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Completed

NCT Number: NCT04516850

HSD3B1 Gene Polymorphisms With Outcomes in SARS-CoV-2 Infected Patients

The study includes 2 sub-projects.

Sub-project 1: The aim is to evaluate the expression of receptors and activating proteases mediating SARS-CoV-2 entry and spreading in the local population of Ticino.

Sub-project 2: The aim is to investigate the association between the HSD3B1 gene variations and outcome of COVID-19 in the local population of Ticino.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Oncology Institute of Southern Switzerland (IOSI), Bellinzona, Switzerland

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About this study

Sub-project 1:

This is an observational retrospective study that aims to evaluate the expression of receptors and activating proteases mediating SARS-CoV-2 entry and spreading in the local population of Ticino. The level of expression of these factors will be compared between infected and non-infected subjects. The sub-project will examine RNA samples from nasopharyngeal swabs taken from subjects tested for COVID-19.

Sub-project 2:

This is a haplotype- and diplotype-based case-control retrospective study that aims to investigate the association between the HSD3B1 gene variations and outcome of COVID-19 in the local population of Ticino. The gene status of HSD3B1 will be defined and compared between two groups of patients: the patients who experienced a severe SARS-CoV-2 infection (severe pulmonary insufficiency, ICU admission, eventually death) and the group with a mild-moderate COVID-19 disease without pulmonary insufficiency and oxygen need.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Sub-project 1

Inclusion criteria

  • Availability of RNA extracted from nasopharyngeal swabs taken from subjects tested for COVID-19;
  • Subject is aged 18 years or over;
  • Written informed consent (for SARS-CoV-2 positive patients only; see §5 for further details).

Exclusion criteria

  • Documented refusal.

Sub-project 2

Inclusion criteria

  • Female and male hospitalized SARS-CoV-2 patients;
  • Patient is aged 18 years or over;
  • Availability of archival tissue samples collected at any time before SARS-CoV-2 infection for any clinical reason;
  • Clinico-pathological characteristics of the COVID-19 and clinical outcomes recorded in the EOC and Clinica Luganese Moncucco database;
  • Written informed consent (see §5 for further details).

Exclusion criteria

  • Documented refusal.

Treatment and study plan

Expression of receptors and activating proteases

Genetic

Level of expression of the mRNA of the genes encoding ACE2, TMPRSS2, TMPRSS4 and AR along with reference genes (beta-actin and EPCAM) in nasopharyngeal swabs taken from patients tested for COVID-19

Polymorphism of the HSD3B1

Genetic

Formalin-fixed paraffin embedded tissue blocks will be amplified using polymerase chain reaction (PCR) based experiments followed by direct sequencing (Sanger sequencing)

Primary outcomes

  1. Expression of receptors and activating proteases

    Time frame: 1 year

    Determination of the level of expression of the mRNA genes

  2. Prevalencen of olymorphisms of the HSD3B1

    Time frame: 1 year

    Determination of the prevalence of polymorphisms of the HSD3B1 patients with severe and mild-moderate SARS-CoV-2 infection

  3. Association of polymorphisms of the HSD3B1

    Time frame: 1 year

    Evaluation of the association of polymorphisms of the HSD3B1 with clinico-pathological parameters

Sponsors and collaborators

Lead sponsor

Ricardo Pereira Mestre

Other

Collaborators

  • Institute of Oncology Research (IOR)
  • Istituto Cantonale di Patologia

Registry information

Official study title

An Exploratory Analysis of the Expression of Receptors and Activating Proteases Mediating SARS-CoV-2 Entry and the Association Between HSD3B1 Gene Polymorphisms With Outcomes in SARS-CoV-2 Infected Patients

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Aug 18, 2020
Registry last updated
Apr 25, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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