COVID-19 (Severe Coronavirus Disease 2019), Multiple Sclerosis
Conditions
Keywords
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Swiss Multiple Sclerosis Cohort (SMSC)
Brief summary
This nested project of the Swiss Multiple Sclerosis Cohort (SMSC) is to assess the severity of COVID-19 and the magnitude of antibody response after infection with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in patients already treated or not with various immunotherapies for multiple sclerosis followed in the framework of the SMSC.
Detailed description
This nested project of the Swiss Multiple Sclerosis Cohort (SMSC) is to assess the severity of COVID-19 and the magnitude of antibody response after infection with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in patients already treated or not with various immunotherapies for multiple sclerosis followed in the framework of the SMSC. To assess the frequency and severity of SARS-CoV-2 infections and associated symptoms in the study population, data is collected from systematic questioning during the SMSC-visits and from serum samples collected every 6-12 months within the SMSC (for measurement of anti-SARS-CoV-2 antibodies in pre-pandemic reference samples and prospectively to determine the anti-SARS-CoV-2-serostatus during the study period). Combining the information on anti-SARS- CoV-2 serostatus and infection history opens the opportunity to determine the number of patients without or with only mild vs. moderate to severe COVID-19 symptoms in large groups of patients with Multiple Sclerosis (MS) treated with immunotherapies targeting various components of the immune system.
Interventions
clinical data collection regarding COVID-19 suggestive symptoms or confirmed SARS-CoV-2-infections (medical events), recorded comorbidities (concomitant diseases relevant to MS and COVID-19) and recorded vaccinations (other treatments). This information is systematically collected during the routine clinical visits of the patient within the SMSC every 6-12 months.
analysis of archived serum samples collected every 6-12 months within the SMSC for measurement of anti-SARS-CoV-2 antibodies in pre-pandemic reference samples and prospectively determine the anti-SARS-CoV-2-serostatus during the study period.
Sponsors
Study design
Eligibility
Inclusion criteria
* all patients in the Swiss Multiple Sclerosis Cohort (SMSC)
Exclusion criteria
* Patients with Neuromyelitis optica and Radiologically Isolated Syndrome will be excluded * Existence of a documented refusal of further use of health-related personal data and/or biological material
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of severe COVID-19 as defined by the WHO clinical progression scale (Score 6-9) | through study completion, an average of 3 years | Incidence of severe COVID-19 as defined by the WHO clinical progression scale (Score 6-9). The WHO clinical progression scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead). Incidence of severe COVID-19 infections will be assessed by evaluation of collected data on confirmed SARS-CoV-2-infections and their clinical courses. |
| COVID-19 related death defined by the WHO clinical progression scale (Score 10) | through study completion, an average of 3 years | COVID-19 related death defined by the WHO clinical progression scale (Score 10) in untreated and treated patients. The WHO clinical progression scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with Anti-SARS-CoV-2 seroconversion | through study completion, an average of 3 years | Proportion of patients with Anti-SARS-CoV-2 seroconversion |
| Change in mean titers of IgM- and IgG-antibodies against SARS-CoV-2 | through study completion, an average of 3 years | The Anti-SARS-CoV-2 titer ratios from baseline-samples at pre-pandemic time point to the sample titers during study period will be compared. |
| Change in individual titers of IgM- and IgG-antibodies against SARS-CoV-2 | through study completion, an average of 3 years | The Anti-SARS-CoV-2 titer ratios from baseline-samples at pre-pandemic time point to the sample titers during study period will be compared. |
| Proportion of total confirmed SARS-CoV-2-infections (independent of WHO clinical progression scale Score). | through study completion, an average of 3 years | Proportion of total confirmed SARS-CoV-2-infections (independent of WHO clinical progression scale Score). |
Countries
Switzerland