unit CRS
New Orleans, Louisiana, United States
Johns Hopkins University CRS
Baltimore, Maryland, United States
Brigham and Women's Hospital Vaccine CRS (BWH VCRS)
Boston, Massachusetts, United States
New Jersey Medical School Clinical Research Center CRS
Newark, New Jersey, United States
Columbia P&S CRS
New York, New York, United States
New York Blood Center CRS
New York, New York, United States
Chapel Hill CRS
Chapel Hill, North Carolina, United States
Case CRS
Cleveland, Ohio, United States
Penn Prevention CRS
Philadelphia, Pennsylvania, United States
Seattle Vaccine and Prevention CRS
Seattle, Washington, United States
Fundacion Huesped CRS
Buenos Aires, Argentina
Hospital General de Agudos JM Ramos Mejía CRS
Buenos Aires, Argentina
Gaborone CRS
Gaborone, Botswana
SOM Federal University Minas Gerais Brazil NICHD CRS
Belo Horizonte, Brazil
Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS
Rio de Janeiro, Brazil
Malawi CRS
Lilongwe, Malawi
Merida CRS
Mérida, Mexico
CITBM - UNIDEC, Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS
Bellavista, Peru
Asociacion Civil Selva Amazonica (ASCA) CRS
Iquitos, Peru
Barranco CRS
Lima, Peru
San Miguel CRS
Lima, Peru
Groote Schuur HIV CRS
Cape Town, South Africa
Khayelitsha CRS / (CIDRI UCT)
Cape Town, South Africa
Masiphumelele Clinical Research Site (MASI) CRS
Cape Town, South Africa
Chatsworth CRS
Chatsworth, South Africa
Botha's Hill CRS
Durban, South Africa
CAPRISA eThekwini CRS
Durban, South Africa
Vulindlela CRS
Durban, South Africa
Ndlovu Research Centre CoVPN CRS
Elandsdoorn, South Africa
Isipingo CRS
Isipingo, South Africa
Kliptown Soweto CRS
Johannesburg, South Africa
Soweto HVTN CRS
Johannesburg, South Africa
Aurum Institute Klerksdorp CRS
Klerksdorp, South Africa
Qhakaza Mbokodo Research Clinic CRS
Ladysmith, South Africa
MeCRU CRS
Medunsa, South Africa
Nelson Mandela Academic Research Unit CRS
Mthatha, South Africa
Rustenburg CRS
Rustenburg, South Africa
Setshaba Research Centre CRS
Soshanguve, South Africa
Tembisa Clinic 4 CoVPN CRS
Tembisa, South Africa
Tongaat CRS
Tongaat, South Africa
National Institute for Medical Research (NIMR) - Mbeya Medical Research Center (MMRC) Network CRS
Mbeya, Tanzania
Matero Reference Clinic CRS
Lusaka, Zambia
Zambia Emory HIV Research Project - Lusaka CoVPN CRS
Lusaka, Zambia
Zambia Emory HIV Research Project - Ndola CoVPN CRS
Ndola, Zambia
St Mary's CRS
Chitungwiza, Zimbabwe
Milton Park CRS
Harare, Zimbabwe
Seke South CRS
Harare, Zimbabwe