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🦘Cacatman's Personal Coronavirus COVID-19 Update Thread

Prevention - Colchicine reduces risk of COVID-19 complications
Colchicine has reduced by 21% the risk of death or hospitalizations in patients with COVID-19 compared to placebo. This result obtained for the global study population of 4488 patients approached statistical significance. The analysis of the 4159 patients in whom the diagnosis of COVID-19 was proven by a naso-pharyngeal PCR test has shown that the use of colchicine was associated with statistically significant reductions in the risk of death or hospitalization compared to placebo. In these patients with a proven diagnosis of COVID-19, colchicine reduced hospitalizations by 25%, the need for mechanical ventilation by 50%, and deaths by 44%. This major scientific discovery makes colchicine the world’s first oral drug that could be used to treat non-hospitalized patients with COVID-19.

The addition of colchicine to standard treatment reduces the duration of supplemental oxygen therapy and time to hospital discharge among patients with moderate-to-severe COVID-19, suggest findings from a randomized controlled trial.

In the RECOVERY trial, not shown to have a benefit. In adults hospitalised with COVID-19, colchicine was not associated with reductions in 28-day mortality, duration of hospital stay, or risk of progressing to invasive mechanical ventilation or death.
 
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Variants of COVID-19 is a Concern
New variants of SARS-CoV-2 are making headlines and, for some, raising concerns. The biggest worry lies in whether the changes in the genome of the virus will affect the efficacy of the vaccine. Now, new research from the University of Pittsburgh School of Medicine suggests that SARS-CoV-2 can evade immune responses, in a recurring pattern of evolution, by selectively deleting small bits of its genetic sequence.
 
General Information About COVID-19 from Harvard Medical School
 
Using Computers, University of Copenhagen Can Predict Respirator/Death in COVID-19 Patients
Using patient data, artificial intelligence can make a 90 percent accurate assessment of whether a person will die from COVID-19 or not, according to new research at the University of Copenhagen. Body mass index (BMI), gender and high blood pressure are among the most heavily weighted factors. The research can be used to predict the number of patients in hospitals, who will need a respirator and determine who ought to be first in line for a vaccination.

“Our results demonstrate, unsurprisingly, that age and BMI are the most decisive parameters for how severely a person will be affected by COVID-19. But the likelihood of dying or ending up on a respirator is also heightened if you are male, have high blood pressure or a neurological disease,” explains Mads Nielsen.

The diseases and health factors that, according to the study, have the most influence on whether a patient ends up on a respirator after being infected with COVID-19 are in order of priority: BMI, age, high blood pressure, being male, neurological diseases, COPD, asthma, diabetes and heart disease.
 
Treatment - Bevacizumab may be helpful in Severe COVID-19
The anti-cancer therapy bevacizumab may hasten recovery and reduce the rate of mortality in people with the coronavirus disease 2019 (COVID-19).
 

Maturation and persistence of the anti-SARS-CoV-2 memory B cell response

Memory B cells play a fundamental role in host defenses against viruses, but to date, their role has been relatively unsettled in the context of SARS-CoV-2. We report here a longitudinal single-cell and repertoire profiling of the B cell response up to 6 months in mild and severe COVID-19 patients. Distinct SARS-CoV-2 spike-specific activated B cell clones fueled an early antibody-secreting cell burst as well as a durable synchronous germinal center response. While highly mutated memory B cells, including pre-existing cross-reactive seasonal Betacoronavirus-specific clones, were recruited early in the response, neutralizing SARS-CoV-2 RBD-specific clones accumulated with time and largely contributed to the late, remarkably stable, memory B cell pool. Highlighting germinal center maturation, these cells displayed clear accumulation of somatic mutations in their variable region genes over time. Overall, these findings demonstrate that an antigen-driven activation persisted and matured up to 6 months after SARS-CoV-2 infection and may provide long-term protection.
 
Zinc & Vitamin C Not Found to be Helpful in Reducing Length of Symptoms
In this randomized clinical trial of 214 patients with confirmed SARS-CoV-2 infection receiving outpatient care, there was no significant difference in the duration of symptoms among the 4 groups.
 
Serology Tests for COVID-19 That are Approved in the USA

complete list of Blood tests.

