AzTrials
AzTrials

HIV-1-infectionHIV CoCoNCT05481216

HIV-1 & Coronavirus-Coinfection in Europe: Morbidity & Risk Factors of COVID-19 in People Living With HIV

An observational study of HIV-1-infection and COVID-19, run by NEAT ID Foundation at 23 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

HIV CoCo is a European multi-centre, multi-country, retrospective, observational case-control study that will aim to describe clinical outcomes and identify risk factors for People Living With HIV (PLWHIV) who are co-infected with the SARS-CoV-2 coronavirus. The study will address two central questions: 1. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV-1-infection, COVID-19
What is being tested?
COVID-19 and HIV-1 infection
How many people
2,598 participants
Where
23 sitesin 5 countries
Study dates
29 Mar 2022to 31 Aug 2023
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population will consist of adult PLWHIV with and without COVID-19 disease, followed up at the study sites for routine clinical care. Data from adult COVID-19 patients without HIV infection will be used as controls. 500 cases (PLWHIV + COVID-19) will be recruited. These patients will be at least 18 years old with documented HIV-1 infection and SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021. 500 COVID-19 controls will be recruited. These patients will be at least 18 years old without documented HIV-1 infection but confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021. 1000 PLWHIV control patients will be recruited for the second control group. This group will include individuals at least 18 years old with documented HIV-1 infection.

Who may be able to join

  • • Cases (PLWHIV + COVID-19)
  • Any gender
  • At least 18 years of age
  • Documented HIV-1 infection
  • Confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021
  • Controls (COVID-19)
Show all 29Show fewer
  • <!-- -->
  • Any gender
  • At least 18 years of age
  • No documented HIV-1 infection
  • Confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021
  • Meet the matching criteria
  • For comparing PLWHIV \& COVID-19 versus HIV seronegative COVID-19 patients, a 1:1 matching will be performed according to the following criteria:
  • Age (+/- 5 years)
  • Sex
  • Ethnicity (where available)
  • Month of COVID-19 diagnosis (+/- 2 months)
  • COVID-19 diagnosis inpatient OR
  • COVID-19 diagnosis outpatient (ambulatory)
  • Controls (PLWHIV)
  • Any gender
  • At least 18 years of age
  • Documented HIV-1 infection
  • No evidence of SARS-CoV-2 infection
  • Meet the matching criteria
  • For comparing PLWHIV \& COVID-19 versus PLWHIV without COVID-19, a 1:2 matching for similar risk of acquiring COVID-19 will be performed according to the following criteria:
  • Age (+/- 5 years)
  • Sex
  • Ethnicity (where available)

Who cannot join

  • For cases (PLWHIV + COVID-19) and for COVID-19 only controls:
  • COVID-19 diagnosed based on clinical criteria

Trial locations and contacts

23 sites in 5 countries.

23 sites in 5 countries

Spain10 sites
  • Hospital Clinic Barcelona

    Barcelona

  • Hospital de la Santa Creu I Sant Pau

    Barcelona

  • Hospital Universitari de Bellvitge

    Barcelona

  • Hospital Universitario Basurto

    Bilbao

  • Hospital General Universitario de Elche

    Elche

  • Hospital Universitario San Pedro

    Logroño

  • Hospital Ramón y Cajal

    Madrid

  • Hospital Universitario 12 de Octubre

    Madrid

  • Hospital Universitario La Paz

    Madrid

  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda

Other trials in Spain

United Kingdom9 sites
  • Bradford Teaching Hospitals NHS Foundation Trust

    Bradford

  • Southmead Hospital (North Bristol)

    Bristol

  • University Hospitals of Derby & Burton NHS Foundation Trust

    Derby

  • Brownlee Centre, Gartnavel General Hospital

    Glasgow

  • Barts Health (The Royal London Hospital)

    London

  • Chelsea & Westminster Hospital NHS Foundation Trust

    London

  • Guy's and St Thomas' NHS Foundation Trust

    London

  • King's College Hospital NHS Foundation Trust

    London

  • Royal Free London NHS Foundation Trust

    London

Other trials in United Kingdom

France2 sites
  • Hôpital Européen Marseille

    Marseille

  • Hôpital Saint Louis

    Paris

Other trials in France

Belgium1 site
  • CHU Saint Pierre

    Brussels

Other trials in Belgium

Netherlands1 site
  • Erasmus Medical Center

    Rotterdam

Other trials in Netherlands

About this study

HIV CoCo is a European multi-centre, multi-country, retrospective, observational case-control study that will aim to describe clinical outcomes and identify risk factors for People Living With HIV (PLWHIV) who are co-infected with the SARS-CoV-2 coronavirus.

The study will address two central questions:

Read more
  1. Is there a particular risk for COVID-19 in PLWHIV as compared to HIV seronegative control COVID-19 cases?
  2. Are there particular factors, within the group of PLWHIV, which put them at risk for a more severe COVID-19 disease course?

