Table 1.
Key areas for clinical research on COVID-19 in pediatric populations.
Pathophysiology and natural history | • Characteristics of SARS-CoV-2 infection in neonates, children and adolescents. |
• Correlates of risk, progression, recovery and protection. | |
• Studies of transmission to and from children, including household transmission, particularly in the elderly. | |
Viral diagnosis | • Development of rapid point-of-care diagnostics for children and methods for assessment of viral load and shedding of infectious virus. |
• Large-scale testing of pediatric patients to determine rates of infection and potential coinfection with other respiratory viruses. | |
• Multiyear assessments of recurrent infection in infants/children. | |
Detection of antibodies | • Development of rapid point-of-care tests for detection of SARS-CoV-2 Ab. |
• Methodology for detecting and quantitating neutralizing Ab. | |
• Long-term studies of durability of antibody response. | |
Framework for antiviral development | • Knowledge base for information about candidates in development. |
• Pediatric engagement early in development for input regarding pediatric needs and optimal planning for pediatric studies. | |
• Mechanism for input regarding risk: benefit assessment. | |
Evaluation of vaccine candidates | • Assessment of developmental effects on vaccine response. |
• Evaluation of risk for enhancing responses to vaccine candidates. | |
• Pediatric engagement early in development for input regarding pediatric needs and optimal planning for pediatric studies. | |
• Mechanism for input regarding risk: potential benefit. |