Name of TestManufacturerType of testSensitivitySpecificity
VITROS Immunodiagnostic Products Anti-SARS-CoV-2 Total Reagent PackOrtho Clinical DiagnosticsChLIA80% (0-8 days), 100% (8+ days)100%
UBI SARS-CoV-2 ELISAUnited Biomedical, Inc.ELISA38.5% (0-7 days), 79.5% (7-14 days), 100% (15+ days)100.00%
EliA SARS-CoV-2-Sp1 IgG TestPhadia ABFluoroenzyme Immunoassay15.4% (0-7 days), 58.2% (7-14 days), 97.6% (15+ days)99.40%
RapCov Rapid COVID-19 TestADVAITE, Inc.RST90.00%95.20%
Dimension EXL SARS‑CoV‑2 IgG (CV2G)Siemens Healthcare Diagnostics Inc.ChLIA61.1% (0-7 days), 92.9% (7-14 days), 100% (15+ days)100.00%
Dimension Vista SARS‑CoV‑2 IgG (COV2G)Siemens Healthcare Diagnostics Inc.ChLIA61.1% (0-7 days), 92.9% (7-14 days), 100% (15+ days)100.00%
MidaSpot COVID-19 Antibody Combo Detection KitNirmidas Biotech, Inc.RST76.9% (7-14 days), 100% (15+ days)100.00%
Simoa Semi-Quantitative SARS-CoV-2 IgG Antibody TestQuanterix Corporationparamagnetic microbead-based sandwich ELISA45.2% (0-7 days), 87.5% (7-14 days), and 100% (15+ days)99.2%%
RightSign COVID-19 IgG/IgM Rapid Test CassetteHangzhou Laihe Biotech Co., LtdRST100% (IgM, 0-6 days), 0% (IgG, 0-6 days); 85.7% (IgM, 7-14 days), 76% (IgG, 7-14 days); 99.25% (IgM, 14+ days), 98.5% (IgG, 14+ days)99.43%
ACON SARS-CoV-2 IgG/IgM Rapid TestACON Laboratories, Inc.RST100% (0-7 days), 100% (8-14 days), 100% (15+ days)95.90%
Innovita 2019-nCoV Ab Test (Colloidal Gold)Innovita (Tangshan) Biological Technology Co., Ltd.RST(For combined IgG/IgM) 95.6% (8-14 days), 100% (15+ days)98.03%
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold)Hangzhou Laihe Biotech Co., LtdRST100% (IgM, 0-6 days), 0% (IgG, 0-6 days); 85.7% (IgM, 7-14 days), 76% (IgG, 7-14 days); 99.25% (IgM, 14+ days), 98.5% (IgG, 14+ days)99.43%
(ARCHITECT and Alinity i systems)Abbott Laboratories Inc.Chemiluminescent microparticle immunoassay (CMIA)43% (3-7 days); 78.9% (8-14 days); 100% (15+ days)99.60%
Elecsys Anti-SARS-CoV-2 S (semi-quantitative)RocheEChLIA90.6% (0-7 days), 87% (8-14 days), 96.6% (15+days)100.0%
COVID-SeroKlir, Kantaro Semi-Quantitative SARS-CoV-2 IgG Antibody KitKantaro Biosciences LLCELISA100% (0-7 days), 100% (7-14 days), 98.87% (15+ days)99.6%
Orawell IgM/IgG Rapid TestJiangsu Well Biotech Co., Ltd.RST97.1%100.0%
BIOTIME SARS-CoV-2 IgG/IgM Rapid Qualitative TestXiamen Biotime Biotechnology Co., LtdRSTIgG: 46.38% (days 0-7), 67.65% (days 7-14), 100% (days 14+); IgM: 55% (days 0-7), 94% (days 7-14), 100% (days 14+)99.23%%
Access SARS-CoV-2 IgMBeckman CoulterChLIA91.7%(8-14 days); 98.3%(15+ days)99.9%
cPass SARS-CoV-2 Neutralization Antibody Detection KitGenScript USA, Inc.Modified ELISA100.0%100.0%
Dimension Vista SARS-CoV-2 Total antibody assay (COV2T)Siemens Healthcare Diagnostics Inc.ChLIA91.3% (7-13 days), 100% (15+ days)99.8%
Dimension EXL SARS-CoV-2 Total antibody assay (CV2T)Siemens Healthcare Diagnostics Inc.ChLIA91.3% (7-13 days), 100% (15+ days)99.8%
CareStart COVID-19 IgM/IgGAccess Bio, Inc.RST96.7% (IgG); 89% (IgM); 98.44% (combined)99.45% (IgM); 99.45%(IgG); 98.9% (combined)
