Evaluation of Dried Blood Spot for HCV RNA Testing

NCT ID: NCT03896087

Last Updated: 2020-12-17

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

942 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2020-12-01

Brief Summary

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FIND is preparing a study to evaluate the performance, as measured by sensitivity and specificity, of four centralized assays for the detection of HCV RNA using capillary blood collected on dried blood spots (DBS) and plasma separation card (PSC).

Detailed Description

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Available data on the performance of HCV RNA assays from DBS samples are insufficient to introduce their use in clinical practice. Only a few studies have been performed on DBS stored at ambient temperature, while the majority had DBS samples refrigerated or frozen right after collection, which does not mimic real-life settings. Additionally, due to the lack of standardized procedures, DBS collection and elution protocols varied across different studies. A large multicentre diagnostic accuracy study using standardized DBS collection and elution protocols validated by test manufacturers is needed to inform national hepatitis programmes and international guideline development groups. Test manufacturers need clinical evaluation data to update their regulatory claims and include DBS as an alternative sample type.

FIND is preparing a trial to evaluate the performance, as measured by sensitivity and specificity, of four laboratory-based assays for detection of HCV RNA assays using capillary blood collected on DBS/PSC. This will be provisional on the manufacturers agreeing to participate, as well as committing to applying to stringent regulatory approval for DBS/PSC.

Conditions

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Hepatitis C, Chronic

Keywords

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dried blood spots plasma separation card HCV RNA test

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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clinical performance of the HCV DBS assay

The study will be conducted in different geographical regions and populations and is designed to meet requirements of the for assays (medical devices) used for the qualitative and quantitative detection of Hepatitis C RNA.

Group Type EXPERIMENTAL

Abbott RealTime HCV assay from DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

HCV for use on the cobas® 6800/8800 Systems from PSC and DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 6800/8800 Systems for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Aptima® HCV Quant Dx Assay from DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays Aptima® HCV Quant Dx Assay from DBS for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

HCV for use on the cobas® 4800Systems from PSC and DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 4800 for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

comparison PQ marked reference assay arm

Plasma specimens from the participants will be tested on Abbott RealTime HCV assay that is approved for HCV diagnostics use by countries' authorities.

Group Type ACTIVE_COMPARATOR

Abbott RealTime HCV assay from DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

HCV for use on the cobas® 6800/8800 Systems from PSC and DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 6800/8800 Systems for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Aptima® HCV Quant Dx Assay from DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays Aptima® HCV Quant Dx Assay from DBS for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

HCV for use on the cobas® 4800Systems from PSC and DBS

Intervention Type DIAGNOSTIC_TEST

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 4800 for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Interventions

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Abbott RealTime HCV assay from DBS

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Intervention Type DIAGNOSTIC_TEST

HCV for use on the cobas® 6800/8800 Systems from PSC and DBS

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 6800/8800 Systems for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Intervention Type DIAGNOSTIC_TEST

Aptima® HCV Quant Dx Assay from DBS

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays Aptima® HCV Quant Dx Assay from DBS for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Intervention Type DIAGNOSTIC_TEST

HCV for use on the cobas® 4800Systems from PSC and DBS

The trial intervention will consist of testing DBS, PSC and plasma samples obtained from trial participants using the centralised molecular assays cobas® 4800 for detection of HCV RNA. Results of testing DBS samples on the HCV assay will not be used to make any clinical decisions, and should not be communicated to study participants.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Aged 18 years or older
* Able to understand the scope of the trial
* Provided written informed consent
* Documented positive result of HCV serology test
2. Individuals at risk of having HCV infection based on past and/or current exposure to risk factors

* Aged 18 years or older
* Able to understand the scope of the trial
* Provided written informed consent
* Past and/or current exposure to one of the high risk factors as defined by WHO and CDC guidelines (Appendix I)
3. Individuals diagnosed with chronic HCV infection who initiated or completed the anti-HCV treatment with direct acting antivirals (DAA) presenting at the clinical site for treatment monitoring or test of cure (i.e. sustained virological response)


* Aged 18 years or older
* Able to understand the scope of the trial
* Provided written informed consent
* Initiated on DAA treatment (regardless of type of DAA regimen) within 12 months prior to the enrolment to the trial

Exclusion Criteria

* Previously enrolled in the trial
* Unwilling to provide required volume of fingerstick blood
* Unwilling to provide required volume of venous whole blood
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UNITAID

OTHER

Sponsor Role collaborator

Foundation for Innovative New Diagnostics, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elena Ivanova, Ph.D.

Role: STUDY_DIRECTOR

Foundation for Innovative New Diagnostics

Locations

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St Vincent's Institute of Medical Research National Serology Reference Laboratory

Victoria Park, Fitzroy, Australia

Site Status

Centre Pasteur du Cameroun

Yaoundé, Yaounde, Cameroon

Site Status

National Centre for Disease Control

Tbilisi, , Georgia

Site Status

Hellenic Scientific Society for the Study of AIDS and Sexually Transmitted Diseases

Athens, , Greece

Site Status

Rwanda Military Hospital

Kigali, Kanombe, Rwanda

Site Status

Countries

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Australia Cameroon Georgia Greece Rwanda

Other Identifiers

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8160-2/1

Identifier Type: -

Identifier Source: org_study_id