The study will address these questions by recruiting patients co-infected with both HIV and SARS-CoV-2 and comparing them to two control groups - one group infected with SARS-CoV-2 only and another group infected with HIV only. Only deidentified, real-world retrospective data will be used for the study, collected as part of standard, routine clinical care.

Additionally, this study will also look to:

  1. Describe the differences in the clinical manifestation of COVID-19 in PLWHIV compared to HIV seronegative controls
  2. Describe the response to treatment, including supportive care and novel therapies against COVID-19, including antiviral or immunomodulatory therapy
  3. Describe the co-morbidities in PLWHIV and controls with COVID-19
  4. Compare the severity of COVID-19 between PLWHIV and the COVID-19 only controls at diagnosis and hospital admission.

Data will be collected about patient outcomes from COVID-19 (including hospitalisation for COVID-19, length of stay in hospital, critical care admission, ventilation/oxygenation requirements, and need for kidney replacement therapy), as well as pre-existing health conditions, and relevant blood results at COVID-19 diagnosis.

Being tested
COVID-19, HIV-1 infection
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • COVID-19Other

    Diagnosed with COVID-19 infection

  • HIV-1 infectionOther

    Diagnosed with HIV-1 infection

Study groups in NCT05481216
Study groupRoleWhat they receive
PLWHIV with COVID-19 casesPatients who are at least 18 years of age with documented HIV-1 infection and confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021.
Receives: Other: COVID-19; Other: HIV-1 infection
PLWHIV without COVID-19 controlsPatients at least 18 years of age with documented HIV-1 infection.
Receives: Other: HIV-1 infection
HIV seronegative patients with COVID-19 controlsPatients at least 18 years of age with confirmed SARS-CoV-2 infection by documented, or patient-reported, positive result on PCR testing of a nasopharyngeal or respiratory sample, before 1st April 2021.
Receives: Other: COVID-19

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Composite Primary End Point (Critical Care Admission, Palliative Discharge When Discharged From Hospital, or Mortality Within the 6 Weeks After Diagnosis of COVID-19) Events

    The primary endpoint is a composite of the number of critical care admission (high dependency unit or intensive care unit), mortality in hospital or palliative discharge when discharged from hospital, or mortality at 6 weeks after diagnosis of COVID-19 or at discharge from hospital (where applicable) events. Time-to-event methods, including Kaplan-Meier survival curves and Cox proportional-hazards models, will be used for this analysis. The time to the primary endpoints will be defined as:

    • For participants admitted to critical care Time = [Date of Critical care admission - Date of positive PCR test for COVID-19] + 1
    • For participants admitted to critical care before diagnosis of COVID-19, Time=1 day.
    • For participants with palliative discharge when discharged from hospital Time = [Date of discharge from hospital to palliative care - Date of positive PCR test for COVID-19] + 1.
    • For participants died Time = [Date of death - Date of positive PCR test for COVID-19] + 1.

    Measured: From baseline (diagnosis of COVID-19) to Week 6

  2. Kaplan-Meier Estimate of Primary End Point

    Kaplan-Meier estimate of the composite number of critical care admission, palliative discharge and death events

    Measured: From Baseline (diagnosis of COVID-19 ) to week 6

  3. Number of Palliative Discharge

    Number of palliative discharge at discharge from hospital following hospitalisation for COVID-19 events

    Measured: Baseline (diagnosis of COVID-19) to week 6

  4. Mortality

    Mortality at 6 weeks after diagnosis of COVID-19 or at discharge from hospital

    Measured: Baseline (diagnosis of COVID-19) to week 6

  5. Number of Critical Care Admission Events

    Number of admission events to a high dependency unit or intensive care unit

    Measured: Baseline (diagnosis of COVID-19) to week 6

  6. HIV Viral Load

    Identification of risk factors for COVID-19 infection within the group of PLHIV: HIV viral load

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

  7. Time Since HIV Diagnosis

    Identification of risk factors for COVID-19 infection within the group of PLHIV: Time since HIV diagnosis

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

  8. Chronic Obstructive Pulmonary Disease

    Identification of risk factors for COVID-19 infection within the group of PLHIV: Chronic Obstructive Pulmonary Disease

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

  9. CD4 Cell Count

    Identification of risk factors for COVID-19 infection within the group of PLHIV: CD4 cell count

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

  10. Chronic Kidney Disease

    Identification of risk factors for COVID-19 infection within the group of PLHIV: Chronic Kidney Disease

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

  11. Body Weight

    Identification of risk factors for COVID-19 infection within the group of PLHIV: Body weight

    Measured: Baseline(Last CD4 cell count and HIV-RNA before COVID-19 diagnosis, or most recent for PLHIV without COVID-19)

