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Covid19LSH1394NCT04948190

Canine COVID-19 Detection Phase 2 and 3

An observational study of Covid19 and SARS-CoV2 Infection, run by ARCTEC at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine whether trained medical detection dogs can accurately detect the presence of COVID-19 in people infected with the virus, or using samples of their clothing or body odour. Read more about this study

Who is it for?
Ages 16 years and olderHealthy volunteers can take part
Conditions the study is for
Covid19, SARS-CoV2 Infection
What is being tested?
Testing with medical detection dogs
How many people
11,015 participants
Where
1 siteUnited Kingdom
Study dates
8 Mar 2021to 27 Sep 2021
Phase
Observational
Are there results?
None posted in the registry

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 16 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Phase 2 parts 1 and 2: Study population will comprise SARS-CoV-2 negative volunteers. Phase 2 part 3: Study population will comprise SARS-CoV-2 positive volunteers living locally to Milton Keynes. Phase 2 part 4: Study population will comprise attendees or passengers at relevant field location. Phase 2 part 5: Study population will consist of stakeholders appropriate to the field location used in phase 2 part 4. Phase 3: Volunteers who are seeking testing for COVID-19, or who have been tested in the past 4 days.

Who may be able to join

  • Phase 2, training part 1 \& 2
  • Adult male or female, aged 16 years or over.
  • Written (hard copy or electronic) or verbal informed consent provided.
  • Willing and able to wear or carry clothing (e.g. t-shirt) collected as part of Phase 1 from an individual infected with SARS-CoV-2 or an individual not infected with SARS-CoV-2.
  • Has declared non-symptomatic 7 days (as defined by the latest NHS guidance) prior to participation in the training exercise.
  • Would be willing to have a SARS-CoV-2 test within 24 h of the training exercise if required.
Show all 30Show fewer
  • Phase 2, training part 3
  • Adult male or female, aged 16 years or over.
  • Written (hard copy or electronic) or verbal informed consent provided.
  • Has received a positive result for SARS-CoV-2 from a test conducted within the past 5 days. or is experiencing SARS-CoV-2 symptoms.
  • Willing and able to share, or grant access to, their SARS-CoV-2 test result.
  • Has access to private outdoor space (e.g. front garden, driveway), reachable without leaving the location where the participant is self-isolating.
  • Is asymptomatic or mildly ill (i.e. not requiring hospitalisation, able to walk short distances and stand for up to 15 minutes).
  • Phase 2 part 4, acceptability and feasibility study
  • Adult male or female, aged 16 years or over.
  • Written (hard copy or electronic) or verbal informed consent provided.
  • Would be willing to have a SARS-CoV-2 test within 72 hours of the training exercise if required.
  • Willing and able to share, or grant access to their SARS-CoV-2 test result.
  • Phase 2 part 5, Criteria for all volunteers
  • Adult male or female, aged 16 years or over
  • Electronic informed consent provided
  • Additional criteria for volunteers participating in focus groups
  • Adult male or female, aged 16 years or over.
  • Written (hard copy or electronic) or verbal informed consent provided.
  • Able to access online video-conferencing tools (such as Zoom or Teams).
  • Phase 3, Deployment testing
  • Adult male or female, aged 16 years or over.
  • Willing and able to have a SARS-CoV-2 test within 96 h of participation in the deployment exercise.
  • Willing and able to share, or grant access to, their SARS-CoV-2 test result.
  • Verbal or written (hard copy or electronic) informed consent provided by the participant.

Who cannot join

  • Phase 2, training part 1 \& 2
  • Younger than 16 years old
  • Informed consent not provided
  • Unwilling or unable to wear or carry clothing from an individual infected or uninfected with SARS-CoV-2.
  • Has not declared non-symptomatic within 7 days prior to the training exercise.
  • Is unwilling or unable to have a SARS-CoV-2 test within 24 hours of the training exercise if required.
Show all 28Show fewer
  • Phase 2, training part 3
  • Adult male or female, aged under 16 years.
  • Informed consent not provided.
  • Has not received a positive result for SARS-CoV-2 or experiencing SARS-CoV-2 symptoms.
  • Unwilling or unable to share, or grant access to their SARS-CoV-2 test result.
  • Has no access to private outdoor space.
  • Participant requires hospitalisation or is unable to walk short distances and stand for up to 15 minutes.
  • Phase 2 part 4, acceptability and feasibility study
  • Adult male or female, aged under 16 years.
  • Informed consent not provided.
  • Unwilling or unable to have a SARS-CoV-2 test within 72 hours of the training exercise if required.
  • Unwilling or unable to share, or grant access to their SARS-CoV-2 test result. Phase 2 part 5 Criteria for all volunteers
  • Adult male or female, aged under 16 years.
  • Informed consent not provided Additional criteria for volunteers participating in focus groups.
  • Adult male or female, aged under 16 years · Informed consent not provided.
  • Unable to access online video-conferencing tools (such as Zoom or Teams)
  • Phase 3 Deployment testing
  • Adult male or female, aged under 16 years
  • Informed consent not provided.
  • Unwilling or unable to have a SARS-CoV-2 test within 96 hours of participation in the deployment exercise.
  • Unwilling or unable to provide a scent swab.
  • Unwilling or unable to share, or grant access to, their SARS-CoV-2 test result.

