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CompletedNCT04347408Updated Dec 7, 2023Results posted

Seroprevalence of SARS-Cov-2 Antibodies in Children

An observational study in COVID, Corona Virus Infection and Multisystem Inflammatory Syndrome in Children, sponsored by Queen's University, Belfast. Completed at 5 sites in United Kingdom. Open to participants aged 1 Month to 15 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-07.

Sponsored by Queen's University, Belfast · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
1,100
Ages
1 Month to 15 Years
Sex
All
01

Study summary

It is unknown what proportion of healthy children have been exposed to SARS-Cov-2 and how many have antibodies. The aim of this study is to follow a cohort of healthy children over six months and measure their antibodies to SARS-CoV-2.

Read the detailed description

Coronaviruses are non-segmented positive-stranded RNA viruses with a roughly 30 kb genome. The majority of coronaviruses cause disease in a specific host species but some have infected humans by cross-species transmission. This process has led to a number of severe outbreaks of human disease including severe acute respiratory syndrome (SARS) in 2003 and Middle East respiratory syndrome (MERS) in 2012.

From December 2019 a novel infection "severe acute respiratory syndrome coronavirus 2" (SARS-CoV-2) was identified in the Wuhan region of China. The infection was identified as the causal factor in a growing number of severe cases of pneumonia. This disease was subsequently named coronavirus disease 2019 (COVID-19) by World Health Organisation (WHO). SARS-CoV-2 has been shown to cause severe disease similar to the previous SARS coronavirus from 2003. Severe disease is associated with pneumonia and damage to vital organs including lung, heart, liver, and kidney.

Fortunately SARS-CoV-2 appears to cause only mild, or no, symptoms in children.

The social distancing measures in the United Kingdom include the closure of schools and the cancelling of routine paediatric clinics. These drastic, but necessary, steps are likely to have a profound effect on the well-being of children.

This study is required to determine what proportion of children have been exposed to SARS-Cov-2 and how many, if any, have neutralizing antibodies. The findings from this study could be used to inform public health decisions regarding the re-opening of schools and other services vital to the well-being of children.

In addition the study will recruit children with paediatric multi-system inflammatory syndrome admitted to the Royal Belfast Hospital for Sick Children along with matched controls with other infections.

02

Conditions studied

  • COVID
  • Corona Virus Infection
  • Multisystem Inflammatory Syndrome in Children

Keywords

  • antibodies
03

In context

Coronavirus Infections

929 studies on the registry are indexed under Coronavirus Infections; 50 are open to participants now.

This study's enrollment of 1,100 is above the median of 300 across 334 observational studies indexed under Coronavirus Infections.

Browse Coronavirus Infections studies →

Lead sponsor

Queen's University, Belfast is the lead sponsor of 113 studies on the registry; 14 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Month to 15 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children aged from 0 to 15 who are resident in the United Kingdom

Eligibility criteria

Healthy children of healthcare professionals.

Exclusion Criteria:

Not currently receiving antibiotics, not admitted to hospital within the last seven days, not receiving immunosuppressive drugs and never diagnosed with a malignancy.

Admitted children with paediatric multisystem inflammatory syndrome and admitted children with other serious infections.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
1,100 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Healthy Children

    Healthy children of healthcare workers between 2 and 15 years of age

    Diagnostic Test: Covid-19 Antibody testing (IgG and IgM) · Other: Blood Storage

  • Paediatric Multisystem Inflammatory Syndrome

    Children admitted to hospital with Paediatric Multisystem Inflammatory Syndrome

    Diagnostic Test: Covid-19 Antibody testing (IgG and IgM) · Other: Blood Storage

  • Serious Infection

    Children admitted to hospital with serious infections

    Diagnostic Test: Covid-19 Antibody testing (IgG and IgM) · Other: Blood Storage

Interventions

  • Diagnostic testCovid-19 Antibody testing (IgG and IgM)

    Antibody testing for previous exposure to Covid-19

  • OtherBlood Storage

    Storage of blood for multi-omics analysis

06

What researchers measure

Primary outcomes

  1. Immunoglobulins (G and M) to SARS-Cov2 in Plasma

    • Mean antibody titres (IgG/Total antibody) to SARS-CoV-2 in plasma using ROCH/ABBOTT and DIASORIN assays