Secondary outcomes (20)
  1. Number of Hospitalisation Events

    Number of hospital admission for COVID-19 events

    Measured: Baseline (diagnosis of COVID-19) to week 6

  2. Length of Hospital Stay

    Length of stay in hospital following hospitalisation for COVID-19

    Measured: Baseline (diagnosis of COVID-19) to week 6

  3. Length of Stay in ICU

    Median Length of Stay in Intensive Care Unit

    Measured: Baseline (diagnosis of COVID-19) to week 6

  4. Ventilator-free Days (VFDs)

    Number of ventilator-free days

    Measured: 6 weeks after diagnosis of COVID-19

  5. Extracorporeal Membrane Oxygenation (ECMO)

    Length of extracorporeal membrane oxygenation

    Measured: Baseline (diagnosis of COVID-19) to week 6

  6. Need for Kidney Replacement Therapy

    The number of patients requiring kidney replacement therapy

    Measured: Baseline(diagnosis of COVID-19) to week 6

  7. Measurement of Total Comorbidity Burden

    Charlson Comorbidity Index predicts the ten-year mortality for a patient who may have a range of comorbid conditions. Index consists of 19 conditions, each with an assigned weight from 1 to 6 according to the relative risk of dying. The total score is derived by summing up the weights of comorbid conditions presented. Based on the CCI score, the severity of comorbidity was categorized into three grades: mild, with CCI scores of 1-2; moderate, with CCI scores of 3-4; and severe, with CCI scores ≥5. The minimum score value is 0 and maximum is 37. A higher score means a more greater mortality risk.

    Measured: 6 weeks after diagnosis of COVID-19

  8. Estimate Risk of 30-day Mortality After COVID-19 Infection

    Estimate risk of 30-day mortality after COVID-19 infection using pre-COVID health status (estimated using the Veterans Health Administration COVID-19 (VACO) index). The VACO index is expressed as a percentage and calculated based on age, sex, Charlson comorbidity index (CCI), and the presence of myocardial infarction (MI) or peripheral vascular disease (PVD). The index range is from 0.2 to 48.0. A higher score means a greater risk of mortality.

    Measured: Baseline (diagnosis of COVID-19) to week 6

  9. Blood Cell Counts at COVID-19 Diagnosis

    The endpoint is the blood cell counts at COVID-19 diagnosis. The analyses will be performed with all PLHIV with COVID-19 and matched HIV-uninfected individual with COVID-19 who have data regarding the blood cell count of interest at COVID-19 diagnosis

    Measured: Baseline (Diagnosis of COVID-19)

  10. Liver Function and Tissue Damage Parameters at COVID-19 Diagnosis

    The endpoint is the liver function (ALT, AST) and tissue damage (lactate dehydrogenase) parameters at COVID-19 diagnosis.

    Measured: Baseline(COVID-19 diagnosis)

  11. Inflammatory Markers and Kidney Function Tests

    Inflammatory markers and Kidney Function tests at COVID-19 diagnosis

    Measured: Baseline (COVID-19 Diagnosis)

  12. Biological Parameters at COVID-19 Diagnosis

    Biological parameters (D-dimer and Ferritin levels) at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  13. Cholesterol, Triglyceride and Glucose Levels

    Cholesterol, Triglyceride and Glucose levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  14. Red Blood Cell Count

    Red blood cell (RBC) count at COVID-19 Diagnosis

    Measured: Baseline(COVID-19 Diagnosis)

  15. Haemoglobin Levels

    Haemoglobin levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  16. Haematocrit

    Haematocrit levels at COVID-19 diagnosis

    Measured: Baseline (COVID-19 diagnosis)

  17. MCV Levels

    Mean Corpuscular volume (MCV) levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  18. MCH Levels

    Mean Corpuscular Haemoglobin levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  19. HbA1C Levels

    Glycated Haemoglobin (HbA1C) levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

  20. C-reactive Protein Levels

    C-reactive protein levels at COVID-19 diagnosis

    Measured: Baseline(COVID-19 diagnosis)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2022
  2. Study start29 Mar 2022
  3. Primary completion31 Mar 2023
  4. Study completion31 Aug 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Retrospective
Enrolment
2,598 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05481216
Sponsor's protocol ID
303CoCo
Acronym
HIV CoCo
Status last verified
Mar 2025
First submitted
29 Jul 2022
Last updated
24 Mar 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Only anonymised summary-format data will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of HIV-1-infection and COVID-19, run by NEAT ID Foundation at 23 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 29 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in Spain, United Kingdom, France, Belgium, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Composite Primary End Point (Critical Care Admission, Palliative Discharge When Discharged From Hospital, or Mortality Within the 6 Weeks After Diagnosis of COVID-19) Events (time frame: From baseline (diagnosis of COVID-19) to Week 6). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Mar 2025; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in