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Chlamydial InfectionNCT03852316

Clinical Study of a Diagnostic Device for NG, TV and CT in Women

A study testing Click Device in people with Chlamydial Infection and Gonococcal Infection, run by National Institute of Allergy and Infectious Diseases (NIAID) at 10 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multi-center study with a minimum of three sites in the United States. The study will enroll approximately 1750 female subjects, 14 years of age and older, and will have a study duration of approximately 9 months after enrollment of the first subject. Read more about this study

Who is it for?
Ages 14 to 99 years, women onlyHealthy volunteers can take part
What is being tested?
Click Device
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,585 participants
Where
10 sitesUnited States
Study dates
27 Feb 2019to 2 Dec 2019
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 99 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Willing and able to give voluntary written informed consent (or the parent/legal guardian will provide parental permission) before any study-related procedure is performed.
  • Female at birth. (Pregnant and breastfeeding women are eligible.)
  • Age > / = 14 years at the time of enrollment.
  • Able to read and understand the procedural information provided for the study.
  • Able and willing to follow all study procedures, including performing self-collection of one vaginal swab and permitting a licensed HCP to collect three additional vaginal swabs.

Who cannot join

  • Have a medical condition, serious intercurrent illness, or other circumstance that, in the Investigator's judgment, could jeopardize the subject's safety, or could interfere with study procedures.
  • Enrollment in this study previously.
  • Use of antiperspirants and deodorants or the following vaginal products: douches, washes, lubricants, vaginal wipes, vaginal moisturizers, or feminine hygiene spray in the genital area, within 48 hours prior to enrollment.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Johns Hopkins Hospital - Medicine - Infectious Diseases

    Baltimore, Maryland, 21205

  • Cook County Health and Hospitals System - Ruth M Rothstein CORE Center

    Chicago, Illinois, 60612

  • South Florida Clinical Trials

    Hialeah, Florida, 33016

  • University of Mississippi - Infectious Diseases

    Jackson, Mississippi, 39202

  • Impact Clinical Trials

    Las Vegas, Nevada, 89106

  • Axis Clinical Trials

    Los Angeles, California, 90036

  • Florida International University - Student Health Center

    Miami, Florida, 33199

  • Philadelphia Department of Public Health - Health Center 1

    Philadelphia, Pennsylvania, 19145

  • University of California, San Diego - Antiviral Research Center

    San Diego, California, 92103-8208

  • San Francisco Department of Public Health - San Francisco City Clinic

    San Francisco, California, 94103-4030

Other trials in United States

About this study

Official title: Pivotal Study of a Single-Use, Point-of-Care Molecular Diagnostic Device for the Detection of Neisseria Gonorrhoeae (NG), Trichomonas Vaginalis (TV), and Chlamydia Trachomatis (CT) in Women

This is a multi-center study with a minimum of three sites in the United States. The study will enroll approximately 1750 female subjects, 14 years of age and older, and will have a study duration of approximately 9 months after enrollment of the first subject. Female subjects seen at the participating sites for any reason will be evaluated for enrollment in this study. All subjects will be managed per standard of care as applicable. Subjects who are enrolled in the study will perform self-collection of a vaginal swab to be tested by Click device and allow the health care provider (HCP) to collect three additional vaginal swabs to be tested by recognized FDA-cleared comparator methods. Subjects will complete the study in a single visit. The primary objective is to assess the performance of the Click device for detection of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) in self-collected vaginal specimens as compared to Patient Infected Status (PIS) determined by three approved comparator assays using vaginal specimens collected by a qualified HCP in support of obtaining FDA clearance. and a Clinical Laboratory Improvement Amendments (CLIA) Waiver.

Read the detailed description

This is a multi-center study with a minimum of three clinical sites across diverse geographical areas in the United States. Approximately one-third of the total number of sites will have a patient population of low Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), or Trichomonas vaginalis (TV) prevalence. Low prevalence sites are defined as sites with a prevalence < / = 2 percent for any of the three targets. Sites with a prevalence higher than 2 percent for any of the three targets will be defined as high prevalence sites. The study will enroll approximately 1750 female subjects, 14 years of age and older, and will have a study duration of approximately 9 months after enrollment of the first subject. Female subjects seen at the participating sites for any reason will be evaluated for enrollment in this study. All subjects will be managed per standard of care as applicable. Subjects who are enrolled in the study will perform self-collection of a vaginal swab to be tested by Click device and allow the health care provider (HCP) to collect three additional vaginal swabs to be tested by recognized FDA-cleared comparator methods. Subjects will complete the study in a single visit, approximately 60 minutes in length. The hypothesis of this study is that Click Diagnostics Sexual Health Test performs substantially equivalent to the NAAT (Nucleic Acid Amplification Test) predicate system, and the identification of each organism (CT, NG, and TV) in self-collected vaginal swabs by women using the Click device will agree with the Patient Infected Status (PIS) with a high sensitivity and specificity. The primary objective is to assess the performance of the Click device for detection of CT, NG, and TV in self-collected vaginal specimens as compared to PIS determined by three approved comparator assays using vaginal specimens collected by a qualified HCP in support of obtaining FDA clearance and a Clinical Laboratory Improvement Amendments (CLIA) Waiver. The secondary objectives are: 1) to assess the performance of the Click device for detection of CT, NG, and TV in self-collected vaginal specimens among symptomatic subjects as compared to PIS determined by three approved comparator assays using vaginal specimens collected by a qualified HCP; 2) to assess the performance of the Click device for detection of CT, NG, and TV in self-collected vaginal specimens among asymptomatic subjects as compared to PIS determined by three approved comparator assays using vaginal specimens collected by a qualified HCP.