    Time frame: 6 months

Secondary outcomes

  1. Echocardiogram Ejection Fraction

    Measure of cardiac function

    Time frame: 6 months

  2. High-sensitivity Cardiac Troponin Test

    Cardiac Enzyme

    Time frame: 6 months

  3. Brain Natriuretic Peptide

    Cardiac enzyme

    Time frame: 6 months

07

Results

Posted Aug 18, 2021
Limitations and caveats
The limitations of this study are that all of the children in this study had only mild disease making comparison between severe and mild disease impossible. The children were also recruited from healthcare workers and the prevalence of antibodies is likely to be lower in the general population.

Participant flow

In total, 1042 potential participants were screened for inclusion, of whom 50 were excluded; 18 were outside the specified age range, 1 met specific exclusion criteria,16 declined consent and 15 did not undergo phlebotomy. In total 992 were enrolled.

Participant flow — Overall Study
MilestoneHealthy Children
Started992
Completed992
Not completed0

Outcome measures

PrimaryImmunoglobulins (G and M) to SARS-Cov2 in Plasma

• Mean antibody titres (IgG/Total antibody) to SARS-CoV-2 in plasma using ROCH/ABBOTT and DIASORIN assays

Time frame:
6 months
Reported as:
Mean · Titres
Immunoglobulins (G and M) to SARS-Cov2 in Plasma
TitresHealthy Children
Abbott SARS-CoV-2 IgG Assay (Index S/C)4.86 (4.28 to 5.45)
Elecys Roche SARS-CoV-2 (Cut-Off-Index COI)65.32 (43.24 to 87.40)
Diasorin Liason SARS-CoV-2 IgM (arbitrary units A/U)64.17 (37.99 to 90.36)
SecondaryEchocardiogram Ejection Fraction

Measure of cardiac function

Time frame:
6 months

Results for this outcome have not been posted.

SecondaryHigh-sensitivity Cardiac Troponin Test

Cardiac Enzyme

Time frame:
6 months

Results for this outcome have not been posted.

SecondaryBrain Natriuretic Peptide

Cardiac enzyme

Time frame:
6 months

Results for this outcome have not been posted.

Adverse events

Collected over All-cause mortality, serious and other adverse events were not monitored/assessed.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All-cause Mortality, Serious and Other Adverse Events Were Not Monitored/Assessed.———

Baseline characteristics

Age, Continuous
Age, Continuous(years)Healthy Children
Median10.1 (2.03 to 15.99)
Sex: Female, Male
Sex: Female, Male(Participants)Healthy Children
Female483
Male509
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Healthy Children
08

Study locations

5 sites
  • Royal Belfast Hospital for Sick Children
    Belfast, BT126BA, United Kingdom
  • University Hospital of Wales
    Cardiff, United Kingdom
  • Royal Hospital for Children
    Glasgow, United Kingdom
  • Public Health England
    London, United Kingdom
  • Public Health England
    Manchester, United Kingdom
09

References and documents

Publications

  • Waterfield T, Watson C, Moore R, Ferris K, Tonry C, Watt A, McGinn C, Foster S, Evans J, Lyttle MD, Ahmad S, Ladhani S, Corr M, McFetridge L, Mitchell H, Brown K, Amirthalingam G, Maney JA, Christie S. Seroprevalence of SARS-CoV-2 antibodies in children: a prospective multicentre cohort study. Arch Dis Child. 2021 Jul;106(7):680-686. doi: 10.1136/archdischild-2020-320558. Epub 2020 Nov 10. PubMed 33172887 ↗

Study documents

  • Protocol and statistical analysis plan · Jan 5, 2022

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04347408
Lead sponsor
Queen's University, Belfast
Collaborators
Belfast Health and Social Care Trust
Responsible party
Thomas Waterfield (Chief Investigator and Academic Clinical Lecturer, Queen's University, Belfast) — Principal investigator
First posted
Apr 15, 2020
Start date
May 6, 2020
Primary completion
Dec 1, 2021
Completion
Nov 14, 2023
Results posted
Aug 18, 2021
Last update
Dec 7, 2023

Study contacts

Thomas Waterfield, BMBCh
principal investigator · Queen's University, Belfast

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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