NCI COVID-19 Research Initiatives
Because SARS-CoV-2 is a new virus, there is a lot to learn about how it affects people, including those with cancer, and how to treat the disease. NCI is contributing to the global effort to address COVID-19 by mobilizing its scientific experts and cutting-edge resources to conduct research on COVID-19.
NCI supports clinical trials for COVID-19, some specifically for patients with cancer.
NCI COVID-19 in Cancer Patients Study (NCCAPS)
NCI is conducting a large clinical cohort study of people with cancer who have COVID-19 that involves all of NCI’s clinical trials programs, including NCI’s National Clinical Trials Network and the NCI Community Oncology Research Program.
The study aims to enroll more than 2,000 patients of all ages and collect comprehensive documentation—such as their cancer type, the treatments they receive, and their symptoms—and follow them for an extended period to better understand SARS-CoV-2’s effect on people with cancer.
Genomic Studies of COVID-19 Outcomes
NCI has launched a series of studies of samples collected from people infected with SARS-CoV-2 to try to identify genetic variants that are associated with outcomes from COVID-19. One study will focus specifically on people with cancer. The hope is to better understand the biology of infection with this particular coronavirus, as well as to identify potential targets for new treatments and provide insights that might be used to identify individuals who are at high risk of severe outcomes.
NCI investigators are also conducting epidemiologic studies of cancer patients and survivors to estimate their risk of complications and death from COVID-19.
SARS-CoV-2 Serology Research
NCI is launching a number of efforts to develop, validate, and improve technologies for serology testing. Serology tests measure a person’s immune response to an infection in the form of antibodies in the blood.
Researchers at the Frederick National Laboratory for Cancer Research (FNLCR) are working with the Food and Drug Administration (FDA) and other government agencies to evaluate commercially available serology tests for SARS-CoV-2. Accurate serology tests are needed to identify people who have had an infection and may be immune from reinfection. Staff in the HPV Serology Laboratory at FNLCR are working with FDA to validate serology tests submitted to the agency by outside scientists and companies and to develop assay standards.
NCI is also establishing a Serological Sciences Network that will work collaboratively to expand serology testing capacity across the country as quickly as possible, develop novel assays, and improve the understanding of the immune response to SARS-CoV-2.
Search for COVID-19 Treatments
NCI is using some of the advances made via the RAS Initiative to try to identify new therapies for COVID-19. Researchers involved with the RAS Initiative used a screening library to identify chemical compounds that block the activity of mutated RAS proteins that drive tumor growth. That screening library is now being used to identify potential chemical compounds that can block the activity of a key enzyme that SARS-CoV-2 relies on to infect cells.
Compounds identified in these screens that block the activity of this enzyme will undergo additional testing and refinement, in collaboration with researchers at the Argonne National Laboratory and the University of Chicago, to develop them into potential therapies for COVID-19.