Platelia SARS-CoV-2 Total Ab assayBio-Rad Modified ELISA98%99%
Q-Plex SARS-CoV-2 Human IgG (4 Plex)Quansys Biosciences, Inc. ELISA100% (0-7 days, n=4), 100% (8-14 days, n=13), 95.2% (15+days, n=22)99.70%
VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Reagent PackOrtho-Clinical Diagnostics, Inc.ChLIA83% (12-15 days), 100% (15 days+)
Elecsys Anti-SARS-CoV-2RocheEChLIAFrom 0-6 days, 65.5%; from 7-13 days, 88.1%; from 14 days onward, 100%99.81%
LIAISON SARS-CoV-2 S1/S2 IgGDiaSorin Inc.ChLIA90% (8-14 days), 97% (15+ days)98%
Biohit SARS-CoV-2 IgM/IgG Antibody Test KitBiohit Healthcare (Heifei) Co. Ltd.RST33% (IgM, days 1-7), 56.6% (IgG days 8-14), 83.% (IgM days 8-14), 96.2% (IgG days 15+), 97.7% (IgM days 15+)99.46% (IgM), 100% (IgG)
MosaiQ COVID-19 Antibody MagazineQuotient Suisse SAsolid-phase photometric immunoassay100.0%99.8%
AdviseDx SARS-CoV-2 IgM (ARCHITECT and Alinity i systems)Abbott Laboratories Inc.CMIA95%99.6%
Maverick SARS-CoV-2 Multi-Antigen Serology Panel v2Genalyte, Incphotonic ring immunoassay (PRI)66.7% (0-7 days); 90.91% (8-14 days); 96.1% (15+ days)97.7%%
ZEUS ELISA SARS-CoV-2 IgG Test SystemZEUS Scientific, Inc.ELISA100%99.1%
OmniPATH COVID-19 Total Antibody ELISA TestThermo Fisher ScientificELISA19% (0-7 days), 76.7% (8-14 days), 100% (15+days)100%
Nirmidas COVID-19 (SARS-CoV-2) IgM/IgG Antibody Detection KitNirmidas Biotech, Inc.RSTIgM: 97.1%
IgG: 100%
94.80%
FREND COVID-19 total AbNanoEntek America, Inc.immunofluorescence assay100.0%100.0%
DiaSorin LIAISON SARS-CoV-2 IgM AssayDiaSorin, Inc.ChLIA92.60%99.3%
Assure COVID-19 IgG/IgM Rapid Test DeviceAssure Biotech (Hangzhou Co, Ltd.)RST95%100%
SARS-CoV-2 IgG (ARCHITECT and Alinity i)Abbott Laboratories Inc.Chemiluminescent microparticle immunoassay (CMIA)0% (0-3 days), 25% (3-7 days), 86.4% (8-13 days), and 100% (14+ days)99.63%
MAGLUMI 2019-nCoV IgM/IgGShenzhen New Industries Biomedical Engineering Co., Ltd. (SNIBE)ChLIA43.8% (0-7 days), 93.4% (8-14 days), 100% (15+ days)98.67%
BioCheck SARS-CoV-2 IgM Antibody Test KitBioCheck, Inc.ChLIA93.7%(8-14 days), 88.9% (15+ days)97.2%
BioCheck SARS-CoV-2 IgG Antibody Test KitBioCheck, Inc.ChLIA100%100%
SGTi-flex COVID-19 IgGSugentech Inc.RST41.2% (0-7 days), 91.7% (7-14 days), 98.6% (15+ days)99.2%
COVID-19 ELISA pan-Ig Antibody TestUniversity of Arizona Genetics Core for Clinical ServicesELISA97.5%99.1%
TBG SARS-CoV-2 IgG / IgM Rapid Test KitTBG Biotechnology Corp.RSTIgG: 96.4%
IgM: 87.5%
99.8%
Tell Me Fast Novel Coronavirus (COVID-19) IgG/IgM Antibody TestBiocan Diagnostics Inc.RSTIgG: 93.3%
IgM: 90%
IgG: 96.2%
IgM: 98.7%
BioCheck SARS-CoV-2 IgG and IgM Combo TestBioCheck, Inc.ChLIA100% (0-7 days, IgM); 93.8% (7-14 days, IgM); 88.9% (15+days, IgM); 100% (0-7 days, IgG); 100%(7-14 days, IgG); 100% (15+days, IgG)97.2% (IgM), 100% (IgG)
Diazyme DZ-Lite SARS-CoV-2 IgM CLIA KitDiazyme Laboratories, Inc.ChLIA26.1% (0-7 days); 83.3% (7-14 days), 94.4% (15+days)98.30%
VIDAS SARS-CoV-2 IgMbioMérieux SAEnzyme linked fluorescent assay (ELFA)53.8% (0-7 days), 100% (7-14 days), 100%(15+)99.4%%
