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Pharyngitis, InfectiveNCT06713642

SPOTFIRE Sore Throat (ST) Study

A study testing SPOTFIRE ST System in people with Pharyngitis, Infective, run by University of Wisconsin, Madison at 1 site 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

The purpose of this study is to evaluate where urgent care (UC) clinicians see the most benefit for a novel, point of care pharyngitis test, SPOTFIRE ST, and describe its performance, potential clinical utility, and satisfaction of providers and patients with this novel test. Read more about this study

Who is it for?
Ages 1 year and older
Conditions the study is for
Pharyngitis, Infective
What is being tested?
SPOTFIRE ST System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteUnited States
Study dates
2 Dec 2024to 31 Mar 2025
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 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Illness onset in the last 7 days, AND:
  • Ages 1-2 (12-35 months old) with fever or
  • Ages 3-17 with sore throat or
  • Any age with immunocompromising conditions or is on immunocompromising medications with sore throat or
  • Any age with comorbidities (e.g., respiratory, cardiovascular, metabolic, renal, etc.) with sore throat

Who cannot join

  • Anatomic anomalies that would prohibit safely collecting a pharyngeal swab specimen
  • Symptom onset more than 7 days prior to arrival at urgent care
  • Patient is already on an antiviral medication or an antibiotic medication
  • Previous participation in the study
  • Unable to read and understand or refusal to sign the appropriate informed consent/assent forms
  • Refusal to provide their demographics, household information

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UW Health Urgent Care Centers

    Madison, Wisconsin, 53717

Other trials in United States

About this study

Official title: SPOTFIRE ST TITUS STUDY: Provider Identified Target Populations, Implementation, Test Performance, Potential Utility, and Satisfaction of SPOTFIRE ST in the Urgent Care

The purpose of this study is to evaluate where urgent care (UC) clinicians see the most benefit for a novel, point of care pharyngitis test, SPOTFIRE ST, and describe its performance, potential clinical utility, and satisfaction of providers and patients with this novel test. Up to 200 participants will be on study for up to approximately 25 minutes.

Read the detailed description

The broader study is separated into three specific aims.

AIM 1. Evaluate which specific patient populations UC providers see the most need and benefit from SPOTFIRE ST, a multiplex point of care pharyngitis test (preparatory for the clinical trial, included here for context only).

AIM 2. Evaluate the performance and effects of test results associated with important clinical outcomes (e.g., prescriptions, additional testing, disposition and follow-up) for patients in the top 3-4 high-risk subpopulations identified by providers in Specific AIM 1.

AIM 3. Evaluate patient and provider satisfaction and future use opportunities of the SPOTFIRE ST Panel testing platform in the clinical pathway for evaluating patients with pharyngitis in UC centers.

AIMS 2-3 are registered to this ClinicalTrials.gov record.

Being tested
SPOTFIRE ST System
Keywords
diagnostic test
Medical subject headings
Pharyngitis

What participants receive

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

  • SPOTFIRE ST SystemDevice

    Also called SPOTFIRE ST

    Polymerase chain reaction (PCR) test that identifies up to 13 different viral and bacterial pathogens in about 20 Minutes

Study groups in NCT06713642
Study groupRoleWhat they receive
Eligible SPOTFIRE ST ParticipantsExperimentalA maximum of 200 patients, representing the top 3-4 patient groups that were identified as benefitting most from a SPOTFIRE ST test through the provider survey, presenting at the Urgent Care facilities, will be enrolled.
Receives: Device: SPOTFIRE ST System

What is being measured

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

  1. Aim 2 Clinical Outcome: Summary of Test Results

    SPOTFIRE ST results by count.

    Measured: up to 20 minutes

  2. Aim 2 Clinical Outcome: Number of Participants With Follow up Testing

    Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  3. Aim 2 Clinical Outcome: Number of Participants With Follow up Testing: Rapid Flu vs SPOTFIRE Results

    Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  4. Aim 2 Clinical Outcome: Number of Participants With Follow up Testing: Rapid Respiratory Syncytial Virus (RSV) vs SPOTFIRE Results

    Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  5. Aim 2 Clinical Outcome: Number of Participants With Follow up Testing: COVID PCR vs SPOTFIRE Results

    Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  6. Aim 2 Clinical Outcome: Number of Participants With Follow up Testing: Rapid Strep Antigen vs SPOTFIRE Results

    Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  7. Aim 2 Clinical Outcome: Summary of Resultant Prescriptions: Participants With Treatable Pathogens

    SPOTFIRE ST resultant prescriptions by count. Data collected via electronic medical record review 3 weeks post study visit.