Being tested
Click Device
Keywords
Chlamydia trachomatis, Device, Diagnostic, Neisseria gonorrohoeae, Trichomonas vaginalis
Medical subject headings
Chlamydia Infections, Gonorrhea, Trichomonas Infections, Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Click DeviceDevice

    A single-use device containing a polymerase chain reaction (PCR)-based nucleic acid amplification test (NAAT) for detection of deoxyribonucleic acid (DNA) from Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) in self-collected vaginal specimens.

Study groups in NCT03852316
Study groupRoleWhat they receive
Click DeviceExperimentalEach subject (females 14 years of age and older) will perform a self-collection vaginal swab for the Click device and be randomized to a particular order for three vaginal swab collections (performed by Health Care Providers (HCP) as defined by state/local regulatory authorities) for comparator methods. N=1750
Receives: Device: Click Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The i) Percent Sensitivity and ii) Percent Specificity of Click Device for Detection of Chlamydia Trachomatis (CT) in Self-collected Vaginal Specimens as Compared to PIS Using Vaginal Specimens Collected by a Qualified HCP

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  2. The i) Percent Sensitivity and ii) Percent Specificity of Click Device for Detection of Neisseria Gonorrhoeae (NG) in Self-collected Vaginal Specimens as Compared to PIS Using Vaginal Specimens Collected by a Qualified HCP

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  3. The i) Percent Sensitivity and ii) Percent Specificity of Click Device for Detection of Trichomonas Vaginalis (TV) in Self-collected Vaginal Specimens as Compared to PIS Using Vaginal Specimens Collected by a Qualified HCP

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

Secondary outcomes (6)
  1. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of CT From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Asymptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  2. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of NG From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Asymptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  3. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of TV From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Asymptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  4. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of CT From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Symptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  5. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of NG From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Symptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

  6. The i) Percent Sensitivity and ii) Percent Specificity of Click Device Using Self-collected Vaginal Swabs for Detection of TV From Self-collected Specimens as Compared to PIS Using Specimens Collected by a Qualified HCP Among Symptomatic Participants

    If a participant reported "Yes" to any of the following symptoms, the participant is classified as Symptomatic: Unusual vaginal discharge; Vaginal irritation (itching, burning, soreness); Lower abdominal/pelvic pain; Painful urination; Increased urinary frequency; Abnormal bleeding/spotting; Pain or bleeding with sex/intercourse. Otherwise, the participant is classified as "Asymptomatic".

    The sensitivity of the Click device is defined as follows:

    TP = the number of specimens where both the Click result and the PIS designation are Positive.

    FN = the number of specimens where the Click result is Negative and the PIS designation is Positive.

    Sensitivity = 100 * TP / (TP + FN)

    The specificity of the Click device is defined as follows:

    TN = the number of specimens where both the Click result and the PIS designation are Negative.

    FP = the number of specimens where the Click result is Positive and the PIS designation is Negative.

    Specificity = 100 * TN / (TN + FP)

    Measured: Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2019
  2. Study start27 Feb 2019
  3. Primary completion2 Dec 2019
  4. Study completion2 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,585 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03852316
Sponsor's protocol ID
18-0024
Status last verified
Feb 2019
First submitted
21 Feb 2019
Last updated
13 Jan 2022
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Click Device in people with Chlamydial Infection and Gonococcal Infection, run by National Institute of Allergy and Infectious Diseases (NIAID) at 10 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Jan 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The i) Percent Sensitivity and ii) Percent Specificity of Click Device for Detection of Chlamydia Trachomatis (CT) in Self-collected Vaginal Specimens as Compared to PIS Using Vaginal Specimens Collected by a Qualified HCP (time frame: Day 1). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jan 2022.

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