Trial Outcomes & Findings for Rapid Turnaround, Home-based Saliva Testing for COVID-19 (NCT NCT04568122)

NCT ID: NCT04568122

Last Updated: 2024-01-10

Results Overview

Feasibility Outcome. Discrepancy in interpretation of colormetric readout by participant versus by technician via photo. Passed test = void of manufacturing or user error.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1277 participants

Primary outcome timeframe

Up to 5 days per participant

Results posted on

2024-01-10

Participant Flow

1277 participants signed consent; 353 were allocated to a study arm: participants who came to the study site to collect a kit (First, Second, and Third Distribution groups) or provided saliva samples (Positive Saliva Collection and Negative Saliva Collection groups).

Participant milestones

Participant milestones
Measure
Saliva Test - First Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Positive Saliva Collection
Participants provide one saliva sample confirmed positive for SARS-CoV-2 virus used in lab to validate device function.
Negative Saliva Collection
Participants provide one saliva sample confirmed negative for SARS-CoV-2 virus used in lab to validate device function.
Overall Study
STARTED
94
112
135
9
3
Overall Study
Completed One Test
46
68
131
9
3
Overall Study
Completed 2 Tests
32
53
0
0
0
Overall Study
COMPLETED
46
68
131
9
3
Overall Study
NOT COMPLETED
48
44
4
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Saliva Test - First Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Positive Saliva Collection
Participants provide one saliva sample confirmed positive for SARS-CoV-2 virus used in lab to validate device function.
Negative Saliva Collection
Participants provide one saliva sample confirmed negative for SARS-CoV-2 virus used in lab to validate device function.
Overall Study
Lost to Follow-up
48
44
4
0
0

Baseline Characteristics

Rapid Turnaround, Home-based Saliva Testing for COVID-19

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saliva Test - First Distribution
n=94 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=112 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
n=135 Participants
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Positive Saliva Collection
n=9 Participants
Participants provide one saliva sample confirmed positive for SARS-CoV-2 virus used in lab to validate device function.
Negative Saliva Collection
n=3 Participants
Participants provide one saliva sample confirmed negative for SARS-CoV-2 virus used in lab to validate device function.
Total
n=353 Participants
Total of all reporting groups
Age, Continuous
38.8 years
STANDARD_DEVIATION 15.8 • n=5 Participants
46.8 years
STANDARD_DEVIATION 20.6 • n=7 Participants
52.6 years
STANDARD_DEVIATION 17.0 • n=5 Participants
23.8 years
STANDARD_DEVIATION 5.1 • n=4 Participants
24.3 years
STANDARD_DEVIATION 5.51 • n=21 Participants
46.11 years
STANDARD_DEVIATION 4.65 • n=8 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
73 Participants
n=7 Participants
91 Participants
n=5 Participants
8 Participants
n=4 Participants
3 Participants
n=21 Participants
217 Participants
n=8 Participants
Sex: Female, Male
Male
52 Participants
n=5 Participants
39 Participants
n=7 Participants
44 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
136 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
23 Participants
n=5 Participants
20 Participants
n=7 Participants
10 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
53 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
66 Participants
n=5 Participants
91 Participants
n=7 Participants
124 Participants
n=5 Participants
9 Participants
n=4 Participants
3 Participants
n=21 Participants
293 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
7 Participants
n=8 Participants
Race/Ethnicity, Customized
Asian
13 Participants
n=5 Participants
24 Participants
n=7 Participants
21 Participants
n=5 Participants
4 Participants
n=4 Participants
2 Participants
n=21 Participants
64 Participants
n=8 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
6 Participants
n=8 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
5 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
5 Participants
n=8 Participants
Race/Ethnicity, Customized
White
60 Participants
n=5 Participants
65 Participants
n=7 Participants
103 Participants
n=5 Participants
5 Participants
n=4 Participants
1 Participants
n=21 Participants
234 Participants
n=8 Participants
Race/Ethnicity, Customized
More than one race
6 Participants
n=5 Participants
8 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
14 Participants
n=8 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
Race/Ethnicity, Customized
Other
10 Participants
n=5 Participants
8 Participants
n=7 Participants
10 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
28 Participants
n=8 Participants
Region of Enrollment
United States
94 participants
n=5 Participants
112 participants
n=7 Participants
135 participants
n=5 Participants
9 participants
n=4 Participants
3 participants
n=21 Participants
353 participants
n=8 Participants

PRIMARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected from the Saliva Test - First, Second, and Third Distribution groups only. Participants who completed at least one test are included in the analysis.

Feasibility Outcome. Discrepancy in interpretation of colormetric readout by participant versus by technician via photo. Passed test = void of manufacturing or user error.