Trial locations and contacts

1 site in 1 country.

James L Logan, PhD contact

0207 927 2008

james.logan@lshtm.ac.uk

Sarah Dewhirst, PhD contact

020 7958 8190

sarah.dewhirst@lshtm.ac.uk

United Kingdom1 site, 1 recruiting
  • Arctec at London School of Hygiene & Tropical Medicine

    London, WC1E 7HT

    Sarah Dewhirst, PhD, +440209278190 ext. +440209278190, sarah.dewhirst@lshtm.ac.uk

    Manil Shah, MSc, arctec@lshtm.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: Using Medical-detection Dogs to Identify People With SARS-CoV-2. Phase 2 and 3 -Training Dogs to Detect People Infected With SARS-CoV-2.

The purpose of this study is to determine whether trained medical detection dogs can accurately detect the presence of COVID-19 in people infected with the virus, or using samples of their clothing or body odour.

The study will train dogs to identify and discriminate between individuals wearing clothing collected from people infected with SARS-CoV-2 and uninfected individuals under semi-field conditions.Following this training, field testing will be used to determine whether trained dogs can distinguish between people infected with SARS-CoV-2 and uninfected individuals, producing estimates of dogs' sensitivity and specificity.

Read the detailed description

When the COVID-19 epidemic wanes it will be important to prevent outbreaks of, and the reintroduction of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) into the country, since there will be many susceptible individuals remaining in the population. In order to prevent third and further waves of COVID-19, it will be important to screen passengers arriving from high-risk countries. This task would be made simpler if a rapid non-invasive method were available for detecting infected individuals, particularly those with asymptomatic, pre-symptomatic or prodromal symptomatic infections with SARS-CoV-2 from those individuals who are not carrying the virus.

Thermal screening, practised in many airports and ports around the world, has a low sensitivity since not all patients develop fever. Consequently, it has received considerable criticism in some quarters. The use of trained dogs could provide a rapid primary screen for detecting those potentially carrying the SARS-CoV-2 virus. Travellers indicated by the dogs as likely to be carrying the virus would then be tested by nasal and throat swabs, with diagnosis confirmed/excluded using real-time RT-PCR or an accurate rapid diagnostic test according to Government Guidelines. Using trained dogs would enable extremely rapid screening, with each dog able to assess up to 250 travellers per hour, saving time and money.

There is evidence that viral and bacterial respiratory infections cause the release of specific odours from human cells. Other work with detection dogs has found dogs can detect and learn the smell of virus-associated volatiles in real time, with sensitivities of up to 96% and specificity of up to 98%. The current study will build further investigate whether trained dogs can differentiate between odours associated with viral infections.

In Phase 1 of this study (Clinical Trials ref: NCT04509713), the investigators hypothesised that dogs, with their highly advanced sense of smell could be trained to detect people infected with the SARS-CoV-2 virus. Medical Detection Dogs were trained and tested using stand trials with clothing samples worn by people who had variously tested positive or negative for SARS-CoV-2 in RT-PCR tests.

In Phase 2, the clothing collected in Phase 1 will be used to train and transition the dogs from Phase 1, where they identified samples in the laboratory environment, to semi-field settings. Phase 1 clothing samples will be worn by human volunteers in a series of 'line-up' trials, under increasingly complex settings. As part of phase 2, study staff will opportunistically conduct line-up tests with volunteers confirmed to be infected with SARS-CoV-2, to allow dogs to learn the whole-body odour of infection.

Phase 3 will take place once the investigators have demonstrated the dogs can work within a real-world environment (Phase 2 above). In this phase, trainers will deploy the dogs and evaluate performance through in use testing. This will be done at a suitable venue, most likely a COVID-19 testing centre, airport or university, to ensure a high enough rate of potential positive individuals.

Being tested
Testing with medical detection dogs
Keywords
Medical Detection Dog, Canine
Medical subject headings
COVID-19

What participants receive

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

  • Testing with medical detection dogsBehavioural

    Participants will be screened by medical detection dogs. In phase 2, participants may be asked to wear clothing samples collected in phase 1, as part of dog training procedures. In subsequent study parts, participants will wear their own clothing.

Study groups in NCT04948190
Study groupRoleWhat they receive
SARS-CoV-2 Infected/ positive groupHas tested positive for SARS-CoV-2 within appropriate timeframe (criteria vary for different study stages). Aged 16 years or older, willing and able to provide informed consent.
Receives: Behavioral: Testing with medical detection dogs
SARS-CoV-2 negative groupHas tested negative for SARS-CoV-2 within appropriate timeframe (criteria vary for different study stages, and in phase 2 part 1, 2 and 4 enrolment may be accepted using symptoms-based criteria). Aged 16 years or older, willing and able to provide informed consent.
Receives: Behavioral: Testing with medical detection dogs

What is being measured

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

  1. Phase 2: Sensitivity of dogs detecting COVID-19 on worn clothing samples.

    The phase 2 study section is designed to measure the sensitivity of the dogs to detect participants infected with SARS-CoV-2 using clothing samples.

