Official Title
Serological and PCR Testing for SARS-CoV-2. A Prospective Study Assessing Infection, Immunity, and Asymptomatic Carriage of COVID-19
Brief Summary

Richmond Research Institute (RRI) is applying existing and new COVID-19 PCR and antibody tests to help develop methodologies which provide fast and accurate results. Infection with coronavirus (SARS-CoV-2) is currently a worldwide pandemic and reliable testing for COVID-19 is crucial to understand who is infected and therefore a risk to others by spreading the infection. RRI are currently carrying out the following tests: A. Using a membrane-based immunoassay to detect IgG and IgM antibodies to SARS-CoV-2 in whole blood, serum or plasma specimens helps to assess whether an individual has previously had the virus and is potentially immune B. Polymerase Chain Reaction (PCR) testing using an established method to check for active SARS-CoV-2 infections. C. Quantification of anti-SARS-CoV-2 IgG and IgM antibodies in whole blood samples. The above tests are being used by RRI to follow infections (PCR) and immunity (IgG) in their workforce, as well as their families (including children) and visitors to their site. Collecting this data allows the gathering of epidemiological data on SARS-CoV-2 including incidence, prevalence, information on asymptomatic carriers and efficacy of vaccination. Furthermore, identifying individuals that are infected with SARS-CoV-2 has great potential to improve health outcomes by allowing infected individuals to seek the correct medical treatment as well as self-isolate and reduce transmission.

Detailed Description

This is a screening study to measure symptomatic and asymptomatic carriage of SARS-CoV-2 in
trial participants to help facilitate early detection of a second wave of SARS-CoV-2
infections. Specifically, this study aims to determine ; to assess the duration of immunity
by assessing the number and speed at which trial participants were infected and cleared the
virus with or without symptoms; and to determine the length of symptom onset in those with an
active infection; levels of IgG antibodies by demographics (sex, age, ethnicity, and
intensity of symptoms). Longitudinal assessment of antibody levels will additionally allow
for assessment of the efficacy of any vaccines adminstered. This study also seeks to explore
how many people are asymptomatic carriers. In addition, this study aims to help facilitate
the development a quantitative laboratory reference test for antibodies (IgG).

By using multiple different tests, it can be determined if a person is currently infected
with SARS-CoV-2 or whether they previously have been infected. This allows for the scanning
of people with asymptomatic carriage of the virus, which is important to help reduce the
spread of SARS-CoV-2 through contact with people unaware of infection.

Polymerase Chain Reaction (PCR) testing is routinely used to check for active SARS-CoV-2
infections. It measures whether viral RNA is present in an individual's system. All in-house
PCR tests are verified by an independent laboratory to check for false positives.

Using a membrane-based immunoassay to detect IgG and IgM antibodies to SARS-CoV-2 in whole
blood, serum or plasma specimens helps to assess whether an individual has previously had the
virus and is potentially immune. IgG and IgM detection components are separate allowing for
differential detection of each antibody.

To this date, 20904 PCR tests and 6848 antibody tests have been carried out in 2328
individuals, providing some interim data. Of the 20904 PCR tests, 17635 (84%) were negative
and 132 (1%) were negative. Of the 6848 antibody tests, 706 (10%) were positive for IgG only,
64 (1%) were positive for IgM only, and 351 (5%) were positive for both IgG and IgM. 5710
(83%) tests were negative.

Of those individuals with a positive PCR test, 53% reported fever during the previous two
months and 75% reported a loss of taste during the previous two months.

Interim results are shown in the medRxiv papers below:

https://www.medrxiv.org/content/10.1101/2020.12.08.20245894v2

https://www.medrxiv.org/content/10.1101/2021.04.09.21255200v1

Recruiting
COVID-19

Diagnostic Test: Membrane-based immunoassay kit

The kit is a qualitative membrane-based immunoassay to detect IgG and IgM antibodies to SARS-CoV-2 in whole blood, serum or plasma specimens. IgG and IgM detection components are separate allowing for differential detection of each antibody.
Other Name: Covid-19 Rapid Test Kit

Diagnostic Test: Quantitative antibody Tests

Antibody titres will be measured from whole blood samples taken from volunteers.
Other Name: Antibody titre

Diagnostic Test: PCR Test

PCR tests will be conducted on throat swabs taken from volunteers.

Eligibility Criteria

Inclusion Criteria:

- Male or female aged 5 to 70 years.

- An understanding, ability, and willingness to fully comply with the project procedures
and restrictions.

Exclusion Criteria:

- Not applicable.

Eligibility Gender
All
Eligibility Age
Minimum: 5 Years ~ Maximum: 70 Years
Countries
United Kingdom
Locations

Richmond Pharmacology Ltd. 1a Newcomen St, London Bridge
London, United Kingdom

Investigator: Keith Berelowitz, PhD

Investigator: Jorg Taubel, MD FFPM

Contacts

Jorg Taubel, MD
+44(0)2070425800
j.taubel@richmondpharmacology.com

Ulrike Lorch, MD
+44(0)2038482005
u.lorch@richmondpharmacology.com

Jorg Taubel, MD, Principal Investigator
Richmond Pharmacology Limited

Richmond Pharmacology Limited
NCT Number
MeSH Terms
COVID-19
Antibodies
Immunoglobulins