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=78 Completed tests
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=121 Completed tests
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
n=131 Completed tests
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Number of Matched Test Colormetric Interpretation as a Measure of Interrater Reliability
Total passed tests
52 Completed tests
69 Completed tests
97 Completed tests
Number of Matched Test Colormetric Interpretation as a Measure of Interrater Reliability
Matching interpretation
27 Completed tests
67 Completed tests
93 Completed tests

PRIMARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected from the Saliva Test - First, Second, and Third Distribution groups only. Participants who completed at least one test are included in the analysis.

Validity Outcome.

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=78 Completed tests
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=121 Completed tests
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
n=131 Completed tests
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Number of Positive Home Saliva Tests as Determined by the Patient
NA Completed tests
Data were not analyzable for this outcome because reagents were not stable over the course of a day and the dye used was too sensitive to pH, leading to unreliable data.
NA Completed tests
Data were not analyzable for this outcome because reagents were not stable over the course of a day and the dye used was too sensitive to pH, leading to unreliable data.
NA Completed tests
Data were not analyzable for this outcome because reagents were not stable over the course of a day and the dye used was too sensitive to pH, leading to unreliable data.

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected for the Third Distribution group only; participants who completed the test are included in the analysis

Validity Outcome (ease of interpretation). Number of participants responding by category when asked to provide a rating on being "Confident in Interpreting Results."

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=131 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Participant-rated Confidence in Interpreting Results
Strongly agree
53 Participants
Participant-rated Confidence in Interpreting Results
Agree
61 Participants
Participant-rated Confidence in Interpreting Results
Somewhat agree
9 Participants
Participant-rated Confidence in Interpreting Results
Neither agree nor disagree
2 Participants
Participant-rated Confidence in Interpreting Results
Somewhat disagree
3 Participants
Participant-rated Confidence in Interpreting Results
Disagree
3 Participants
Participant-rated Confidence in Interpreting Results
Strongly disagree
0 Participants

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected for the First, Second, and Third distribution groups only; participants who completed the test and responded to the survey question are included in the analysis

Validity Outcome (ease of use). Number of participants responding by category when asked to provide a rating on SnapDx being "Easy to Learn to Use."

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=29 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=64 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
n=131 Participants
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Participant-rated Ease of Use
Strongly agree
0 Participants
5 Participants
13 Participants
Participant-rated Ease of Use
Agree
6 Participants
22 Participants
52 Participants
Participant-rated Ease of Use
Somewhat agree
7 Participants
10 Participants
39 Participants
Participant-rated Ease of Use
Neither agree nor disagree
2 Participants
4 Participants
4 Participants
Participant-rated Ease of Use
Somewhat disagree
8 Participants
12 Participants
18 Participants
Participant-rated Ease of Use
Disagree
3 Participants
6 Participants
5 Participants
Participant-rated Ease of Use
Strongly disagree
3 Participants
5 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected for this outcome from the Saliva Test - First and Second distribution groups only.

Feasibility Outcome (ease of use). Number of participants that called technical support, by reason (e.g., processing was not possible due to broken part).

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=94 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=112 Participants
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Number of Participants That Called Technical Support
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected from the Saliva Test - First and Third distribution groups only. Participants who completed at least one test are included in the analysis.

Feasibility Outcome. The participants were asked to determine whether the saliva sample filled up to the indicated line, and if there were bubbles present as a measure of sample integrity.

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=78 Test samples
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=131 Test samples
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Sample Integrity
Sufficient sample
78 Test samples
131 Test samples
Sample Integrity
Significant presence of bubbles
25 Test samples
50 Test samples

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Data were collected from the Validation Saliva Samples group only.

Validity Outcome. Analysis of saliva samples provided by participants and run through sample test kit by study lab. Sensitivity = number of true positives out of the positive tests run. Samples may have been split and run through more than one test.

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=5 Positive tests run
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Sensitivity of Sample Test Kit
4 Positive tests run

SECONDARY outcome

Timeframe: Up to 5 days per participant

Population: Specificity analysis includes samples confirmed negative from the First or Second Distribution groups, and samples from the Negative Saliva Collection group only

Validity Outcome. Analysis of saliva samples provided by participants and run through sample test kit by study lab. Specificity = number of true negatives out of negative tests run. Samples may have been split and run through more than one test.

Outcome measures

Outcome measures
Measure
Saliva Test - First Distribution
n=18 Negative tests run
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Second Distribution
n=10 Negative tests run
Participants provide two test samples at home using the saliva test kit to detect the SARS-CoV-2 virus.
Saliva Test - Third Distribution
n=28 Negative tests run
Participants provide one test sample at study visit using the saliva test kit to detect the SARS-CoV-2 virus.
Specificity of Sample Test Kit
15 Negative tests run
10 Negative tests run
25 Negative tests run

Adverse Events

Saliva Test - First Distribution

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Saliva Test - Second Distribution

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Saliva Test - Third Distribution

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Positive Saliva Collection

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Negative Saliva Collection

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Manu Prakash, PhD

Stanford University BioEngineering

Phone: (650) 725-3731

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place