    During testing the reaction of each dog to a positive sample will be observed (i.e. standing, sitting or lying down). The dog's diagnostic accuracy will then be determined in a double-blinded study. Here the trainer and technician using the computer to record the results of the study are blinded to the identity of each sample until the trainer calls the final decision (positive or negative) based on the response of the dog to the sample.

    This outcome will assess dogs' sensitivity in screening clothing samples collected in an earlier trial, and worn by volunteers, all of whom are expected to be SARS-CoV-2 negative.

    Sensitivity will be calculated against 'gold standard' of RT-PCR test outcomes.

    Measured: 6 weeks

  2. Phase 2: Specificity of dogs detecting COVID-19 on worn clothing samples.

    The phase 2 study section is designed to measure the specificity of the dogs to detect participants infected with SARS-CoV-2 using clothing samples.

    During testing the reaction of each dog to a positive sample will be observed (i.e. standing, sitting or lying down). The dog's diagnostic accuracy will then be determined in a double-blinded study. Here the trainer and technician using the computer to record the results of the study are blinded to the identity of each sample until the trainer calls the final decision (positive or negative) based on the response of the dog to the sample.

    This outcome will assess dogs' specificity in screening clothing samples collected in an earlier trial, and worn by volunteers, all of whom are expected to be SARS-CoV-2 negative.

    Specificity will be calculated against 'gold standard' of RT-PCR test outcomes.

    Measured: 6 weeks

  3. Phase 3: Specificity precision of dogs to detect COVID-19 in humans in semi-field settings.

    The phase 3 study section will measure the sensitivity of the dogs in detection of SARS-CoV-2 on human participants in semi-field settings.

    During screening the reaction of each dog to an individual being screened will be observed (i.e. standing, sitting or lying down).

    The dog's diagnostic sensitivity will be calculated by comparing these indications against outcomes of RT-PCR tests, which must be conducted within 96 hours of test participation. Testing will be conducted under double-blinded conditions.

    This outcome will assess dogs' sensitivity on in-person volunteers, screened in semi-field settings. Volunteers will comprise both SARS-CoV-2 positive and SARS-CoV-2 negative individuals.

    Sensitivity will be calculated to +/- 5% accuracy. Sensitivity= percentage of true positives correctly identified by dogs.

    Measured: 20 weeks (overlapping with phase 2)

  4. Phase 3: Specificity precision of dogs to detect COVID-19 in humans in semi-field settings.

    The phase 3 study section will measure the specificity of the dogs in detection of SARS-CoV-2 on human participants in semi-field settings.

    During screening the reaction of each dog to an individual being screened will be observed (i.e. standing, sitting or lying down).

    The dog's diagnostic specificity will be calculated by comparing these indications against outcomes of RT-PCR tests, which must be conducted within 96 hours of test participation. Testing will be conducted under double-blinded conditions.

    This outcome will assess dogs' specificity on in-person volunteers, screened in semi-field settings. Volunteers will comprise both SARS-CoV-2 positive and SARS-CoV-2 negative individuals.

    Specificity will be calculated to +/- 5% accuracy. Specificity= percentage of true negatives correctly identified by dogs.

    Measured: 20 weeks (overlapping with phase 2)

Secondary outcomes (1)
  1. Qualitative outcome: acceptability of dogs as a screening tool

    Interviews and focus groups involving stakeholder groups will be used to assess acceptability of dogs as a disease-screening tool.

    Eligible volunteers belonging to relevant groups will be invited to a single event (either interview with researcher, or focus group with other volunteers from same group type). Concept of dogs as a screening tool will be explained, using verbal overview, and where possible photos or videos.

    Volunteers will be asked to share their views on acceptability of dogs as a screening tool. Key quotes will be noted from each session. At the conclusion of all sessions, key themes and opinions will be drawn from session notes, and reported using illustrative quotes where appropriate.

    Measured: 8 weeks

Timeline

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

  1. First posted1 Jul 2021
  2. Study start8 Mar 2021
  3. Primary completion30 Aug 2021 (estimated)
  4. Study completion27 Sep 2021 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Other
Enrolment
11,015 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04948190
Sponsor's protocol ID
LSH1394
Acronym
LSH1394
Status last verified
Jul 2021
First submitted
28 Jun 2021
Last updated
30 Jul 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Covid19 and SARS-CoV2 Infection, run by ARCTEC at 1 site in United Kingdom.

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 30 inclusion and 28 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: status not confirmed, as of the sponsor's last update on 30 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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?

Results are not available in the source record.

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

Contact James L Logan, PhD (0207 927 2008, james.logan@lshtm.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 2: Sensitivity of dogs detecting COVID-19 on worn clothing samples. (time frame: 6 weeks). The study lists 4 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 30 Jul 2021.

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