Trial Outcomes & Findings for COVID-19 Self-Testing Through Rapid Network Distribution (NCT NCT04797858)

NCT ID: NCT04797858

Last Updated: 2025-05-11

Results Overview

The primary outcome is the proportion of study participants who distributed tests/referrals to least two network contacts who completed testing. This outcome will be measured by number of participants with at least 2 unique network contacts who completed a test linked to a study participant by week 8. The investigators will test for differences in the primary outcome between the two study arms.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

792 participants

Primary outcome timeframe

8 weeks

Results posted on

2025-05-11

Participant Flow

Participant milestones

Participant milestones
Measure
Self-Test Kit Distribution
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Overall Study
STARTED
395
397
Overall Study
COMPLETED
388
388
Overall Study
NOT COMPLETED
7
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Self-Test Kit Distribution
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Overall Study
Withdrawal by Subject
0
1
Overall Study
Excluded due to administrative error
7
8

Baseline Characteristics

2 individuals declined to answer.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Self-Test Kit Distribution
n=388 Participants
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=388 Participants
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Total
n=776 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=388 Participants
0 Participants
n=388 Participants
0 Participants
n=776 Participants
Age, Categorical
Between 18 and 65 years
352 Participants
n=388 Participants
352 Participants
n=388 Participants
704 Participants
n=776 Participants
Age, Categorical
>=65 years
36 Participants
n=388 Participants
36 Participants
n=388 Participants
72 Participants
n=776 Participants
Age, Continuous
44 years
n=388 Participants
44 years
n=388 Participants
44 years
n=776 Participants
Sex: Female, Male
Female
219 Participants
n=387 Participants • 2 individuals declined to answer.
221 Participants
n=387 Participants • 2 individuals declined to answer.
440 Participants
n=774 Participants • 2 individuals declined to answer.
Sex: Female, Male
Male
168 Participants
n=387 Participants • 2 individuals declined to answer.
166 Participants
n=387 Participants • 2 individuals declined to answer.
334 Participants
n=774 Participants • 2 individuals declined to answer.
Ethnicity (NIH/OMB)
Hispanic or Latino
53 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
59 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
112 Participants
n=776 Participants • Not all participants provided data or agreed to answer this question.
Ethnicity (NIH/OMB)
Not Hispanic or Latino
322 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
318 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
640 Participants
n=776 Participants • Not all participants provided data or agreed to answer this question.
Ethnicity (NIH/OMB)
Unknown or Not Reported
13 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
11 Participants
n=388 Participants • Not all participants provided data or agreed to answer this question.
24 Participants
n=776 Participants • Not all participants provided data or agreed to answer this question.
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=388 Participants
5 Participants
n=388 Participants
8 Participants
n=776 Participants
Race (NIH/OMB)
Asian
12 Participants
n=388 Participants
12 Participants
n=388 Participants
24 Participants
n=776 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=388 Participants
1 Participants
n=388 Participants
1 Participants
n=776 Participants
Race (NIH/OMB)
Black or African American
230 Participants
n=388 Participants
249 Participants
n=388 Participants
479 Participants
n=776 Participants
Race (NIH/OMB)
White
88 Participants
n=388 Participants
69 Participants
n=388 Participants
157 Participants
n=776 Participants
Race (NIH/OMB)
More than one race
18 Participants
n=388 Participants
12 Participants
n=388 Participants
30 Participants
n=776 Participants
Race (NIH/OMB)
Unknown or Not Reported
37 Participants
n=388 Participants
40 Participants
n=388 Participants
77 Participants
n=776 Participants
Region of Enrollment
United States
388 participants
n=388 Participants
388 participants
n=388 Participants
776 participants
n=776 Participants

PRIMARY outcome

Timeframe: 8 weeks

The primary outcome is the proportion of study participants who distributed tests/referrals to least two network contacts who completed testing. This outcome will be measured by number of participants with at least 2 unique network contacts who completed a test linked to a study participant by week 8. The investigators will test for differences in the primary outcome between the two study arms.

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=388 Participants
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=388 Participants
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Network Contact Test Uptake
5 Participants
2 Participants

SECONDARY outcome

Timeframe: Through study completion, up to 30 months.

Test uptake among at least two network contacts. This outcome will be measured by the number of participants with at least two unique network contacts who completed a test linked to an index participant by end of study.

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=388 Participants
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=388 Participants
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Network Contact Test Uptake, End of Study
8 Participants
2 Participants

SECONDARY outcome

Timeframe: 8 weeks

Population: Note that each participant could have up to 5 network contacts, so the denominator = 5 times the number of index participants.

Number of unique network contacts who completed a test linked to an index participant by week 8. Participants analyzed reflects the number of network contacts only who completed a test.

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=1940 Network contacts
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=1940 Network contacts
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Number of Contacts Tested at 8 Weeks
23 Network contacts
13 Network contacts

SECONDARY outcome

Timeframe: Through study completion, up to 30 months

Population: Note that each participant could have up to 5 network contacts, so the denominator = 5 times the number of index participants.

Number of unique network contacts who completed a test linked to an index participant by end of study.

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=1940 Network contacts
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=1940 Network contacts
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Number of Contacts Tested
31 Network contacts
16 Network contacts

SECONDARY outcome

Timeframe: 8 weeks

Number of participants with at least one network contact who tested positive for COVID-19 within 8 weeks of enrollment.

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=388 Participants
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=388 Participants
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Number of Participants With at Least One Network Contact Who Tested Positive for COVID-19 at 8 Weeks
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Through study completion, up to 30 months

Number of participants with at least one network contact who tested positive for COVID-19 by the end of study

Outcome measures

Outcome measures
Measure
Self-Test Kit Distribution
n=388 Participants
Participants in the self-test arm receive multiple COVID-19 self-test kits to distribute to others in their social networks. COVID-19 self-test: 5 COVID-19 self-test kits will be given to participants after they have been tested for COVID-19. Participants will be instructed to give test kits to others in their social networks who are symptomatic, exposed to COVID-19, or otherwise at high risk of COVID-19.
Test Referral Distribution
n=388 Participants
Participants in the test referral arm receive multiple COVID-19 test referral cards and text messages to distribute to others in their social networks. COVID-19 test referral: 5 test referral cards and text messages on how to obtain COVID-19 testing will be given to participants after they have been tested for COVID-19. These cards and text messages will have information on how to obtain free COVID-19 tests at local testing sites. Participants will be instructed to give out referral cards and text messages to others in their social networks to obtain testing.
Number of Participants With at Least One Network Contact Who Tested Positive for COVID-19, End of Study
3 Participants
0 Participants

Adverse Events

Self-Test Kit Distribution

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

Test Referral Distribution

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

Robert Gross

University of Pennsylvania

Phone: 2158982437

Results disclosure agreements

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