Covid19, Exercise Capacity, Lung Function, Quality of Life
Conditions
Brief summary
(a) Objectives 1. To assess the full lung function, exercise capacity, quality of life in patients with COVID-19 over 2 years. 2. To assess the longevity of the serology response to SARS-CoV2. 3. To investigate the association of the neutralization titer in plasma from different vaccinated cohorts to its protection of infection using in vivo model 4. To investigate the SARS-CoV-2 specific cellular and humoral immunities as well as their determinant factors from community subjects who have received different types of COVID-19 vaccines. 5. To assess the third booster dose for subjects who have poor antibody response despite having received two doses of CoronaVac (Sinovac)
Detailed description
The health conditions of adults (N=300) who recovered from varying severity of COVID-19 will be assessed and their blood are collected at 6, 12, 24 and 36 months after discharge. The assessment package includes: lung function tests, 6-min walk distance, chest radiographs/CT, and SF36 General Health questionnaire. Blood samples from community cohorts will be collected from before and up to 36 months after receiving one of the three COVID-19 vaccines (N=200 per vaccine type). The kinetics of SARS-CoV-2 specific humoral and cellular immunities from both convalescent and vaccinated cohorts are determined by neutralization assay and by measuring specific T cell responses upon stimulation of SARS-CoV-2 specific peptide library respectively. The antiviral level of the human plasma with various neutralization titer collected from different vaccinated cohorts will be tested in mouse model and ADCC assay.
Interventions
Healthy individuals with low antibody levels after 2 doses of CoronaVac vaccine to receive one additional dose of CoronaVac vaccine
Healthy individuals with low antibody levels after 2 doses of CoronaVac vaccine to receive one additional dose of BionTech vaccine
Healthy individuals to receive Coronavac vaccine 2 doses, 21 days apart
Healthy individuals to receive BionTech vaccine 2 doses, 21 days apart
Sponsors
Study design
Eligibility
Inclusion criteria
Patients who have been discharged from hospital following treatment for COVID-19 -
Exclusion criteria
Unwilling to be follow up \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| spirometry | 3 years | FEV1 and FVC |
| Lung volume | 3 years | Litres |
| 6 minute walk distance | 3 years | meters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of life by SF36 questionnaire | 3 years | scores in all domains |
| serology and T cell response | 3 years | titers |
Countries
Hong Kong