Status:

UNKNOWN

Role of the Oral Microbiome & Mucosal Immunity in COVID-19 Disease

Lead Sponsor:

King's College London

Collaborating Sponsors:

Guy's and St Thomas' NHS Foundation Trust

UK Research and Innovation

Conditions:

COVID-19

Microbial Colonization

Eligibility:

All Genders

18+ years

Brief Summary

Determining whether in the mouth there are differences between the participant groups in the nature and activity of mucosal innate immunity, in immune responses to SARS-COV2 antigens, or in the oral m...

Detailed Description

Cross sectional with longitudinal component * Stimulated whole mouth fluid (SWMF) and blood samples from South Asian and non-Asian populations * Controls, and COVID-19 patients in both populations. *...

Eligibility Criteria

Inclusion

  • • South Asian and White British persons and those diagnosed with symptomatic or asymptomatic COVID-19 infection.
  • Aged 18 or over. Able to understand and consent.
  • Uninfected subjects: no history of COVID-19; not vaccinated; (negative for anti-SARS-CoV2 nucleoprotein antibodies at lab)
  • For patient groups: Confirmed COVID-19 positivity, symptoms and symptom onset within the past 21 days; Be recently hospitalised with COVID-19 disease; Have COVID-19 disease proven by PCR testing for SARS-CoV-2 within the last 21 days; COVID disease severity graded as per NIH/WHO.
  • Recovered groups: Have had COVID-19 disease proven by PCR testing for SARS-CoV-2. COVID disease severity graded as per WHO or NIH equivalent criteria
  • Those willing to participate on a single occasion but unwilling to participate with longitudinal samples will not be excluded.
  • Smoking, obesity, diabetes, heart disease, antibiotics or treatment related to COVID is not excluded.

Exclusion

  • • Those patients unwilling to participate, those unable to understand sufficiently to give informed consent and those unable to participate due to the severity of COVID-19 disease. Those patients classified as not either South Asian or White British heritage.
  • Patients with malignancy, pregnancy, long term immune suppression, inability to give informed consent, not willing or able to have oral examination.
  • Diabetes not excluded but screening for diabetes will be performed: glucose will be assessed in blood/serum sample (150ul).
  • Exclusion criteria summary:
  • Critically ill participants who cannot give informed consent
  • Those who are not willing to have an oral examination, or donate blood or saliva samples.
  • Those who cannot chew / drool to provide a SWMF sample due to severe/critical medical conditions
  • Participants with known malignancies or who are pregnant
  • Participants who are on long-term immunosuppressants (e.g. for autoimmune diseases)
  • Participation in other current research that is designed to, or is expected to alter the immune response.
  • Inability to communicate, understand or read English.

Key Trial Info

Start Date :

April 7 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 30 2024

Estimated Enrollment :

750 Patients enrolled

Trial Details

Trial ID

NCT05212766

Start Date

April 7 2022

End Date

December 30 2024

Last Update

October 10 2023

Active Locations (1)

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1

Guy's and St Thomas' NHS Trust / King's College London

London, United Kingdom, SE1 9RT