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. 2022 Oct 10:ciac818. doi: 10.1093/cid/ciac818

Nasal and Plasma SARS-CoV-2 RNA Levels are Associated with Timing of Symptom Resolution in the ACTIV-2 Trial of Non-hospitalized Adults with COVID-19

Yijia Li 1,, Linda J Harrison 2, Kara W Chew 3, Judy S Currier 4, David A Wohl 5, Eric S Daar 6, Teresa H Evering 7, Ryan Wu 8, Mark Giganti 9, Justin Ritz 10, Arzhang Cyrus Javan 11, Robert Coombs 12, Carlee Moser 13, Michael D Hughes 14, Joseph J Eron 15, Davey M Smith 16, Jonathan Z Li 17,
PMCID: PMC9619579  PMID: 36210483

Abstract

Acute COVID-19 symptoms limit daily activities, but little is known about its association with SARS-CoV-2 viral burden. In this exploratory analysis of placebo recipients in the ACTIV-2/A5401 platform trial, we showed that high anterior nasal (AN) RNA levels and detectable plasma RNA were associated with delayed symptom improvement.

Keywords: SARS-CoV-2, COVID-19, Symptom duration, RNA

Contributor Information

Yijia Li, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA  USA.

Linda J Harrison, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Kara W Chew, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA  USA.

Judy S Currier, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA  USA.

David A Wohl, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC  USA.

Eric S Daar, Lundquist Institute at Harbor-UCLA Medical Center, Los Angeles, CA  USA.

Teresa H Evering, Weill Cornell Medical College, New York, NY  USA.

Ryan Wu, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Mark Giganti, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Justin Ritz, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Arzhang Cyrus Javan, National Institutes of Health, Bethesda, MD  USA.

Robert Coombs, Department of Laboratory Medicine & Pathology, University of Washington, Seattle, WA  USA.

Carlee Moser, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Michael D Hughes, Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA  USA.

Joseph J Eron, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC  USA.

Davey M Smith, Department of Medicine, University of California, San Diego, La Jolla, CA  USA.

Jonathan Z Li, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA  USA.

Supplementary Material

ciac818_Supplementary_Data

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

ciac818_Supplementary_Data

Articles from Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America are provided here courtesy of Oxford University Press

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