A Multi-Site Clinical Evaluation of the ARIES Bordetella Assay in Symptomatic Patients

NCT ID: NCT02862262

Last Updated: 2018-10-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1052 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2016-11-14

Brief Summary

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A three-arm, multi-site clinical evaluation of the ARIES Bordetella Assay for the detection and identification of Bordetella pertussis (B. pertussis) and Bordetella parapertussis (B. parapertussis) nucleic acids in prospectively collected, de-identified, left-over clinical specimens; banked, pre-selected clinical specimens; and contrived specimens.

Detailed Description

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The ARIES Bordetella Assay is a real-time polymerase chain reaction (PCR) based qualitative in vitro diagnostic test for the direct detection and identification of Bordetella pertussis (B. pertussis) and Bordetella parapertussis (B. parapertussis) nucleic acid in nasopharyngeal swabs (NPS) specimens obtained from individuals suspected of having a respiratory tract infection attributable to B. pertussis or B. parapertussis.

Clinical nasopharyngeal swab specimens collected using nasopharyngeal swab in transport media will be processed according to the routine procedure followed at the clinical collection site and as ordered by the referring physician. The leftover specimen will be blinded and assigned a unique clinical study specimen number. In order to preserve the confidentiality of subjects, the following procedures will be implemented at each site:

* Clinical specimens will be individually numbered by an honest broker who is not involved in investigational testing so that the identity of the subject may not be readily ascertained by the investigator, investigational testing staff, or study Sponsor.
* Available clinical information accompanying the specimens will be provided in such a way that it does not make the specimen source identifiable to the investigator or any other individuals associated with investigational testing, including the Sponsor.
* No personal identifier (protected health information) will be included on the case report form (CRF) so that the confidentiality of each subject is protected.

Multiple aliquots of each left-over specimen will be generated. One aliquot of each specimen will be shipped to a laboratory where the reference method (two validated real-time PCR methods for each, B. pertussis and B. parapertussis) will be performed. A second aliquot of each specimen will be used by the clinical sites for ARIES Bordetella Assay testing. Additional aliquots of each specimen will be stored frozen (-65 to -95°C) at the clinical sites and sent separately on dry ice to the Sponsor upon Sponsor's request.

The prospective data set will be supplemented with banked, pre-selected clinical specimens and contrived specimens that tested positive by a comparator method for B. pertussis and B. parapertussis. If contrived specimens are required, these specimens will be prepared then blinded, aliquoted, randomized and frozen (-65 to -95°C) until distributed to the clinical testing sites by the Sponsor.

The clinical data will be automatically generated from the ARIES System software. The system will report the specimen as B. pertussis and B. parapertussis positive (Co-infection), B. pertussis positive, B. parapertussis positive, B. pertussis and B. parapertussis negative or Invalid. Invalid results will be retested and both the original data and the retest data will be reported. The clinical data will be compared to the reference data and recorded in the clinical study reports.

Conditions

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Bordetella Infections Bordetella Pertussis Infection Bordetella Parapertussis Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The study is comprised of three arms:

Arm 1: Blinded, Prospective Arm Primary arm comprised of prospectively collected, de-identified, left-over nasopharyngeal swab specimens.

Arm 2: Blinded, Pre-selected Arm Because both B. pertussis and B. parapertussis exhibited low prevalence rates in the prospective study cohort, the prospective sample set was supplemented with banked (pre-selected) positive specimens collected at selected sites.

Arm 3: Contrived Specimens Because the number of B. parapertussis positive clinical specimens tested in Arm 1 and Arm 2 of the study was insufficient for accurate estimate of positive percent agreement (PPA) for this target, fifty (50) contrived specimens spiked with relevant B. parapertussis strains at different levels were also prepared. The analyte concentrations covered clinically relevant titers.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

All eligible specimens (de-identified remnants) enrolled are tested using both the investigational device as well as the reference method.

Study Groups

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Blinded, Prospective Arm (1)

Clinical performance of the ARIES Bordetella Assay for the detection of B. pertussis and B. parapertussis will be evaluated in prospectively collected, de-identified, left-over, clinical specimens.

Group Type EXPERIMENTAL

ARIES Bordetella Assay

Intervention Type DEVICE

Blinded, Pre-selected Arm (2)

In the event that an insufficient number of positive specimens are acquired for B. pertussis / B. parapertussis in Arm 1, clinical performance of the ARIES Bordetella Assay will be tested using banked, pre-selected, positive clinical specimens.

Group Type EXPERIMENTAL

ARIES Bordetella Assay

Intervention Type DEVICE

Blinded, Contrived Arm (3)

Contrived specimens will be tested using the ARIES Bordetella Assay to evaluate detection of B. parapertussis in the event that an insufficient number of positive specimens are acquired in Arm 2.

Group Type EXPERIMENTAL

ARIES Bordetella Assay

Intervention Type DEVICE

Interventions

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ARIES Bordetella Assay

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. The specimen is a nasopharyngeal swab collected using a cleared nasopharyngeal swab and transport medium.
2. The specimen is from an adult or pediatric, male or female subject who is either hospitalized, admitted to a hospital emergency department, visiting an outpatient clinica or resident of a long term care facility.
3. The specimen is from a patient for whom a requisition has been made for B. pertussis and/or B. parapertussis testing.
4. The specimen is from a patient exhibiting clinical signs and symptoms of respiratory tract infection consistent with B. pertussis or B. parapertussis.
5. The specimen was received in good condition (no leakage or drying of the specimen).
6. The specimen contains a minimum volume of 1000 μL.

Exclusion Criteria

1. The specimen is not a nasopharyngeal swab collected using a cleared nasopharyngeal swab and transport medium.
2. The specimen was not properly collected, transported, processed or stored according to the instructions provided by the Sponsor in Section 10 below.
3. The specimen volume is \<1000 μL.
4. Any specimen that was not tested per the complete testing algorithm provided by the Sponsor.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Luminex Molecular Diagnostics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ronald Dunn

Role: STUDY_DIRECTOR

Luminex Molecular Diagnostics

Timothy S Uphoff, PhD

Role: PRINCIPAL_INVESTIGATOR

Marshfield Labs

Stephen Young, PhD

Role: PRINCIPAL_INVESTIGATOR

Tricore Reference Lab

Ryan Relich, PhD

Role: PRINCIPAL_INVESTIGATOR

IU Health Pathology Laboratory

Ted E Schutzbank, PhD

Role: PRINCIPAL_INVESTIGATOR

St. John Hospital & Medical Center

Amy L Leber, PhD

Role: PRINCIPAL_INVESTIGATOR

Nationwide Children's Hospital Laboratory

Locations

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Indiana University Health

Indianapolis, Indiana, United States

Site Status

St. John Hospital and Medical Center

Grosse Pointe Woods, Michigan, United States

Site Status

Tricore

Albuquerque, New Mexico, United States

Site Status

Nationwide Children's Hospital Laboratory

Columbus, Ohio, United States

Site Status

Marshfield Labs

Marshfield, Wisconsin, United States

Site Status

Luminex Molecular Diagnostics

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Relich RF, Leber A, Young S, Schutzbank T, Dunn R, Farhang J, Uphoff TS. Multicenter Clinical Evaluation of the Automated Aries Bordetella Assay. J Clin Microbiol. 2019 Jan 30;57(2):e01471-18. doi: 10.1128/JCM.01471-18. Print 2019 Feb.

Reference Type DERIVED
PMID: 30518543 (View on PubMed)

Other Identifiers

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LMA-BRD-01-CS-001

Identifier Type: -

Identifier Source: org_study_id

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