VIDAS SARS-CoV-2 IgGbioMérieux SAEnzyme linked fluorescent assay (ELFA)49% (0-7 days), 100% (7-14 days), 100% (15+days)99.9%%
WANTAI SARS-CoV-2 Ab ELISABeijing Wantai Biological Pharmacy Enterprise Co., Ltd.ELISA55.4% (0-7 days), 84.8% (7-14 days), 98.7% (15+ days)98.6%
Atellica IM SARS-CoV-2 IgG (COV2G)Siemens Healthcare Diagnostics Inc.ChLIA56% (0-6 days), 92%(7-14 days), 100% (14+ days)99.9%
ADVIA Centaur SARS-CoV-2 IgG (COV2G)Siemens Healthcare Diagnostics Inc.ChLIA53.5% (0-6 days), 93.4% (7-14 days), 100% (14+ days)99.9%
xMAP SARS-CoV-2 Multi-Antigen IgG AssayLuminexFluorescent microbead-based immunoassay (FMIA)Serum: 71% (days 0-7), 71.4% (8-14 days), 96.2% (14+ days); Plasma: 100% (0-7 days), 82% (8-14 days), 96.6% (14+ days)Serum: 100%, Plasma: 99.2%
Rapid COVID-19 IgM/IgG Combo Test KitMegna Health, Inc.RSTIgM: 73.81%, IgG, 73.81, Combined: 90.5%IgM: 99.7%, IgG:99.3%, Combined: 98.9%
Sienna-Clarity COVIBLOCK COVID-19 IgG/IgM Rapid Test CassetteSalofa OyRST100% for IgM and IgG100% for IgM and IgG
WANTAI SARS-CoV-2 Ab Rapid TestBeijing Wantai Biological Pharmacy Enterprise Co., Ltd.RST94.7%98.9%
Diazyme DZ-Lite SARS-CoV-2 IgG CLIA KitDiazyme Laboratories, Inc.ChLIA92%97%
SCoV-2 Detect IgM ELISAInBios International, Inc.ELISA93%99%
Access SARS-CoV-2 IgGBeckman Coulter, Inc.ChLIA75% (0-7 days), 95.3% (8-14 days), 96.8% (15+ days)100%
Babson Diagnostics aC19G1Babson DiagnosticsChLIA/indirect sandwich immunoassay66.7% (8-14 days), 100% (15+ days), 100% (asymptomatic)100%
SARS-CoV-2 RBD IgG testEmory UniversityELISA73% (days 0-7), 100% (days 8-14), 100% (days 14+)97.7% (prior to pandemic), 94.4% (PCR negative HCW)
SCoV-2 Detect IgG ELISAInBios International, Inc.ELISA97.8%98.9%
RightSign COVID-19 IgG/IgM Rapid Test CassetteHangzhou Biotest Biotech Co., LtdRST96.3% (8-14 days), 94.9% (15+ days) (IgM); 91.6% (8-14 days), 96.2% (15+ days) (IgG)98.1% (IgM), 99.52% (IgG)
Vibrant COVID-19 Ab AssayVibrant America Clinical LabsChLIA98.1%98.6%
COVID-19 IgG/IgM Rapid Test Cassette (Whole Blood/Serum/Plasma)Healgen Scientific LLCRST96.7% (IgG),86.7 % (IgM), 96.7% combined98% (IgG), 99% (IgM), 97% combined
Atellica IM SARS-CoV-2 Total (COV2T)Siemens Healthcare Diagnostics Inc.ChLIA60.7% (0-6 days post PCR positive),97.5% (7-13 days post PCR positive), 100% (14+ days post PCR positive).99.82%%
ADVIA Centaur SARS-CoV-2 Total (COV2T)Siemens Healthcare Diagnostics Inc.ChLIA65.1% (0-6 days post PCR positive),97.5% (7-13 days post PCR positive), 100% (14+ days post PCR positive).99.81%%
Anti-SARS-CoV-2 ELISA (IgG)Euroimmun AGELISAFrom 0-10 days, 13.9%; from 11-20 days, 61.1%; from 21 days onward, 100%. 90% by NCI validation100% by NCI validation
New York SARS-CoV Microsphere Immunoassay for Antibody DetectionWadsworth Center, New York State Department of HealthMicrosphere immunoassayNot stated93-100%
COVID-19 ELISA IgG Antibody TestMount Sinai Laboratory ELISA
qSARS-CoV-2 IgG/IgM Rapid TestCellex Inc.RST93.80%95.60%
 
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