How HIV affects COVID-19 spread and the rise of new variants

The effect of HIV on SARS-CoV-2 transmission and emergence of variants of concern

NIH-funded research University of California-Irvine · NIH-11146478

This project compares how COVID-19 behaves and changes in people living with HIV versus others to understand when and where new variants may appear.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California-Irvine NIH-funded
Lab location1 site (Irvine, United States)
Project IDNIH-11146478 on NIH RePORTER

What this research studies

If you join, you'll be asked to provide nasal or throat swabs and share your health information while researchers recruit people with and without HIV in communities with high HIV rates. They will sequence the virus from your samples over time to track how long infections last and what genetic changes appear. The team will combine those viral genomes with clinical and contact data to map transmission chains and spot where variants emerge. This work aims to determine whether prolonged infections in people with weakened immunity are helping new SARS-CoV-2 variants to develop and spread.

Who could benefit from this research

Good fit: Ideal participants are people living with HIV—particularly those with weakened immune systems or prolonged COVID-19 infections—living in areas with high HIV prevalence.

Not a fit: People without recent SARS-CoV-2 infection or whose samples are not selected for sequencing are unlikely to receive direct personal benefit from participation.

Why it matters

Potential benefit: If successful, this work could help target testing, treatment, and vaccination efforts to reduce the chance that new, harder-to-control variants emerge and spread.

How similar studies have performed: Previous case reports and smaller studies have shown that persistent SARS-CoV-2 infections in immunocompromised patients can lead to viral evolution, but larger population-level studies in high-HIV settings remain limited.

Where this research is happening

Irvine, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.