INFLAMmatory BiomarkErs in COVID-19 Participants and Severity of Disease (INFLAME COVID)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05175846 |
Recruitment Status :
Recruiting
First Posted : January 4, 2022
Last Update Posted : June 1, 2022
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Condition or disease |
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COVID-19 |
This is an observational study of participants who are being or have been tested for COVID-19. Participants with or without COVID-19 will be entered into one of two groups for Stage 1 and one of three groups for Stage 2.
Stage 1:
- Group 1: Participants whose COVID-19 test is negative and who do not have symptoms of COVID-19 disease.
- Group 2: Participants whose COVID-19 test is positive and who have Severe or Critical symptoms of COVID-19 disease.
Stage 2:
- Group 1: Participants whose COVID-19 test is negative and who do not have symptoms of COVID-19 disease.
- Group 2: Participants whose COVID-19 test is positive and who have Mild or Moderate symptoms of COVID-19 disease.
- Group 3: Participants whose COVID-19 test is positive and who have Severe or Critical symptoms of COVID-19 disease.
During Stage 1, Group 1 participants will be matched to Group 2 subjects as follows: Age: 18-64 and >65; Race: Caucasian, Latino, African American, other; Sex: Male or Female Each participant will be assigned a study number. The study case report form (CRF) will record the participants initials, age and study number. Participants will have blood drawn for biomarkers. All samples will be identified using the participants age and study number. Blood volume will be approximately ten milliliters to yield at least four 1 ml serum aliquots. Serum will be frozen at -80ºF and stored. Batch shipments of the serum will occur during the study and sent to AccessDx Laboratory in Houston TX. Laboratory procedures for AccessDx are presented in Appendices B and C. AccessDx will perform the following biomarker tests on the serum: Interleukins 1B, 6, 8,10, 22; CRP; Ferritin; Interferon-ꝩ; MIP 1α and 1β; TNF; VEGF A, B, C.
Participants will be followed for up to 6 months and have monthly calls from the study staff. As much as possible, the participant will be contacted by the same study member at each follow-up visit. If agreed with the participant, information about the participants status may be collected on email or text. Participants will be asked specific questions and their responses recorded on a paper CRF. At enrollment and at each follow-up call, the participant's severity of COVID-19 disease will be categorized based on WHO Interim guidance 27 May 2020 as follows:
- Mild cases are marked by the onset of symptoms such as fever, cough, fatigue, shortness of breath, headache, diarrhea, and so forth, without evidence of viral pneumonia or hypoxia.
- Moderate cases include clinical signs of pneumonia (fever, cough, dyspnea, fast breathing) but no signs of severe pneumonia, including SpO2 ≥ 90% on room air.
- Severe cases demonstrate clinical signs of pneumonia (fever, cough, dyspnea, fast breathing) plus one of the following: respiratory rate > 30 breaths/min; severe respiratory distress; or SpO2 < 90% on room air.
- Critical cases present symptoms such as acute respiratory distress syndrome (ARDS), sepsis and/or septic shock A participant's engagement in the study will be approximately 6 months. Recruitment is expected to last 6 months. It is expected that the total study for Stage 1 will be one year. The duration of Stage 2 will not be determined until results from Stage 1 are available. The number of investigator sites for Stage 1 is expected to be up to 3 and for Stage 2, up to 50.
Study Type : | Observational |
Estimated Enrollment : | 60 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | Observational Study of Immunological and INFLAMmatory BiomarkErs in COVID-19 Naïve and Infected Participants and Severity of Disease |
Actual Study Start Date : | April 1, 2022 |
Estimated Primary Completion Date : | January 30, 2023 |
Estimated Study Completion Date : | June 30, 2023 |

Group/Cohort |
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Normal volunteers
Participants with negative COVID-19 test
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COVID-19
Participants with positive COVID-19 test and severe symptoms of disease
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- To identify immunological and inflammatory biomarkers in participants with and without COVID-19 that may predict a participant's potential risk for severity of disease. [ Time Frame: 30 days ]Correlation of biomarkers at baseline with severity of COVID-19 disease at baseline and on Day 30 according to WHO classification of COVID-19 symptoms
- To correlate the biomarkers at baseline with the duration of symptoms up to six months in participants who develop COVID-19. [ Time Frame: 6 months ]Duration and severity of symptoms of COVID-19
Biospecimen Retention: Samples Without DNA

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Sampling Method: | Non-Probability Sample |
Participants at least 18 years of age who do not have autoimmune disease or are not taking immune-modulator therapy and may or may not have a positive COVID-19 test will be entered into one of two groups for Stage 1 of the study. (Stage 2 is TBD).
- Group 1: Participants whose COVID-19 test is negative and who do not have symptoms of COVID-19 disease.
- Group 2: Participants whose COVID-19 test is positive and who have Severe or Critical symptoms of COVID-19 disease
Inclusion Criteria:
- Signed informed consent (IC) within 4 days of COVID-19 test.
- Age 18 or older
- COVID-19 test
Group 1: negative COVID-19 test Group 2: positive COVID-19 test with Severe or Critical symptoms of disease (per WHO Guidance).
Exclusion Criteria:
- Any autoimmune disease or immune-modulator therapy.
- Mild or Moderate symptoms of COVID-19 disease (per WHO Guidance).

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05175846
Contact: Lynn G Project Manager | 206 890 2710 | lynngallen@live.com | |
Contact: Angela Study Coordinator | 302 547 0820 |
United States, Delaware | |
St Francis Hospital | Recruiting |
Wilmington, Delaware, United States, 19805 | |
Contact: Angela Herman, DNP, RN 302-547-0820 angela.herman@che-east.org | |
Principal Investigator: Robert A Monteleone, MD |
Principal Investigator: | Robert A Monteleone, MD | Saint Francis Family Medicine Residency Program, Wilmington, Delaware |
Responsible Party: | Trinitas Global, LLC |
ClinicalTrials.gov Identifier: | NCT05175846 |
Other Study ID Numbers: |
001 |
First Posted: | January 4, 2022 Key Record Dates |
Last Update Posted: | June 1, 2022 |
Last Verified: | January 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
COVID-19, inflammatory biomarkers |
COVID-19 Respiratory Tract Infections Infections Pneumonia, Viral Pneumonia Virus Diseases |
Coronavirus Infections Coronaviridae Infections Nidovirales Infections RNA Virus Infections Lung Diseases Respiratory Tract Diseases |