    Treatable Pathogens include: Influenza A or B (FluA/B), Group A Strep (GAS), Mycoplasma pneumoniae (Mpn), Chlamydia pneumoniae (Cpn)

    Measured: up to 3 weeks

  8. Aim 2 Clinical Outcome: Summary of Resultant Prescriptions: Participants With Viral Pathogens Prescribed Antibiotics

    SPOTFIRE ST resultant prescriptions by count. Data collected via electronic medical record review 3 weeks post study visit.

    Measured: up to 3 weeks

  9. Aim 3: Participant Satisfaction Survey

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to approximately 4 months)

  10. Aim 3: Participant Satisfaction Survey - How do the Results Feel?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  11. Aim 3: Participant Satisfaction Survey - Are You Satisfied With the Test Result?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  12. Aim 3: Participant Satisfaction Survey - Are You Satisfied With Provider Information?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  13. Aim 3: Participant Satisfaction Survey - Are You Satisfied With the Treatment?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  14. Aim 3: Participant Satisfaction Survey - How Useful is the Test in Understanding Your Illness?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  15. Aim 3: Participant Satisfaction Survey - Likelihood to do Test Again?

    Participant Satisfaction will be measured using a self-report survey for satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  16. Aim 3: Provider Utility Survey

    Providers will be surveyed to learn how they might use the SPOTFIRE test in the future. Survey responses will be ranked and reported by response rate. Providers were asked to rank each patient population from 1-7, a nominal point value was given for this ranking to generate the scores (rank of 1=1, rank of 2=2, etc.) Lower scores indicate higher (more important) ranking. Mean rank score for each patient population is reported here to give the reader an idea of how important each item was for the group of providers.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  17. Aim 3: Provider Satisfaction Survey - How Often Test Used?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  18. Aim 3: Provider Satisfaction Survey - Ease of Fitting Into Workflow?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  19. Aim 3: Provider Satisfaction Survey - How Prepared Did You Feel to Answer Questions About Test?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  20. Aim 3: Provider Satisfaction Survey -Test Differed From Initial Clinical Impression?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  21. Aim 3: Provider Satisfaction Survey - How Useful Was the Test?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  22. Aim 3: Provider Satisfaction Survey - To What Extent is This Panel Useful Over Having Just Rapid Antigen Tests (RAT) for Group A Strep (GAS)?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  23. Aim 3: Provider Satisfaction Survey - How Often do You Think This Test Helped You Rx Abx/AV More Judiciously?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Prescription for Antibiotics or Antivirals (Rx Abx/AV)

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  24. Aim 3: Provider Satisfaction Survey - How Often do You Think You Would Use SPOTFIRE if Clinically Available All the Time?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

  25. Aim 3: Provider Satisfaction Survey - When do You Think it Would be Best to Test Patients With SPOTFIRE?

    Provider Satisfaction will be measured using a self-report survey to indicate satisfaction with the testing experience.

    Measured: emailed after SPOTFIRE testing, survey data collected from all participants through the end of the study (up to 4 months)

Timeline

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

  1. First posted3 Dec 2024
  2. Study start2 Dec 2024
  3. Primary completion31 Mar 2025
  4. Study completion31 Mar 2025

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
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06713642
Sponsor's protocol ID
2024-1569
Other IDs
Protocol Approved: 10/11/24, A534265, BFD-RST-23-010
Status last verified
Mar 2026
First submitted
27 Nov 2024
Last updated
23 Mar 2026
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Lepak AJ, Lehrer BJ, Barlow S, Goss M, Hamer C, He C, Norton D, Temte E, Walters S, Temte JL. Point-of-Care Multiplex NAAT for Acute Pharyngitis in the Urgent Care: Detection Patterns, Associated Antimicrobial Prescribing, and Stakeholder Perceptions. Open Forum Infect Dis. 2026 Jul 22;13(7):ofag441. doi: 10.1093/ofid/ofag441. eCollection 2026 Jul.

    PubMed 42534379

Questions about this trial

What is this clinical trial studying?

A study testing SPOTFIRE ST System in people with Pharyngitis, Infective, run by University of Wisconsin, Madison at 1 site 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 6 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 23 Mar 2026. 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 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 23 Mar 2026). 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?

Aim 2 Clinical Outcome: Summary of Test Results (time frame: up to 20 minutes). The study lists 25 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06713642, which also lists 1 linked publication.

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 23 Mar 2026.

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